CME CE
Dermatology Clinic n Learning objectives: To identify and diagnose dermatologic conditions and review up-to-date treatment. n complete the posttest: Page 93
n additional CME/CE: Pages 58, 89
Turn to page 57 for additional information on this month’s CME/CE courses.
CASE #1
White facial papules and sparse, brittle hair Audrey Chan, MD
A boy, aged 13 months, presented for evaluation of white papules on his face. The boy’s mother explained that the lesions had appeared several months earlier and did not seem to be painful or pruritic. The mother also reported that her son does not perspire. Physical examination revealed approximately 30 1-mm-to-2-mm white papules scattered on the face. Similar papules were noted on the face of the child’s mother as well. Sparse and brittle hair was also noted on the boy’s scalp and eyebrows. Examination of the mother’s scalp revealed hypotrichosis. What is your diagnosis? Turn to page 84
CASE #2
Painful, nonbleeding lesion on the ear Kristen Grippe, PA-C
A woman, aged 72 years, presented to the dermatology clinic with complaints of a persistent lesion located on the helix of her right ear. The lesion, which had been present for seven months, was extremely tender but had not bled or changed in size since its initial appearance. The woman reported that the pain was most severe when she slept on her right side and occasionally woke her up at night. Unfortunately, the patient was unable to sleep in a different position due to a previous spinal surgery. Pertinent dermatologic history included a squamous cell carcinoma on her left cheek and multiple actinic keratoses. What is your diagnosis? Turn to page 85 www.ClinicalAdvisor.com • the clinical advisor • october 2013 83
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