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DermAtlas: LIP - mucocele
© 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 

DermAtlas: Histology - mucocele
© 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 

DermAtlas: BUCCAL MUCOSA - carcinoma, squamous cell
© 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.

DermAtlas: TONGUE - toxic shock syndrome
© 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.

DermAtlas: ARM - Stevens-Johnson syndrome
© 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 

DermAtlas: ARM - Stevens-Johnson syndrome
© 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 

DermAtlas: ARM - Stevens-Johnson syndrome
© 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 

DermAtlas: ARM - Stevens-Johnson syndrome
© 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 

DermAtlas: FACE - Stevens-Johnson syndrome
© 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 

DermAtlas: ARM - Stevens-Johnson syndrome
© 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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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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