Tag Archives: Dermatology

Primary Care Management of Skin Abscesses Guided by Ultrasound

Primary care providers often manage skin abscesses in the outpatient setting. Estimating the size and depth of an abscess, and distinguishing abscess from cellulitis by clinical examination can be challenging due to surrounding firm tissue induration. Definitive treatment of abscess requires incision and drainage, and the approach chosen may be altered by abscess size, depth, […]

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Silver-Containing Wound Cream Leading to Argyria—Always Ask About Alternative Health Products

Currently, patients are increasingly gaining access to medications and nutritional supplements via the Internet from companies that are not subject to any regulations that protect consumers, such as US Food and Drug Administration standards for safety, efficacy, and current good manufacturing practice (cGMP) manufacturing to ensure quality. In particular, patients who are disappointed by slow […]

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Skin Lesion with Splenic Microabscesses in a Patient with Acute Myeloid Leukemia

  A 42-year-old male patient with acute myeloid leukemia was admitted to the hospital to start induction chemotherapy with idarubicin, cytarabine, and cytarabine. He was started on levofloxacin and fluconazole as prophylaxis. On day 14 post chemotherapy, he developed fevers along with a skin rash on his torso and extremities. Assessment Physical examination was notable for […]

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woman scratching her inflamed neck

Scabies Outbreak in the 14th Century: Clues from Correspondence Between Poets

  The deleterious effects of scabies, an infestation of the skin by the human itch mite Sarcoptes scabiei var. hominis, were well known in the Middle Ages. Here we report descriptions of medieval “itch” by Francesco Petrarca (1304-1374), called the “Father of Humanism,” and Giovanni Boccaccio (1313-1375), 2 eminent Italian poets who influenced further famous artists such as Shakespeare and Chaucer. […]

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Ongoing Pleuritic Chest Pain and a Guinea Pig: Missed Pulmonary Embolism and Majocchi’s Granuloma

A 27-year-old woman presented for a second opinion with chest pain, dyspnea, and a worsening rash with new pustules. Three weeks before presentation she developed a small rash on her anterior right lower abdomen. After treatment with topical hydrocortisone and mupirocin, oral valganciclovir and clindamycin, the rash increased in size, developed central clearance, and became warm […]

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