Dermatologic lesions | Figure 1

AleBurgos95
Family Medicine

Dermatologic lesions

62-year-old male with no significant history who presents these lesions on the lower left thoracic border, which appeared 2 weeks ago. He does not report them as painful or itchy and as treatment he has received Acyclovir 800 mg/12 hrs, and Betamethasone/Clotrimazole/Gentamicin topical conjugate without improvement of the condition. What differentials can be considered in this case?

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.

35 years old, male. He has had these lesions in the posterior chest for 7 days. He denies itching. Pain and purulent drainage were reported. Let’s go group, what can this be?

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19 year old male c/o slight itching, no pain, a bit warm to the touch. He does not recall any insect bite. He did have poison ivy on the same leg. He has been using hydrocortisone without relief. No fever.

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 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. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

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.

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