This patient has transient onset of red dots on fingers and | Figure 1

konstackym

Patient Case Discussion

This patient has transient onset of red dots on fingers and palms since 2 months, normal lab values, feels tired, no subfebrillias, no elevation of inflammatory markers.

Similar Cases

40 yo male comes in to the clinic complaining of a dry and scaley patch underneath his left eye. He's had it for about a year. He thinks that the area has gotten bigger, and states that the skin is wrinkly and always red. He doesn't report itching or pain. He initially tried applying a steroid cream, but it didn't help. He was maintaining the scaly appearance by applying lotion daily. He also tried an Asian cream that he says is for eczema, which helped initially, but no longer works. He went to see a dermatologist and the NP diagnosed him with actinik keratosis and applied liquid nitrogen. He hasn't seen an improvement since the treatment, which was done about 2 weeks ago.

On heel for several months. Trial of anti-fungal failed. Eczema?

73 yo male with scaly Maculopapular rash for 6 weeks. Improved with prednisone but has reappeared recently. Ideas?

52 years old female, without family history of psoriasis or other kind of skin disease, she works as a waitress and she has no contact with chemicals or animals, she had an eruption with watery secretion in her fingers 2 months ago, she was treated with cephalotin, itraconazole and esteroid ointment for 10 days with moderate improvement, since then she hadn't received any management and today comes for these lesions, she complains of dryness but no pain other itchy. What do you guys think?

Additional Clinical Cases

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?