A 43-year-old African-American female with anemia secondary to uterine leiomyomas and menorrhagia presented with induration and stiffness of the right arm and hand four weeks after receiving intravenous iron infusions at multiple infusion sites along the right proximal forearm. Multiple intravenous sites between her right antecubital fossa and wrist had to be used because developing pain necessitated the site changes. The iron infusions were performed because the patient had refused blood transfusions and her symptoms failed to resolve on oral iron supplementation.
View Article and Find Full Text PDFSubcutaneous granuloma annulare is a skin condition that occurs on the lower extremities, hands, and scalp of healthy children. It rarely occurs in the periocular area, and when it does, the annular pattern is often absent. Histopathology is diagnostic and shows palisading histiocytes around areas of necrobiosis.
View Article and Find Full Text PDFBackground: Accurate diagnosis and management of pigmented lesions is critical because of the morbidity and mortality associated with melanoma.
Objective: We sought to compare accuracy of store-and-forward teledermatology for pigmented neoplasms with standard, in-person clinic dermatology.
Methods: We conducted a repeated measures equivalence trial involving veterans with pigmented skin neoplasms.
Background: Studies of teledermatology utilizing the standard reference of histopathology are lacking.
Objective: To compare accuracy of store-and-forward teledermatology for non-pigmented neoplasms with in-person dermatology.
Methods: This study was a repeated-measures equivalence trial involving veterans with non-pigmented skin neoplasms.
Background: Plaque-type syringoma is a rare variant of syringoma. This benign neoplasm may be easily misdiagnosed as microcystic adnexal carcinoma (MAC), potentially resulting in unnecessary surgery with disfiguring consequences.
Methods: We report two cases of plaque-type syringoma that were initially diagnosed as MAC.