Dermatology Clinic CASE #1
Patches of Hair Loss TIFFANEY TRAN, BS;TARA BRAUN, MD; CHRISTOPHER RIZK, MD
A 15-year-old girl presents with patches of hair loss on her scalp that have been present for the last 6 months. She reports that her scalp is not itchy or painful and denies any recent illnesses, diet changes, or stressful life events. She does not have any other medical conditions and takes no medications. Her uncle had a similar condition that started when he was in his 20s, but no one else in the family has experienced hair loss.The patient says she has not tried any treatments for the condition. On examination, she has several well-demarcated patches of hair loss on her frontal and parietal scalp, with no perifollicular erythema or scale. What is your diagnosis? Turn to page 40
CASE #2
Pink Pedunculated Nodule on Palm DOMINIQUE JACOBS, BS; KATRINA HANSEN, DO
A 65-year-old man of Middle Eastern descent presents with a tender, weeping mass on his right palm. Since appearing 8 months ago, the lesion has enlarged into a 0.9-cm, pink pedunculated nodule with abundant serous crust.The patient has no significant history of trauma. His medical history is significant for atrial fibrillation, hypertension, coronary artery disease, congestive heart failure, and lung cancer, which was treated with right lobectomy. It is unclear what medications were used to treat his lung cancer. His current medications include metoprolol, lisinopril, allopurinol, aspirin, and digoxin. The patient also presents with additional pink, scaly plaques on his right ankle, consistent with nummular eczema. What is your diagnosis? Turn to page 41 www.ClinicalAdvisor.com • THE CLINICAL ADVISOR • JULY/AUGUST 2021 39
