Are You Confident of the Diagnosis? What you should be alert for in the history The lesions usually appear soon after birth and progress during childhood. After puberty, the lesions may remain stable or regress partially. Characteristic findings on physical examination Progressive symmetric erythokeratoderm (PSEK) is characterized by well-demarcated hyperkeratotic plaques on erythematous bases symmetrically…
Are You Confident of the Diagnosis? Pruritus can be best defined as a sensation that leads to the desire to scratch. It is important to make a distinction between chronic and acute pruritus. All humans experience the acute form for a limited amount of time during the course of life, such as the itch related…
APA 2015 Coverage
Philip Muskin, MD, the American Psychiatric Association's scientific program committee chair, discusses the highlights of APA 2015.
Are You Confident of the Diagnosis? Pellagra is classically described as the 4 D’s in order of symptoms starting: diarrhea (watery, but may contain pus or blood), dermatitis, dementia, death. Three 3 P’s also apply: photosensitive, painful, pruritic. Pellagra is the clinical manifestation of Vitamin B3 (niacin) deficiency. Early cutaneous findings, like many skin diseases,…
Peripheral neuropathies are syndromes, seen in association with a variety of anatomic or physical, metabolic, toxic, ischemic, nutritional, inflammatory (e.g., autoimmune, infectious), paraneoplastic, or inherited processes. They may be present as mononeuropathies, polyneuropathies, autonomic neuropathies, or polyneuropathies associated with autonomic neuropathies. Additionally, they may be further characterized by: Frequency of occurrence (common causes: diabetes, alcohol,…
Bipolar Disorder Advisor
Research has been insufficient to elucidate the prevalence, course, and clinical correlates of rapid cycling in bipolar disorder.
Mouth Ulcerations I. Problem/Condition. Mouth ulcerations are common complaints in both hospitalized and non-hospitalized patients. Oral ulcers result from damage to the mucosa of the mouth, both the epithelium, and the lamina propria. When confronted by a patient with an oral ulcer, the key, besides treating any underlying discomfort, is to distinguish which represent underlying…
Bipolar Disorder Advisor
What challenges do psychiatrists face in treating patients with bipolar disorder? How might they better manage them?
The epidemic of opioid use disorder has led to substantial increases in new cases of HCV and HIV infection, as well as hospitalizations for other OUD-related infections.
The erythematotelangiectatic, papulopustular, phymatous, and ocular forms of rosacea can lead to psychological distress.