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.

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.

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.

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.

Article

Crusts Under the Lip...

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

A teenage boy has crusts under his lip; a woman has blisters that were preceded by burning pain.

Article

Rash and Onycholysis...

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

A woman taking doxycycline has a rash and onycholysis; another woman develops wheals with scratching or friction of the skin.

Article

Suspected "Ringworm"...

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

A woman suspects she has “ringworm”; another woman has an eruption on her trunk and arms.

Article

Pruritic Rash on Abdomen...

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

A pregnant woman has a highly pruritic rash on her abdomen; an elderly woman has a painful dermatitis at the corners of her mouth.

Article

Penile Rash...

Author:
Mark Bechtel, MD
Matthew Zirwas, MD

A man presents with a moist erythematous penile rash; in a second case, a woman has progressive pigment loss of the skin on her hands and arms.

Article

Persistent Rash on Nose...

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

A woman has a persistent rash on her nose that worsens with sun exposure; another woman was bitten by a tick and now has a rash, arthralgias, and...

Article

Fluid-Filled Blisters on Thighs

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

A woman presents with clear, fluid-filled blisters; in a second case, a retired farmer has a visible hemorrhage into the skin of his arm.

Article

Persistent Redness on Cheeks

Author:
Mark Bechtel, MD
Matthew Zirwas, MD

A woman presents with abdominal tenderness and palpable purpura on her lower extremities; another woman has persistent redness of the cheeks.

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