Humberto Gallego, MD

September 14, 2005

An ulcerating nodule on his left pre-auricular region worried a 64-year-old man.

September 14, 2005

A scaling, red, fissured area between digits 4 and 5 on her right hand sent a 33-year-old woman to her physician. Diagnosis of interdigital Candida was confirmed by a potassium hydroxide evaluation of material from the site.

September 14, 2005

This 19-month-old child exhibits the characteristic features of hypomelanosis of Ito, a neurocutaneous disorder.

September 14, 2005

A 48-year-old man requested medical evaluation of the multiple spots that gradually appeared on his legs over the past 5 years.

September 14, 2005

Flat, tan-pink patches on his lower legs disturbed a 52-year-old man. The lesions had visible, nonpalpable petechiae, which did not blanch on diascopy; telangiectasia and inflammatory vasodilation, therefore, were excluded from consideration.

September 14, 2005

Flesh-colored to red-brown nonpruritic papules developed most prominently on the elbows, forearms, and knees of a 2 1⁄2-year-old boy. The rash was preceded by a low-grade fever and mild, upper respiratory tract symptoms.

September 14, 2005

A 23-year-old man complained of unsightly “flat warts” all over his chest. These lesions first appeared in early adolescence. The clinical suspicion of epidermodysplasia verruciformis was confirmed by a biopsy.

September 14, 2005

A 61-year-old man with a history of squamous cell carcinoma was concerned about a tender nodule on his ear. He complained of exquisite tenderness with pressure, such as when lying on the affected side at night.

September 14, 2005

Concerned about this unsightly and painful lesion, a 34-year-old man asked to have it removed. The patient first noted this eruption on his back several months before. This lesion is an infundibular cyst.

September 14, 2005

A 57-year-old man with a history of venous stasis leg ulceration wondered about the “white spots” on his leg.