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What are the risk factors for endometrial carcinoma and what is the unifying feature for all factors? Spoiler for Answer:
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| Dermatology Cases, discussion, MCQs and member-contributed revision notes in Dermatology |
| Tags: 22yo, nose, rash, shoulder |
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#1 |
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Gary Administrator
Join Date: Jan 2006
Location: Dublin, Ireland
Age: 31
Posts: 145
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A 22-year-old, otherwise healthy, Caucasian man presents to the emergency department with what appears to be a scaly, verrucous rash involving the side of his nose (see Image 1), his left shoulder (see Image 2), the right side of his back, and the left posterior aspect of his thigh. He has recently moved to California's Central Valley but denies having any unusual exposures or medical problems and is not taking any medications.
Spoiler for Answer:
The review of symptoms yields negative findings for fevers, night sweats, and chills. Methicillin-resistant Staphylococcus aureus (MRSA) is initially diagnosed, and the patient is presumptively treated with trimethoprim-sulfamethoxazole and rifampin and discharged home. Several weeks later, he returns to the clinic because the "rash" was not improving and he now has night sweats and arthralgias. Consultation with a dermatologist leads to biopsy of the lesions. What is the diagnosis, Doctor? |
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#2 |
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Junior Member
Join Date: Nov 2006
Posts: 1
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May be sarcoidosis or lupus vulgaris |
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#3 |
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Erik Administrator
Join Date: Jan 2006
Posts: 168
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Ooohhh...nice clinical case Dr. B...though you did give a big key giveaway in the clinical description! I won't say the answer but I'll post it pictorially...what do you see here and what's the bug?
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#4 |
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Junior Member
Join Date: Feb 2007
Posts: 9
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Thanks! very helpful
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| > 22yo M with a nose and shoulder rash |
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