Case Study

Web Space Dermatophytosis

2020-09-16T14:58:33-04:00

By Adi Pajazetovic, DPM, Kalani Parker, DPM Tinea pedis resistant to treatment may require systemic antifungals History A 67-year-old male with no known significant past medical history presented to clinic with an itchy dermatitis like lesion within his left fourth web space. Lesion has been present for an undefined length of time. Physical Examination Patient presented with an eczematous/tinea like lesion within the left fourth web space along with maceration to the area. Diagnostic Testing A shave biopsy was performed and a submission of a skin fragment measuring 0.3 x 0.3 x 0.1 cm was received [...]

Web Space Dermatophytosis2020-09-16T14:58:33-04:00

Molluscum Contagiosum

2020-09-16T14:55:55-04:00

By Courtney McClurkin, DPM; Andrew Olson, DPM Molluscum contagiosum can be confused with a variety of different skin pathologies History A 25 year old male with no known significant past medical history presents with a pigmented lesion to plantar aspect of his left foot present for an undetermined period of time. Physical Examination A raised red and black 3mm lesion is seen on the plantar aspect of left foot. Diagnostic Testing A 2mm punch biopsy was performed with clinical concern to rule out melanoma. Histological Findings Typical histological features of molluscum contagiosum were identified including [...]

Molluscum Contagiosum2020-09-16T14:55:55-04:00

Erythema Elevatum Diutinum

2020-09-16T15:07:09-04:00

By Desiree Dalcherone, DPM; Laura Fernandez, DPM; Pooja Srivastava, DPM Lesions are usually asymptomatic, but some cases might present with itching and pain History Patient is a 29 year old male with past medical history of Crohn’s disease, presenting with a one year history of progressively worsening, painful nodules to his bilateral legs and feet. A punch biopsy of skin was taken from the nodule present to the patient's plantar-medial left hallux. Physical Examination Multiple nodules were present on bilateral legs and feet. Click on image to enlarge Click on image to enlarge [...]

Erythema Elevatum Diutinum2020-09-16T15:07:09-04:00

Onychomycosis

2020-09-16T14:40:59-04:00

By Steven Goldstein, DPM; Basem Halaka, DPM; David Vance, DPM; Jason Weslosky, DPM There are multiple tests that can be performed to evaluate for the presence of fungi History The patient is a 62 year old male with a 2 year history of thickened, elongated, and yellow discolored nails of the hallux bilateral. The nails appear dystrophic with evidence of subungual debris. The patient does not admit to any significant trauma to the nails but does admit to uncomfortable rubbing of the bilateral hallux nails in his shoes. The patient does not have any other contributing medical history. [...]

Onychomycosis2020-09-16T14:40:59-04:00

Blastomycosis

2020-09-16T14:41:15-04:00

By Morgan Baxter, DPM, Aron Block, DPM, Lillian Youhkana, DPM Blastomycosis is a type of fungal infection that can be acquired from inhaling fungal spores History A 53 year old healthy male presents to clinic with concerns of a rash involving raised bumps for about a month. He thought it was a cluster of warts, but has not had any relief with over the counter topical medications. He does mention that about a month ago, he was raking leaves barefoot. The bumps are not painful but have started to leak and have not gone away. He resides in [...]

Blastomycosis2020-09-16T14:41:15-04:00
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