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Dermatology

Flushing

Are You Confident of the Diagnosis? What you should be alert for in the history The following questions are helpful in narrowing down the differential diagnosis of the flushing patient: – Is the flushing intermittent or persistent? – If the flushing is intermittent, how long do the episodes of flushing last? – How often do…
Dermatology

Lichen Spinulosus (Keratosis Spinulosa)

Are You Confident of the Diagnosis? What you should be alert for in the history Characteristic findings on physical examination Lichen spinulosus is a rare dermatosis that typically presents in children to young adults as asymptomatic, but at times mildly pruritic, small flesh-colored follicular keratotic spiny papules, usually arranged in plaque-like 2 to 6cm symmetric…
Dermatology

Psoriasis: Erythrodermic and Pustular Variants

Psoriasis, Erythrodermic and Pustular variants, ICD-9 696.1 Are You Confident of the Diagnosis? Psoriasis is a chronic inflammatory skin disease process involving immune-mediated cutaneous inflammation and keratinocyte proliferation. The diagnosis is based upon a combination of both history and physical examination parameters. Typically, psoriasis is characterized by scaly, erythematous patches, papules, and plaques that are…
Dermatology

Psoriasis

Are You Confident of the Diagnosis? Psoriasis is a chronic inflammatory skin disease process involving immune-mediated cutaneous inflammation and keratinocyte proliferation. The diagnosis is based upon a combination of both history and physical examination parameters. Typically, psoriasis is characterized by scaly, erythematous patches, papules, and plaques that are often pruritic and can be painful. The…
Dermatology

Hemochromatosis

Are You Confident of the Diagnosis? Hemochromatosis is a condition in which the absorption of iron from the intestinal mucosa is in excess of the loss of iron or of an individual’s need. It is a progressive disease, usually affecting adults, which leads to retention and damage in parenchymal tissues including the liver, heart, pancreas…
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