two day history of lesion formed on wrist. Patient pmh syste | 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)
Deleted account
Two day history of lesion formed on wrist. Patient pmh systemic mastocytosis, takes prednisone regularly. Patient states the lesion itches occasionally. The central portion of the lesion has been there >6 months. Patient also takes reglan, Zantac, domperodone, singular and fexofenadine.
More about this case
Resolved
Similar Cases
23 yr old female, otherwise healthy, says these lesions appeared three weeks ago on her forearm. They're not painful. No bloody or purulent discharge. There aren't similar lesions on the rest of the pt's body. She's not taking any meds and denies allergies. Possible dx?
A 39-year-old female. History of hypertension and diabetes mellitus, active smoker and alcohol use disorder, on anxiolytics and antidepressants. Presented with a linear ulcerated lesion on the volar aspect of the wrist. The lesion shows a necrotic crust with surrounding erythema and delayed healing. No signs of acute infection at presentation. The lesion developed in the context of significant psychosocial stress.
20 yo healthy male, not taking any drug, works as a mechanic and history of hymenopthera venom allergy (but it's cold winter now). presents with tiny erythematosus lesions on the wrist one week ago (day one) which became a single patch lesion elevated from the normal skin. On day 2 the dermatologist prescribed betametasone 1 mg and antihistamines PO in the idea of contact dermatitis with no improvement. On day 4 the other wrist presented the same lesions (pictures 1-2-3). In the idea of erisipela (the lesions are elevated and he had a scratch at work few days before onset on the same hand of the first signs ) he started amoxi-clavulanate on day 5 with moderate improvement, but today (day 7) he claims the appearance of similar lesions on the neck and groin. they are not itchy nor painful, just a little bit swollen on the wrist. No reported changes in shampoo, cloth soap nor exposure to particular chemicals.
A patient came in to the ER with a broken wrist. The patient admitted to having a history of chemical dependency. The patient stated they were 8 months sober. The patient was in a lot of pain in the ER. The Dr gave the patient Toradol for pain and an ice pack. The patient gave a 6/10 pain after an hour of administration. The Dr sent the patient home with a splint and told the patient to take Tylenol and use ice. Patient was unable to take oral NSAIDS d/t a history of ulcers. The patient was also advised to F/U with ortho.