Dermatology Diagnosis

By G. “Dock” Dockery, DPM, FACFAS
30,975 reads | 1 comments | 12/03/2007

A 60-year-old Caucasian female patient presents for consultation to the foot and ankle clinic regarding a one-year history of an erythematous, scaly and irregular lesion on the sole of her right foot. She notes the lesion is entirely asymptomatic. She originally saw a primary care physician about the lesion. The physician told her that she had a case of “athlete’s feet” and recommended an over-the-counter (OTC) antifungal cream. After four weeks of treatment with the antifungal cream, the patient showed no improvement.

The primary care physician then re-diag

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By G.“Dock” Dockery, DPM, FACFAS
22,374 reads | 0 comments | 10/27/2007

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 eating hab

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By G. “Dock” Dockery, DPM, FACFAS
636,437 reads | 0 comments | 08/03/2007

It is late in the summer when a 29-year-old Caucasian female, employed as a medical assistant in your foot and ankle clinic, presents with a two-day history of red spots on her feet. The red spots became small fluid-filled vesicles, which are present mostly on the soles. She says she has broken one of the small vesicles and it expressed a clear fluid.

The lesions are causing mild discomfort but are not very pruritic. Otherwise, she feels a little fatigued and reports a slightly elevated oral temperature today. Additionally, she reports a mild headache and a slight sore throat. She

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By G. “Dock” Dockery, DPM, FACFAS
23,290 reads | 0 comments | 06/03/2007

A 32-year-old female presents to the clinic with a chief complaint of multiple pruritic lesions on the tops of both feet. The lesions have been present for several months and appear to be increasing in number and size. The patient has not seen any other physician for this problem and she has not been putting any medications on the condition.

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By Gary “Dock” Dockery, DPM, FACFAS
22,599 reads | 0 comments | 04/03/2007
An 11-year-old boy presents to the clinic with a chief complaint of multiple bumps on his right leg and foot. He reports the lesions have been present for almost two months and appear to be increasing in number and size. The boy did not see his pediatrician or family physician for this condition. | Continue reading
By Gary “Dock” Dockery, DPM, FACFAS
68,230 reads | 0 comments | 02/03/2007

      A 51-year-old man presents to the clinic with a chief complaint of multiple warts on both lower legs and feet. He reports that the lesions have been present for almost two years and appear to be increasing in numbers and size. The patient saw his family physician a year ago and was told to begin treating the warts with an over-the-counter wart medication containing a low percentage of salicylic acid. Since that time, he has randomly applied the wart cream with little success but did note that some of the lesions appeared to get smaller with treatment.     &nb

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By Gary “Dock” Dockery, DPM, FACFAS
133,857 reads | 0 comments | 12/03/2006

      A 29-year-old Caucasian female patient presented in consultation in the foot and ankle clinic regarding a six-week history of erythematous vesicles and papules on the soles. She reported intense pruritus. Her primary care physician told her that she had a case of “athlete’s feet” and that she should use an over-the-counter (OTC) antifungal cream. After two weeks of treatment with antifungal cream, the patient had no improvement.

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By Gary “Dock” Dockery, DPM, FACFAS
34,678 reads | 0 comments | 10/03/2006

     A 30-year-old Caucasian female brings her 3-week-old son into the clinic with a skin condition on both feet. The mother reports that the pregnancy was uncomplicated. She says the baby was born full-term with a normal birth weight of 7.2 pounds and no problems noted.      The mother also says she was healthy before and during the pregnancy, and that she is not taking any prescription medications or other drugs. She has been taking regular perinatal vitamins and minerals, including vitamin C and E, as directed by her personal obstetrician. The mother denies

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By Gary “Dock” Dockery, DPM, FACFAS
170,387 reads | 0 comments | 08/03/2006

   Podiatric physicians are often presented with dilemmas when diagnosing various dermatological conditions as these conditions may have overlapping symptoms. An accurate diagnosis is dependent on the patient history, physical examination and asking key questions to elicit telling answers from the patient. Accordingly, we have launched a new bimonthly column, “Dermatology Diagnosis,” that will test one’s skills in diagnosing dermatological conditions. Without further delay, let us consider the first case.    A 26-year-old male presents with a four-day h

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