Robert P. Blereau, MD

Articles

Amniotic Band Syndrome

September 14, 2005

These photos are of the left hand of a full-term, newborn infant with focal ring constrictions of the third, fourth, and fifth fingers; secondary edema and discoloration are also seen.

Allergic Reactions: Pruritic Dermatitis

May 01, 2005

Two days after beginning therapy with amlodipine, this 30-year-old woman noticed a pruritic, erythematous, macular dermatitis on her ankles.

Herpes Simplex

March 01, 2005

These painful eczematous lesionsat the angle of the mouth and thebase of the nostrils had been presentin a 52-year-old woman for 3days (A). Some of the vesicles hadulcerated and left a crust over theregion. The patient said she had hadsimilar attacks in the past. The diagnosisof recurrent herpes simplexvirus 1 (HSV-1) infection was made.The patient was treated with acyclovirfor 1 week, and all the lesionsdisappeared.

Subconjunctival Hemorrhage

February 02, 2005

A massive amount of blood in the inferior medial quadrantof the conjunctiva and ecchymosis of the lowereyelid of the right eye prompted a 60-year-old woman toseek medical attention. She had first noted blood in theeye 5 days earlier. There was no history of trauma.

Pilomatrixoma on the Shoulder of a 14-Year-Old Girl

February 01, 2005

A 14-year-old girl was concerned about this 1-cm, red, nodulocystic lesion on her left posterior shoulder that had been present for several months. The lesion had developed over the site at which a 0.5-cm pilomatrixoma had been excised a year before. Four years earlier, another 1.9-cm pilomatrixoma had been excised from the girl’s right outer upper arm. There was no family history of the lesion.

Pinguecula in a 36-Year-Old Woman

January 02, 2005

A 36-year-old woman was concerned about the diffuseyellow pigment at the temporal aspect of the conjunctivaof her right eye.

Acrochordon in an Obese Woman

January 02, 2005

For years, a 60-year-old obese woman with type 2 diabetes mellitus had thiswarty lesion on the outer tarsal plate in the middle of the left upper eyelid.It was asymptomatic. She also had a few asymptomatic epidermal inclusioncysts on the upper and lower eyelids.

Aniridia in a 19-Year-Old Woman

January 02, 2005

The irides of a legally blind 19-year-old woman had been absent since birth.When she was 6 weeks of age, her parents noted that she was not focusingon objects the way her siblings had. They consulted an ophthalmologistwho diagnosed aniridia. The woman is able to read book print close up andcan ambulate independently, although she has difficulty at times, such aswhen stepping off a curb in unfamiliar surroundings.