Dermatology

An Appy That Needs Epi: An Atypical Presentation of Anaphylaxis

Ryan O’Neill, MD*, Cyrus Adeli, BA, CHSE^, and  Christopher E San Miguel, MD, MEd* 

DOI: https://doi.org/10.21980/J80H14 Issue 9:1[mrp_rating_result]
At the conclusion of the simulation, learners will be able to: 1) demonstrate ability to efficiently review patient records to optimize patient care and identify relevant details to current presentation, 2) rapidly assess a patient when there is a change in clinical status, 3) recognize the need to start resuscitative fluids for undifferentiated hypotension, 4) identify anaphylaxis, 5) demonstrate the medical management of anaphylaxis, 6) utilize the I-PASS framework to communicate with the inpatient team during the transition of care.
Abdominal/GastroenterologyDermatologySimulation
Creative Commons images

Not Another Presentation of Cellulitis: A Case Report of Erythromelalgia

Raymen Rammy Assaf, MD, MPH*^  and Kelly Winters, NP*^

DOI: https://doi.org/10.21980/J8BD2K Issue 7:1[mrp_rating_result]
Episodic tender, warm, erythematous swelling of the extremity experienced by this patient is typical of erythromelalgia. Erythematous streaking on the volar surface of the left forearm (red arrow) and tender, warm, erythematous blanching swelling was present on the palmar hand (yellow arrow). Most patients with erythromelalgia also have lower extremity involvement including the dorsum or sole of the foot and toes.1
PediatricsDermatologyVisual EM
Creative Commons images

A Culinary Misadventure: A Case Report of Shiitake Dermatitis

Chia-Yuan Michael Lee, DO* and Michael T Dalley, DO*

DOI: https://doi.org/10.21980/J8X936 Issue 6:4[mrp_rating_result]
Close visual examination revealed erythematous linear papules on her upper and lower back. No bullae, drainage, or sloughing of the skin was present. The rest of her body, including palms, soles, and mucosa, was spared.
DermatologyVisual EM
Creative Commons images

Case Report of COVID-19 Positive Male with Late-Onset Full Body Maculopapular Rash

Sarah Harirforoosh, MD*, Jessica Hoffmann, MD^ and Emily Bernal†

DOI: https://doi.org/10.21980/J86W72 Issue 6:1[mrp_rating_result]
The images demonstrate a diffuse, flat, maculopapular exanthema along the torso, bilateral upper and lower extremities, and neck without edema consistent with reported cutaneous manifestations of COVID-19. There are no surrounding bullae, vesicles, or draining. On palpation, there was blanching of the rash. Sensation to light touch was intact in all extremities. The findings were also apparent on the face with no mucosal involvement.
DermatologyInfectious DiseaseVisual EM
Creative Commons images

Henoch-Schönlein Purpura in the Adult

Ivan Virovets, DO* and Danielle Biggs, MD*

DOI: https://doi.org/10.21980/J8QH08 Issue 5:1[mrp_rating_result]
The images show a raised, palpable, purpuric rash on the lower extremities, surrounded by a mild, 1+ non-pitting edema. Several of the lesions are exfoliated with serous discharge. There is no surrounding erythema, fluctuance, or lymphangitis to suggest cellulitis. There was no tenderness to palpation; however, pruritus was exacerbated on palpation.
DermatologyCardiology/VascularVisual EM
Creative Commons images

Oral Herpes Zoster

Daniel Polvino, MD*, Grant Wei, MD* and Christopher Bryczkowski, MD*

DOI: https://doi.org/10.21980/J8QS69Issue 4:3[mrp_rating_result]
Physical exam findings revealed vesicular lesions on the lip, hard and soft palates which did not cross the midline. The lesions appeared in the distribution of the maxillary branch (V2) of the trigeminal nerve, consistent with herpes zoster.
DermatologyInfectious DiseaseVisual EM
Creative Commons images

Levamisole Induced, Cocaine Associated Vasculitis

Jaymin Patel, MD*, Jason Mefford, MD^ and John Richards, MD*

DOI: https://doi.org/10.21980/J8K35S Issue 4:3[mrp_rating_result]
An asymmetric pattern of palpable purpura with bullae was noted on bilateral lower extremities with smaller patches on bilateral upper extremities. There was no tenderness or crepitus.
DermatologyCardiology/VascularVisual EM
Creative Commons images

Suspicious Skin Lesion in an 11-Year-Old Male

Rachel E Bonczek, MSN*, Kimberley M Farr, MD^ and Corrie E Chumpitazi, MD, MS‡

DOI: https://doi.org/10.21980/J8JK9TIssue 4:1[mrp_rating_result]
The patient had a 5 cm ulcerative lesion with raised borders and a yellow, “fatty” center. There was no active drainage, site tenderness, or lymphadenopathy.
Visual EMDermatologyInfectious Disease