Ted Rosen, MD

September 14, 2005

A 58-year-old man presented with a 6-month history of a mildly pruritic rash of the left axilla. The patient was in good health, took no medications, and denied any other symptoms.

September 14, 2005

A 45-year-old woman presented with a slowly enlarging, mildly tender lesion on the left sole. The large indurated plaque was studded with multiple firm papules and nodules that involved the instep and extended onto the medial aspect of the foot. There was no regional adenopathy.

September 14, 2005

A 46-year-old man complained of “irritation” in the groin of several months' duration.

September 14, 2005

A 75-year-old Hispanic woman presented with a slowly growing, asymptomatic facial lesion of about 3 years' duration.

September 14, 2005

A 68-year-old man presented with a sudden-onset, 2.5 × 2-cm, rock-hard, erythematous, nontender nodule on the right side of the chest. A dense mat of telangiectases surrounded the solitary lesion. The remainder of the cutaneous examination was unremarkable.

September 14, 2005

A 52-year-old white man presented with a pruritic eruption on the neck of 3 months' duration. The rash had not responded to a potent topical corticosteroid prescribed by another practitioner for the presumed diagnosis of eczema.

September 14, 2005

A 46-year-old man with diabetes presented for evaluation of gradual fingernail deterioration, which had failed to respond to several courses of griseofulvin and a recent 3-month course of daily terbinafine. The patient-who worked as a bartender-was otherwise healthy.

September 14, 2005

While doing yard work, a man experienced acute, severe, burning pain on relatively brief contact with the caterpillar Megalopyge opercularis. The lesion shown in the photograph developed subsequently. Each red papule represents the site of direct cutaneous envenomation by the insect's poisonous body hairs. The caterpillar can vary in color from white to dark brown, depending on the surroundings and time of year. The fuzzy hairs resemble a cat’s fur; hence the nickname “puss.”

February 01, 2005

he sudden appearance of an asymptomatic, 6 x 4.5-mm, exophytic, red nodule on the chin prompted an ostensibly healthy 73-year-old nonsmoker to seek medical attention. His nodes were not enlarged, and he had no other skin lesions.

November 01, 2004

A 46-year-old man complained of “irritation” in the groin of several months’ duration. Ted Rosen, MD, of Houston noted a tender, macerated, hypopigmented plaque at the junction of the scrotum and upper inner thigh. At the periphery of the lesion was some detectable erythema and within the plaque were several small, superficial erosions.