Dermatology Diagnosis

Brent D. Haverstock, DPM, FACFAS
77,332 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
24,548 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
47,127 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
30,189 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
M. Joel Morse, DPM
430,447 reads | 0 comments | 09/22/2009
   As winter approaches, patients must be aware of the punishing effects of cold on the lower extremity. Given that patients with feet affected by the falling temperatures may present more commonly to podiatric offices, a correct diagnosis and treatment are vital. | Continue reading
By M. Joel Morse, DPM
44,825 reads | 0 comments | 01/30/2009
   An 85-year-old Caucasian male presents with a heel ulcer after spending eight weeks in a rehabiltation home following hip replacement surgery. He presently spends much of his time in a lounge chair or in a wheelchair. He has a history of angina, arthritis, aortic valve replacement, prostate cancer with radiation treatment and Parkinson’s disease. He is taking carbidopa-levodopa (Sinemat, Merck), ropinirole (Requip, GlaxoSmithKline) and warfarin (Coumadin, Bristol-Myers Squibb). He is allergic to sulfa.    The patient initially underwent a workup and a debr | Continue reading
By M. Joel Morse, DPM
118,744 reads | 0 comments | 11/26/2008
Key Questions To Consider    1. What essential question does one still need to help make the diagnosis?    2. What is the tentative diagnosis?    3. Can you list at least three differential diagnoses?    4. What features in this condition differentiate it from other conditions?    5. What is the suitable treatment of this condition?

   A 27-year-old Caucasian male presents with a history of a strong smell of the feet for the past five years. He is very active in sports. The p | Continue reading
By M. Joel Morse, DPM
67,402 reads | 0 comments | 09/30/2008
Key Questions To Consider 1. What essential question does one still need to ask to help make the diagnosis? 2. What is the tentative diagnosis? 3. Can you list at least three differential diagnoses? 4. What features in this condition differentiate it from other conditions? 5. What is the suitable treatment of this condition? A 26-year-old African-American female presents with thickening of the skin on the soles and sides of her feet as well as discoloration on two of her toes. She says the discoloration and thickening started eight years ago and has slowly become worse over time. | Continue reading
By G. “Dock” Dockery, DPM, FACFAS
14,164 reads | 0 comments | 09/03/2008
A 37-year-old Caucasian male presents with a chief complaint of a nodular growth on the left calf. He first noticed the bump about two months ago but says he did not think too much about it until recently. At that time, he noticed it was causing mild discomfort when he touched it but the growth was only slightly pruritic. The lesion did not appear to be infected and it did not drain or bleed at any time. He says he checked the rest of his body for any similar looking lesions and found none. Otherwise, he has no other complaints or concerns.

The patient has not changed his diet or | Continue reading
By M. Joel Morse, DPM
33,807 reads | 0 comments | 06/03/2008

A 32-year-old Caucasian female presents to the office with swollen, sore, irritated, itchy toes of both feet and a symmetrical distribution on the tops of the toes.
She notes that the redness started four weeks ago. It was on the third toe initially but is now on other toes as well, according to the patient. There is no scaling or maceration in the interspaces, and no scaling on the rest of the foot.

 

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