25-Year-Old With Hand Rash

25-Year-Old With Hand Rash

A 25-year-old man undergoing chemotherapy with cyclophosphamide, vincristine, doxorubicin, and dexamethasone for acute lymphoblastic leukemia arrives in urgent care because he’s developed a painful, burning palmar eruption. On examination, tender, shiny, erythematous papules and plaques were seen on the palms and fingers as well as the soles of his feet. View the image above and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

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38-Year-Old With Foot Rash

38-Year-Old With Foot Rash

A 38-year-old man presents to urgent care for a pruritic rash that developed on his feet over the last week. The rash is worse on his left foot than the right. He frequently works out and showers at the gym before going to work. On examination, fine, powdery, scaly plaques are seen on his soles and insteps. He otherwise appears well and has no systemic symptoms. View the image below and consider what your diagnosis …

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47-Year-Old With Right Hand Pain

47-Year-Old With Right Hand Pain

A 47-year-old man presents to urgent care after trying out a new cardio boxing class at the local recreation center. He indicates that his right hand has been hurting ever since he hit a punching bag this morning, and the pain has been getting worse. X-rays are ordered, both anterior posterior (AP) and oblique views. Review the images and consider what your diagnosis and next steps would be. Resolution of the case is described on …

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64-Year-Old With Facial Lesion

64-Year-Old With Facial Lesion

A 64-year-old man presents to urgent care with a lesion on his face for the last 2 months. On examination, a shiny, eroded, blue-black nodule was seen on his right cheek. He is a postal worker.  Histopathology examination showed aggregates of melanin and melanocytes within sheets of basaloid keratinocytes with peripheral palisading and surrounding clefts within a fibromyxoid stroma containing melanophages. View the image above and consider what your diagnosis and next steps would be. …

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