September 2021 - Case of the Month
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 21 year old male was referred with the sudden development of itchy lesions affecting the extensor surfaces of his arms. There was no other skin history, however, he had recently started to feel tired and had become very thirsty. There was no family history of skin problems.
Many small smooth yellow papules on the aforementioned skin.
1) What is the primary diagnosis?
2) What other tests are required?
The yellow colour should make you think of lipids, indeed the diagnosis is that of eruptive xanthomata.
History
Distribution
Morphology
Further investigations
For further information refer to the related chapter on xanthomata.
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 52 year old man presented with a one year history of skin lesions predominantly on his hands, ears and scalp. He was also complaining of painful swollen fingers associated with morning stiffness. There was no family history of skin or joint problem...
A 72 year old man was referred with a rash, predominantly on the legs. The patient was systemically well and the lesions were only mildly symptomatic. The lesions presented as one to several at a time lasting several weeks. They had not res...
Welcome back to the new look PCDS website, and our first case. This lady was referred as a 2-week wait with a changing lesion on the right temple.
A 15 year old lady was referred for a diagnostic opinion for skin changes presenting in birth, affecting the right upper back, shoulder, antecubital fossa and dorsal wrist. The patient was asymptomatic and otherwise well.
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