| © 2001-2009, DermAtlas | Image Name: | Trephination_1_040920 | File Type: | jpg | |
| Diagnosis: | HEMATOMA, SUBUNGUAL / TREPHINATION / TRAUMA | Category: | procedures / purpura | ||
| Body Site: | finger / nail, hand | Age: | 17 years | ||
| Contributor: | Douglas Hoffman, MD | ||||
| Description: | irregularly shaped purple-black patch with hole in the base of the nail | ||||
| Comments: | The pain from a subungual hematoma was relieved by drilling a small hole in the nail with a sterile needle. Note the hole at the base of the nail near the midline. | ||||
| © 2001-2009, DermAtlas | Image Name: | Gunshot_Wound_1_040130 | File Type: | jpg | |
| Diagnosis: | GUNSHOT WOUND / TRAUMA | Category: | surgery, trauma / demonstration / procedures / environmental injury | ||
| Body Site: | leg / thigh | Age: | 20 days | ||
| Contributor: | Douglas Hoffman, MD | ||||
| Description: | This seven day old healing surgical incision is displayed by a twenty year old male who suffered a gunshot wound to the posterior left thigh. | ||||
| Comments: | This 20-year-old young man displays a 7-day-old surgical incision which resulted from a gunshot wound to the back of the left thigh. | ||||
| © 2001-2009, DermAtlas | Image Name: | purpura_thrombolyticus_1_030323 | File Type: | jpg | |
| Diagnosis: | PURPURA / DRUG REACTION / TRAUMA | Category: | treatment / procedures / purpura / Iatrogenic disorders, child abuse, | ||
| Body Site: | total body / arm hand | Age: | 68 years | ||
| Contributor: | Charles Crutchfield, III, MD | ||||
| Description: | widespread purpuric patches | ||||
| Comments: | This 68-year-old woman developed multiple, generalized purpuric patches after receiving thrombolytic therapy for myocardial infarction. Because the thrombolytic therapy markedly decreased her normal clotting function, it is believed that minor trauma from normal activities and procedures in the emergency department and inpatient hospital unit resulted in the development of widespread bruising. Purpura was associated with minimal tenderness, and all skin lesions resolved over the subsequent month. | ||||
| © 2001-2009, DermAtlas | Image Name: | recluseweek8_10_021026 | File Type: | jpg | |
| Diagnosis: | BITE, INSECT / BROWN RECLUSE SPIDER / GRAFT, SKIN / LOXOSCELES ENVENOMATION | Category: | purpura / procedures / demonstration / ulcer | ||
| Body Site: | leg | Age: | 69 years | ||
| Contributor: | Lisa Strain | ||||
| Description: | graft placed from donor site on hip | ||||
| Comments: | This healthy 69 year old man was bitten by a brown recluse spider while spring cleaning in the basement of his house. He initially noted stinging and itching at the site. Nine hours later he was evaluated in the emergency room for redness of the ears, perioral pallor, and light headedness. He was given oral and intramuscular corticosteroids and instructed to follow up with his primary care doctor. On the second day after the bite his oral steroid were increased when purpura was noted at the site. On day 3 he developed a blister that progressed quickly to a necrotic ulcer. Over the subsequent 7 weeks the wound was cleaned and debrided by his family doctor, and 2 months after the bite the ulcer was grafted with skin taken from the right hip. Although the graft took well and the wound healed quickly, he still experiences occasional burning and stinging at the site. | ||||
| Related Images: | All related Images recluseday4_2_021026 recluseday1_1_021026 recluseday6_3_021026 recluseweek2_4_021026 recluseweek3_5_021026 recluseweek4_6_021026 recluseweek5_7_021026 recluseweek6_8_021026 recluseweek7_9_021026 | ||||
| © 2001-2009, DermAtlas | Image Name: | Breast_CA_reconstruction_2_021007 | File Type: | jpg | |
| Diagnosis: | CARCINOMA, BREAST / TATTOO / MICROPIGMENTATION | Category: | neoplasm, malignant / treatment / procedures | ||
| Body Site: | breast / chest | Age: | 50 years | ||
| Contributor: | Cheryl Doss, RN | ||||
| Description: | Left areola after nipple reconstruction and micropigmentation | ||||
| Comments: | This 50 year old woman had a mastectomy for breast carcinoma followed by breast and nipple reconstruction by Nicholas Gahos, M.D., F.A.C.S. She subsequently underwent micropigmentation of the nipple by Cheryl Doss, R.N. (See related image Breast_CA_reconstruction_2_021007). | ||||
| Related Images: | Breast_CA_reconstruction_1_021008 | ||||
| © 2001-2009, DermAtlas | Image Name: | Breast_CA_reconstruction_1_021008 | File Type: | jpg | |
| Diagnosis: | CARCINOMA, BREAST | Category: | procedures / treatment / neoplasm, malignant / surgery, reconstructive | ||
| Body Site: | breast | Age: | 50 years | ||
| Contributor: | Cheryl Doss, RN | ||||
| Description: | Left areola following mastectomy with breast and nipple reconstruction . | ||||
| Comments: | This 50 year old woman had a mastectomy for breast carcinoma followed by breast and nipple reconstruction by Nicholas Gahos, M.D., F.A.C.S. She subsequently underwent micropigmentation of the nipple by Cheryl Doss, R.N. (See related image Breast_CA_reconstruction_2_021007). | ||||
| Related Images: | Breast_CA_reconstruction_2_021007 | ||||
| © 2001-2009, DermAtlas | Image Name: | scan82 | File Type: | jpg | |
| Diagnosis: | VARICELLA / TZANCK SMEAR | Category: | photomicrograph / procedures | ||
| Body Site: | Age: | 0 | |||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | Tzanck smear with acantholytic keratinocytes and multinucleated giant cells | ||||
| Comments: | A Tzanck smear demonstrates acantholytic keratinocytes and multinucleated giant cells from patients with vesicles caused by Herpes simplex virus and Varicella zoster virus infections. | ||||
![]() ![]() Books by the Dermatlas Editors | © DermAtlas, Johns Hopkins University; 2000-2009 |
Link directly to this page: http://DermAtlas.med.jhmi.edu/derm/result.cfm?Category=14