During a routine General Practitioner (GP) clinic, a mother attends with her 8-year-old daughter who has worsening dry, itchy skin, mainly affecting the flexor surfaces, particularly on the legs. She has tried regular liberal use emollient cream with limited success.
What would be the most appropriate next step in the management of the child’s eczema?
A 35-year-old man presents to his General Practitioner. He has noticed a few patches of pale skin on his arms over the past few weeks. He is not particularly worried about these but wants to know what it could be and what he needs to do about it.
On examination, a few depigmented patches on the arms are noted. His medical history includes asthma, for which he takes inhalers.
Given the likely diagnosis, which of the following treatments should he be started on?
A toddler is brought to your clinic as the mother has noticed some skin lesions on the child’s face. Upon examination, you observe multiple small white papules on the nose. What is the probable diagnosis?
A 26-year-old patient comes in with lesions on their lower abdomen that have been present for six weeks. At first, there was only one lesion, but more have appeared since then. During the examination, around 10 raised lesions with an umbilicated appearance, each around 1-2 mm in diameter, are observed. What is the most probable diagnosis?
You see a 4-year-old child in surgery with his mother. He has been diagnosed with molluscum contagiosum and she is keen to have him treated.
Which of the following statements about molluscum contagiosum is true?
A 65-year-old woman comes to see her GP for a skin condition that has been slowly progressing over the years. She has had dry patches of skin that eventually turned into plaques, which have been treated as psoriasis. However, the lesions have continued to worsen and now have nodules. Some of these nodules have become painful and have discharged fluid. A biopsy is taken to further assess the lesions, and the pathology report shows lymphocytic and atypical T-cell infiltrates in the dermis and epidermis, with some Pautrier microabscesses. Based on this information, what is the most likely diagnosis?
A 58-year-old male is referred to dermatology by his physician for evaluation of a lesion on his shin. During the examination, the dermatologist observes shiny, painless areas of yellow skin with numerous telangiectasia. What is the probable diagnosis?
A 38-year-old male presents to his GP with a raised, patchy rash on his elbows and knees. The lesions have slowly developed over the past few months and are itchy but not painful. He mentions that the rash improved slightly during his recent trip to Morocco and he got temporary relief from the itch.
Upon examination, you observe well-demarcated, red, scaly patches on his elbow and both knees. The patient has a medical history of ankylosing spondylitis and is currently taking naproxen and omeprazole.
What is the most appropriate treatment for this patient’s rash?
A 70-year-old man comes in to discuss the results of laboratory tests for nail clippings taken 8 weeks ago. He had previously presented with thickening and discoloration of all the nails on his right foot. He has a medical history of type 2 diabetes and hypertension. He is currently in good health and taking metformin, simvastatin, and ramipril. The lab report confirms the presence of onychomycosis. What treatment options should be offered to him?
A 28-year-old woman presents with a recurring, intensely itchy rash on the palms of her hands. She reports that these rashes tend to occur every summer. Despite trying over-the-counter emollients and antihistamines, there has been only marginal improvement. The patient is otherwise healthy with no other medical conditions and does not smoke.
During examination, bilateral vesicles are observed on the palms and sides of the fingers. The palms appear dry with areas of skin peeling, while the rest of her body is unaffected.
What is the most probable diagnosis?