November 20th, 20140810A 38-year-old man presented with a 2-week history of generalized itchy skin rash and oral soreness. On admission, there was high fever of 40°C. Blood biochemistry showed deranged renal function (Cr 312 μmol/L) and raised liver parenchymal enzymes (ALT 219 U/L, AST 127 U/L). There was also marked peripheral eosinophilia of 8.1 x 10^9/L....
November 20th, 20140436A 41-year-old man was admitted to the hospital for significant weight loss and anaemia. He was noted to have dark brownish lesions over bilateral lower limbs. The skin lesions first appeared 4 months ago and were asymptomatic.
On examination, the patient appeared wasted and malnourished. There was low-grade fever. Multiple...
November 19th, 20140445A 57-year-old woman presented with a 2-year history of thickened skin lesions over the dorsum of the left hand. There was significant functional impairment with restriction in active range of movement. She has a known history of rheumatoid arthritis, Grave's disease and Conn’s syndrome. Physical examination revealed linear thickened...
November 18th, 20140502A 47-year-old man consulted his Dermatologist for some "dark lines" which he noted over his fingernails. There was no history of trauma to the fingers. He was otherwise asymptomatic. The lesions had been static in size for the past month and no other skin lesion were noted.
On examination, there were longitudinal black streaks over the...
November 17th, 20140438A 78-year-old woman was admitted with multiple itchy lesions over the face, buttock and limbs. She had a recent upper respiratory tract infection and was given few "flu-medications" by her general practitioner. The rash appeared the next day after administration of these medications and she complained of an itchy, stinging sensation over...
November 16th, 201403007A 77-year-old woman presented with a one-week history of painful skin lesions over the sacral area. She enjoyed good past health and was not on regular medications. She recalled a similar episode of painful eruptions at the same site ten years ago.
Physical examination revealed crops of vesiculo-pustular leions on an erythematous base...