Update Nummular Dermatitis in Pregnancy | Figure 1

%27%3e%3cg%20id=%27Group-14%27%20transform=%27translate(13.000000,%20103.176124)%27%3e%3cg%20id=%27Group-Copy-5%27%20transform=%27translate(0.000000,%20182.676124)%27%3e%3crect%20id=%27Rectangle-8%27%20fill=%27%23E2E0DE%27%20x=%270%27%20y=%270%27%20width=%2736%27%20height=%2736%27%20rx=%2718%27%3e%3c/rect%3e%3cpath%20d=%27M28,27.6503435%20C28,22.127496%2023.5228474,17.6503435%2018,17.6503435%20C12.4771525,17.6503435%208,22.127496%208,27.6503435%20M18,16.3472505%20C20.8165136,16.3472505%2023.099749,14.0640151%2023.099749,11.2475015%20C23.099749,8.43098783%2020.8165136,6.1477524%2018,6.1477524%20C15.1834863,6.1477524%2012.9002509,8.43098783%2012.9002509,11.2475015%20C12.9002509,14.0640151%2015.1834863,16.3472505%2018,16.3472505%20Z%27%20id=%27Combined-Shape%27%20fill=%27%23FFFFFF%27%20fill-rule=%27nonzero%27%3e%3c/path%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/g%3e%3c/svg%3e)

Update Nummular Dermatitis in Pregnancy

Patient used beclomethasone, but stopped and went back to over the counter hydrocortisone because she stated the high dose steroid made the rash hurt. Regardless, she notes the rash is fading (at about 50% of prior) and she is feeling better. If she represents with blisters I will biopsy uninvolved skin of thigh for DIF and consider oral steroids.

Why you should join Figure 1

Patient Cases

Patient presents for 1.5 months of a pruritic rash. Started after carrying some wood from her forested area. No one else in her home with symptoms. No systemic symptoms. She has tried steroid cream, steroids, permethrin with no relief. She has not been treated with abx.

45 yo Haitian F with c/o rash on UE and LE for the past 5 months. The skin is dry, rough and scaly and she described the rash as itchy. Rash is located primarily on the extremities distally but recently has migrated to the face. She was previously treated with a topical corticosteroid, oral steroids and IM steroid. She did note some slight improvement with the treatment but symptoms returned after finishing the steroids. She currently takes no medications and has no significant past medical history. She has only been in the country for the past couple months and does not have health insurance.

Adult male, presenting with rash for several weeks, complaint of itch, pain and bleeding. Treated with topical steroid and antifungal with no effect. Possible diagnosis and treatment?

48 old lady with 6 months history of itch rash on her left lower leg. She is otherwise well. She is not on any regular medication. There is no response to topical steroids. Diagnosis and management please.

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. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

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, along with a few scattered papules on the chest.