56-Year-Old With Cancer and Developing Rash

56-Year-Old With Cancer and Developing Rash

A 56-year-old woman presents to urgent care for a rash that developed on her hands, ears, and nose over the last couple of months. She has a recent diagnosis of esophageal cancer. On examination, hyperkeratotic plaques were seen on the palm and fingers, and scaly papules were seen on her helices and nose. Her nails displayed subungual hyperkeratosis, onychodystrophy, and onycholysis along with erythema and edema on her nail folds. View the image below and …

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29-Year-Old With Stinging Sensation

29-Year-Old With Stinging Sensation

A 29-year-old woman presents to urgent care for a painful rash that developed on her arm.  It started 1 day after working on a landscaping project that involved pulling weeds under intense sunlight. On examination, an edematous, pink, scaly plaque and nearby erosions are seen on her right arm. The patient appears well and has no systemic symptoms. View the image below and consider what your diagnosis and next steps would be. Resolution of the …

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42-Year-Old With Stinging Sensation

42-Year-Old With Stinging Sensation

A 42-year-old woman presented to urgent care early in the morning saying that she felt a stinging sensation on her arm while she was cleaning her basement the previous day. She thinks it might be a bite but didn’t see anything. She had subsequent marked pain at the site and over the past few hours developed nausea and muscle aches. On physical examination, the patient had a temperature of 101.3°F (38.5°C). There were reddish-brown reticulate …

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