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| © 2001-2009, DermAtlas | Image Name: | mucocele_1_090401 | File Type: | jpg | |
| Diagnosis: | MUCOCELE | Category: | mucous membrane disorders | ||
| Body Site: | lip | Age: | 10 years | ||
| Contributors: | Greg Hosler, MD, PhD Patrick Keehan, D.O. | ||||
| Description: | There is a single soft papule on the lower mucosal lip. It is cystic and freely mobile. | ||||
| Comments: | This young man developed a cystic but mildly firm papule on the mucosal surface of his lower lip. Mucoceles can result from blockage of a minor salivary duct, casing ductular dilitation or may rupture, as in this case, resulting in an inflammatory process. | ||||
| Related Images: | mucocele_2_090401 | ||||
| © 2001-2009, DermAtlas | Image Name: | mucocele_2_090401 | File Type: | jpg | |
| Diagnosis: | MUCOCELE | Category: | mucous membrane disorders | ||
| Body Site: | lip | Age: | 10 years | ||
| Contributors: | Greg Hosler, MD, PhD Patrick Keehan, D.O. | ||||
| Description: | This biopsy is of mucosa. There is a mixed inflammatory infiltrate in the submucosa, comprised of lymphocytes, histiocytes, neutrophils and abundant extravasated mucin. | ||||
| Comments: | This young man developed a cystic but mildly firm papule on the mucosal surface of his lower lip. Mucoceles can result from blockage of a minor salivary duct, casing ductular dilitation or may rupture, as in this case, resulting in an inflammatory process. | ||||
| Related Images: | mucocele_1_090401 | ||||
| © 2001-2009, DermAtlas | Image Name: | ulcer_1_080819 | File Type: | jpg | |
| Diagnosis: | CARCINOMA, SQUAMOUS CELL | Category: | neoplasm, malignant / mucous membrane disorders | ||
| Body Site: | buccal mucosa / mouth | Age: | 55 years | ||
| Contributor: | Csbr Prasad, MD | ||||
| Description: | well demarcated 3 cm friable red ulcer | ||||
| Comments: | This 55-year-old woman complained of a non-healing ulcer of the left buccal mucosa for 5 months. Biopsy showed a squamous cell carcinoma. She had a 30 year history of Beetle nut chewing. There was no cervical adenopathy. | ||||
| © 2001-2009, DermAtlas | Image Name: | Toxic_Shock_1_080819 | File Type: | jpg | |
| Diagnosis: | TOXIC SHOCK SYNDROME / STRAWBERRY TONGUE | Category: | reactive erythema / mucous membrane disorders | ||
| Body Site: | tongue / face | Age: | 14 years | ||
| Contributor: | Will Sorey, MD | ||||
| Description: | diffuse erythema of skin and red tongue with prominent papillae and white pseudomembrane | ||||
| Comments: | An adolescent girl was evaluated for fever and progressive morbilliform eruption. She developed weakness, hypotension, a strawberry tongue, and red vaginal mucosa. She was diagnosed with toxic shock syndrome triggered by vaginal Staphylococcus aureus overgrowth resulting from a retained tampon. This case was prepared by University of Mississippi year 3 medical student John Chapman. | ||||
| © 2001-2009, DermAtlas | Image Name: | sjs_1_080216 | File Type: | jpg | |
| Diagnosis: | STEVENS-JOHNSON SYNDROME / TOXIC EPIDERMAL NECROLYSIS | Category: | reactive erythema / vesiculobullous eruptions / mucous membrane disorders | ||
| Body Site: | arm / total body | Age: | 10 years | ||
| Contributor: | Sandra Thoney | ||||
| Description: | day 1-intact 0.2-1.0 cm vesicles and bullae on red base | ||||
| Comments: | This 10-year-old boy had an intermittent fever, headache, and stomachache for 2 weeks before developing red cheeks and ears. On the following day red patches blossomed on his arms, legs, neck, and chest which became blistered within hours. Erosions spread throughout his mouth and conjunctivae, and he was admitted to the pediatric intensive care unit for management of fluids, pain, and possible infection. Lesions progressed for a week, and on day 4 he received intravenous immumoglobulin. He required a central line for fluid resuscitation, fentanyl for pain, and a urinary catheter. He was discharged home on day 15 and developed desquamation of the palms and soles 2 days later. Fortunately he recovered without serious complications. Nails shed 2 months later, and mottled pigmentation persisted. | ||||
| Related Images: | All related Images sjs_8_080216 sjs_7_080216 sjs_6_080216 sjs_5_080216 sjs_4_080216 sjs_3_080216 sjs_2_080216 | ||||
| © 2001-2009, DermAtlas | Image Name: | sjs_2_080216 | File Type: | jpg | |
| Diagnosis: | STEVENS-JOHNSON SYNDROME / TOXIC EPIDERMAL NECROLYSIS | Category: | reactive erythema / vesiculobullous eruptions / mucous membrane disorders | ||
| Body Site: | arm / total body | Age: | 10 years | ||
| Contributor: | Sandra Thoney | ||||
| Description: | day 1-intact 0.2-1.0 cm vesicles and bullae on red base | ||||
| Comments: | This 10-year-old boy had an intermittent fever, headache, and stomachache for 2 weeks before developing red cheeks and ears. On the following day red patches blossomed on his arms, legs, neck, and chest which became blistered within hours. Erosions spread throughout his mouth and conjunctivae, and he was admitted to the pediatric intensive care unit for management of fluids, pain, and possible infection. Lesions progressed for a week, and on day 4 he received intravenous immumoglobulin. He required a central line for fluid resuscitation, fentanyl for pain, and a urinary catheter. He was discharged home on day 15 and developed desquamation of the palms and soles 2 days later. Fortunately he recovered without serious complications. Nails shed 2 months later, and mottled pigmentation persisted. | ||||
| Related Images: | All related Images sjs_8_080216 sjs_7_080216 sjs_6_080216 sjs_5_080216 sjs_4_080216 sjs_3_080216 sjs_1_080216 | ||||
| © 2001-2009, DermAtlas | Image Name: | sjs_3_080216 | File Type: | jpg | |
| Diagnosis: | STEVENS-JOHNSON SYNDROME / TOXIC EPIDERMAL NECROLYSIS | Category: | reactive erythema / vesiculobullous eruptions / mucous membrane disorders | ||
| Body Site: | arm / total body | Age: | 10 years | ||
| Contributor: | Sandra Thoney | ||||
| Description: | day 2-enlarging vesicles and bullae on a confluent red base | ||||
| Comments: | This 10-year-old boy had an intermittent fever, headache, and stomachache for 2 weeks before developing red cheeks and ears. On the following day red patches blossomed on his arms, legs, neck, and chest which became blistered within hours. Erosions spread throughout his mouth and conjunctivae, and he was admitted to the pediatric intensive care unit for management of fluids, pain, and possible infection. Lesions progressed for a week, and on day 4 he received intravenous immumoglobulin. He required a central line for fluid resuscitation, fentanyl for pain, and a urinary catheter. He was discharged home on day 15 and developed desquamation of the palms and soles 2 days later. Fortunately he recovered without serious complications. Nails shed 2 months later, and mottled pigmentation persisted. | ||||
| Related Images: | All related Images sjs_8_080216 sjs_7_080216 sjs_6_080216 sjs_5_080216 sjs_4_080216 sjs_2_080216 sjs_1_080216 | ||||
| © 2001-2009, DermAtlas | Image Name: | sjs_4_080216 | File Type: | jpg | |
| Diagnosis: | STEVENS-JOHNSON SYNDROME / TOXIC EPIDERMAL NECROLYSIS | Category: | reactive erythema / vesiculobullous eruptions / mucous membrane disorders | ||
| Body Site: | arm / total body | Age: | 10 years | ||
| Contributor: | Sandra Thoney | ||||
| Description: | day 3-progressive bullae formation and diffuse erythema | ||||
| Comments: | This 10-year-old boy had an intermittent fever, headache, and stomachache for 2 weeks before developing red cheeks and ears. On the following day red patches blossomed on his arms, legs, neck, and chest which became blistered within hours. Erosions spread throughout his mouth and conjunctivae, and he was admitted to the pediatric intensive care unit for management of fluids, pain, and possible infection. Lesions progressed for a week, and on day 4 he received intravenous immumoglobulin. He required a central line for fluid resuscitation, fentanyl for pain, and a urinary catheter. He was discharged home on day 15 and developed desquamation of the palms and soles 2 days later. Fortunately he recovered without serious complications. Nails shed 2 months later, and mottled pigmentation persisted. | ||||
| Related Images: | All related Images sjs_8_080216 sjs_7_080216 sjs_6_080216 sjs_5_080216 sjs_3_080216 sjs_2_080216 sjs_1_080216 | ||||
| © 2001-2009, DermAtlas | Image Name: | sjs_5_080216 | File Type: | jpg | |
| Diagnosis: | STEVENS-JOHNSON SYNDROME / TOXIC EPIDERMAL NECROLYSIS | Category: | reactive erythema / vesiculobullous eruptions / mucous membrane disorders | ||
| Body Site: | face / neck lip / mouth | Age: | 10 years | ||
| Contributor: | Sandra Thoney | ||||
| Description: | day 6-generalized intact and ruptured bullae; eroded crusted lips and mouth | ||||
| Comments: | This 10-year-old boy had an intermittent fever, headache, and stomachache for 2 weeks before developing red cheeks and ears. On the following day red patches blossomed on his arms, legs, neck, and chest which became blistered within hours. Erosions spread throughout his mouth and conjunctivae, and he was admitted to the pediatric intensive care unit for management of fluids, pain, and possible infection. Lesions progressed for a week, and on day 4 he received intravenous immumoglobulin. He required a central line for fluid resuscitation, fentanyl for pain, and a urinary catheter. He was discharged home on day 15 and developed desquamation of the palms and soles 2 days later. Fortunately he recovered without serious complications. Nails shed 2 months later, and mottled pigmentation persisted. | ||||
| Related Images: | All related Images sjs_8_080216 sjs_7_080216 sjs_6_080216 sjs_4_080216 sjs_3_080216 sjs_2_080216 sjs_1_080216 | ||||
| © 2001-2009, DermAtlas | Image Name: | sjs_6_080216 | File Type: | jpg | |
| Diagnosis: | STEVENS-JOHNSON SYNDROME / TOXIC EPIDERMAL NECROLYSIS | Category: | reactive erythema / vesiculobullous eruptions / mucous membrane disorders | ||
| Body Site: | arm / total body | Age: | 10 years | ||
| Contributor: | Sandra Thoney | ||||
| Description: | day 10-healing erosions and crusts on lips; generalized desquamation with pink base and coarse brown scale | ||||
| Comments: | This 10-year-old boy had an intermittent fever, headache, and stomachache for 2 weeks before developing red cheeks and ears. On the following day red patches blossomed on his arms, legs, neck, and chest which became blistered within hours. Erosions spread throughout his mouth and conjunctivae, and he was admitted to the pediatric intensive care unit for management of fluids, pain, and possible infection. Lesions progressed for a week, and on day 4 he received intravenous immumoglobulin. He required a central line for fluid resuscitation, fentanyl for pain, and a urinary catheter. He was discharged home on day 15 and developed desquamation of the palms and soles 2 days later. Fortunately he recovered without serious complications. Nails shed 2 months later, and mottled pigmentation persisted. | ||||
| Related Images: | All related Images sjs_8_080216 sjs_7_080216 sjs_5_080216 sjs_4_080216 sjs_3_080216 sjs_2_080216 sjs_1_080216 | ||||
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