Robert P. Blereau, MD

September 14, 2005

A 25-year-old primipara had her first prenatal visit at 12 weeks' gestation. She said that her gums had recently become irritated and bled easily.

September 14, 2005

n asymptomatic pink lesion measuring approximately 1 cm in diameter appeared on this 80-year-old woman's right cheek 3 weeks before this picture was taken.

September 14, 2005

This 7-year-old presented with a pink, raised lesion on her upper left eyelid. The 1-cm lesion contained tiny vesicles and showed eccentric central clearing.

September 14, 2005

These are the breasts of a healthy 35-year-old woman as seen during a postpartum examination following delivery of twins. She had two supernumerary nipples on the right-one above and one below the normal nipple-and one supernumerary nipple on the left, superior to the normal nipple.

September 14, 2005

A 67-year-old man was concerned that the peeling lesion near his eyebrow was cancer.

September 14, 2005

A 95-year-old woman was brought to the emergency department with hemoptysis. Erect posterior-anterior (A) and lateral (B) chest films showed a density at the base of the right lung posteriorly. A CT scan (C) revealed that the mass was the right kidney above the diaphragm and adjacent to the heart. The kidney had migrated through a foramen of Bochdalek.

September 14, 2005

For 2 months, food particles had been regurgitating into a 72-year-old woman's throat after meals. Barium esophagography revealed a Zenker, or pharyngoesophageal, diverticulum.

September 14, 2005

The smooth areas in the typical "mapping" of geographic tongue, shown here, represent flattened or denuded filiform papillae.

September 14, 2005

The rash on the neck of this 24-year-old man first appeared when he began to shave as a teenager. Pseudofolliculitis barbae affects 50% to 75% of black persons and 3% to 5% of white persons who shave.

September 14, 2005

This newborn came into the world with a right lower canine tooth. Natal (predeciduous) teeth are present at birth, whereas neonatal teeth erupt within 30 days of birth. Both natal and neonatal teeth are generally primary teeth; they may erupt as a result of vertical displacement of tooth follicles.