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Herpetic Whitlow:  Herpes Manuum…

Herpetic Whitlow: Herpes Manuum…

Herpetic Whitlow (HW) is a Herpes Simplex infection that involves the fingers, usually in children or health care workers.  The lesions begin with tenderness and erythema, usually of the lateral nailfold or on the palmar regions.  Deep-seated blisters develop within...
Unknown:  Itchy bumps on legs…

Unknown: Itchy bumps on legs…

A 54 year-old Pacific Islander female presents with a three week history of “itchy bumps” on her legs.  Initially she noted the bumps on her right lower leg.  Subsequently smaller lesions appeared on her left lower leg and right elbow. Her past medical...
Urticaria:  Acute and Chronic Hives…

Urticaria: Acute and Chronic Hives…

Urticaria is also known as Hives.  It is a vascular reaction of the skin characterized by the appearance of wheals that are often surrounded by a red halo or flare.  It is associated with severe pruritus or itching, stinging and/or a pricking sensation.  These wheals...
Aquagenic Wrinkling:  It burns…

Aquagenic Wrinkling: It burns…

A 16 year-old female presented with a two month history of painful, burning wrinkling of her palms after taking a pottery class.  Within 5 minutes of water exposure she noted the onset of wrinkling with sharp pains like paper cuts.  The pain would resolve within 5-10...