Resistant "candidal intertrigo": could inverse psoriasis be the true culprit?

Inverse psoriasis is a disorder of intertriginous areas of the skin that can easily masquerade as candidal intertrigo. Candidal rashes are commonly encountered in primary care and typically respond promptly to therapy. When treatment fails, nonadherence to treatment and medication resistance often are suspected; however, the possibility of an incorrect diagnosis should also be entertained.

Target lesions and other paintball injuries.

Paintball is a popular combat game, with more than 5 million participants per year. As it has increased in popularity, the incidence of paintball-related injuries also has increased. The most common injuries are classic, benign skin lesions that are easily recognized if one is aware of them.

Proceedings of the 2008 Annual Predoctoral Education Conference of the Society of Teachers of Family Medicine (STFM).

The Society of Teachers of Family Medicine (STFM; http://www.stfm.org) is a community of professionals devoted to teaching family medicine through undergraduate, graduate, and continuing medical education.

Diagnosis and management of metatarsal fractures.

Patients with metatarsal fractures often present to primary care settings. Initial evaluation should focus on identifying any conditions that require emergent referral, such as neurovascular compromise and open fractures. The fracture should then be characterized and treatment initiated.

Acute shoulder injuries.

The shoulder is the most mobile joint in the human body. The cost of such versatility is an increased risk of injury. It is important that family physicians understand the anatomy of the shoulder, mechanisms of injury, typical physical and radiologic findings, approach to management of injuries, and indications for referral.

Evaluation and management of toe fractures.

Fractures of the toe are one of the most common lower extremity fractures diagnosed by family physicians. Toe fractures most frequently are caused by a crushing injury or axial force such as stubbing a toe. Joint hyperextension and stress fractures are less common.