Painful Foot Nodules and Rash in a Teenager

A Painful, Blistering Rash

Supervising Section Editor: Sean O. Henderson, MD Submission history: Submitted July 1, 2013; Accepted July 15, 2013 Electronically published October 9, 2013 Full text available through open access at http://escholarship.org/uc/uciem_westjem DOI: 10.5811/westjem.2013.7.18845 [West J Emerg Med. 2013;14(6):645.] David Geffen School of Medicine, University of California Los Angeles, Department of ...

Photophobia and a painful rash.

A 62 year old woman presented to eye casualty with a 10 day history of a left sided headache. Two days after her headache started she developed a painful and pruritic left sided rash. During the 24 hours before presentation, her left eye had become injected, painful, and photophobic. On examination she had a well demarcated, unilateral area of erythematous andmildly oedematous skin, which exten...

A diffuse painful desquamating rash.

Palmar rash in a teenager: more than meets the eye

Despite being an uncommon disease in pediatrics, the incidence of syphilis has increased in the last years both in Europe and in the United States. Upon a suggestive clinical presentation, especially if including genital lesions and palmar rash, secondary syphilis must be included in the differential diagnosis.

CASE: Multiple painful nodules on the back

A 43-year-old middle-eastern woman was visited with a 15-year history of multiple painful cutaneous nodules on her back. The first lesion appeared on her back when she was 28 years old. As she aged, the lesions became larger, more numerous, and more painful with cold or physical contact. Her medical history was not significant. The patient’s medications included naproxen, calcium-D, and vitamin...