Secondary syphilis in an immunocompromised kidney transplant recipient.

As an increasing number of patients undergo successful solid organ transplantation, immunocompromised patients are encountered more commonly in the private practice office. Thus the evaluation of such patients should take into consideration the possibility of infection. We report the case of a kidney transplant recipient who took standard immunosuppressive therapy and presented with cutaneous findings of secondary syphilis.

Intrascrotal sarcoidosis in a pediatric patient.

Sarcoidosis is a granulomatous disease with diverse skin manifestations and systemic involvement. We describe an adolescent boy who presented with unilateral scrotal swelling, constitutional symptoms, and a rash. Further workup demonstrated lymphadenopathy and pulmonary opacities.

Eruptive epidermoid cysts resulting from treatment with imiquimod.

Background: Because of its unique mechanism of action and safety profile, imiquimod, a topical immune response modifier, is used for many benign and malignant dermatologic conditions. Adverse effects are typically limited to treatment site erythema and erosion.

Objective: To describe a newly recognized adverse effect of imiquimod.

Granuloma annulare presenting as contact dermatitis.

Granuloma annulare is a benign idiopathic disorder of the dermis that has various clinical presentations and an unknown etiology. We discuss a patient who presented with a contact dermatitis that demonstrated granuloma annulare on biopsy. The most likely etiologic agent was a substance known as FAZ (an exhaust product of Kodak DryView laser imaging film), to which the patient was exposed in his occupation.