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Terminal Cascade: Second Novel by Dr. Curt Samlaska, MD, FACP, FAAD

  I left the United States Army Medical Corps (after fourteen years) in 1996, but not before an attachment to the Combat Casualty Research Center (CCRC) to establish telemedicine in Bosnia, as part of Operation Joint Endeavor.  I love the military, and to be involved with such a magnificent worldwide organization was very stimulating.  I… Read more »

Granuloma Annulare: Palisaded Granulomatous Dermatoses…

Granuloma Annulare (GA) is a common idiopathic disorder of the dermis and subcutaneous tissues.  Some authors refer to it as Palisaded Granulomatous Dermatoses to encompass the many variants which include localized (most common), generalized, patch-type or macular, subcutaneous and perforating granuloma annulare.  It may occur in all races and at any age but affects women… Read more »

Lichen Sclerosus: Lichen Sclerosus et Atrophicus, Kraurosis Vulvae, Balanitis Xerotica Obliterans…

Lichen Sclerosis (LS), also known as Lichen Sclerosis et Atrophicus, is a common chronic skin disorder that most often affects the genital and perianal areas.  Genital involvement is referred to as Kraurosis Vulvae in women and Balanitis Xerotica Obliterans in men.  LS can present present in childhood to old age.  Although it occurs in all… Read more »

Miliaria Crystallina: Sudamina…

Miliaria Crystallina is also known as Sudamina.  Miliaria is a common skin disease caused by blockage and/or inflammation of eccrine sweat ducts.  Miliaria Crystallina more specifically is due to obstruction of the sweat ducts close to the surface of the skin in the stratum corneum of the epidermis.  The lesions are characterized by small, clear,… Read more »

Lichen Nitidus: The Ball and Claw…

Lichen Nitidus was first described by Pinkus in 1901.  It is an uncommon, chronic, papulosquamous eruption characterized by multiple, 1-2 mm, flesh-colored, shiny, dome-shaped papules.  Children and young adults are primarily affected.  Pruritus is usually minimal or absent but may be more prominent in more generalized cases.  Linear arrays of papules referred to as Koebner… Read more »

Lichen Planus: Tree moss on a flat and even surface…

Lichen Planus was first reported in 1869 by Erasmus Wilson.  The origin of the word Lichen is believed to be from the Greek word “Leichen”, which means tree moss and the Latin word “Planus” which means flat and even surface.  In 1895 Wickham further explained the characteristics of the lesions, now known as Wickham striae. … Read more »

Contact Dermatitis: Rubber…

Contact Dermatitis to Rubber is a very common reaction to rubber products that come in direct contact with the skin.  As time goes on there are fewer rubber type products used in industry for clothing and shoe products.  Natural latex is also in this category of products.  Other components involved with production of rubber may… Read more »

Hot Tub Folliculitis: Spa Pool Folliculitis…

Hot Tub Folliculitis is also known as Spa Pool Folliculitis and Pseudomonas aeruginosa Folliculitis.   It is characterized by pruritic follicular, maculopapular, vesicular, or pustular lesions occurring within 1-4 days after bathing in a hot tub, whirlpool, or public swimming pool that is untreated.  As water temperature rises, free chlorine levels fall allowing bacteria to proliferate. … Read more »