A 33-year-old construction worker presents with an area of redness on his right foot. The area of redness has grown in size over the past day and is warmer than the surrounding normal skin. The patient mentions that the area is also tender to touch.
Following taking a history and examining the patient, the physician suspects a diagnosis of cellulitis.
Which of these terms is best used to describe ‘cellulitis’?
A 32-year-old professional footballer comes to the Dermatology Clinic with a lesion on his leg. The lesion started as a small cut he got during a match, but it has progressed over the past few weeks, becoming a large, painful ulcer.
During the examination, the doctor finds that the lesion is 50 mm × 75 mm and ulcerated with a necrotic centre. The patient has no medical history, but his general practitioner (GP) recently investigated him for a change in bowel habit, including bloody stools, and fatigue.
The patient’s anti-neutrophil cytoplasmic antibody test comes back positive, and no organisms grow from the wound swab. The doctor prescribes systemic steroids, and the patient experiences rapid improvement.
What is the most likely diagnosis?
A 50-year-old pharmacist with a longstanding diagnosis of sarcoidosis presents to the Dermatology Clinic with an unsightly rash. The rash has been present for a number of years, but the area affected is becoming more prominent and is making her feel very self-conscious. She has been told previously that the rash is connected to her sarcoidosis; however, she would like to know if anything can be done to treat it.
Which one of the following dermatological conditions is diagnostic of chronic sarcoidosis?
A large area of grey-blue pigment is noted over the left buttock of a 6-month-old baby by the pediatrician during a routine check-up. There are no other signs of bleeding or bruising visible on the baby. The baby was born full-term and the mother has no health conditions.
What is the most likely diagnosis?
A 30-year-old man with a history of asthma and ulcerative colitis presents with an itchy, red rash in the right and left popliteal regions. He works as a teacher and continuously scratches the back of his knees when he is at work. This is the second time he has suffered from such a popliteal rash. He states that previously he has had similar skin conditions affecting his anterior wrist and antecubital areas. On examination, both popliteal areas are erythematosus with slight oedema and weeping. There are some overlying vesicles and papules.
What is the most likely diagnosis?
A 45-year-old man came to the clinic during the summer with complaints of itching and blistering on his hands and forehead. Upon examination, small areas of excoriation were found on the backs of his hands. What is the probable diagnosis?
A General Practitioner is summoned to the nursing home to examine a 70-year-old man with dementia and severe pruritus. During the examination, the doctor observes excoriations on the patient’s trunk and limbs. The patient also has scaling on his palms, particularly in the web spaces. What is the most probable diagnosis?
A 25-year-old woman is distressed about her acne vulgaris, which includes papules, pustules, and comedones. She experienced acne during her adolescent years, and it has continued to persist. Her weight and menstrual cycle are normal, and there is no hirsutism. What is a probable cause of her condition?
An 18-year-old man visits his GP with complaints of painful lesions on his face, neck, and upper back. He has no significant medical history and is not taking any medications. Upon examination, the GP observes multiple pustules on erythematous bases that express serosanguinous fluid and occasional pus. Based on these findings, the GP makes a tentative diagnosis and recommends daily application of topical benzoyl peroxide. What structure is most likely responsible for the development of this patient’s skin condition?
A 38-year-old man comes to his GP clinic complaining of pruritic, polygonal, violaceous papules on the inner aspect of his forearm. Several of these papules have merged to form plaques.
What is the most probable diagnosis?