Blog

Sebaceous Hyperplasia: Tiny Yellow Donuts…

The onset of Sebaceous Hyperplasia is usually after the age of 40 and the prevalence increases with aging.  The most common sites of involvement are the forehead, infraorbital regions, and temples although I have seen them in all areas of the face to include the chin and nose.  Rarely it may involve unusual sites such… Read more »

Subcutaneous Emphysema: It’s a gas…gas…gas…

When I was doing Internal Medicine as a resident and as Chief Resident of Internal Medicine I spent a lot of time in the intensive care units.  I was fascinated by the degree of Subcutaneous Emphysema observed in patients on ventilators.  The picture above is representative of the bloated appearance observed in these patients, and… Read more »

Pustular Psoriasis: Lakes of Sterile Pustules…

Generalized Pustular Psoriasis is also referred to as von Zumbusch psoriasis.  Traditionally the onset is sudden with formation of “lakes of pus” along the nails, palms and at the edges of psoriatic plaques.  Erythema (redness) occurs in the flexures before the generalized eruption appears, followed by generalized erythema and more pustules.  The pustules are sterile–no… Read more »

Erythrodermic Psoriasis: An Exfoliative Dermatitis…

Erythroderma is a rare and aggressive inflammatory condition that results in generalized redness and exfoliation of the skin.  There are other conditions that can cause erythroderma, but psoriasis is one of the most frequent forms, causing a third of reported cases.  The eruption presents abruptly and generalizes quickly resulting in an itchy, burning condition that… Read more »

Guttate Psoriasis: A Shower of Scaly Teardrops…

The name comes from the Latin word “Gutta” which means “drop.”  Guttate psoriasis occurs as an abrupt eruption usually associated with acute infections, such as a streptococcal pharyngitis–mostly in patients under the age of 30.  The lesions are red, scaly and about the size of water droplets 2-5 mm in diameter. TREATMENT:  The treatment of… Read more »

Psoriasis Vulgaris: The Basics…

Psoriasis is a common, chronic, recurrent inflammatory disease of the skin characterized by well circumscribed, erythematous, dry, scaling plaques that are usually covered by silvery white scale (plaque type, the most common form).  The lesions tend to be symmetric and have a predilection for the scalp, nails, extensor surfaces of the limbs, umbilical region and… Read more »

Senile Purpura: Bruising In The Elderly…

The terminology “Senile Purpura” is a bit offensive to some but it is maintained by tradition.  Patient’s that have it are not necessarily senile.  It is very, very common.  Essentially it is bruising in the elderly. Purpura in the elderly is caused by many factors, but the major issues that promote this are:  Sun damage… Read more »

Plantar Warts (Verruca Plantaris): Seed Warts?

Plantar warts occur on the soles of the feet, particularly over pressure points, such as the balls of the feet.  Often patients will tell me that they have “seed warts” on their foot.  They say this because they see black dots within the wart…which has been referred to in urban culture as seeds.  Although this… Read more »

Warts (Verruca Vulgaris): Common Type

There are over a 150 different types of human papilloma virus, the virus that causes verruca vulgaris, more commonly referred to as warts.  Warts are very common…in Australia 22% and in the Netherlands 33% of children were found to have cutaneous warts. Human papillomavirus type 1, 2, 4, 27, 57, and 63 cause common warts. … Read more »