Sunita Puri, MD

September 14, 2005

A 4-year-old girl is brought to the emergency department with a pruritic rash of 24 hours' duration. Her mother reports that the lesions developed after the child ate strawberries.

September 14, 2005

A 70-year-old man was concerned about these dark lesions that covered his back and legs.

September 14, 2005

This 60-year-old man has had rheumatoid arthritis (RA) for 40 years. Typical of progressive, long-standing disease is the deformity seen here in his hands and feet.

May 01, 2005

This 41-year-old woman rushed to the emergency department with a swollen, blistered tongue and difficultly in swallowing and speaking. Twenty minutes earlier she had eaten fish (for the first time in her life).

September 01, 2003

Two patients who presented for evaluation of unrelated maladies were noted to have true polydactyly. Both patients-a 32-year-old white man and a 35-year-old African American woman - had a duplicate left thumb. There were no other associated congenital abnormalities.

June 01, 2003

A healthy 16-year-old girl was bothered by a patch of white hair on her forehead; she also had a few white plaques on her abdomen, which had been present since birth. Her maternal great grandmother and maternal grandfather, as well as her mother, had a similar pattern of white hair.

April 15, 2003

Dry, pruritic, scaly skin was noted on a 65-year-old woman who came to the emergency department with bronchitis. She reported that her skin had had this texture all of her life.

November 01, 2002

The upper and lower eyelids of a 6-year-old girl were stuck together after she accidentally splashed superglue in her left eye. The patient did not complain of pain; the eyeball was able to move freely under the lids.

October 01, 2002

A pruritic rash developed on the feet of a 40-year-old woman 2 days after she had worn a new pair of shoes for a few hours. The erythematous, papular, scaly eruption was more prominent on the right foot.

September 01, 2002

The mother of this 5-month-old boy was concerned about the large birthmark in the infant's diaper area.