Monthly Archives: September 2022

Bot Fly Myiasis: What’s eating me…

Case of the Month:  A 70 year gentleman spends his time between Las Vegas and Costa Rica, where he has a home.  He was at his house in Costa Rica one day when he decided to walk into the surrounding wooded area near his home.  He notes that he experienced a number of insect bites… Read more »

Pyoderma Gangrenosum: It’s not an infection…

Pyoderma Gangrenosum (PG) was initially described by Brunsting in 1930.  Classic PG begins as an inflammatory pustule with a surrounding halo that enlarges and subsequently ulcerates.  A primary lesion may not be seen and most of these patients present with frank ulcerations.  Satellite violaceous papules may be found peripheral to the border of the ulceration. … Read more »

Leukocytoclastic Vasculitis: Small-Vessel Vasculitis…

Vasculitis is a direct result of inflamed blood vessels.  The vast majority of cases of cutaneous Leukocytoclastic Vasculitis, also referred to as Small-Vessel Vasculitis (LCV) follow an acute infection or exposure to a new medication.  Palpable Purpura is the hallmark of LCV, the lesions ranging from pinpoint to several centimeters in diameter. Annular, vesicular, bullous… Read more »