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?
A 72-year-old male presents to his primary care clinic with a 3-day history of burning pain and rash on the right side of his chest. He also complains of feeling generally unwell. He has no significant medical history and is not taking any regular medications.
During the physical examination, an erythematous rash with multiple clear vesicles is observed on the right side of the torso. The remainder of the clinical examination, including an ophthalmic examination, is unremarkable.
What is the most appropriate initial management for this patient’s most likely diagnosis?
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?