What’s the Dx? Hint: no muscle weakness…

What’s the Dx? Hint: no muscle weakness…

Errol Ozdalga, MD; @eozdalga Clinical Assistant Professor, Stanford School of Medicine   37 yr old male with a history of these lesions on his the back of his hands for the past two years. Notes no other medical issues. No weakness, fatigue, fevers or rashes anywhere else on his body. He works as a chiropractor and

What’s going on with this rash?

What’s going on with this rash?

A 46-year-old Vietnamese female with history of Churg-Strauss syndrome was seen for a flare-up and had the above skin changes. Based on the characteristics pattern can you diagnose the cause of this skin rash? Front and back images show (1). (Answer below…)       Answer: Coining   What is coining? Coining is a traditional

What the cause of this enlarged nose? Visit our latest dermatology page!

What the cause of this enlarged nose? Visit our latest dermatology page!

This 42 year old male give a history of a chronic “skin rash” of his face. He notes he’s had it for many years and never sought treatment. While it comes and goes on its own, it seems to get worse with alcohol consumption. What’s the name of this finding and was diagnosis does he

What’s the name of this sign? What does it tell you?

What’s the name of this sign? What does it tell you?

A patient presents for routine screening, including a skin exam. What’s the name of this sign and what does it tell you. (Scroll below for the answer and more info.) Answer: The Ugly Duckling Sign The ugly duckling sign refers to one mole among many that sticks out and looks different (“the ugly duck”) and should

Diagnose this skin lesion with newest Stanford 25 video and topic.

Diagnose this skin lesion with newest Stanford 25 video and topic.

Presenting the first of our dermatology series. Every skin exam starts with a description. Can you accurately describe the below lesion and make the diagnosis? If you need help, visit our newest Stanford 25 page: “The Dermatology Exam: Learning the Language”. (The answer can also be found there.) As promised, the Stanford 25 is expanding

Can you diagnose this rare skin condition?

Can you diagnose this rare skin condition?

Case presentation: A 49 year-old obese man with non-alcoholic steatohepatitis and cirrhosis, complicated by hepatorenal syndrome not on dialysis, was admitted for expedited liver transplant workup. On admission, he was found to have the lower extremity skin lesions shown below. He noted that these slowly-enlarging lesions had developed over the past 2 months and were

What is the name of this sign?

Figure 1. From (1) with permission. In case you didn’t spot it here is another example: Figure 2. Same patient with more obvious example on left ear. Answer Below…       Answer: Diagonal earlobe crease (DELC). 1. What eponym is associated with this sign? Answer: Frank’s – named after Dr Sanders T. Frank observed

Can you Diagnose this Common Rash in Young Adults?

A 31 year old male with no significant past medical history presents with a new rash over both his legs, arms and trunk. The rash (shown in the picture below) is described as multiple small scaly areas, and is only mildly itchy. Your patient states to have recovered from a “cold” about one month ago.

Patient has this new skin finding, what should you worry about?

This is an actual cause of a patient who presented to Stanford Hospital and was diagnosed with pneumonia. He had this skin finding present throughout both of his legs. What should you be worried about? This patient has livedo reticularis. This can be a sign of severe bacteremia and possible sepsis. This patient was later

Happy Halloween! So this is the scariest picture we’ve got! What is it?

Okay so it wasn’t that scary… It’s just a solitary keratoacanthoma (KA). A keratoacanthoma represents a proliferation of the squamous layer of the skin. Some doctors believe this to represent a spectrum of squamous carcinoma of the skin. Sun exposure is a risk factor. All patients with the lesion should get a dermatology referral and