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Grand Round Cases : 2002 Academic Year Last Updated: Feb 1st, 2011 - 21:50:20


Grand Round Cases : 2002 Academic Year
Two Brown Spots on the Left Hand
57 year old Caucasian female reported a 5-year history of two brown spots on the left hand. Initially the lesions were blue and attributed to ink stains although the patient denied contact with any staining chemicals or dyes. The “spots” increased in size over a two-year period and changed from blue to brown in color.
Nov 29, 2002, 19:37

Grand Round Cases : 2002 Academic Year
Blistering Skin Disease Since Birth
Patient: 11 years old Hispanic Female with Painful blisters/ ulcerations since birth. Fragility of skin and slowly healing, scarring erosions and ulcers, difficulty swallowing, decreased appetite and weight loss
Oct 29, 2002, 19:24

Grand Round Cases : 2002 Academic Year
Pruritic Painful Groin Rash
Patient: 34 yo male with a pruritic, painful groin rash for approximately six weeks. The patient experienced a painful, pruritic and progressive rash located in the groin. The rash began on the sides of his scrotum and had steadily progressed to involve the entire scrotum, sides of the penis and upper thighs.
Sep 29, 2002, 19:12

Grand Round Cases : 2002 Academic Year
Subcutaneous Nodules on the Face, Neck, and Upper Extremities
Patient: A 60 year-old Hispanic female with a two-year history of idiopathic crescentic glomerulonephritis presented with chest pain and shortness of breath. Cardiac ischemia was excluded with serial lab studies and intravenous heparin was started for a potential pulmonary embolism. On hospital day three, subcutaneous nodules were noted on her forehead. These nodules rapidly increased in size and number over a 24-48 hour period.
Aug 29, 2002, 12:41

Grand Round Cases : 2002 Academic Year
Translucent and Hyperpigmented Papules and Nodules on the Upper Back and Neck
Patient: 54 years old African American Female presents with painless papules on the upper back for three months, which are increasing in size and number. The patient states that lesions are non-tender and have enlarged slowly over time. The patient also states that new lesions also occur over time. There is no pruritus or discharge from the lesions. They occur only on the upper back and neck.
Jul 29, 2002, 12:25

Grand Round Cases : 2002 Academic Year
Pruritic Rash With Alopecia
A 78 year old African American male presents to the dermatology clinic with a nine year history of a progressively expanding, mildly pruritic rash on his neck and face. He states the eruption began on his neck and spread to his face. In addition, he complains of progressive hair loss and a chronic cough. He had not sought previous medical attention for this condition.
Jun 29, 2002, 12:16

Grand Round Cases : 2002 Academic Year
A Red Nodule
Patient presented from the nursing home with a 1-week history of bilateral lower extremity edema and a few month history of a nonpruritic, progressively enlarging growth of the left foot, that would bleed with mild trauma...
May 29, 2002, 01:42

Grand Round Cases : 2002 Academic Year
Persistent Rough Skin
Chief Complaint: “I have rough skin on my neck that won’t go away.”
MZ is a 52 y.o. F with a 20-year history of non-pruritic, gradually developing lesions on her left neck. The patient denies any previous treatment of these lesions.

May 29, 2002, 00:46

Grand Round Cases : 2002 Academic Year
Erythematous Nodules on the Extremities
54 year old white female presents for in hospital consultation with erythematous nodules on her forearms bilaterally and her left medial thigh for 2 days duration. The patient reports some associated tenderness and denies any associated pruritis, burning or discharge. She has had no previous occurrence of similar lesions.
Apr 21, 2002, 13:59

Grand Round Cases : 2002 Academic Year
Multiple Papular Lesions
Patient is a 38 year old black female presented to Dermatology Clinic with the chief •complaint of multiple lesions on skin. The lesions onset 23 years ago, at age 15. The symptom includes severe itching. The lesions were previously diagnosed as keloids.
Mar 21, 2002, 13:49


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Hyperpigmented macules and papules on trunk and extremities
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Diffuse Telangiectasias on the bilateral extremities
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