Case Letter

Case Letter

Adult-Onset Asymmetrical Lipomatosis

Author:

Xinyi Yang, BMed MD, MMed(ClinEpi)

Megan Rogge, MD

Mark Lebwohl, MD

To the Editor:

An 85-year-old woman presented with extra growth of subcutaneous fat at the left anterior infradiaphragm that expanded...

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Case Letter

Asboe-Hansen Sign in Toxic Epidermal Necrolysis

Author:

Jessica R. Dowling, BA

Kathryn L. Anderson, MD

William W. Huang, MD, MPH

Asboe-Hansen sign is a useful clinical tool for diagnosing toxic epidermal necrolysis (TEN). It can be employed to generate a fresh bulla for...

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Case Letter

Symmetric Lichen Amyloidosis: An Atypical Location on the Bilateral Extensor Surfaces of the Arms

Author:

Jan M. Smogorzewski, MD

Lina Rodriguez, MD

Lorraine Young, MD

Lichen amyloidosis (LA) classically presents as a pruritic and papular eruption localized to the pretibial surface of the legs. This report...

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Case Letter

Bothersome Blisters: Localized Epidermolysis Bullosa Simplex

Author:

Lisa Hisaw, MD

Olivia Twu, MD, PhD

Lina Rodriguez, MD

Vanessa Holland, MD

Lorraine Young, MD

Localized epidermolysis bullosa simplex (EBS-loc) presents with flaccid bullae and erosions predominantly on the hands and feet, most commonly...

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Case Letter

Scurvy Masquerading as Reactive Arthritis

Author:

Karen L. Christopher, MD

Kelly K. Menachof, MD

Ramin Fathi, MD

Patients with scurvy often pose a diagnostic dilemma because their presenting symptoms can lead physicians down a laborious and costly road of...

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Case Letter

Pigmented Fungiform Papillae of the Tongue in an Indian Male

Author:

Jan M. Smogorzewski, MD

Patrick Armstrong, MD

Lorraine Young, MD

Pigmented fungiform papillae of the tongue are common lingual hyperpigmented macules in patients with skin of color. It is important to be aware...

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Case Letter

Prurigo Pigmentosa Induced by Ketosis: Resolution Through Dietary Modification

Author:

Mackenzie Hartman, DO

Bruce Fuller, MD, PhD

Michael R. Heaphy, MD

Ketosis can be associated with a specific rash known as prurigo pigmentosa (PP). Consider asking about dietary modifications in patients...

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Case Letter

Radiographic Changes of Osteomyelitis in a Patient With Periungual Lichen Planus

Author:

Nita Kohli, MD, MPH

Daniel Gutierrez, MD

Kord S. Honda, MD

With extensive nail involvement, nail lichen planus may impart radiographic findings suggestive of osteomyelitis. The patient described here...

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Case Letter

Concurrent Keratoacanthomas and Nonsarcoidal Granulomatous Reactions in New and Preexisting Tattoos

Author:

Emily C. Milam, MD

Marie C. Leger, MD, PhD

Steve A. McClain, MD

Dennis M. Brustein, MD

Keratoacanthomas (KAs) are common keratinizing, squamous cell lesions of follicular origin distinguished by their eruptive onset, rapid growth,...

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Case Letter

Chronic Lymphocytic Leukemia and Infiltrates Seen During Excision of Nonmelanoma Skin Cancer

Author:

Luke Maxfield, DO

David A. Gaston II, MD

Asmi Sanghvi, DO

Chronic lymphocytic leukemia may be seen during histologic examination of specimens during Mohs micrographic surgery as a monomorphic infiltrate...

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Case Letter

Cutaneous Collagenous Vasculopathy

Author:

Chante Karimkhani, MD

Lindsay N. Boyers, MD

Joseph Olivere, MD

Christopher Smith, MD

In cutaneous collagenous vasculopathy, skin biopsy may demonstrate eosinophilic hyaline thickening of superficial dermal blood vessels with mild...

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