Ted Rosen, MD

June 17, 2013

Melanoma in pre-adolescent children is extremely rare, but not totally unknown. Because this lesion had recently become larger and darker, the lesion was excised; histology confirmed a benign nevus.

June 12, 2013

This nodule on the neck is a typical location and appearance for an epidermal cyst. If the cyst has never been inflamed or infected, it may be removable through a very small punch biopsy followed by lateral pressure or a small linear incision.

June 07, 2013

In the current milieu, the clinician should assume that MRSA is responsible for furuncles, until culture proves otherwise. Incision and drainage is the most important part of therapy, but oral antibiotics should be considered in large lesions, very young or very old patients, and when cellulitis surrounds the boil.

June 05, 2013

Given this patient's history, this wart might have been over-treated as a presumed squamous cell carcinoma had not a biopsy been obtained.

June 03, 2013

Some skin neoplasms are quite subtle and do not present as obvious exophytic lesions. This basal cell carcinoma presented as a subtle area of asymptomatic discoloration under the patient’s eye.

June 01, 2013

This is a classic case of herpes zoster. Note that the rash is limited to T5-6 dermatomes.

May 30, 2013

This biker asked that his wound be rinsed with hydrogen peroxide, which is now felt to be irritating to tissue and no longer recommended for use in rinsing out a traumatic wound. Water or saline is preferable. Also, superficial abrasions heal better when kept moist.

May 30, 2013

It is rare for acne of this severity to develop in normal, healthy adults. This picture strongly suggests patient manipulation of more minor lesions. When the clinical picture is unusual or improbable, always consider the possibility of factitious disease.

May 29, 2013

CT scan verified thyroid gland localization of this asymptomatic neck mass that proved to be papillary thyroid carcinoma on needle aspiration biopsy. Thyroidectomy confirmed the diagnosis of cancer.

May 24, 2013

Images: Allergic contact dermatitis, seborrheic keratosis, dermatophytosis, oro-labial herpes simplex, hereditary trichoepithelioma