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

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

3. 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

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

5. 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

6. DIFFERENTIAL DIAGNOSIS

7. (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

8. (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

9. (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

10. (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

11. (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