alegre. almora. alonzo. amaro. amolenda. anacta. andal. ang. ang. ang.

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alegre. almora. alonzo. amaro. amolenda. anacta. andal. ang. ang. ang. Dermatology Case 2: alegre. almora. alonzo. amaro. amolenda. anacta. andal. ang. ang. ang.

EG 43 y/o F Chief Complaint: Plaques and Nodules on the face, trunk, and extremities

HISTORY OF PRESENT ILLNESS 8 months PTC Few erythematous ill-defined asymptomatic patches over both upper extremities associated tingling sensation and numbness of the hands and forearms No consult was done nor medications taken 6 month PTC Plaques and nodules involving the forehead, malar area, left ear, trunk and extremities CONSULT

FAMILY HISTORY (+) HPN, DM (-) similar lesion

PHYSICAL EXAMINATION Skin: (+) leonine facies (-) madarosis multiple erythematous to skin-colored plaques and nodules 1.5x 3.5 to 2.0 x 4.0 cm over the malar area, helix of ears, upper extremities, thighs (+) leonine facies (-) madarosis

DIFFERENTIAL DIAGNOSIS

(Differential…) Patient’s Data (pertinent data per differential) erythematous ill-defined asymptomatic patches (upper extremities) into multiple erythematous to skin-colored plaques and nodules 1.5x 3.5 to 2.0 x 4.0 cm (malar area, helix of ears, upper extremities, thighs) (+) leonine facies (-) madarosis

(Differential…) Patient’s Data (pertinent data per differential) erythematous ill-defined asymptomatic patches (upper extremities) into multiple erythematous to skin-colored plaques and nodules 1.5x 3.5 to 2.0 x 4.0 cm (malar area, helix of ears, upper extremities, thighs) (+) leonine facies (-) madarosis

(Differential…) Patient’s Data (pertinent data per differential) erythematous ill-defined asymptomatic patches (upper extremities) into multiple erythematous to skin-colored plaques and nodules 1.5x 3.5 to 2.0 x 4.0 cm (malar area, helix of ears, upper extremities, thighs) (+) leonine facies (-) madarosis

(Differential…) Patient’s Data (pertinent data per differential) erythematous ill-defined asymptomatic patches (upper extremities) into multiple erythematous to skin-colored plaques and nodules 1.5x 3.5 to 2.0 x 4.0 cm (malar area, helix of ears, upper extremities, thighs) (+) leonine facies (-) madarosis

(Differential…) Patient’s Data (pertinent data per differential) erythematous ill-defined asymptomatic patches (upper extremities) into multiple erythematous to skin-colored plaques and nodules 1.5x 3.5 to 2.0 x 4.0 cm (malar area, helix of ears, upper extremities, thighs) (+) leonine facies (-) madarosis