Ted Rosen, MD

Articles

Ectoparasite Bites

July 01, 2010

Intensely pruritic lesions of acute onset are evident on the legs of a 24-year-old woman who had no history of similar episodes. She was in excellent health and took no medications. She had spent the previous evening seated outdoors at a restaurant.

Melanoma Within a Congenital Nevus

January 01, 2008

A 48-year-old Hispanic man had a tender, bleeding growth within a darkly pigmented plaque on the right flank. The pigmented lesion had been present since birth; it was previously asymptomatic. The tumor arose out of the mainly flat patch 6 months earlier and had slowly enlarged. The patient worked indoors, wore sunscreen daily, and generally avoided outdoor activities. He had no family history of skin cancer.

Porphyria Cutanea Tarda in a Construction Worker

September 01, 2007

For several months, a 55-year-old white construction worker experienced intense burning of the skin when exposed to direct sunlight. In addition, multiple fragile blisters appeared on the dorsa of his hands and arms; these rapidly developed into crusted, superficial erosions.

Factitial Erosion

December 01, 2005

A 50-year-old woman was concerned about a nonhealing, painful lesion on the medial aspect of the left side of the nasal bridge. The lesion had been present for several weeks. The patient believed that a "cyst" had developed in the area. She had been attempting to remove it manually.

Sexually Transmitted Diseases: Recognizing Telltale Skin Lesions Chancroid

November 01, 2005

Telltale skin lesions of syphilis, gonorrhea, human papillomavirus infection, and Haemophilus ducreyi infection.

Parapsoriasis in a 66-Year-Old Woman

September 14, 2005

The asymptomatic skin lesions seen on this 66-year-old woman had been present for 7 months. Therapy with topical and oral antifungal agents had failed. The annular patches were pale to bright red and very slightly scaly; they affected the lower third of the patient's back and abdomen and her flanks, buttocks, and upper thighs.

Sarcoidosis

September 14, 2005

A 45-year-old African American man requested treatment of “keloids” that had developed 18 months earlier. The patient also complained of dyspnea and exertion; there was no history of trauma.

Kaposi Sarcoma

September 14, 2005

A 32-year-old man who was seropositive for HIV presented with a tender lesion on his right foot of about 3 months' duration. The patient's only medication was zidovudine. His CD4+ cell count was 120/μL.

Psoriasis of the Nail

September 14, 2005

A 43-year-old man sought treatment of a “fungal nail infection” that had been present for several years. The condition had not responded to standard dosages of itraconazole, terbinafine, and fluconazole prescribed by another physician.