A 3-year-old child with a history of atopic eczema presents to the clinic. The child’s eczema is typically managed well with emollients, but the parents are worried as the facial eczema has worsened significantly overnight. The child now has painful blisters clustered on both cheeks, around the mouth, and on the neck. The child’s temperature is 37.9ºC. What is the best course of action for management?
A 65-year-old woman comes to the clinic with a similar concern as the previous patient. She has noticed a volcano-like spot on her left arm that has been present for the past 3 months. Initially, she thought it was a simple spot, but it has not gone away. Upon examination, a 5 mm red, raised lesion with a central keratin-filled crater is observed. The doctor suspects a probable keratoacanthoma. What is the most appropriate course of action?
A 27-year-old man has come back from a vacation at the beach in Tenerife with a fresh rash on his neck and arms. The rash consists of patches that are coppery brown in color and lighter than the surrounding skin. There is no itching or pain associated with the rash. When examined with a Wood’s light, the affected areas show yellow-green fluorescence.
What is the recommended initial treatment for this skin condition?
A 38-year-old man presents with pruritic, violaceous papules in a polygonal pattern on the flexor surface of his forearms. Several of these papules have merged to form plaques. What is the probable diagnosis?
A 42-year-old woman comes to the clinic complaining of itchy, violaceous papules on the flexor aspects of her wrists. She has no significant medical history and has never experienced a similar rash before. Based on the probable diagnosis, what other symptom is she most likely to exhibit?
A 32-year-old male patient complains of an itchy rash on his palms and genitals. He has observed the same rash around a recent scar on his forearm. During examination, the doctor notices papules with a white-lace pattern on the surface. What is the diagnosis?
A 5-year-old boy is brought to surgery by his father who has noticed a number of small ‘spots’ and ‘bruises’ on his legs that have developed over the past 2-3 days. He initially thought this was due to an allergy but it has not gone away. His son is described as being well apart from a cough he’s had for the past 2 weeks.
On examination, he is apyrexial with a heart rate of 98/min. Examination of his ears, throat and chest is normal. There is no neck stiffness or abdominal masses. A number of petechiae are seen around his chest area as well as purpura on his lower legs and arms.
What is the most appropriate action?
A 5-year-old girl is presented to your GP clinic by her father with a complaint of erythematous sores on her face for the past 2 days. The lesions are limited to her face and have started to weep and progress to honey crusted lesions over the last 24 hours. The child is otherwise healthy. Previously, topical hydrogen peroxide was ineffective for a similar episode. What is the most appropriate treatment option?
A 20-year-old individual comes in with a 1 cm golden, crusted lesion on the border of their left lower lip. They have previously tried topical hydrogen peroxide for a similar episode without success. What is the best course of action for management?
A 78-year-old woman with a history of ischaemic heart disease is evaluated at a nursing home. She presents with tense blistering lesions on her legs, measuring approximately 1 to 3 cm in diameter, and reports mild itching. Her mouth and vulva examination are normal. What is the probable diagnosis?