Dermatology Diagnosis

William Fishco, DPM, FACFAS
18,515 reads | 0 comments | 07/25/2012
A 32-year-old male presented to my office with the chief complaint of heel pain. His symptoms were consistent with plantar fasciitis and a strong element of post-static dyskinesia. He had a secondary complaint of a recent rash that developed on his legs after he made the appointment for heel pain. The patient was concerned because the rash became worse over the prior week and there was pain when he touched the affected area. | Continue reading
M. Joel Morse, DPM
220,215 reads | 0 comments | 05/23/2012
Longitudinal pigmentation of the nail is a common presenting problem in general podiatry. However, it is not something the patient always brings to your attention. You need to look for it. | Continue reading
Tracey Vlahovic, DPM
19,596 reads | 1 comments | 03/28/2012
A 54-year-old woman presents with bilateral leg lesions that are pruritic and bothersome, a condition that is several years in duration. She has seen several physicians for this condition but “no one seems to be able to help” her. As she is sitting in the treatment chair, the patient actively scratches her legs and forearms. She says there is something “underneath” and she must “get it out.” She denies that the itching gets worse at night but notes that it bothers her throughout the day. | Continue reading
Michael Uro, DPM
28,520 reads | 0 comments | 01/30/2012
An 80-year-old Caucasian presents to the office complaining of thick, yellow, unsightly and sometimes painful toenails. The patient, a retired RN, has had a history of a rash affecting both feet. The rash is sometimes pruritic and sometimes not. She has tried applying topical antifungals to her toenails without success. However, antifungal creams have sometimes helped her skin condition. | Continue reading
William Fishco, DPM, FACFAS
229,771 reads | 0 comments | 09/22/2011
A 53-year-old male presented to the office with the chief complaint of a rash on the top of both feet, worse on the right than the left. The duration of symptoms had been more than six months. He related intense itching that required scratching. His wife told me that he would wake her up due to rubbing his feet in bed. His primary care physician prescribed a course of a topical cortisone cream using triamcinolone 0.1%, which helped minimally. | Continue reading
Kathleen Satterfield, DPM, FACFAOM, MAPWCA
37,115 reads | 0 comments | 05/18/2011
You walk into the room to see a well-dressed 48-year-old businesswoman sitting in the treatment room. She has her right foot cradled in her hands and is massaging the heel. You notice the stylish high heels on the floor beside her. | Continue reading
William Fishco, DPM, FACFAS
16,954 reads | 0 comments | 03/22/2011
A 50-year-old female presented to the office with the chief complaint of an itching rash on her ankles and feet. She reported the itch to be severe at times. The duration of symptoms was for at least a few months. | Continue reading
Tracey Vlahovic, DPM, FAPWCA
26,506 reads | 0 comments | 11/19/2010

A 26-year-old male presented with salmon colored annular lesions extending from the dorsum of his feet proximal into his lower extremities bilaterally. He originally thought he had eczema. The patient had no pertinent past medical history or allergies, and no current medications. The patient had not traveled recently and had no recent history of infection. The lesions were mildly pruritic and he had not changed any of his detergents, soaps or anything else in his environment. He did not relate this rash as appearing after any excessive sun exposure recently. He denied fever, chills and joint pain.

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Brent D. Haverstock, DPM, FACFAS
74,442 reads | 0 comments | 09/22/2010
A 44-year-old competitive runner presented with a history of painful lesions on the plantar aspect of both feet. He stated that the problem initially began with the presence of a single lesion. He denied any history of trauma to the area and indicated that there has never been any bleeding from the site. Further lesions developed and they started to cause some discomfort while he was running. | Continue reading
Tracey Vlahovic, DPM, FAPWCA
23,856 reads | 0 comments | 05/20/2010
A 25-year-old male who thought he had tinea pedis and corporis presented with red plaques extending from the medial aspect of his feet proximal into his lower extremities bilaterally. The patient had no pertinent past medical history, no medications and no history of dental work. The lesions were pruritic and he noticed when his cat scratched him, small marks remained on his legs that were also itchy. Due to this, he believed the skin disease was spreading and contagious. | Continue reading