Photoclinic Challenge

Can You Diagnose These Painful Lesions on the Patient's Right Palm?

Volume 64 - Issue 4 - April 2024

Consultant360’s Photoclinic Challenge is an interactive quiz based on an image featured in a Photoclinic article. View the slideshow for a brief overview of the case, patient history, and a key hint. For more Photoclinic Case Reports, visit our archive.

Figure. Several discrete areas of purplish discoloration on her right palm can be found, involving the 1st, 2nd, 3rd, and 5th digits.

© 2023 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of Consultant360 or HMP Global, their employees, and affiliates.

For more dermatologic disorders content, visit the Disease State Hub

Case. A 57-year-old woman with a past medical history of essential thrombocytosis, COPD, hypertension, and chronic hepatitis C presented to the ER with several discrete areas of purplish discoloration on her right palm, fingertips, and bilateral feet.

For more rheumatology content, visit the Resource Center

Diagnostic testing. Notable lab findings included WBC 7.3 k/µL, hemoglobin 13.1 g/dL, and platelets 1273K mcL. No blasts were present on blood smear, and liver function tests and alkaline phosphatase were within normal limits.

For more hemtology content, visit the Resource Center

Diagnostic testing (continued). Rheumatology specialists ordered serum protein electrophoresis, rheumatoid factor, cryoglobulin, and antineutrophil cytoplasmic antibody tests as well as blood cultures, which were all negative.

For more Photoclinic Case Reports, visit our Issue Archive

Hint. Retiform purpura may be precipitated by numerous conditions, including small and medium vessel vasculitides and microvascular occlusion from a thrombotic, infectious, or embolic cause.

From the Journal

photoclinic

Darier Disease Complicated by Herpes Simplex Virus Superinfection

04/28/2024

Jodi Goldman, BS • Carter Chapman, BS • Nandini Ray, MBA • Quin Neilson, BS • Corey Jones, DO • Franklyn C. Babb, MD

Jodi Goldman, BS • Carter Chapman, BS • Nandini Ray, MBA • Quin Neilson, BS • Corey Jon...

A 57-year-old man was admitted to the hospital directly from a dermatology clinic due to suspected herpes simplex virus (HSV)-1 and HSV-2 superinfection.

04/28/2024

Photo Quiz

Recurrent Pruritic Erythematous and Pigmented Plaques

04/26/2024

Thomas N. Helm, MD¹ • Allison Tobias, BS² • Sarah Albert² • Robert E. Kalb, MD²

Thomas N. Helm, MD1 • Allison Tobias, BS2 • Sarah Albert 2 • Robert E. Kalb, MD2 ...

A 37-year-old woman presented to a dermatology clinic for evaluation of recurrent, pruritic, inflamed plaques on her neck, thigh, back, and shoulder. The lesions had flared at irregular sporadic intervals...

04/26/2024

Case in Point

Rapid, Spontaneous Resolution of Adolescent Idiopathic Scoliosis

04/26/2024

Jacob Moser¹ • Abigail Bourland¹ • Richard Byrd, MD²

Jacob Moser1 • Abigail Bourland1 • Richard Byrd, MD2

A 13-year-old, right-handed, adolescent boy presented to his pediatrician for his annual health maintenance examination with no chief complaint.

04/26/2024

Photoclinic

A Unique Presentation of Umbilical Cord Pseudocyst

04/25/2024

Jo-Ching Hsiung, MD • Ramya Balasubramanian, MD • David Schutzman, MD • Agnes Salvador, MD

Jo-Ching Hsiung, MD • Ramya Balasubramanian, MD • David Schutzman, MD • Agnes Salvador,...

Immediately following birth, a late-preterm infant was noted to have a large umbilical cord cyst, umbilical hernia, loud cardiac murmur, and left cryptorchidism.

04/25/2024

What’s Your Diagnosis?

Papulosquamous eruption with vesicles and erosions distributed over the patient’s legs.

What’s Your Diagnosis?

A 1-Year-Old With an Atopic Dermatitis Flare

04/23/2024

AUTHORS:
Reem Yassine, BSc¹ • Michelle L. Gallagher, DO²

AUTHORS: Reem Yassine, BSc1 • Michelle L. Gallagher, DO2

A 17-month-old male infant with a history of atopic dermatitis presented for a 1-day history of a moderate to severe rash over his arms, legs, and chest. The rash was bleeding, flaking, itchy, and painful....

04/23/2024

Can You Diagnose These Painful Lesions on the Patient's Right Palm?

© 2023 HMP Global. All Rights Reserved.Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of Consultant360 or HMP Global, their employees, and affiliates.

© 2023 HMP Global. All Rights Reserved.
Any views and opinions expressed are those of the author(s) and/or participants and do not necessarily reflect the views, policy, or position of Consultant360 or HMP Global, their employees, and affiliates.