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
CLINICAL IMPRESSION Lepromatous type of Leprosy (Hansen’s Disease) Salient Features 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 DIAGNOSIS Hansen’s Disease (other types) Erythema multiforme Fixed drug reaction Seborrheic dermatitis Cellulitis Urticaria Exfoliative dermatitis
(Differential Dignosis) (brief description of pathology) (epidemiology, incidence, etc.)
(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 Dignosis) (diagnostic evaluation) (therapeutic plans)
(Differential Dignosis) (brief description of pathology) (epidemiology, incidence, etc.)
(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 Dignosis) (diagnostic evaluation) (therapeutic plans)
(Differential Dignosis) (brief description of pathology) (epidemiology, incidence, etc.)
(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 Dignosis) (diagnostic evaluation) (therapeutic plans)
(Differential Dignosis) (brief description of pathology) (epidemiology, incidence, etc.)
(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 Dignosis) (diagnostic evaluation) (therapeutic plans)
(Differential Dignosis) (brief description of pathology) (epidemiology, incidence, etc.)
(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 Dignosis) (diagnostic evaluation) (therapeutic plans)