 | Your DermAtlas query returned at least 10 ImagesClick on the IMAGE to see an enlargement.The number of images has been limited to 10 per page. |
Next Result Set  |
| | Your DermAtlas query returned at least 10 ImagesClick on the IMAGE to see an enlargement.The number of images has been limited to 10 per page. |
| Next Result Set |
 © 2001-2009, DermAtlas | Image Name: | herpetic_plague_1_090617 | File Type: | jpg | |
| Diagnosis: | HERPES SIMPLEX VIRUS INFECTION | Category: | vesiculobullous eruptions / infections and infestations | ||
| Body Site: | face / cheek | Age: | 64 years | ||
| Contributor: | Hsiao Lily, MD | ||||
| Description: | clustered discrete and confluent 2 mm vesicles and crusts on a red edematous 2 cm plaque | ||||
| Comments: | This 64- year-old man suffered from recurrent Herpes simplex labialis for 10 years. Vesicles over a red plaque accompanied by burning and itching developed on the right cheek 5 days ago. The Quick Tzanck test of material obained from the vesicles revealed balloon cells with thick nuclear and cytoplasmic membranes fusing to form multinucleate giant cells. The eruption cleared in 10 days with topical antibiotic ointment, topical steroid, and 5 days of oral valacyclovir. The Quick Tzanck Test, which incorporates a modified Giemas solution, was devised by Dr. Sino as a rapid screen for the diagnosis of Herpes simplex virus infection. Staining for cytology takes only 2 minutes. | ||||
| Related Images: | All related Images herpetic_plague_2_090617 herpetic_plague_3_090617 | ||||
 © 2001-2009, DermAtlas | Image Name: | viral_infection_1_090617 | File Type: | jpg | |
| Diagnosis: | HERPES SIMPLEX VIRUS INFECTION | Category: | infections and infestations / vesiculobullous eruptions | ||
| Body Site: | face / forehead nose | Age: | 68 years | ||
| Contributor: | Hsiao Lily, MD | ||||
| Description: | clustered 2 mm skin colored to red papules and vesicles | ||||
| Comments: | This 68-year-old man was evaluated for a vesicular eruption on his forehead, eyelids, nose and mandible accompanied by erythema and swelling. The Quick Tzanck Test from the vesicles revealed the infiltration of numerous neutrophils, balloon cells and giant cells. Oral valacyclovir for 7 days, topical steroid over the itching areas, and antibiotic ointment for the scratched wounds were prescribed. Two days later the swelling subsided and the vesicles decreased in size. The lesions resolved completely within 10 days. Eighteen months later the patient exeprienced a recurrence. The positive Tzanck preparation helped his clinicians differentiate this eruption from bacterial infection, contact dermatitis, and drug reaction. He was on medications for hypertension and gout. | ||||
| Related Images: | All related Images viral_infection_2_090617 viral_infection_3_090617 | ||||
 © 2001-2009, DermAtlas | Image Name: | viral_infection_3_090617 | File Type: | jpg | |
| Diagnosis: | HERPES SIMPLEX VIRUS INFECTION | Category: | infections and infestations / vesiculobullous eruptions | ||
| Body Site: | face / forehead nose | Age: | 68 years | ||
| Contributor: | Hsiao Lily, MD | ||||
| Description: | eruption resolved | ||||
| Comments: | This 68-year-old man was evaluated for a vesicular eruption on his forehead, eyelids, nose and mandible accompanied by erythema and swelling. The Quick Tzanck Test from the vesicles revealed the infiltration of numerous neutrophils, balloon cells and giant cells. Oral valacyclovir for 7 days, topical steroid over the itching areas, and antibiotic ointment for the scratched wounds were prescribed. Two days later the swelling subsided and the vesicles decreased in size. The lesions resolved completely within 10 days. Eighteen months later the patient exeprienced a recurrence. The positive Tzanck preparation helped his clinicians differentiate this eruption from bacterial infection, contact dermatitis, and drug reaction. He was on medications for hypertension and gout. | ||||
| Related Images: | All related Images viral_infection_2_090617 viral_infection_1_090617 | ||||
 © 2001-2009, DermAtlas | Image Name: | viral_infection_2_090617 | File Type: | jpg | |
| Diagnosis: | HERPES SIMPLEX VIRUS INFECTION | Category: | infections and infestations / vesiculobullous eruptions | ||
| Body Site: | face / forehead nose | Age: | 68 years | ||
| Contributor: | Hsiao Lily, MD | ||||
| Description: | Tzanck smear by Quick Tzanck test shows neutrophils, balloon cells, and giant cells. | ||||
| Comments: | This 68-year-old man was evaluated for a vesicular eruption on his forehead, eyelids, nose and mandible accompanied by erythema and swelling. The Quick Tzanck Test from the vesicles revealed the infiltration of numerous neutrophils, balloon cells and giant cells. Oral valacyclovir for 7 days, topical steroid over the itching areas, and antibiotic ointment for the scratched wounds were prescribed. Two days later the swelling subsided and the vesicles decreased in size. The lesions resolved completely within 10 days. Eighteen months later the patient exeprienced a recurrence. The positive Tzanck preparation helped his clinicians differentiate this eruption from bacterial infection, contact dermatitis, and drug reaction. He was on medications for hypertension and gout. | ||||
| Related Images: | All related Images viral_infection_3_090617 viral_infection_1_090617 | ||||
 © 2001-2009, DermAtlas | Image Name: | Toxic_Epidermal_Necrolysis_3_090617 | File Type: | jpg | |
| Diagnosis: | TOXIC EPIDERMAL NECROLYSIS / STEVENS-JOHNSON SYNDROME | Category: | vesiculobullous eruptions / reactive erythema | ||
| Body Site: | total body / face neck / mouth | Age: | 24 years | ||
| Contributor: | Sugathan Paramoo, MD, FRCP(Glasg) | ||||
| Description: | generalized red hyperpigmented patches, crusts, vesicles, and erosions | ||||
| Comments: | A 24-year-old woman consulted her doctor for fever and body ache of 3 days duraton. She was prescribed Ofloxacin 400 mg twice a day aand Patracetamol. Six days later she developed extensive tenderness of her skin with brownish discoloration involving the entire body and oral mucosa.She also had malaise, head ache and generalized tender skin. After 3 weeks of oral steroids and skin care, she was markedly improved. | ||||
| Related Images: | Toxic_Epidermal_Necrolysis_2_090617 | ||||
 © 2001-2009, DermAtlas | Image Name: | Toxic_Epidermal_Necrolysis_2_090617 | File Type: | jpg | |
| Diagnosis: | TOXIC EPIDERMAL NECROLYSIS / STEVENS-JOHNSON SYNDROME | Category: | vesiculobullous eruptions / reactive erythema | ||
| Body Site: | total body / face neck / mouth | Age: | 24 years | ||
| Contributor: | Sugathan Paramoo, MD, FRCP(Glasg) | ||||
| Description: | generalized red hyperpigmented patches, crusts, vesicles, and erosions | ||||
| Comments: | A 24-year-old woman consulted her doctor for fever and body ache of 3 days duraton. She was prescribed Ofloxacin 400 mg twice a day aand Patracetamol. Six days later she developed extensive tenderness of her skin with brownish discoloration involving the entire body and oral mucosa.She also had malaise, head ache and generalized tender skin. After 3 weeks of oral steroids and skin care, she was markedly improved. | ||||
| Related Images: | Toxic_Epidermal_Necrolysis_3_090617 | ||||
 © 2001-2009, DermAtlas | Image Name: | subcorneal_pustular_dermatosis_1_090619 | File Type: | jpg | |
| Diagnosis: | SUBCORNEAL PUSTULAR DERMATOSIS | Category: | vesiculobullous eruptions | ||
| Body Site: | total body / abdomen | Age: | 13 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | generalized discrete and confluent hyperpigmented macules and patches with darker edges and scattered 2-4 mm vesicles and pustules and crusts particularly at the borders | ||||
| Comments: | This healthy 13-year-old girl developed a generalized minimally itchy bullous eruption with the greatest concentration of lesions on the trunk and sparing of the face a month ago. Many of the lesions had central crusts and erosions and peripheral flaccid bullae. A skin biopsy revealed subcorneal vesicles and pustules, and direct and indirect immunofluorescence were negative. Two weeks later many of the larger bullae had resolved leaving discrete and confluent hyperpigmented macules and patches with darker edges and new 2-3 mm vesicles and pustules. | ||||
| Related Images: | All related Images pemphigus_foliaceous_8_090615 pemphigus_foliaceous_6_090615 pemphigus_foliaceous_2_090615 pemphigus_foliaceous_1_090615 subcorneal_pustular_dermatosis_4_090619 subcorneal_pustular_dermatosis_3_090619 subcorneal_pustular_dermatosis_2_090619 | ||||
 © 2001-2009, DermAtlas | Image Name: | subcorneal_pustular_dermatosis_2_090619 | File Type: | jpg | |
| Diagnosis: | SUBCORNEAL PUSTULAR DERMATOSIS | Category: | vesiculobullous eruptions | ||
| Body Site: | total body / abdomen | Age: | 13 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | generalized discrete and confluent hyperpigmented macules and patches with darker edges and scattered 2-4 mm vesicles and pustules and crusts particularly at the borders | ||||
| Comments: | This healthy 13-year-old girl developed a generalized minimally itchy bullous eruption with the greatest concentration of lesions on the trunk and sparing of the face a month ago. Many of the lesions had central crusts and erosions and peripheral flaccid bullae. A skin biopsy revealed subcorneal vesicles and pustules, and direct and indirect immunofluorescence were negative. Two weeks later many of the larger bullae had resolved leaving discrete and confluent hyperpigmented macules and patches with darker edges and new 2-3 mm vesicles and pustules. | ||||
| Related Images: | All related Images pemphigus_foliaceous_8_090615 pemphigus_foliaceous_6_090615 pemphigus_foliaceous_2_090615 pemphigus_foliaceous_1_090615 subcorneal_pustular_dermatosis_4_090619 subcorneal_pustular_dermatosis_3_090619 subcorneal_pustular_dermatosis_1_090619 | ||||
 © 2001-2009, DermAtlas | Image Name: | subcorneal_pustular_dermatosis_3_090619 | File Type: | jpg | |
| Diagnosis: | SUBCORNEAL PUSTULAR DERMATOSIS | Category: | vesiculobullous eruptions | ||
| Body Site: | total body / abdomen | Age: | 13 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | generalized discrete and confluent hyperpigmented macules and patches with darker edges and scattered 2-4 mm vesicles and pustules and crusts particularly at the borders | ||||
| Comments: | This healthy 13-year-old girl developed a generalized minimally itchy bullous eruption with the greatest concentration of lesions on the trunk and sparing of the face a month ago. Many of the lesions had central crusts and erosions and peripheral flaccid bullae. A skin biopsy revealed subcorneal vesicles and pustules, and direct and indirect immunofluorescence were negative. Two weeks later many of the larger bullae had resolved leaving discrete and confluent hyperpigmented macules and patches with darker edges and new 2-3 mm vesicles and pustules. | ||||
| Related Images: | All related Images pemphigus_foliaceous_8_090615 pemphigus_foliaceous_6_090615 pemphigus_foliaceous_2_090615 pemphigus_foliaceous_1_090615 subcorneal_pustular_dermatosis_4_090619 subcorneal_pustular_dermatosis_2_090619 subcorneal_pustular_dermatosis_1_090619 | ||||
 © 2001-2009, DermAtlas | Image Name: | subcorneal_pustular_dermatosis_4_090619 | File Type: | jpg | |
| Diagnosis: | SUBCORNEAL PUSTULAR DERMATOSIS | Category: | vesiculobullous eruptions | ||
| Body Site: | total body / abdomen | Age: | 13 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | generalized discrete and confluent hyperpigmented macules and patches with darker edges and scattered 2-4 mm vesicles and pustules and crusts particularly at the borders | ||||
| Comments: | This healthy 13-year-old girl developed a generalized minimally itchy bullous eruption with the greatest concentration of lesions on the trunk and sparing of the face a month ago. Many of the lesions had central crusts and erosions and peripheral flaccid bullae. A skin biopsy revealed subcorneal vesicles and pustules, and direct and indirect immunofluorescence were negative. Two weeks later many of the larger bullae had resolved leaving discrete and confluent hyperpigmented macules and patches with darker edges and new 2-3 mm vesicles and pustules. | ||||
| Related Images: | All related Images pemphigus_foliaceous_8_090615 pemphigus_foliaceous_6_090615 pemphigus_foliaceous_2_090615 pemphigus_foliaceous_1_090615 subcorneal_pustular_dermatosis_3_090619 subcorneal_pustular_dermatosis_2_090619 subcorneal_pustular_dermatosis_1_090619 | ||||
| Next Result Set |
    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=3