DermAtlas: Online Dermatology Image Library dermatology image,eczema herpeticum,Herpes simplex virus infection,dermatitis, atopic,lymphangioma,lymphangioma circumscriptum,vascular malformation,cellulitis,Staphylococcal infection,impetigo, bullous

© 2001-2010, DermAtlas	*Image Name:*	eczema_herpeticum_1_100716	*File Type:*	jpg
	*Diagnosis:*	ECZEMA HERPETICUM / HERPES SIMPLEX VIRUS INFECTION / DERMATITIS, ATOPIC	*Category:*	infections and infestations / vesiculobullous eruptions
	*Body Site:*	face / forehead scalp / chin cheek / lip	*Age:*	8 months
	*Contributor:*	Bernard Cohen, MD
	*Description:*	widespread clusters of 2-3 mm vesicles and crusted vesicles on a red base
	*Comments:*	This 8-month-old boy developed high fever, increasing fussiness, and a widespread blistering eruption on his face primarily, with a few lesion scattered on his hands upper chest, neck, and inside his mouth. A viral culture was positive for Herpes simplex virus type 1. His mother was noted to have a healing cold sore on her lower lip. He was admitted to the hospital for intravenous hydration, and the eruption improved within 48 hours with parenteral acyclovir. He was discharged on oral valacyclovir to complete a 10 day course of therarpy.

© 2001-2010, DermAtlas	*Image Name:*	Lymphangioma_circumscriptum_8_100606	*File Type:*	jpg
	*Diagnosis:*	LYMPHANGIOMA / LYMPHANGIOMA CIRCUMSCRIPTUM / VASCULAR MALFORMATION	*Category:*	vascular malformation
	*Body Site:*	axilla (armpit)	*Age:*	5 years
	*Contributor:*	CSBR Prasad
	*Description:*	Panel-A shows the clinical findings. Panel-B,C are photomicrographs which show hyperkeratostic epidermis with acanthosis and focal thinning overlying dilated lymphatics. Deeper dermis shows dilated lymphatic channels. The channels are lined by endotlelium and contain proteinaceous fluid. Panel-D shows fluid in lymphatics with mature lymphocytes and no red blood cells. These features are typical of lymphangioma circumscriptum. Lymphangioma circumscriptum primarily affects the subcutaneous tissue in the form of cystic dilatation of lymphatic channels without systemic lymphatic communication. The skin lesions are probably secondary to the increased intraluminal pressure.Hence multiple skin vesicles and lymphorrhea can be clinically appreciated. The main treatment modality is surgical excision. Recurrences are not unusual and require re-excision.
	*Comments:*	This 5-year-old girl had multiple clustered thick walled copper vesicles on the right axillaryb fold for 4 years. It was excised a year ago but promptly recurred within the surgical scar. Fine needle aspirate cytology yielded turbic yellow fluid with mature lymphocytes in a proteinaceous background.
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© 2001-2010, DermAtlas	*Image Name:*	Lymphangioma_circumscriptum_7_100606	*File Type:*	jpg
	*Diagnosis:*	LYMPHANGIOMA / LYMPHANGIOMA CIRCUMSCRIPTUM / VASCULAR MALFORMATION	*Category:*	vascular malformation
	*Body Site:*	axilla (armpit)	*Age:*	5 years
	*Contributor:*	CSBR Prasad
	*Description:*	The channels are lined by endotlelium and contain proteinaceous fluid. The insert shows fluid in lymphatics with mature lymphocytes and no red blood cells.
	*Comments:*	This 5-year-old girl had multiple clustered thick walled copper vesicles on the right axillaryb fold for 4 years. It was excised a year ago but promptly recurred within the surgical scar. Fine needle aspirate cytology yielded turbic yellow fluid with mature lymphocytes in a proteinaceous background.
	*Related Images:*	All related Images Lymphangioma_circumscriptum_1_100606 Lymphangioma_circumscriptum_2_100606 Lymphangioma_circumscriptum_3_100606 Lymphangioma_circumscriptum_4_100606 Lymphangioma_circumscriptum_5_100606 Lymphangioma_circumscriptum_6_100606 Lymphangioma_circumscriptum_8_100606

© 2001-2010, DermAtlas	*Image Name:*	Lymphangioma_circumscriptum_6_100606	*File Type:*	jpg
	*Diagnosis:*	LYMPHANGIOMA / LYMPHANGIOMA CIRCUMSCRIPTUM / VASCULAR MALFORMATION	*Category:*	vascular malformation
	*Body Site:*	axilla (armpit)	*Age:*	5 years
	*Contributor:*	CSBR Prasad
	*Description:*	Deeper dermis shows dilated lymphatic channels. The channels are lined by endotlelium and contain proteinaceous fluid.
	*Comments:*	This 5-year-old girl had multiple clustered thick walled copper vesicles on the right axillaryb fold for 4 years. It was excised a year ago but promptly recurred within the surgical scar. Fine needle aspirate cytology yielded turbic yellow fluid with mature lymphocytes in a proteinaceous background.
	*Related Images:*	All related Images Lymphangioma_circumscriptum_1_100606 Lymphangioma_circumscriptum_2_100606 Lymphangioma_circumscriptum_3_100606 Lymphangioma_circumscriptum_4_100606 Lymphangioma_circumscriptum_5_100606 Lymphangioma_circumscriptum_7_100606 Lymphangioma_circumscriptum_8_100606

© 2001-2010, DermAtlas	*Image Name:*	Lymphangioma_circumscriptum_5_100606	*File Type:*	jpg
	*Diagnosis:*	LYMPHANGIOMA / LYMPHANGIOMA CIRCUMSCRIPTUM / VASCULAR MALFORMATION	*Category:*	vascular malformation
	*Body Site:*	axilla (armpit)	*Age:*	5 years
	*Contributor:*	CSBR Prasad
	*Description:*	The channels are lined by endotlelium and contain proteinaceous fluid.
	*Comments:*	This 5-year-old girl had multiple clustered thick walled copper vesicles on the right axillaryb fold for 4 years. It was excised a year ago but promptly recurred within the surgical scar. Fine needle aspirate cytology yielded turbic yellow fluid with mature lymphocytes in a proteinaceous background.
	*Related Images:*	All related Images Lymphangioma_circumscriptum_1_100606 Lymphangioma_circumscriptum_2_100606 Lymphangioma_circumscriptum_3_100606 Lymphangioma_circumscriptum_4_100606 Lymphangioma_circumscriptum_6_100606 Lymphangioma_circumscriptum_7_100606 Lymphangioma_circumscriptum_8_100606

© 2001-2010, DermAtlas	*Image Name:*	Lymphangioma_circumscriptum_4_100606	*File Type:*	jpg
	*Diagnosis:*	LYMPHANGIOMA / LYMPHANGIOMA CIRCUMSCRIPTUM / VASCULAR MALFORMATION	*Category:*	vascular malformation
	*Body Site:*	axilla (armpit)	*Age:*	5 years
	*Contributor:*	CSBR Prasad
	*Description:*	The photomicrographs which show hyperkeratotic epidermis with acanthosis and focal thinning overlying dilated lymphatics. Deeper dermis shows dilated lymphatic channels. The channels are lined by endotlelium and contain proteinaceous fluid.
	*Comments:*	This 5-year-old girl had multiple clustered thick walled copper vesicles on the right axillaryb fold for 4 years. It was excised a year ago but promptly recurred within the surgical scar. Fine needle aspirate cytology yielded turbic yellow fluid with mature lymphocytes in a proteinaceous background.
	*Related Images:*	All related Images Lymphangioma_circumscriptum_1_100606 Lymphangioma_circumscriptum_2_100606 Lymphangioma_circumscriptum_3_100606 Lymphangioma_circumscriptum_5_100606 Lymphangioma_circumscriptum_6_100606 Lymphangioma_circumscriptum_7_100606 Lymphangioma_circumscriptum_8_100606

© 2001-2010, DermAtlas	*Image Name:*	Lymphangioma_circumscriptum_3_100606	*File Type:*	jpg
	*Diagnosis:*	LYMPHANGIOMA / LYMPHANGIOMA CIRCUMSCRIPTUM / VASCULAR MALFORMATION	*Category:*	vascular malformation
	*Body Site:*	axilla (armpit)	*Age:*	5 years
	*Contributor:*	CSBR Prasad
	*Description:*	The photomicrograph shows hyperkeratotic epidermis with acanthosis and focal thinning overlying dilated lymphatics.
	*Comments:*	This 5-year-old girl had multiple clustered thick walled copper vesicles on the right axillaryb fold for 4 years. It was excised a year ago but promptly recurred within the surgical scar. Fine needle aspirate cytology yielded turbic yellow fluid with mature lymphocytes in a proteinaceous background.
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© 2001-2010, DermAtlas	*Image Name:*	Lymphangioma_circumscriptum_2_100606	*File Type:*	jpg
	*Diagnosis:*	LYMPHANGIOMA / LYMPHANGIOMA CIRCUMSCRIPTUM / VASCULAR MALFORMATION	*Category:*	vascular malformation
	*Body Site:*	axilla (armpit)	*Age:*	5 years
	*Contributor:*	CSBR Prasad
	*Description:*	clusters of 1-2 mm copper colored discrete and confluent thick walled vesicles
	*Comments:*	This 5-year-old girl had multiple clustered thick walled copper vesicles on the right axillaryb fold for 4 years. It was excised a year ago but promptly recurred within the surgical scar. Fine needle aspirate cytology yielded turbic yellow fluid with mature lymphocytes in a proteinaceous background.
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© 2001-2010, DermAtlas	*Image Name:*	Lymphangioma_circumscriptum_1_100606	*File Type:*	jpg
	*Diagnosis:*	LYMPHANGIOMA / LYMPHANGIOMA CIRCUMSCRIPTUM / VASCULAR MALFORMATION	*Category:*	vascular malformation
	*Body Site:*	axilla (armpit)	*Age:*	5 years
	*Contributor:*	CSBR Prasad
	*Description:*	clusters of 1-2 mm copper colored discrete and confluent thick walled vesicles
	*Comments:*	This 5-year-old girl had multiple clustered thick walled copper vesicles on the right axillaryb fold for 4 years. It was excised a year ago but promptly recurred within the surgical scar. Fine needle aspirate cytology yielded turbic yellow fluid with mature lymphocytes in a proteinaceous background.
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© 2001-2010, DermAtlas	*Image Name:*	Cellulitis_earlobe_2_20100606	*File Type:*	jpg
	*Diagnosis:*	CELLULITIS / STAPHYLOCOCCAL INFECTION / IMPETIGO, BULLOUS	*Category:*	infections and infestations
	*Body Site:*	ear lobe / ear	*Age:*	1 years
	*Contributor:*	Will Sorey, MD
	*Description:*	purulent yellow crusted edematous red plaque with some surrounding 2-3 mm vesicles
	*Comments:*	A 1-year-old girl had a 2 day history of pus-filled blisters on her left earlobe. She just received a new set of budget-priced earrings for her birthday. She was treated successfully for staphylococcal cellulitis. The case was prepared by Year 3 medical student at the University of Mississippi Stacey Douglas.
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