On examination, an erythematous and raised plaque with a pale centre is observed figure 1. Multiple, firm, red to purple to brown colored papules, nodules, or plaques. Examination reveals multiple indurated, erythematous plaques. Multiple small pustules localized to hair follicles on any body surface.
Actinic keratosis ak, sometimes called solar keratosis or senile keratosis, is a precancerous area of thick, scaly, or crusty skin. Scaly, annular, erythematous plaques or papules on glabrous skin. Occurs in 3070% of fullterm infants, making it the most common pustular eruption in newborns. Erythematous tumor on the inguinal area sciencedirect. Erythema nodosum is a type of skin inflammation that is located in a part of the fatty layer of skin. Multiple erythematous, slightly scaly macules and patches on the back a, thigh b, and right arm c. Mar 26, 2020 patients present with multiple patches, plaques, andor skin tumors in sunprotected areas of the body. On exam, he has multiple confluent, erythematous, scaly macules, patches, and lichenified plaques on his neck, dorsal aspects of his hands, antecubital fossae, and popliteal fossae. Also notable are increased scales on the palms, soles and scalp. Erythematous patches on the hands mdedge family medicine. So, having erythematous mucosa means the inner lining of your digestive tract is red.
The mucosa is a membrane that lines the inside of your digestive tract. Cutaneous sarcoidosis presenting as multiple erythematous. Erythematous, scaly scalp lesions clinical advisor. Erythematous scaly patches and plaques on the trunk and. Several hypopigmented, depressed, atrophic patches are also. Apr 07, 2017 allergic skin conditions can cause bumps, red spots, lines of dark skin, itchy rashes, scaly patches and more. Annular skin lesions commonly plague many primary care patients, but not all that. Multiple erythematous fluid filled bulla to the trunk and upper extremities, worse in the axilla and groin. It most commonly affects the scalp figure 1 and the face figure 2, particularly the ears figure 3, eyebrows, and nasal alae. A typical treatment course for hansens disease involves multiple drug. Large, scaly erythematous patches page 2 of 4 clinical. Both actinic keratosis and squamous cell carcinoma lesions often begin as erythematous, scaly patches on sunexposed skin. Erythematous scaling patches on the scalp, hairline, eyebrows, eyelids, central face and nasolabial folds, external auditory canals or central chest.
The patient denied having systemic symptoms such as fevers, chills, sweats, chest pain, shortness of breath, or unexpected weight loss. Larger herald patch appears several days before others. Erythema multiforme is a skin reaction that can be triggered by an infection or some medicines. He was initially treated for seborrheic dermatitis without notable improvement.
Several hypopigmented, depressed, atrophic patches are also visualized. The patient didnt complain from any systemic illness during this period and there was no family history of similar lesions. Multiple erythematous papules on the pinna shastry v, vijaya. The skin lesions healed completely within one month and the rpr reduced to 1. The systemic processes reflected in the skin, or even just the fingernails and hair, can fill a multivolume textbook of dermatology.
Elsewhere on the skin the lesions may be few or many, but it is very rare not to have penile lesions in scabies fig. Aug 14, 2002 multiple typical scabetic burrows and papules are often present on the glans penis, scrotum and penis shaft. Patches and plaques small numbers primary care dermatology. Rpr and hiv results were negative at the third and sixth month of followup, indicating no relapse of the disease. Local examination of the skin revealed ill defined large erythematous scaly patches and plaques on the trunk and extremities. S medical college and hospital, mysore, karnataka 570 004, india. Differential diagnosis of annular lesions american family. Multiple erythematous eroded patches and papules on the scalp. Erythema may progress to more intense inflammation with erosions. Dermatologic signs of systemic disease online medical reference from diagnosis through treatment options.
Examination of the dorsal surface of his hands revealed multiple erythematous patches, blisters, and calluses, as well as ulcerations on the proximal and distal interphalangeal joints. Common skin disorders of the penis wiley online library. Concentric circles of erythema and dark gray discoloration may evolve, forming. The lesions expand centrifugally, sometimes with central clearing, giving rise to annular patches. Patients present with multiple patches, plaques, andor skin tumors in sunprotected areas of the body.
Clinical presentations of skin lesions flashcards quizlet. Intertrigo erythematous patches, which are often symmetrical. Erythema nodosum results in reddish, painful, tender lumps most commonly located in the front. Erythematous and hypopigmented patches on the face. The lesions first began on a scratch wound on the left arm and began to spread during the past week. Credits can be earned by building a differential or looking up a. Irritated seborrhoeic keratosis is erythematous and crusty.
As these patches enlarge, hyperkeratotic follicular papules begin to appear on the dorsal aspect of the trunk and upper and lower extremities and eventually coalesce with an erythematous perifollicular halo. In severe infections, vesicles, bullae, petechiae, and frank necrosis may be found. Erythematous and hypopigmented patches on the face request pdf. Multiple erythematous, slightly scaly macules and patches on the. Theres also a rare, severe form that can affect the mouth, genitals and eyes and can be lifethreatening. The remainder of the skin examination was unremarkable. Patients may be asymptomatic or complain of a pruritic or burning sensation. Multiple erythematous plaques of the trunk photo quiz. Mastering the clinical evaluation of actinic keratosis actinic keratoses begin as erythematous and scaly macules or papules. When skin biopsy was performed from a left knee nodule, liquid chalky discharge was observed.
A case of morpheaform sarcoidosis pubmed central pmc. Jun 06, 2012 the latter appears as multiple, flat, irregularly shaped, serpiginous red patches with raised keratotic rims that heal spontaneously and reappear in constantly changing patterns. In adults, skin is involved in 7% of patients with singlesystem disease and in 50% of patients with multisystem disease. Multiple typical scabetic burrows and papules are often present on the glans penis, scrotum and penis shaft. Skin biopsy is helpful in diagnosing the following conditions. Erysipelas begins as a small erythematous patch that progresses to a fieryred, indurated, tense, and shiny plaque shown. Differential diagnosis of annular lesions american family physician. Authoritative facts about the skin from dermnet new zealand trust. Some people have only one attack, but some have multiple recurrences. Multiple erythematous eroded patches and papules on the. Erythema multiforme mainly affects adults under 40. The morphological characteristics of the lesions include erythematous papules, greasy seborrheic patches, hemorrhagic papules and. Asians itch common upper back the predominant site multiple small greybrown macules that may coalesce to form patches of darkened skin, sometimes with a rippled appearance. The lesion appears as an erythematous, scaly plaque that may enlarge rapidly shown.
Several years ago she was diagnosed with parapsoriasis. Apr 18, 2018 the mucosa is a membrane that lines the inside of your digestive tract. The skin can be a wonderful window into a world of visual diagnostic clues. Find out about erythema multiforme, a skin reaction that usually causes a. General dermatology history primary care dermatology. The infection rapidly invades and spreads through the lymphatic vessels, often producing skin streaking and regional lymphadenopathy and tenderness. Skin manifestations are present in approximately 20% to 35% of all patients. Aug 05, 2010 a 71yearold woman had a 1 month history of a firm plaque on her left forearm, which had started as an erythematous patch and it had gradually became more indurated. Dermatologic signs of systemic disease cleveland clinic. Erythematous scaly patches and plaques on the trunk and extremities hassab elnaby h, md, elkhalawany m, md department of dermatology, alazhar university, cairo, egypt. The patient also presented with multiple erythematous scaly patches and plaques on both elbows, knuckles, buttock, ankles and cheeks.
Recurrences are common, especially when the cause is herpes simplex virus. Multiple erythematous eroded patches and papules on the scalpquiz case. Linear lesions in dermatology are commonly encountered. A 34yearold man presented with a 6year history of a recurrent pruritic eruption on the scalp. Mar 03, 2012 leukemia cutis can present as various lesion morphologies, such as erythematous or purpuric papules, nodules, plaques and hemorrhagic ulcers. There were also scarred and linear plaques on the bilateral proximal and distal interphalangeal joints.
Jul 01, 2005 a 54yearold man presented with multiple erythematous and eroded patches and thin plaques scattered on the trunk. Launch the visualdx app from your device and sign in using your visualdx personal account username and password. You have been logged out of visualdx or your session has expired. Neonatal and infantile common skin lesions pediatrics. The herald patch is generally a singular, ovoid macule located on the trunk and. Case presentation a 10yearold girl presents with an itchy rash on her chest. Skin examination showed multiple erythematous patches and plaques on the body. Erythema multiforme can also occur on mucosal surfaces. The lesions were chronic and progressed slowly over many years.
In more severe cases, the patches may join together to form large, red areas that. They were demarcated sharply, were minimally scaling, and varied in size from 2 to 12 cm figures 1 and 2. The lesions were relatively flat, showed minimal scaling, and ranged in size from 17 cm in diameter. Herein, we present a case of cutaneous sarcoidosis that presented as multiple erythematous macules and patches on the trunk and extremities of a 32yearold man. The localized form, known as morphea, begins as erythematous patches that evolve into dusky, hypopigmented, indurated plaques with violaceous borders, usually on the trunk. The leading primary care society for dermatology and skin surgery. In persons of color, seborrheic dermatitis sometimes. By recognizing cutaneous manifestations of systemic diseases, the internist can often determine the appropriate diagnosis and therapy or the need for. A 12yearold boy presented with a 1month history of multiple, slightly pruritic, erythematous patches on his face figure 1. The term actinic keratosis can be literally understood as a disorder of epidermal keratinocytes that is induced by ultraviolet uv light exposure. Skin lesions are signposts to an array of systemic conditions. The lesions are most common in adults with fitzpatrick type 1 skin always burns, never tans. An erythematous and itchy rash in a child medicine today.
Dermatology photos and descriptions flashcards quizlet. Skin is diffusely erythematous with multiple bullae and desquamation gentle pressure easily produces epidermal detachment nikolskys sign bullous pemphigoid severely itchy blisters to trunk, worse in groin and underarms. Lower leg, multiple skin lesions add or remove findings. Differential diagnosis of annular lesions american. Hon assoc prof amanda oakley, dermatologist, hamilton, new zealand, september 2015. Linear lesions in dermatology malvankar dd, sacchidanand s. He still gets new spots, and he noticed that the older lesions eventually fade and stop growing. A histologic examination shows a wellcircumscribed, noncaseating granuloma in the lower. Apr 04, 2008 classically, patients present with a single erythematous patch.
Erythematous, scaly scalp lesions dermatology advisor. A 71yearold woman had a 1 month history of a firm plaque on her left forearm, which had started as an erythematous patch and it had gradually became more indurated. Multiple erythematous papules on the pinna veeranna shastry 1, vijaya 2 1 department of dermatology, venereology and leprosy, j. Skin allergies can be caused by many allergens, including sunlight, medications, certain foods, plants jewelry, perfume and other fragrances, and more. Diagnosis the correct diagnosis in this case is urticaria, a very common skin condition that can affect people of any age. Scleroderma is an autoimmune skin disease that can be localized or generalized. Physical examination revealed multiple erythematous papulonodules, some ulcerated with a superficial crust, grouped predominantly on the medial aspect of the right upper arm and left lower inguinal region. Multiple erythematous papules on the pinna shastry v. Sign in with your personal account to earn and claim cme credits through visualdx. Seborrheic dermatitis appears as erythematous plaques or patches topped by white or yellow scale.
Typical signs of dermatophyte infection of the glabrous skin, similar to those of tinea corporis, may be present. Infection occurs via inoculation into an area of local skin trauma. Single or multiple erythematous patches without annular structure often resemble other dermatoses. Allergic skin conditions can cause bumps, red spots, lines of dark skin, itchy rashes, scaly patches and more. The clinical appearance was unlike any other form reported in the literature. She received phototherapy with some improvement in another hospital. On examination, multiple erythematous, indurated, coalescing plaques with adherent scale are noted on the vertex and occipital scalp. One or more large erythematous patches may appear anywhere on the skin. His laboratory test findings were within reference range except for the aspartate aminotransferase level of 50 ul reference range, 1037 ul and alanine transaminase level of 96 ul reference range, 537 ul. Jul 15, 2001 one or more large erythematous patches may appear anywhere on the skin. The skin infection shown begins as a small erythematous patch that progresses to a fieryred, indurated, tense, and shiny plaque. Specific manifestations can include papules, scar sarcoidosis, ulcers, or even alopecia.
S medical college and hospital, mysore, karnataka 570 004, india 2 department of pathology, j. Other types of similar skin eruptions include lichen planus, psoriasis, and. The latter appears as multiple, flat, irregularly shaped, serpiginous red patches with raised keratotic rims that heal spontaneously and reappear in constantly changing patterns. The lesion was asymptomatic and there was no history of previous trauma to the affected area. The key clinical feature of this case is multiple annular erythematous scaly. Erythema multiforme skin disorders msd manual consumer. They were demarcated sharply, were minimally scaling, and varied in size from 2. A 43yearold woman presented with skin rash on the body which had developed 5 years ago. They may also appear after skin injury, including sun burn and dermatitis. The key clinical feature of this case is multiple annular erythematous scaly lesions, strongly suggesting tinea faciei. Benign keratinocytic and adnexal lesions dermnet nz. May 20, 2019 single or multiple erythematous patches without annular structure often resemble other dermatoses. He later developed polydipsia and polyuria and was diagnosed with diabetes insipidus. A 54yearold man presented with multiple erythematous and eroded patches and thin plaques scattered on the trunk.
These growths are more common in fairskinned people and those who are frequently in the sun. Her mother had similar skin lesions which were erythematous scaly patches on the knuckles and elbows, since her childhood. The patient denied any other symptoms and was otherwise in good health. Links to pages about skin conditions that favour the trunk. This rash is characterized by multiple yellow or white erythematous macules and papules mm in diameter which can rapidly progress to pustules on an erythematous base often described as a fleabitten appearance. The lesions usually occur on the buccal mucosa and the labial and oral vestibule, but the floor of the mouth, ventral tongue, soft palate, and gingiva may be also. Division of erythema multiforme into two subsets based on clinical severity has been proposed. The dermatologic examination revealed multiple, asymptomatic, erythematous macules and patches on the trunk and extremities fig.26 1124 544 229 82 650 1411 640 176 1233 200 618 1468 1121 169 722 561 1191 540 906 75 149 1301 1273 1313 492 796 702 514 699 143 705