50 year-old female with hx of SLE presenting with excoriated papules and flushing

     

    This is a 50 yo F with a h/o SLE and depression who presented with a several year history of 5-15mm excoriated, erythematous papules on the upper extremities and chest.  Pt reports that the papules are often extremely itchy and worse in the summer.  Pt also admits to episodic flushing and joint pains, but denies any GI symptoms.  

    Use of soluble adenylate cyclase in evaluation of slow Mohs margin for lentigo maligna

    82 year old female undergoing slow Moh's procedure for lentigo maligna of the nasal tip. This is the third stage of the procedure.

    Conference: 

    Medium size vessel lymphocytic vasculitis with macular lesions and livido racemosa

     

    A 61 year-old otherwise healthy male presented with macular lesions and livido reticularis on lower extremities.

    He had a history of Bell's palsy and "orbital fibroinflammatory tumor".

    Extensive laboratory work up revealed mildly increased levels of IgG with no other significant findings.

    A biopsy was performed.

     

    FADDV 2012.4.5 what kills the epidermis?

    A 39-year-old woman had a tender crusted papule on her lower back, noted for 1 week. The clinical impression is an irritated nevus.

    FADDV 2012.4.4 panniculitis?

    A 55-year-old man had tender brownish patches, plaques with ulceration on her both lower legs and ankles for 6 months. The clinical impression includes panniculitis, erythema nodosum, and erythema induratum.

     

    FADDV 2012.4.3 hematoma?

    A 26-year-old man had a tender skin nodule on his left 3rd toe for several weeks. The clinical impression is fibrosis and an excisional biopsy was done.

    FADDV 2012.4.2 what kind of the cyst?

    A 39-year-old woman had a hard tender subcutaneous nodule on her upper arm for 1 month. The clinical impression is pilomatricoma.

    FADDV 2012.4.1 trichoepithelioma or basal cell carcinoma?

    A 55-year-old woman had a skin-colored asymptomatic papule on her nose for several months. The clinical impression is basal cell carcinoma and the lesion was excized.

    20 year-old male with lesions since childhood

    Pt has had progressively worsening lesions since childhood.  Exam reveals involvement of the torso, axilla, palms, and fingernails.  

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