Derm 1 - Sebaceous/eczema/dermatitis

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Papulopustular acne with some inflammatory nodules, early stages of nodulocystic acne - Papulopustular acne

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Back 2

symmetric distribution of painful papulopustular lesions coalescing into nodulocystic acne w. open & closed comedones on the face of a teenage boy - Nodulocystic acne

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Back 3

Painful, large confluent nodules and cysts forming linear mounds with pustulation, crusting, and scarring - Acne conglobata

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Back 4

Inflammatory nodules and cysts have coalescing to form abscesses & ulcerations. Many recent red scars on the entire back - Acne conglobata of trunk

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Back 5

Episodic erythema, (“flushing and blushing”) to persistent erythema, multiple telangiectasias, resulting in a red face - Erythematous rosacea (stage I)

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Back 6

Moderately severe rosacea in a 29-year-old female with persistent erythema, telangiectasia, red papules (stage II), and tiny pustules.

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Back 7

Telangiectasia, papules and pustules, and some swelling in a 50-year-old woman. No comedones - Rosacea, stages II-III

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Back 8

entire face, sparing only the upper lip and chin. Papules and pustules coalescing, No comedones, some swelling of the cheeks ( “solid” edema) - Papulopustular rosacea (early stage III)

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Back 9

“solid” edema of the nose, forehead, and parts of the cheeks. Superimposed papules, pustules, and crusted pustules - Rosacea (stage III)

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Back 10

Moderate involvement with early confluence of tiny papules and a few pustules in a perioral distribution in a young woman, Sparing vermilion border - Perioral dermatitis

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Back 11

Erythematous papules & pustules w. preferential location around the mouth & nasolabial folds & cheeks of a woman treated with fluorinated corticosteroids - Perioral dermatitis

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Back 12

Tiny papules and a few pustules around the eye (much less common than around mouth) - Periorbital Dermatitis

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Back 13

Many black comedones, some of which are paired, are a characteristic finding, associated with deep, exquisitely painful abscesses and old scars in the axilla. - Hidradenitis suppurativa

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Back 14

Multiple bulging and depressed scars, draining sinuses and large ulcer in the axilla - Hidradenitis suppurativa

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Back 15

Streaky pattern of massive erythema w. vesiculation and blister formation, confined to the sites exposed to toxic agent following application of a cream containing nonylvanillamid and nicotinic acid butoxyethyl ester prescribed for lower back pain - Acute irritant contact dermatitis

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Back 16

Massive Blistering of palm due to an industrial solvent - Acute irritant contact dermatitis

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Back 17

Repeated exposure to soaps and detergents. Glistening fingertips (pulpits) - Early chronic irritant contact dermatitis in a housewife

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Back 18

Erythema, fissuring, and scaling. Pt used turpentine to clean her hands after painting - Chronic irritant dermatitis with acute exacerbation in a housewife. DDx = allergic contact dermatitis and palmar psoriasis

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Back 19

Hyperkeratoses, scaling , and fissuring, minimal pustulation. Right (dominant) hand more severe than left - Irritant contact dermatitis in a construction worker who works with cement

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Back 20

Confluent papules, vesicles, erosions, and crusts on the dorsum of the left hand in a construction worker who was allergic to chromates - Allergic contact dermatitis of hands

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Back 21

Extremely itchy, confluent, papular, erosive, and crusted/ scaly lesions with lichenification on the forehead, nose, and cheeks following exposure to pinewood dust - Airborne allergic contact dermatitis of the face

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Back 22

Bright erythema, microvesiculation. At close inspection, a papular component can be discerned, still sharp margination - Acute allergic contact dermatitis on the lips due to lipstick, hypersensitive to eosin

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Back 23

A mix of papular, vesicular, and crusted lesions and loss of sharp margination on the hand of a retired watchmaker - Allergic contact dermatitis due to nickel, subacute

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Back 24

Linear vesicular lesions with erythema and edema on the calf at sites of direct contact of the skin 5 days after exposure with the poison ivy leaf - Allergic phytodermatitis of leg: poisonivy

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Back 25

Extremely pruritic, erythema, edema & microvesiculation in the periorbital and perioral area - Allergic phytodermatitis of the face: poison ivy

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Back 26

Patient had walked barefoot through a forest. It later spread as a papular eruption to the rest of the body. Similar lesions were present on the other foot and lower leg - Acute allergic phytodermatitis, bullous

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Back 27

Red skin , miscrovesiculation on a “puffy” surface. Scaling, exudation with wet crusts and cracks (fissures) - Infantile Atopic dermatitis

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Back 28

Skin of forehead is dry, cracked, and scaly with oozing erosions - Atopic dermatitis: infantile type

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Back 29

Perioral Lichenification, fissuring and crusting in a child. - Childhood atopic dermatitis

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Back 30

Papular, lichenified plaques, erosions, crusts, especially on the antecubital and popliteal fossae (also neck & face; may be generalized) - Childhood atopic dermatitis

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Back 31

Pruritic follicular papules on posterior leg (Follicular eczema pattern is more common in African and Asian children) - Atopic dermatitis in black child

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Back 32

Generalized eruption consisting of confluent, inflammatory papules that are erosive, excoriated, and crusted - Childhood atopic dermatitis

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Back 33

Generalized eruption of follicular papules that are more heavily pigmented than normal skin with extensive lichenification - Atopic Dermatitis

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Back 34

Lichenification of the face of a 53 y/o Indonesian woman - Adult atopic dermatitis = mostly flexural but also face and neck, with lichenification and excoriations being the most conspicuous symptoms

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Confluent, papular, follicular eczema, creating a plaque of the posterior neck and occipital scalp (present many yrs as a result of chronic rubbing) - Lichen simplex chronicus

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Back 36

Extremely pruritic, multiple, firm, excoriated nodules on the extremities - Prurigo nodularis

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Back 37

Confluent tapioca-like vesicles and crusted (excoriated) erosions on the dorsum of fingers and finger webs - Dyshidrotic eczematous dermatitis

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Back 38

Pruritic, round, nummular (coin-shaped) plaques with erythema, scales, and crusts on the posterior legs - Nummular eczema

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Back 39

Vesicles and bullae on the lateral foot. Bullous (inflammatory) tinea pedis was present - Autosensitization dermatitis (“ id” reaction): Dermatophytid

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Back 40

Erythema and yellow-orange scaling the forehead, cheeks, nasolabial folds - Seborrheic dermatitis of face: adult type

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Back 41

Erythema scales and crusting in the diaper region of an infant (Difficult to distinguish in the diaper region from psoriasis and Candida has to be ruled out by KOH) - Seborrheic dermatitis: infantile type

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Back 42

Dry, “cracked,” superficially fissured skin with slight scaling, common in elderly on legs from low humidity - Asteatotic Dermatitis ("marred w/ cracks")