Are You Confident of the Diagnosis? Characteristic findings on physical examination Trichilemmoma usually presents as a solitary skin-colored papule on the face of older adults, especially the nose and cheeks. It is slow growing and asymptomatic. Occasionally, the surface may be hyperkeratotic or verrucous. Rarely, it can present at the base of a cutaneous horn…
Are You Confident of the Diagnosis? Characteristic findings on physical examination Trichilemmal carcinoma usually presents as a solitary exophytic or polypoid nodule (0.3 to 6cm) on the sun-exposed hair-bearing skin of older individuals. It may be keratotic or ulcerated, but is otherwise asymptomatic. The lesion is usually present for less than 1 year, with an…
Are You Confident of the Diagnosis? Characteristic findings on physical examination Toxic shock syndrome (TSS) is an acute, potentially life-threatening, condition characterized by fever, rash, hypotension, and multiorgan damage. It is caused by toxin-producing strains of Staphylococcus aureus and Streptococcus pyogenes (group A streptococcus), and each type of TSS is defined as follows: Staphylococcal toxic…
Are You Confident of the Diagnosis? What you should be alert for in the history Pyogenic granuloma (PG; also referred to as lobular capillary hemangioma) usually presents as a red papule or nodule (<1 cm) with a propensity to bleed in children and young adults. Patients may recall precedent trauma. The lesion commonly goes through…
