Martin J. Walsh

57 Year Old Male with Multiple Widespread Excoriations

An 57-year-old male presented with a rash on his left proximal upper arm and upper chest. Around seven discrete lesions are found on the upper left back and about four are found on the right upper back which worsen at night. Also lesions were found on the proximal thigh. The patient also exhibited pruritus His medical history consisted of a fracture of the radial bone, diverticulitis, depression, hypertension, viral hepatitis, dementia, dysphagia, anemia, encephalopathy, subdural hemorrhage, muscle weakness, chronic respiratory failure, and seborrheic dermatitis on the scalp. There was a previous treatment for scabies with elimite and stromectol.

53 Year Old Female with Multiple Areas of Erythema on Scalp

An 53-year-old female presented with an erythematous area on her scalp. The patient also presented with chronic pruritus on her right lower extremity. She was a new patient that was living in a local assisted living facility.

95 Year Old White Female with a Reddish, Nodule on Temple

A 95 year old white female nursing home patient presented with three lesions on her face, one of which was rapidly growing. She has a history of skin cancers, primarily squamous cell carcinomas and pre-cancers (actinic keratosis). In her youth, she spent considerable time outdoors and had multiple episodes of sun burns.

9 Year Old Black Female with Multiple, Small Round, Firm Papules

A 9-year-old female presented with a recent growth on her chin, left knee and left posterior upper arm. She also had a history of mild acne on her face and lower abdomen. The patient was not on any current medications and had no known history of allergies to medications.

7 Year Old Male with an Enlarging, Round Area of Hair Loss

A 7 year old male presents with loss of hair over the past 5 months. It began as a small annular area which slowly enlarged to cover the occipital scalp.

68 Year Old HIV + Male with Multiple Acne-Like Growths on the Chest

A 68 year old HIV positive male who has not been properly taking his medication presents with multiple growths on his chest.

67 Year Old with Slight Erythema of the Nose

A 67-year-old female presented with a request for a full body examination. The patient has a history of allergies including, iodine, sulfa medications, and Fluphenazine. No particular dermatological problem was identified.

6 Year Old White Male with Recurrent Brownish Patches Around Mouth

A 6-year-old male presented with a recurrent lesion around the mouth. These lesions were frozen with liquid nitrogen therapy at his previous visit but the lesions still persisted. The patient was using the following medications at the time of service: Desonide 0.05 % topical cream.

56 Year Old with a Widespread, Slightly Itchy Rash with Discoloration

A 56 female presented at the clinic complaining of a widespread rash. The rash was mildly itchy and becomes prominent when exposed to sunlight and after showering.

50 Year Old Male with Confluent, Scaly Plaque Covering the Inguinal Area and Extending to Both Inner Thighs

A 50-year-old male presented for an evaluation for painful lesions found on his interior thigh and groin. The patient states he has been hospitalized and had surgical excision for these lesion, but they have not completely resolved. The patient has no known drug related allergies, has a 33.9 % BMI and presents with Stage 2 hypertension, blood pressure of 160 Sys/100 Dias.