diabetic with ulcers

 
an 80 year old female, who has advanced dibetes with blindness, gastric paresis and renal failure on dialysis complained of ulcers on her lower extermeties for the last few weeks. they were on the knees, legs and feet. some were painful. on examination she had multiple shallow ulcers of varying sizes, with sorrounding erythema. it was [...]

trichomegaly a side effect or not?

Side effect of Allergan glaucoma drug is longer eyelashes; competitors spring up
By RHONDA L. RUNDLE
The Wall Street JournalIn the latest blurring of the line between cosmetics and drugs, new products that promise to make eyelashes look longer are causing a stir among physicians and regulators because they contain ingredients that are the same or similar [...]

Does UVR reduces the risk of cancer?

rescent study by Soerjomataram I et al :
Ultraviolet exposure may reduce the risk of colorectal and breast cancer as the result of rising vitamin D levels. Because skin cancer is positively related to sun exposure, the authors hypothesized a lower incidence of breast and colorectal cancer after skin cancer diagnosis. They analyzed the incidence of colorectal [...]

facial rash

33 year old indian with 9 month history of this recurrent rash which improves promptly on topical steroids only to relapse after stoping treatment. he works indoors, his only exposure to sun is when he is going to or from work. rash it asymptomatic, no joint pain or history of mouth ulcers. on examination he [...]

white mirage

 
 
 i had this patient a teenager with skin type 5 who was so depreesed cuz of her color. she is the darkest among 4 sisters all of whome r white. she was called names since she was young and apparently she doesnt go to parties no more and going through depresion.
 then i saw this article, and couldnt [...]

Review of tongue lesions (quiz)

since we discussed tongue lesions over the last two weeks here is a review for tongue morpholgy. most pics were taken from dermatlas. answers are down below 
 

1- has thick nails
 

2-oral sex

3-disseminated vesicled everywhere

4- recurrent blister same location

5- strept infection
6- facial palsy

7-easely scrapes

8-smooth atrphic

9- enlarged tongue oozin blood

10- advise stoppin smokin

11-same lesions on scr0tum

12- trauma in a [...]

POLL: Can potent steroids cause atrophy in vitliginous patches?

it has been reported anectodally that vitliginous patches is resistant to steroid’s complications.
have you seen any cases of vitiligo complicated with atrophy due to potent topical steroids?

Do you have a name for it?

are these fordyce spots?
and how would you treat it?
i thought about electrocautery but am afraid of scarring especially in this area.
what would you do?

black tongue

 
 2o year old man with pigmented spots over his tongue for 6 months. He smokes sheesha occasionally. He denies any bad smell.
On examination he has multiple pigmented patched over the sides of his toungue. other parts of his oral mocosa are intact. No ulcers
Could this be a hairy tongue?
But the dorsum of the tongue [...]

dermatology residancy is five years!

according to one of the residants, there is serios talk about extending the residancy to 5 years from its current duration(4 yrs, one year of general and 3 years core).
they say that four years were not enough to teach the reidants all aspects of clinical dermatology and dermatological surgery. the society itslf  has changed its [...]