Dermatology Clinic CASE #1
Inflammation and Redness of the Fingernail Folds DINA ZAMIL, BS; TARA L. BRAUN, MD; CHRISTOPHER RIZK, MD
A 35-year-old woman presents to the dermatology clinic with inflammation of her fingernails that first appeared 5 months ago and recently worsened. She reports wearing acrylic nails for the last year, removing them just before the clinic visit. On examination, the patient has erythema and swelling of the lateral nail folds and hyperpigmentation of the proximal nail folds of all fingers on her right hand. Examination also reveals nail dystrophy, onycholysis, and an absence of cuticles. She has not tried any treatments for this condition. What is your diagnosis? Turn to page 22
CASE #2
Flat-Topped Papule With Wickham Line DINA ZAMIL, BS; TARA L. BRAUN, MD; CHRISTOPHER RIZK, MD
A 32-year-old woman presents with an itchy rash that began 3 months ago. She has a history of anxiety but otherwise no known medical conditions. She has tried over-the-counter hydrocortisone cream to treat the rash, finding some relief from the itchiness, but the rash continues to spread. She has no known allergies and has not changed her skin care products or medications. On examination, the patient has dark purple and gray flat-topped papules with fine gray-white streaks on her flexural wrists, dorsal hands, elbows, ankles, and dorsal feet. What is your diagnosis? Turn to page 23 www.ClinicalAdvisor.com • THE CLINICAL ADVISOR • MARCH/APRIL 2021 21
