DIAGNOSE THIS ZEBRA: A DIFFERENTIAL DIAGNOSIS CASE
Multiple morphologies With Katelin A. Harrell, MD, and Jarad Levin, MD CASE HISTORY A 48-year-old Black male patient was referred to the dermatology department at the University of Oklahoma Health Science Center by a church-affiliated free community clinic. The patient, diagnosed with “vitiligo” since his incarceration some 13 years earlier, had now developed additional cutaneous […]
DIFFUSE HAIR LOSS WITH SCALP HYPERPIGMENTATION
From the files of Seemal Desai, MD, with Cheryl Guttman Krader CASE HISTORY An Indian woman presented with a 1-year history of hair loss and brown spots on her scalp. She had recently moved from India to Dallas, Texas and said she had seen a dermatologist for her problem once before. On history, the patient […]
Diagnose this zebra: A port wine stain or something more?
Albert C. Yan, MD, with Cheryl Guttman Krader CASE HISTORY A 3-week-old boy was seen for evaluation of a congenital segmental vascular birthmark involving the right lower leg (Figure 1). The parents were told in the delivery room that the birthmark was a faint port wine stain (capillary malformation), but the parents noted that the […]
Diagnose This Zebra: Refractory chronic urticaria signals rare disorder
By Cheryl Guttman Krader | Reviewed by and from the files of Joseph Kamel, DO, and Neil Korman, MD, PhD CASE HISTORY A 46-year-old Caucasian man presented with a 3-year history of a widespread pruritic evanescent eruption (Figures 1 A-C). He had previously seen dermatologists and allergists who had diagnosed idiopathic chronic spontaneous urticaria. The […]
Diagnose this zebra
By Ted Rosen, MD, FAAD, Editor-in-Chief A souvenir from an exotic trip A previously healthy 70-year-old white woman, a retired insurance agent, presented with influenza-like symptoms and an eschar on her nose shortly after completing a 2-week-long tour of South Africa. During her trip, she denied visiting any other African country, and said she had […]
Eruption on the bilateral lower extremities is rare condition
Diagnose this zebra: A differential diagnosis case By Cheryl Guttman Krader | Reviewed by Seemal R. Desai, MD Case history A 58-year-old woman of Indian origin presented with a chronic, hyperkeratotic, verrucous eruption on the bilateral lower extremities. The lesions covered the dorsal aspect of the feet and toes and extended to just above the […]