Clinical Cases in Geriatric Dermatology by Robert A. Norman

By Robert A. Norman

This concise sensible consultant is designed to facilitate the medical decision-making strategy by way of reviewing a few circumstances and defining a number of the diagnostic and administration judgements open to clinicians. it really is richly illustrated and numerous in scope, permitting the reader to acquire appropriate information about either common and strange instances in a quick, effortless to digest structure. the 1st within the sequence may be on Geriatric Dermatology and may be ready inside of one month of reputation and contain pictures. every one case also will contain a story description and sufferer administration tips

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It began as a small red lump about a year and a half ago experiencing a fall. Since then, it has been growing steadily to 10 cm in diameter. The patient denied prior treatment for the lesion. She was not taking medications and her past medical history was unremarkable. Based on the case description and the photograph, what is your diagnosis? 1. 2. 3. 4. A. Norman, J. 1007/978-1-4471-4135-8_10, © Springer-Verlag London 2013 47 48 Chapter 10. 1 An 85 year-old African-American female patient presented for evaluation of a lesion on her scalp Discussion Angiosarcomas are classified as aggressive, vascular, soft tissue tumors that most often arise on the scalp and neck (Fakih et al.

2008). Further tests, including blood work, x-rays, and bone marrow specimens may be needed for appropriate staging. Metastatic carcinoma can resemble anaplastic large cell lymphoma due to the fact that it can display the same type of hallmark cells and growth patterns. The absence of cytokeratin marker militates for anaplastic large cell lymphoma. B-cell lymphoma can be ruled out if the cells test negative for markers of B-cell lineage. These additional tests may be required due to the fact that B-cell lymphomas and rhabdomyosarcomas may test positive for the anaplastic lymphoma kinase protein (Chiarle et al.

Candidiasis of the oral cavity is called thrush. Infection at the base of the nails is called paronychia. Candida albicans is normal flora on human skin. Breaks in the skin allow penetration of the yeast into the skin and infection occurs, particularly if the patient has predisposing conditions: diabetes mellitus, obesity, heat, chronic debilitation, altered immune status (AIDS), chronic antibiotic use, or long-term systemic steroid therapy (Pappas 1998). Differentials 43 The form most commonly seen in the older population is intertriginous candidiasis, which affects moist body fold, including the inguinal, inframammary, infraabdominal, and axillary folds.

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