Robert P. Blereau, MD

February 01, 2004

A 56-year-old man had an asymmetric,maculopapular, sharply demarcated,pruritic, excoriated dermatitis on hisupper thighs. The eruption had beenpresent for 2 to 3 weeks

February 01, 2004

For about 4 months, a very dry, diffuse,fine scaly, asymptomatic eruptioncovered the palms of a 28-yearoldman; several fingernails weredystrophic bilaterally as well. Beforethe onset of this condition, bilateralonychomycosis of the toenails hadbeen diagnosed. The toenails had notbeen treated and were still affectedat the time of presentation. Branchinghyphae were seen on a potassiumhydroxide preparation of a fingernailcutting. The patient had tinea manuumand tinea unguium

December 01, 2003

Diffuse petechiae suddenly arose on the back and abdomen of a 79-year-old woman. Within several days, the asymptomatic lesions covered her arms and face as well.

November 01, 2003

Concerned that her 7-week-old daughter's left ear was far more prominent than the right one, the mother took the infant to the emergency department (ED) for evaluation. The swelling had begun 3 or 4 days earlier; the patient was otherwise asymptomatic.

October 01, 2003

The 2-mm, white, very slightly raised lesion on the vermilion of a 37-year-oldman’s lower lip had been present for 2 months. The lesion was asymptomatic.There was no history of injury or burn to the area.

September 15, 2003

Pingueculae represent elastotic degeneration of the substantia propria.They develop on the bulbar conjunctiva of older persons after prolonged exposure to drying, dust, and the UV rays of the sun.

August 01, 2003

This asymptomatic lesion had been present on a 75-year-old man's right buttock for 2 to 3 years. The 0.5 cm in diameter nodule featured an irregular, flesh-colored surface.

May 01, 2003

A 1-cm, tan-brown lesion had developed years earlier at the posterior helix of a61-year-old man’s right ear. Central ulceration and crusting were noted on thepapule. The patient sought medical evaluation when the lesion became nodularand began to flake.

May 01, 2003

A 65-year-old woman presents with a 1-cm raised, light brown, circular, nodularlesion on the top of her head, which has progressively enlarged during the last6 months. The growth was removed by shave excision; electrodesiccation andcurettage were performed on the base. Pathologic evaluation determined thelesion was a basal cell carcinoma.

May 01, 2003

This 2-day-old infant was noted by Robert P. Blereau, MD, of Morgan City, La, to have duplication of the fifth toe with webbing between the two toes to the distal interphalangeal joint. There was a family history of polydactyly on the paternal side and syndactyly on the maternal side.