Photo Challenge

Hemorrhagic Crusted Papule on the Arm

Author:

Somya Abubucker, MD

Jonathan Cuda, MD

Bernard A. Cohen, MD

Dermatology consultation was called to evaluate a preterm newborn with a red, hemorrhagic, crusted, 5-mm papule on the right lateral upper arm....

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Photo Challenge

Diffuse Pustular Eruption Following Computed Tomography

Author:

John Mario Levri, DO

Liesl Shockley Grenier, MD

A 31-year-old man presented with a rapidly progressive, burning rash of 1 day's duration, along with malaise, nausea, and dizziness. Physical...

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Photo Challenge

Lesions With a Distinct Black Pigment

Author:

Fernanda Salgado, MD

Jessica Connett, MD

Claire Kirkpatrick, BS, PA-C

Richard Marchell, MD

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Commentary

Pediatric Dermatology Workforce Shortage Explained

Author:

Nanette B. Silverberg, MD

There are fewer than 300 board-certified pediatric dermatologists in the United States. Although more pediatric dermatologists have been joining...

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Dermpath Diagnosis

Progressive and Translucent Plaques on the Soles

Author:

Lindsey M. Voller, BA

Sanna D. Ronkainen, MD

Kevin J. Gaddis, MD

A 64-year-old woman with a medical history of Waldenström macroglobulinemia, multiple sclerosis, and epilepsy presented with slowly growing...

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Hospital Consult

DRESS Syndrome: Clinical Myths and Pearls

Author:

Michael Isaacs, MD

Adela R. Cardones, MD

Sahand Rahnama-Moghadam, MD, MS

The clinical myths and pearls presented here highlight some commonly held assumptions about DRESS syndrome, a severe hypersensitivity drug...

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Skin of Color

Frontal Fibrosing Alopecia: Cutaneous Associations in Women With Skin of Color

Author:

Loren Krueger, MD

Katerina Svigos, BA

Nooshin Brinster, MD

Nada Elbuluk, MD, MSc

Recognition of the associated conditions and clinical variants of frontal fibrosing alopecia in women of color is important to expand our...

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Case Reports

Acrokeratoelastoidosis and Knuckle Pads Coexisting in a Child

Author:

Carl Barrick, DO

Joshua Moran, BS

Christian Oram, DO

Stephen Purcell, DO

An 11-year-old boy presented with acrokeratoelastoidosis (AKE) along with knuckle pads on the proximal and distal interphalangeal joints. Because...

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Case Reports

Acute Hemorrhagic Edema of Infancy: Guide to Prevent Misdiagnosis

Author:

Bethany R. Rohr, MD

Iviensan F. Manalo, MD

Christen Mowad, MD

Differentiation between acute hemorrhagic edema of infancy and Henoch-Schönlein purpura (HSP) determines treatment decisions and indicates the...

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Case Reports

Pediatric Primary Cutaneous Blastomycosis Clinically Responsive to Itraconazole

Author:

Isabelle M. Sanchez, MPH

Lorelei E. DiTommaso, MD, MPH

Michelle Bain, MD

Karen Hayani, MD

A 16-year-old immunocompetent adolescent boy developed primary cutaneous blastomycosis after falling into a flowerbed. Increased awareness of this...

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Case Reports

Eruptive Vellus Hair Cysts in Identical Triplets With Dermoscopic Findings

Author:

Kimberly Jerdan, MD

Kayla St. Claire, MBA

Michelle Bain, MD

Definitive diagnosis of eruptive vellus hair cysts relies on histopathology, but their unique dermoscopic findings combined with a thorough...

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Case Reports

Ice Pack–Induced Perniosis: A Rare and Underrecognized Association

Author:

Donna Tran, DO

Jessica Riley, DO

Anny Xiao, DO

Shirlene Jay, MD

Paul Shitabata, MD

Navid Nami, DO

Perniosis, or chilblain, is characterized by skin lesions that occur as an abnormal reaction to exposure to cold and damp conditions. Ice pack–...

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Case Reports

Id Reaction Associated With Red Tattoo Ink

Author:

Alexandra Price, MD

Masoud Tavazoie, MD, PhD

Shane A. Meehan, MD

Marie Leger, MD, PhD

Hypersensitivity reactions to tattoo pigment are on the rise due to the increasing popularity and prevalence of tattoos. Systemic allergic...

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Coding

Practice Expense–Only Codes: No Physician Work, No Sweat

Author:

Howard W. Rogers, MD, PhD

Billing same-day procedures and evaluation and management services is under close scrutiny by insurers. Understanding performance and...

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Clinical Review

Hand-foot-and-mouth Disease Caused by Coxsackievirus A6 on the Rise

Author:

Brooks David Kimmis, MD

Christopher Downing, MD

Stephen Tyring, MD, PhD

Coxsackievirus A6 has become a major cause of hand-foot-and-mouth disease outbreaks in children and adults worldwide. The increasing prevalence of...

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Clinical Review

Tinea Incognito in an Urban Pediatric Population

Author:

Thomas Stringer, MD, MS

Julia K. Gittler, MD

Seth J. Orlow, MD, PhD

Tinea incognito (TI) may lack the scale and elevated margin typical of cutaneous dermatophytoses and can be mistaken for other pediatric cutaneous...

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Military Dermatology

Military Grooming Standards and Their Impact on Skin Diseases of the Head and Neck

Author:

Aeja N. Weiss, MSc

Olivia M. Arballo, DO

Nathanial R. Miletta, MD

Wendi E. Wohltmann, MD

Military grooming standards assure that soldiers can meet their occupational demands and maintain a respectable appearance; however, following...

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Residents’ Corner

Allergy Testing in Dermatology and Beyond

Author:

Ashley D. Lundgren, MD

Identification and avoidance of a culprit allergen has the potential to lead to complete resolution of disease and notable improvement in quality...

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Case Letter

Postirradiation Morphea: Unique Presentation on the Breast

Author:

Loren Franco, MD

Amelia K. Hausauer, MD

Rishi R. Patel, MD

Amber A. Guth, MD

Beth N. McLellan, MD

Postirradiation morphea (PIM) is a rare but well-documented phenomenon that primarily occurs in breast cancer patients who have received radiation...

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Case Letter

Eumycetoma Pedis in an Albanian Farmer

Author:

Monika Fida, MD

Rosita Saraceno, MD

Najada Gjylametaj, MD

Orjana Dervishi, MD

Alma Barbullushi, MD

Suela Kellici, MD

Ermira Vasili, MD

Mycetoma is a noncontagious chronic infection of the skin and subcutaneous tissue caused by exogenous fungi or bacteria that can involve deeper...

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Case Letter

DRESS Syndrome Induced by Telaprevir: A Potentially Fatal Adverse Event in Chronic Hepatitis C Therapy

Author:

Pablo Fernández-Crehuet, MD, PhD

Ricardo Ruiz-Villaverde, MD, PhD

For the management of DRESS syndrome, the occurrence of early signs of a severe skin reaction requires the immediate cessation of the drug.

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Case Letter

Gemcitabine-Induced Pseudocellulitis

Author:

Avrom Caplan, MD

Derek H. Chu, MD

Misha Rosenbach, MD

Jakub Svoboda, MD

Gemcitabine-induced pseudocellulitis is a rare cutaneous side effect of gemcitabine therapy. Early recognition of pseudocellulitis may prevent...

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Case Letter

Oral Bowenoid Papulosis

Author:

Alyssa R. Hoverson, MD

Ryan B. Lundell, MD

Valerie L. Cooper, PA-C

Alina G. Bridges, DO

A 22-year-old Somali woman presented to our institution with oral lesions of 2 years’ duration. The lesions started as small papules in the...

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Case Letter

Primary Cutaneous Cryptococcosis in an Immunocompetent Iraq War Veteran

Author:

James V. Twede, MD

Kristopher M. Peters, DO

Disseminated cryptococcosis is not commonly seen as a primary cutaneous infection in immunocompetent hosts. When encountered, primary cutaneous...

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