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Henoch-Schönlein Purpura in the Adult

Ivan Virovets, DO* and Danielle Biggs, MD*

DOI: https://doi.org/10.21980/J8QH08 Issue 5:1 No ratings yet.
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.
Cardiology/VascularDermatologyVisual EM

Oral Herpes Zoster

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

DOI: https://doi.org/10.21980/J8QS69Issue 4:3 No ratings yet.
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

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 No ratings yet.
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.
Cardiology/VascularDermatologyVisual EM

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 No ratings yet.
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.
DermatologyInfectious DiseaseVisual EM

Lightning Ground Current Injury: A Subtle Shocker

Gregory S Podolej, MD* and Naomi Nardi, MD*

DOI: https://doi.org/10.21980/J8KD1C Issue 4:1 No ratings yet.
The first photograph demonstrates a dendritic blister (Lichtenburg figure) on the medial aspect of his right foot where the ground current injury entered the patient's foot. Although no data exists regarding the sensitivity or specificity of Lichtenberg figures as skin findings, they are considered pathognomonic for lightning injuries and are not produced by alternating current or industrial electrical injuries. The second photograph demonstrates a 4 x 3 cm area of petechiae where the ground current injury exited the patient.
DermatologyVisual EMWilderness