Persistent Nodular Rash in an Elderly Patient

A 62yo white male presented to same day clinic with an erythematous nodular rash. He was initially treated with antibiotics for a furunculosis, but the rash worsened and he was eventually found to have secondary syphilis. He is an MSM who had a prior history of syphilis, putting him at high risk for STI’s and HIV, and should have been undergoing annual screening. He was found to be HIV positive. The rates of STI’s and HIV are increasing in older Americans. Despite this, physicians do not regularly screen this population for unsafe sexual behavior. This case emphasizes the importance of taking a sexual history in older patients, assessing their risk for STI’s and HIV, and providing them with education about safe sex

Outbreak of tropical rat mite (Ornithonyssus bacoti) dermatitis in a home for disabled persons

Five mentally handicapped individuals living in a home for disabled persons in Southern Germany were seen in our outpatient department with pruritic, red papules predominantly located in groups on the upper extremities, neck, upper trunk and face. Over several weeks 40 inhabitants and 5 caretakers were affected by the same rash. Inspection of their home and the sheds nearby disclosed infestation with rat populations and mites. Finally the diagnosis of tropical rat mite dermatitis was made by the identification of the arthropod Ornithonyssus bacoti or so-called tropical rat mite. The patients were treated with topical corticosteroids and antihistamines. After elimination of the rats and disinfection of the rooms by a professional exterminator no new cases of rat mite dermatitis occurred. The tropical rat mite is an external parasite occurring on rats, mice, gerbils, hamsters and various other small mammals. When the principal animal host is not available, human beings can become the victim of mite infestation. Copyright (c) 2007 S. Karger AG, Base

Extragenital Blaschkoid lichen sclerosus et atrophicus in a child

Lichen sclerosus et atrophicus is a chronic inflammatory skin disease that typically affects prepubertal girls and peri- or post-menopausal women in genital and perineal areas. In some cases, it can also manifest as extragenital lesions. Extragenital Blaschkoid lesions have infrequently been reported. Here, we report a case of extragenital Blaschkoid lichen sclerosus et atrophicus in a child

Pruritus

Everybody is familiar with pruritus. It is defined formally as an unpleasant sensation which provokes scratching. Indeed, the biological advantage of pruritus seems to lie in the elimination of cutaneous parasites by the scratching which it provokes. Pruritus is the predominant symptom in dermatology.peer-reviewe

Syphilis- The Great Imitator

Syphilis is an infectious disease with Treponema Pallidum being its causative agent. When not treated it can pass through 4 stages: primary, secondary, latent and tertiary. Syphilis has a broad spectrum of skin and mucosal manifestations and can imitate many other skin disease, hence the name ldquo;The great Imitatorrdquo;. The number of patients infected with syphilis has declined dramatically after penicillin invention. Albania has not had a significant number of cases but eruptions has been seen time after time. Herein, we describe 5 cases of suspected syphilis presented at our clinic

Persistent Zika Virus Detection in Semen in a Traveler Returning to the United Kingdom from Brazil, 2016.

Zika virus is normally transmitted by mosquitos, but cases of sexual transmission have been reported. We describe a patient with symptomatic Zika virus infection in whom the virus was detected in semen for 92 days. Our findings support recommendations for 6 months of barrier contraceptive use after symptomatic Zika virus infection

A case series on fixed drug eruptions

A 60 year old male truck driver with a history of recurrent skin boils presented with painful lesions on the glans penis that started a few days prior. A week ago he was treated with co-trimoxazole for skin abscesses on the left leg. The penile lesions were noted as vesicular eruptions that eventually coalesced and there was absence of discharge, scrotal involvement, or lymphadenopathy. He reported a similar episode one year ago following a course of co-trimoxazole for skin abscesses

Practical dermatology

DERMATOLOGYSKIN DISEASESКОЖНЫЕ БОЛЕЗНИМЕТОДИЧЕСКИЕ РЕКОМЕНДАЦИИПРАКТИЧЕСКАЯ ДЕРМАТОЛОГИЯRecommendations include tests, clinical tasks and practical skills in dermatology that are used as during practical classes as at the examination

Manifestaciones orales de la enfermedad por depósito lineal de IgA

La enfermedad por depósito lineal de IgA o enfermedad IgA lineal (EAL) es un proceso mucocutaneo crónico e infrecuente de origen autoinmune, caracterizado por depósitos lineales de IgA a lo largo de la membrana basal. En la mayor parte de los casos, junto a las lesiones cutáneas, aparecen lesiones orales y en otras mucosas. Se han descrito casos en los que la afectación se limitaba a la mucosa oral. Por ello es importante el conocimiento de esta patología a la hora de establecer el diagnóstico diferencial de las enfermedades mucocutaneas ampollares. En esta revisión se analizan los principales aspectos clinicopatológicos de esta enfermedad, haciendo un hincapié especial en las manifestaciones orales.The Linear IgA deposit related disease or Linear IgA disease (LAD) is a chronic, uncommon and autoimmunological mucocutaneous disease, characterised by linear IgA deposits along the basement membrane zone. In mainly cases, moreover cutaneous lesions, there are oral mucosal and other mucosal lesions. There are also, some cases published of Linear IgA disease limited to oral mucosa. The known of this disease is important for the establishment of a correct differential diagnosis in cases of blistering mucocutaneous diseases. In this paper, we analyze the most important features of this disease, attending specially to the oral manifestations