A 17-year-old boy presents to his pediatrician for evaluation of a rash in his genital area. He reports that it is very itchy and started about 1 week ago. At school, he participates in multiple sports, including wrestling with practice 3 times a week. He admits that he does not always wash his hands and often delays showering after practice. Physical examination reveals a red, scaly rash as shown in the attached image. Which of the following is the most likely cause of the rash? Answers A - E A Eikenella corrodens B Malassezia furfur C Mycobacterium marinum D Sporothrix schenckii E Trichophyton rubrum O C
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- A 17-year-old boy presents to his pediatrician for evaluation of a rash in his genital area. He reports that it is very itchy and started about 1 week ago. At school, he participates in multiple sports, including wrestling with practice 3 times a week. He admits that he does not always wash his hands and often delays showering after practice. Physical examination reveals a red, scaly rash as shown in the attached image. Which of the following is the most likely cause of the rash? Answers A - E A Eikenella corrodens B Malassezia furfur C Mycobacterium marinum D Sporothrix schenckii E Trichophyton rubrum O O Question #22 attachment oThis 19-year-old college student went to the Student Health Services because she had a slowly developing rash on both earlobes, hands and wrist, and around her neck. Her medical history revealed that she had eczema in childhood. During her early teens, she had facial acne, for which she was given tetracycline. Physical examination revealed a rash of erythema and small blisters, with marked excoriation because of the itching. Her hands were red, scaly, and dry. The rash on her hands was different from the eruptions on her neck and ears. A contact hypersensitivity was suspected. Follow-up patch tests included a standard battery of agents—rubber, cosmetics, plant extracts, perfumes, nickel, and makeup. Strongly positive reactions for rubber and nickel were observed. The student was advised to eliminate contact with rubber (e.g., rubber gloves) used at home or on the job. Her jewelry probably contained nickel and was believed to be the source of the irritation to her earlobes, neck, and…A 35 year-old half Filipino-half Pakistan presented to the outpatient department of dermatology at the hospital, with chief complaints of numerous hyperpigmented lesions on the proximal arms and on the upper back of approximately 5 months’ duration. The lesions become so itchy with the change of weather or when the affected parts got sweating. There was no other cutaneous or systemic complaints. His past health was unremarkable. The physical examination revealed numerous sharply demarcated brownish macules and patches on the arms and back. The size of the lesions ranged 3- 6 mm in diameter. Under the wood lamp examination, some of the lesions fluoresced into yellowish gold. What can be done to treat and avoid the recurrence of the disease? Based on the clinical appearance of the lesions, what diagnosis can you infer? This is caused by what organism?
- A 35 year-old half Filipino-half Pakistan presented to the outpatient department of dermatology at the hospital, with chief complaints of numerous hyperpigmented lesions on the proximal arms and on the upper back of approximately 5 months’ duration. The lesions become so itchy with the change of weather or when the affected parts got sweating. There was no other cutaneous or systemic complaints. His past health was unremarkable. The physical examination revealed numerous sharply demarcated brownish macules and patches on the arms and back. The size of the lesions ranged 3- 6 mm in diameter. Under the wood lamp examination, some of the lesions fluoresced into yellowish gold. What causes the hyperpigmentation of the lesions? If the scrapings from lesions will be tested for 10% KOH, what pattern or appearance can be seen under the microscope?Three-week-old Xavier Capelleto was brought to the emergency room with a bright scaly rash that first developed on his legs and then spread to his trunk and face. He also had blisters on his palms and the soles of his feet. Xavier’s parents said that he had been experiencing looser bowel movements than expected, a large amount of yellow pus had been accumulating around his swollen eyelids, and he showed signs of oral thrush. Tests revealed that Xavier’s lymphocyte count was only 8% of total white blood cells (normal = 50%), all immunoglobulins were markedly decreased except for IgE, and no thymic shadow was detected on a chest X-ray. Eosinophilia was also detected. His parents were told that Xavier had an autosomal recessive form of severe combined immunodeficiency (SCID) known as Omenn syndrome, which affects the development of both B cells and T cells. A bone marrow transplant was recommended; however, Xavier died from respiratory failure due to an opportunistic bacterial infection.…A 35 year old half Filipino- half Pakistan presented to the outpatient department of dermatology at CVMC, with chief complaints of numerous hyperpigmented lesions on the proximal arms and on the upper back of approximately 5 months’ duration. The lesions become so itchy with the change of weather or when the affected parts got sweating. There was no other cutaneous or systemic complaints. His past health was unremarkable. The physical examination revealed numerous sharply demarcated brownish macules and patches on the arms and back. The size of the lesions ranged 3- 6 mm in diameter. Under the wood lamp examination, some of the lesions fluoresced into yellowish gold. Questions: Based on the clinical appearance of the lesions, what diagnosis can you infer? This is caused by what organism? If the scrapings from lesions will be tested for 10% KOH, what pattern or appearance can be seen under the microscope? What causes the hyperpigmentation of the lesions? What can be done to treat and…
- A 31-year-old man presented with slowly spreading hyperpigmented and crusted lesions with the largest measuring 3 cm x 4 cm. The lesion started from the right sole of the foot and spread diffusely through the left ankle. He did not have similar lesions in the past, and there is no significant history of any chronic illness in the past. Upon examining his skin biopsy samples, the histopathological examination results showed: a. Pseudoepitheliomatous epidermal hyperplasia with the presence of pigmented spores arranged singly and in chains with peripheral neutrophil infiltration.b. Ziehl- Neelson staning negativec. PAS positived. Pus and granules negativee. Presence of granulomas along with golden- brown, thick- walled, spherical bodies about 5 to 8 μm in size. Questions: What disease can you infer from the results that are shown? Why have you said so? The case presented can be mistaken for what skin cancer? Why? What treatment is best to be given? What protective measures can be done to…A woman taking a broad-spectrum antibiotic for an ear infection, develops minor vaginal itching and a white clumpy discharge within a week. What type of infection does she have and why did it develop?JA is a 28-year-old female who presents with a rash over her arms, buttocks, lower back, and legs. The small pink papules are at the hair follicles. She and a friend completed a "mud run" three days ago. What would you recommend? JA did as you instructed for the past several days and while some areas improved, others are worse, pink or red papules with pustules, and she has a low-grade fever.
- Name the types of Rashes (5 types) and give examples of each.A 12-year-old girl is taken to a walk-in clinic in her neighborhood drug store for a sore throat and fever. The mother states that the child has been just lying around and is having her period. The girl reports that she has had two periods in the past month and has to change her sanitary pad every couple of hours. The clinician notes several bruises, and the girl does not remember how she got them. After speaking with a colleague, the clinician advises the mother to take the girl to a local children's hospita to be evaluated. Later that day, the girl is diagnosed with ALL and begins chemotherapy. All leukemias have certain pathophysiologic features in common. These include: 1. Increased function of granulocytic-monocytic cells 2. Increased function of bone marrow to fight the leukemic cells 3. Overcrowding of the bone marrow 4. Decreased response to biologic response modifiersA 56-year-old man complained of progressive fatigue and malaise. His physical examination was generally satisfactory, with a pulse of 90 beats per minute, and multiple lymphadenopathy and hepatomegaly. No bacteria were found in cerebrospinal fluid smears of lumbar puncture, but a flagellum, elongated nucleus with blue and red cytoplasm were found in the blood by Giemsa staining of thin blood smears. The family reported that the patient had been engaged in transportation business in Africa for many years. 1. What do you think is the most likely disease for this patient? Malaria Dengue fever African sleeping disease Toxoplasma encephalitis Bacterial meningitis 2. What do you think is the most likely pathogen for this patient? Plasmodium vivax Toxoplasma gondii Plasmodium falciparum Plasmodium malariae Trypanosoma brucei gambiense 3. What do you think is the most direct basis for the diagnosis of the pathogen? From Africa Fatigue Hepatomegaly Special structure was found on blood…