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 © 2001-2009, DermAtlas | Image Name: | chemotherapy_1_080801 | File Type: | jpg | |
| Diagnosis: | DRUG REACTION | Category: | drug reaction / Iatrogenic disorders, child abuse, | ||
| Body Site: | ankle / foot arm | Age: | 60 years | ||
| Contributor: | Greg Hosler, MD, PhD | ||||
| Description: | There is keratinocytic atypia and mild nuclear pleomorphism with scattered dyskeratotic cells. The dysplastic change of an actinic keratosis or Bowen's disease is not seen. | ||||
| Comments: | This 60 year old man was on Avastin, Ioxitane, and Zometa for prostate cancer, all of which have been reported to cause cutaneous eruptions. He developed erythematous to violaceous hemorrhagic plaques on his extremities over two months. Chemotherapeutic drugs can cause acral erythema, hidradenitis, radiation recall dermatitis, and others. This case shows keratinocytic dysmaturation, a common finding with certain chemotherapies. | ||||
 © 2001-2009, DermAtlas | Image Name: | burn_2_080104 | File Type: | jpg | |
| Diagnosis: | BURN, HOT WATER/THERMAL / SCAR / HYPOPIGMENTATION, POSTINFLAMMATORY / PUSTULOSIS, STAPHYLOCOCCAL | Category: | hypopigmentation, depigmentation / Iatrogenic disorders, child abuse, / wound healing | ||
| Body Site: | face / scalp | Age: | 3 years | ||
| Contributor: | Katherine Puttgen, MD | ||||
| Description: | well demarcated irregular hypopigmented plaques and macules with perifollicular pustules | ||||
| Comments: | This healthy toddler developed perifollicular pustules in the hairline during healing from an unintentional hot grease burn. Topical mupirocin therapy was started pending culture results given concern for methicillin resistant Staphylococcus aureus. | ||||
 © 2001-2009, DermAtlas | Image Name: | lipoatrophy_1_071101 | File Type: | jpg | |
| Diagnosis: | LIPOATROPHY | Category: | Iatrogenic disorders, child abuse, | ||
| Body Site: | buttock | Age: | 32 years | ||
| Contributor: | Greg Hosler, MD, PhD | ||||
| Description: | There is decreased adipose tissue within the subcutis. The septae appear thickened. | ||||
| Comments: | This patient was on prednisone and developed a localized depressed plaque-like area. The biopsy shows typical features of lipoatrophy. This finding can be seen with HIV, drugs and as a congenital finding. | ||||
| Related Images: | lipoatrophy_2_071101 | ||||
 © 2001-2009, DermAtlas | Image Name: | lipoatrophy_2_071101 | File Type: | jpg | |
| Diagnosis: | LIPOATROPHY | Category: | Iatrogenic disorders, child abuse, | ||
| Body Site: | buttock | Age: | 32 years | ||
| Contributor: | Greg Hosler, MD, PhD | ||||
| Description: | The fat lobules are small, making the septae appear wide. Individual adipocytes are small, with the appearance of hyalinization. There is no inflammatory infiltrate. | ||||
| Comments: | This patient was on prednisone and developed a localized depressed plaque-like area. The biopsy shows typical features of lipoatrophy. This finding can be seen with HIV, drugs and as a congenital finding. | ||||
| Related Images: | lipoatrophy_1_071101 | ||||
 © 2001-2009, DermAtlas | Image Name: | tattoo_reaction_1_070902 | File Type: | jpg | |
| Diagnosis: | TATTOO / DERMATITIS, CONTACT ALLERGIC / TATTOO COMPLICATION | Category: | Iatrogenic disorders, child abuse, / hyperpigmentation | ||
| Body Site: | arm | Age: | 27 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 1-2 mm papules within blue green pigment | ||||
| Comments: | Thjs healthy 27-year-old woman developed an itchy papular eruption within the blue green component of her tattoos. | ||||
| Related Images: | All related Images tattoo_reaction_3_070902 tattoo_reaction_2_070902 | ||||
 © 2001-2009, DermAtlas | Image Name: | tattoo_reaction_2_070902 | File Type: | jpg | |
| Diagnosis: | TATTOO / DERMATITIS, CONTACT ALLERGIC / TATTOO COMPLICATION | Category: | Iatrogenic disorders, child abuse, / hyperpigmentation | ||
| Body Site: | arm | Age: | 27 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 1-2 mm papules within blue green pigment | ||||
| Comments: | Thjs healthy 27-year-old woman developed an itchy papular eruption within the blue green component of her tattoos. | ||||
| Related Images: | All related Images tattoo_reaction_3_070902 tattoo_reaction_1_070902 | ||||
 © 2001-2009, DermAtlas | Image Name: | tattoo_reaction_3_070902 | File Type: | jpg | |
| Diagnosis: | TATTOO / DERMATITIS, CONTACT ALLERGIC / TATTOO COMPLICATION | Category: | Iatrogenic disorders, child abuse, / hyperpigmentation | ||
| Body Site: | foot | Age: | 27 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 1-2 mm papules within blue green pigment | ||||
| Comments: | Thjs healthy 27-year-old woman developed an itchy papular eruption within the blue green component of her tattoos. | ||||
| Related Images: | All related Images tattoo_reaction_2_070902 tattoo_reaction_1_070902 | ||||
 © 2001-2009, DermAtlas | Image Name: | Tattoo_Infection_Staph_1_070810 | File Type: | jpg | |
| Diagnosis: | STAPHYLOCOCCAL INFECTION / TATTOO | Category: | infections and infestations / Iatrogenic disorders, child abuse, | ||
| Body Site: | arm | Age: | 32 years | ||
| Contributor: | C Jason | ||||
| Description: | multicolored patch with erosions and crusts | ||||
| Comments: | Shortly after receiving a tattoo this 32-year-old man developed pustules and crusting on the tattoo which grew Staphylococcus aureus on bacterial culture. The infection cleared over 10 days with topical mupirocin cream. For more details go to http://forum.ink-trails.com/Tattoo-Infection-t483.html | ||||
 © 2001-2009, DermAtlas | Image Name: | trigemminal_trophic_syndrome_1_070615 | File Type: | jpg | |
| Diagnosis: | TRIGEMINAL TROPHIC SYNDROME / ULCER | Category: | neurologic disorder / treatment complication / Iatrogenic disorders, child abuse, | ||
| Body Site: | face / scalp | Age: | 8 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | well demarcated 2-3 cm punched out ulcers some with reepithelialization and scarring | ||||
| Comments: | This 8-year-old boy developed well circumscribed round ulcers on the right side of the scalp, face and buccal mucosa following brain surgery which damaged the right trigemminal nerve leaving him anaesthetic on the right side of the face and mouth. He avidly picked at the ulcers which healed somwehat when covered. The self-inflicted ulcers began to improve when he was treated with oral carbamezapine. | ||||
| Related Images: | All related Images trigemminal_trophic_syndrome_3_070615 trigemminal_trophic_syndrome_2_070615 | ||||
 © 2001-2009, DermAtlas | Image Name: | trigemminal_trophic_syndrome_2_070615 | File Type: | jpg | |
| Diagnosis: | TRIGEMINAL TROPHIC SYNDROME / ULCER | Category: | neurologic disorder / treatment complication / Iatrogenic disorders, child abuse, | ||
| Body Site: | face / scalp | Age: | 8 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | well demarcated 2-3 cm punched out ulcers some with reepithelialization and scarring | ||||
| Comments: | This 8-year-old boy developed well circumscribed round ulcers on the right side of the scalp, face and buccal mucosa following brain surgery which damaged the right trigemminal nerve leaving him anaesthetic on the right side of the face and mouth. He avidly picked at the ulcers which healed somwehat when covered. The self-inflicted ulcers began to improve when he was treated with oral carbamezapine. | ||||
| Related Images: | All related Images trigemminal_trophic_syndrome_3_070615 trigemminal_trophic_syndrome_1_070615 | ||||
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