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    Mark A. Bechtel, MD

    Article

    Rashes in Pregnancy

    Author:
    Mark A. Bechtel, MD

    Rashes that develop during pregnancy often result in considerable anxiety or concern for patients and their families. Recognizing these pregnancy-...

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    Article

    Progressive pruritic purpura; Erythematous scalp plaques

    Author:
    Mark A. Bechtel, MD
    Ann Bechtel, BSN, RN

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    Article

    Desquamative Gingivitis; Plaques With Alteration in Skin Pigment

    Author:
    Mark A. Bechtel, MD
    Ann Bechtel, BSN, RN

    A 60-year-old man of Middle Eastern descent presents to the urgent care center with gingival inflammation, redness, tenderness, and bleeding and a...

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    Article

    Pruritic Blisters Over Trunk and Extremities; Acute Onset of Fever, Malaise, and Rash

    Author:
    Mark A. Bechtel, MD
    Ann Bechtel, BSN, RN

    An 82-year-old woman notes acute onset of tense blisters at a trauma site on her left knee. A 78-year-old white man presents to the urgent care...

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    Article

    2 Derm Dilemmas: Itchy, Burning Sores on Man and His Best Friend; “Punched-Out” Ulcers on the Ankle

    Author:
    Mark A. Bechtel, MD
    Ann Bechtel, BSN, RN

    A 32-year-old male farmer presents to the urgent care center with a “skin sore” involving his right arm. A 38-year-old woman presents to the...

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    Article

    2 Derm Dilemmas: Itchy, Burning Sores on Man and His Best Friend; "Punched-Out" Ulcers on the Ankle

    Author:
    Mark A. Bechtel, MD
    Ann Bechtel, BSN, RN

    A 32-year-old male farmer presents to the urgent care center with a "skin sore" involving his right arm. A 38-year-old woman presents to the...

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    Article

    Vascular Tumor, Widespread Rash

    Author:
    Mark A. Bechtel, MD
    Ann Bechtel, BSN, RN

    A 36-year-old pregnant woman presents to the urgent care center because of a bleeding vascular tumor involving her right upper cheek. The lesion...

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    Article

    Two Cases: Severe Pruritic Chest Rash, and Nose Swelling and Redness

    Author:
    Mark A. Bechtel, MD
    Ann Bechtel, BSN, RN

    What treatments are indicated for each case?

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    Article

    Two Patients with Misdiagnoses Seek Help

    Author:
    Mark A. Bechtel, MD
    Ann Bechtel, BSN, RN

    An older man has episodes of severe flushing and abdominal pain; a younger man presents with tender "draining boils" in the axillae.

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    Article

    Verrucous Lesion on Calf

    Author:
    Mark A. Bechtel, MD
    Matthew Zirwas, MD

    A woman has a bleeding, painful plaque on her leg; another woman has a reddened lip and fever.

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    Article

    Bullae on an inner Ankle

    Author:
    Mark A. Bechtel, MD
    Matthew Zirwas, MD

    A woman has increasing hardening of the skin; another woman has bullae on her inner ankle.

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    Article

    Discoloration of Nails and Arms

    Author:
    Mark A. Bechtel, MD
    Matthew Zirwas, MD

    A man has purple discoloration of his nails and arms; another man has distended veins.

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    Article

    Cobblestone-like Lesions...

    Author:
    Mark A. Bechtel, MD
    Matthew Zirwas

    A woman has cobblestone-like lesions on her legs; a man has a bleeding tumor near his ear.

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    Article

    Induration of Arms and Legs

    Author:
    Mark A. Bechtel, MD
    Matthew Zirwas, MD

    A man has pain, stiffness, and induration of his arms and legs; another man has excessive hair on his face and back.

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    Article

    Scalp Lesions...

    Author:
    Mark A. Bechtel, MD
    Matthew Zirwas, MD

    A man has painful scalp lesions; another man has a painful, necrotic back lesion accompanied by GI problems.

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    • MDedge Home
    • Cardiology
    • Clinician Reviews
    • Dermatology
    • Emergency Medicine
    • Endocrinology/Diabetes
    • Family Medicine
    • Federal Practitioner
    • Gastroenterology
    • Hematology/Oncology
    • Infectious Disease
    • Internal Medicine
    • Neurology
    • Obstetrics And Gynecology
    • Pediatrics
    • Psychiatry
    • Pulmonology
    • Rheumatology
    • Surgery