Chapter 172 Illustrated Review
Primary dermatologic conditions
1. A 26-year-old man presents with this rash, which subsequently spreads in a Christmas-tree fashion over his entire back and resolves with conservative treatment in approximately 6 to 8 weeks.
2. This 57-year-old man presents to your office with a many-year history of this facial eruption that has never been treated.
4. This 29-year-old auto mechanic has had this outbreak for several years. He finds mild over-the-counter topical steroid creams somewhat effective.
7. This man’s rash has been present for several months, is slowly spreading, and has worsened with over-the-counter steroids.
10. This 40-year-old man developed this lesion once before, but it went away. This lesion is characterized by the five p’s: pruritic, planar (flat-topped), polyangular, purple papules.
11. This lesion, on a yachting captain’s neck, is one of many in sun-exposed areas of his head and neck.
13. This teenager was told by his grandmother to avoid chocolate and wash his face more often to alleviate this condition.
14. This third-grade student was sent home by the school nurse and told to seek treatment for the condition, which is pruritic.
Dermatologic manifestations of underlying disease
17. This patient had a total cholesterol level of 450 mg/dL and a family history of premature cardiovascular mortality.
18. These nodular eruptions, thought to be an inflammatory hypersensitivity reaction in subcutaneous fat, began after a course of sulfonamide antibiotics.
20. This patient has multiple hamartomatous polyps throughout the gastrointestinal tract, from the stomach to the rectum, and an iron deficiency anemia.
23. This patient’s pubic area shown here has been the source of constant irritation and itching for several weeks.
24. The pruritic lesions of this disease erupted initially on the face and trunk and then spread to the extremities.
25. This infection is spread by aerosolized particles from respiratory secretions of infected individuals. Patients with this disease are most infectious from the prodrome (days 7 to 10 after exposure) through the fourth day after rash onset.
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