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    Dirk M. Elston, MD

    Article

    Pink Patches With a Hyperpigmented Rim on hand

    Pink Patches With a Hyperpigmented Rim

    Author:
    Ramiz N. Hamid, MD, MPH
    Ahmad I. Aleisa, MD
    Dirk M. Elston, MD

    A 25-year-old man presented with a rash on the right hand, chest, abdomen, right thigh, and ankles of 2 weeks’ duration. He reported that the...

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    Article

    Aquatic Antagonists: Sponge Dermatitis

    Aquatic Antagonists: Sponge Dermatitis

    Author:
    Brian A. Cahn, MD
    Dirk M. Elston, MD

    Sponges from the phylum Porifera exist throughout the world in marine and freshwater environments. Although many encounters with humans are benign...

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    Article

    What’s Eating You? Human Flea (Pulex irritans)

    Author:
    Megan O’Donnell, BS
    Dirk M. Elston, MD

    The human flea, Pulex irritans, is a vector for various human diseases including the bubonic plague, bartonellosis, and rickettsioses.

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    Article

    What’s Eating You? Oriental Rat Flea (Xenopsylla cheopis)

    Author:
    Leah Ellis Wells, MD
    Dirk M. Elston, MD

    The oriental rat flea (Xenopsylla cheopis) is an ectoparasite of small mammals and a vector of many diseases for which humans are...

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    Article

    What’s Eating You? Megalopyge opercularis

    Author:
    Melba Estrella, MD
    Dirk M. Elston, MD

    Megalopyge opercularis is the most widely distributed caterpillar species in the Americas, and envenomation by it can occur year-round....

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    Article

    What’s Eating You? Bark Scorpions (Centruroides exilicauda and Centruroides sculpturatus)

    Author:
    Avni Patel, BS
    Dirk M. Elston, MD

    Stings from Centruroides exilicauda and Centruroides sculpturatus have been shown to cause fatality in children more often than...

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    Article

    Tender White Lesions on the Groin

    Author:
    Heather M. O'Connor, DO
    Katelyn Anderson Zimmer, MD
    Dirk M. Elston, MD
    Jessica A. Forcucci, MD

    A 28-year-old man with a history of hyperimmunoglobulinemia E syndrome (previously known as Job syndrome), coarse facial features, and multiple...

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    Article

    Climate Change and Expansion of Tick Geography

    Author:
    Dirk M. Elston, MD

    The expanding range of tick-borne diseases is a growing problem worldwide. Climate change plays a preeminent role in the expansion of tick species...

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    Article

    Multinodular Plaque on the Penis

    Author:
    Derek W. Nickerson, MD
    Jessica R. Dowling, MD
    Heather O'Connor, DO
    Daniel Lopez, MD
    Dirk M. Elston, MD

    A 34-year-old man presented for evaluation of a slowly growing group of firm white bumps on the penis. The lesions were nontender and asymptomatic...

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    Article

    What’s Eating You? Human Body Lice (Pediculus humanus corporis)

    Author:
    Emily S. Nyers, MD
    Dirk M. Elston, MD

    Compared to head and pubic lice, body lice carry increased morbidity in the form of greater body surface area involvement, possible infectious...

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    Article

    What’s Eating You? Vespids Revisited

    Author:
    Tyler Evans, MD
    Dirk M. Elston, MD

    Three types of reactions can be seen after a vespid sting: uncomplicated local reactions, large local reactions, and systemic reactions. Although...

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    Article

    What’s Eating You? Blister Beetles Revisited

    Author:
    Bonnie D. Hodge, MD
    George W. Elgart, MD
    Dirk M. Elston, MD

    Blister beetles can cause a blistering dermatitis in humans by emitting the substance cantharidin, which has been pharmologically used as a...

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    Article

    Solitary Papule on the Nose

    Author:
    Qiong Wu, MD
    Daniel C. Skipper, DO
    Dirk M. Elston, MD

    A 25-year-old man presented with a flesh-colored papule on the left side of the nose of 2 years' duration.

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    Article

    Systemic Epstein-Barr Virus–Positive T-cell Lymphoma of Childhood

    Author:
    Qiong Wu, MD
    Faliang Ren, MD
    Dirk M. Elston, MD

    Systemic Epstein-Barr virus–positive T-cell lymphoma of childhood is a fulminant illness with a predilection for Asians and indigenous populations...

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    Article

    What’s Eating You? The South African Fattail Scorpion Revisited

    Author:
    Henry Tomlinson, MD
    Dirk M. Elston, MD

    Worldwide, there are more than 3250 deaths a year related to scorpion stings. With the increasing popularity of exotic and dangerous pets,...

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