Dermatology Diagnosis

Tracey Vlahovic, DPM
18,216 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
27,642 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
210,383 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
35,166 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
16,345 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
25,301 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
70,213 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
23,066 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
William Fishco, DPM, FACFAS
43,685 reads | 0 comments | 03/25/2010
   A 51-year-old male presented to the office with the chief complaint of a skin growth on his right medial heel. He related that the mass has grown slowly over the prior year. He did not have any severe pain with it other than shoe irritation. The skin lesion would bleed easily with any pressure on it. | Continue reading
Henry J. Carson, MD, and Eugene Nassif, DPM
27,822 reads | 0 comments | 11/23/2009
   While research has shown that onychomycosis is more common in patients with diabetes, we need to be cognizant of different etiologies and perhaps reexamine those when an initial treatment course fails to get results.1    A 36-year-old woman presented with a six-month history of a discolored toenail of the right great toe.    She was a moderately overweight Caucasian woman with a 20-year history of juvenile-onset diabetes mellitus. She had poor to moderate control of her disease. | Continue reading