A 54-year-old patient presented to the general practitioner with complaints of bloody diarrhoea that has persisted for the past 6 months. The patient also reported experiencing fever, weight loss, abdominal pain, and a painful, erythematosus rash on the anterior surface of the leg. A positive faecal occult blood test was obtained, and colonoscopy revealed crypt abscesses. What type of skin lesion is frequently observed in this patient?
A 27-year-old man with a history of eczema presents with itchy, red patches of skin on his antecubital fossae, lateral thighs, and popliteal fossae. The skin on his right thigh is weeping and inflamed. He reports feeling fatigued and wonders if he has had a fever. His vital signs are within normal limits. Based on your examination, you diagnose him with moderately severe eczema.
What is the best course of action for managing his condition?
A 40-year-old man presents with generalized pruritus and excoriation marks on his skin. He has visible needle track marks in his antecubital fossae and shiny nails. His sclerae appear normal and he denies any significant medical or surgical history. He works as a truck driver and has no significant exposure to industrial chemicals or organic dust. He has no family history of atopy and smokes six cigarettes a day while only drinking alcohol socially once a week. What is the most appropriate initial test to perform?
A lesion is observed on the left cheek of a 4-year-old child, and impetigo is being considered as a possible diagnosis.
Which one of the following statements is true regarding impetigo?
A 14-year-old female has been experiencing multiple, non-tender, erythematosus, annular lesions with a collarette of scales at the periphery for the past two weeks. These lesions are only present on her trunk. What is the most probable diagnosis?
A 14-year-old girl came to the clinic with several erythematosus lesions on her trunk. The lesions had a collarette of scales at their periphery and were asymptomatic. What is the most probable diagnosis?
A 21-year-old woman presents to her general practitioner because she is concerned about patches of depigmentation on her skin. There are patches on the back of her hands and her elbows, but she is particularly concerned about depigmentation around her mouth and affecting her breasts. Her only other past history of note is a tendency to gain weight over the past few months. Investigations:
Investigation Result Normal value
Haemoglobin 119 g/l 115–155 g/l
Platelets 320 × 109/l 150–400 × 109/l
White cell count (WCC) 5.9 × 109/l 4–11 × 109/l
Sodium (Na+) 140 mmol/l 135–145 mmol/l
Potassium (K+) 4.9 mmol/l 3.5–5.0 mmol/l
Creatinine 80 μmol/l 50–120 µmol/l
Thyroid stimulating hormone (TSH) 6.0 µU/l 0.17–3.2 µU/l
Depigmented skin areas fluoresce bright blue-white on Wood’s lamp inspection.
Which of the following is the most likely diagnosis?
A 28-year-old accountant is referred to Dermatology after developing some patches of hypopigmentation. The patient reports a 2-month history of patchy areas of discolouration over her chest and back. She is feeling extremely distressed and self-conscious about these areas. The patient has stopped going to the beach due to the lesions, which she previously enjoyed.
During examination, the patient has multiple patches of flaky, discoloured hypopigmented lesions distributed over the chest and back.
What is the most likely cause of hypopigmented skin in this case?
A 19-year-old man is suffering from acne vulgaris, with inflamed, open comedones on his face, chest and neck. What micro-organism degrades sebum to produce inflammatory fatty acids in such cases?
A 49-year-old male has been experiencing a rash on and off for the past two years. Upon examination, it is noted that the rash is symmetrical and located on the cheeks, nose, and chin. The patient has multiple papules and pustules. What is the recommended treatment for this individual?