Presentation After wearing a pair of new or ill-fitting shoes or having gone on an unusually long hike or run, the patient complains of an uncomfortable open or intact blister on the posterior heel or ball of the foot. Occasionally…
Presentation Usually the patient has experienced multiple burning stings (the so-called fire in the fire ant) and is seeking help because of local swelling, itching, and/or pain. Twenty-four hours after the initial wheal and flare at the sting site, there…
Presentation Erysipelas is a superficial cutaneous infection commonly found on the legs or face and generally does not have an inciting wound or skin lesion. Erysipelas appears as a painful, fiery-red induration with raised and sharply demarcated borders, at times…
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Presentation Patients present with intensely pruritic, thin, erythematous, serpiginous, raised eruptions on the sole of the foot, hand, or buttock ( Fig. 166.1 ). The patient may remember recently walking barefoot or sitting in the sand or soil in an…
Presentation A patient with an abscess presents with localized pain, swelling, and redness of the skin. The patient may or may not have a history of minor trauma (such as an embedded foreign body or a small skin puncture). The…
Presentation Patients with bug or insect bites seek medical help because of itching, secondary infection, or anxiety about secondary effects such as communicable diseases or infestation. Skin lesions generally consist of single or multiple pruritic wheals or papules, which may…
Presentation Occasionally patients will come in with a dead or captured spider after having rolled over it in bed or finding it in their clothing while dressing. They may have felt a minor pinprick sensation or no discomfort at all.…
Presentation Patients present with a very pruritic, eczematous-like rash at sites of skin exposure to allergens. Lesions may consist of small papules, vesicles, or bullae that may be confluent. Inflammation may exist with erythema, edema, oozing, or crusting. Dermatitis may…
Presentation Usually a child (or parent) has dressed (the child) too quickly and, possibly not wearing underpants, has accidentally pulled penile skin into his zipper ( Fig. 161.1 ). The skin becomes entrapped and crushed between the teeth and the…