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When Rashes Do Not Seem To Respond To Treatment
All of us have experienced a patient whose red, scaly rash has not responded to our prescription topical therapy. Not only is this challenging to us as practitioners but also to the patient. Failure to respond to conventional therapy warrants a skin biopsy.
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Podiatric Dermatology Quiz: What Is Your Diagnosis Of This Rash?
Can you identify the condition in the photo on the left?
This systemic vasculitis is characterized by purpura, abdominal pain, hematuria and arthritis. Approximately 75 percent of cases occur in children under the age of 12. The rash primarily involves the lower extremities and buttocks.
Which of the following is your diagnosis?
a) Morphea
b) Henoch-Schonlein Purpura
c) Pigmented Purpuric Dermatoses
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Can A Novel Felt Pad Help Offload Plantar Ulcers?
On my recent journey to the Society for Chiropodists and Podiatrists 100th Anniversary Conference and Exhibition in Glasgow, Scotland, I saw the exhibit hall display for Hapla (Cuxson Gerrard) felt. My U.K. mentor, Dr M. Tariq Khan, PhD, uses this in his podiatric clinic. When I spent time training with Dr. Khan years ago, he introduced me to the Hapla 3D system.
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Should We Do Patch Testing Prior To Using Metal Implants In Patients With Reported Sensitivity?
Have you ever had a post-op patient with a metal implant who suddenly developed a rash, pain or loosening of the implanted device? I have had patients develop both a rash and pain following metal implantation, but attributed it to a Vicryl reaction as their reactions eventually resolved after treatment.
I still stand by that diagnosis but after reviewing a recent article in the Archives of Dermatology, I feel compelled to delve deeper into the allergy section of my patient interview prior to surgical planning.1
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Addressing Misconceptions Of Patients On Tanning And Sunscreen
As summer officially begins this week, patients may need reminders about the importance of protecting their skin from sunburn, particularly oft-neglected areas such as the feet. I feel compelled to discuss the myths of tanning and sunscreen as outlined by Sandra Fryhofer, MD, on Medscape’s Medicine Matters.1 Two years ago, I discussed sunscreens more in depth (http://goo.gl/ufVhB ), but I would like to take this time to go through the most common misconceptions about sun exposure. Chances are, you probably hear these lines from your patients from time to time.
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Podiatric Dermatology Quiz: What Kind Of Lesion Is This?
Can you identify the type of lesion shown in the photo at the left?
These atypical moles differ from common nevi as they are usually larger in size and lack pigment uniformity. Color ranges from reddish hues to brown to blue-black. The clinical appearance of a popular, pigmented central portion surrounded by a less pigmented macular border gives rise to the “fried egg” nomenclature.
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A Review Of Treatment Options For Pitted Keratolysis
Lately at the Foot and Ankle Institute, we have had a “rash” (pun intended) of patients presenting with erythrasma and/or pitted keratolysis. Let’s focus on pitted keratolysis.
Pitted keratolysis is a condition characterized by superficial erosions and 1 to 3 mm discrete crateriform pits along the sole of the foot due primarily to prolonged bromhidrosis.1 Although typically asymptomatic and non-inflammatory, patients with this condition often seek treatment because of the associated psychosocial factors such as odor and embarrassment.
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