DermAtlas: Online Dermatology Image Library dermatology image,purpura, autoimmune thrombocytopenic,drug reaction,zoster,zoster, disseminated,incontinentia pigmenti,toxic epidermal necrolysis,Stevens-Johnson syndrome,cyst, epidermal inclusion,cyst, epidermal inclusion,cyst, epidermal inclusion,cyst, epidermal inclusion,cyst, epidermal inclusion

© 2001-2010, DermAtlas	*Image Name:*	Immune_Thrombocytopenia_Purpura_1_20100801	*File Type:*	jpg
	*Diagnosis:*	PURPURA, AUTOIMMUNE THROMBOCYTOPENIC / PURPURA / DRUG REACTION	*Category:*	purpura / drug reaction
	*Body Site:*	back	*Age:*	36 years
	*Contributor:*	Angel T. Brown
	*Description:*	Diffuse discrete and condluent purple 1-3 mm maculules
	*Comments:*	A 36-year-old woman developed diffuse petechiae 8 days after starting oral sulfamethoxazole/trimethorpim. Dramatic thrombocytopenia was noted on a complete blood count.
	*Related Images:*	Immune_Thrombocytopenia_Purpura_2_20100801

© 2001-2010, DermAtlas	*Image Name:*	VARICELLA_4_20100801	*File Type:*	jpg
	*Diagnosis:*	ZOSTER / ZOSTER, DISSEMINATED	*Category:*	vesiculobullous eruptions
	*Body Site:*	trunk / back / abdomen	*Age:*	31
	*Contributor:*	Andrei Botnaru
	*Description:*	disseminated 2-4 mm red papules, vesicles on a red base and pustules
	*Comments:*	This healthy 31-year-old physician in training, who was in the 10th week of her pregnancy, developed varicella after exposure to an elderly patient with herpes zoster and Varicella-Zoster virus (VZV) pnemonia. VZV was suspected on the second day of othe eruption when she had a VZV IgG = 250, VZV IgM=0, and after 2 weeks an IgG 3200 and IgM very elevated confirming the active VZV viral infection. Polymerase chain reaction study confirmed the diagnosis of VZV when she presented with fever 38,5C and later 39C-40*C, fatigue, vomiting, loss of appetite and back pain. The eruption began as single papule and pustule centrally placed in inter-ocular region followed by dissemination to the face and trunk, but the extremities were spared. She was started on oral valacyclovir immediately. Fetal ultrasound was normal, but she will be followed closely because of the risk of malformations in the fetus related to varicella embryopathy. Cordocentesis, amniocentesis, 'wait and see' policy and therapeutic abortion were discussed. there is not a standard approach and every case should be personalized. Immunization of high risk individuals (doctors, nurses, etc.) and protection of pregnant women form contact with VZV infection is highly recommended;
	*Related Images:*	All related Images VARICELLA_2_20100801 VARICELLA_3_20100801

© 2001-2010, DermAtlas	*Image Name:*	incontinentia_pigmenti_4_100609	*File Type:*	jpg
	*Diagnosis:*	INCONTINENTIA PIGMENTI	*Category:*	genodermatosis/genetic disorder / hyperpigmentation / Blaschko lines
	*Body Site:*	total body / back buttock / hip	*Age:*	6 years
	*Contributor:*
	*Description:*	clustered disseminated grayish brown linear patches along the lines of Blaschko
	*Comments:*	This healthy 6-year-old girl with incontinentia pigmenti demonstrated the characteristic hyperpigmented patches along the lines of Blaschko. She had normal growth and development and eye examination. She did, however, have a number of dysplastic and missing teeth. No one else in the family was affected, and her mother had a normal skin examination
	*Related Images:*	All related Images incontinentia_pigmenti_1_100609 incontinentia_pigmenti_2_100609 incontinentia_pigmenti_3_100609

© 2001-2010, DermAtlas	*Image Name:*	TEN_8_100716	*File Type:*	jpg
	*Diagnosis:*	TOXIC EPIDERMAL NECROLYSIS / STEVENS-JOHNSON SYNDROME	*Category:*	vesiculobullous eruptions / hypersensitivity
	*Body Site:*	total body / back arm / abdomen	*Age:*	5 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	Generalized erythema, blistering, and erosions
	*Comments:*	This 5-year-old boy, who was on no medications, developed fever and sore throat followed 3 days later by an erosive conjunctivitis, oral mucositis, urethritis, and a progressive generalized erythema, blistering, and ulcerations. He was admitted to the intensive care unit where he received pulsed high dose intravenous steroids and intravenous immunoglobulin 2 grams/kg over 3 days, but continued to progress to 100% skin and mucous membrane involvement. Over the subsequent 4 weeks he gradually improved and was discharged from the acute care hospital to a longterm pediatric facility for occupational and physical therapy.
	*Related Images:*	All related Images TEN_10_100716 TEN_9_100716 TEN_7_100716 TEN_6_100716 TEN_5_100716 TEN_4_100716 TEN_3_100716 TEN_2_100716 TEN_1_100716

© 2001-2010, DermAtlas	*Image Name:*	TEN_9_100716	*File Type:*	jpg
	*Diagnosis:*	TOXIC EPIDERMAL NECROLYSIS / STEVENS-JOHNSON SYNDROME	*Category:*	vesiculobullous eruptions / hypersensitivity
	*Body Site:*	total body / back arm / buttock	*Age:*	5 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	Generalized erythema, blistering, and erosions
	*Comments:*	This 5-year-old boy, who was on no medications, developed fever and sore throat followed 3 days later by an erosive conjunctivitis, oral mucositis, urethritis, and a progressive generalized erythema, blistering, and ulcerations. He was admitted to the intensive care unit where he received pulsed high dose intravenous steroids and intravenous immunoglobulin 2 grams/kg over 3 days, but continued to progress to 100% skin and mucous membrane involvement. Over the subsequent 4 weeks he gradually improved and was discharged from the acute care hospital to a longterm pediatric facility for occupational and physical therapy.
	*Related Images:*	All related Images TEN_10_100716 TEN_8_100716 TEN_7_100716 TEN_6_100716 TEN_5_100716 TEN_4_100716 TEN_3_100716 TEN_2_100716 TEN_1_100716

© 2001-2010, DermAtlas	*Image Name:*	Epidermal_Cyst_5_100606	*File Type:*	jpg
	*Diagnosis:*	CYST, EPIDERMAL INCLUSION / CYST	*Category:*	cysts / neoplasm, adnexal, eccrine/apocrine / neoplasm, benign / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	shoulder / back	*Age:*	20 years
	*Contributor:*	CSBR Prasad
	*Description:*	Panel-A shows the cyst after excision, Panel-B and C show the cyst bisected, and Panel-D is a photomicrograph which shows the lumen at the bottom and the epidermal surface at the top.
	*Comments:*	A 20-year-old woman complained fo a slowly growing swelling on the left shoulder for 2years. On examination the mass was soft, non-tender, and not attached to deeper structures. A small punctum was noted on the surface. Fine needle aspirate cytology yeilded gray white material which showed benign squamous cells without inflammatory cells consistent with an epidermoid cyst.
	*Related Images:*	All related Images Epidermal_Cyst_3_100606 Epidermal_Cyst_1_100606 Epidermal_Cyst_4_100606 Epidermal_Cyst_2_100606

© 2001-2010, DermAtlas	*Image Name:*	Epidermal_Cyst_2_100606	*File Type:*	jpg
	*Diagnosis:*	CYST, EPIDERMAL INCLUSION / CYST	*Category:*	cysts / neoplasm, adnexal, eccrine/apocrine / neoplasm, benign
	*Body Site:*	shoulder / back	*Age:*	20 years
	*Contributor:*	CSBR Prasad
	*Description:*	3 X 4 cm subcutaneous skin colored tumor
	*Comments:*	A 20-year-old woman complained fo a slowly growing swelling on the left shoulder for 2years. On examination the mass was soft, non-tender, and not attached to deeper structures. A small punctum was noted on the surface. Fine needle aspirate cytology yeilded gray white material which showed benign squamous cells without inflammatory cells consistent with an epidermoid cyst.
	*Related Images:*	All related Images Epidermal_Cyst_3_100606 Epidermal_Cyst_1_100606 Epidermal_Cyst_4_100606 Epidermal_Cyst_5_100606

© 2001-2010, DermAtlas	*Image Name:*	Epidermal_Cyst_4_100606	*File Type:*	jpg
	*Diagnosis:*	CYST, EPIDERMAL INCLUSION / CYST	*Category:*	cysts / neoplasm, adnexal, eccrine/apocrine / neoplasm, benign
	*Body Site:*	shoulder / back	*Age:*	20 years
	*Contributor:*	CSBR Prasad
	*Description:*	Panel-A shows the cyst before excision, Panel-B shows the tumor after excision, Panel-C shows the tumor after bisection, and Panel-D shows the cyst lumen on the left.
	*Comments:*	A 20-year-old woman complained fo a slowly growing swelling on the left shoulder for 2years. On examination the mass was soft, non-tender, and not attached to deeper structures. A small punctum was noted on the surface. Fine needle aspirate cytology yeilded gray white material which showed benign squamous cells without inflammatory cells consistent with an epidermoid cyst.
	*Related Images:*	All related Images Epidermal_Cyst_3_100606 Epidermal_Cyst_1_100606 Epidermal_Cyst_2_100606 Epidermal_Cyst_5_100606

© 2001-2010, DermAtlas	*Image Name:*	Epidermal_Cyst_1_100606	*File Type:*	jpg
	*Diagnosis:*	CYST, EPIDERMAL INCLUSION / CYST	*Category:*	cysts / neoplasm, adnexal, eccrine/apocrine / neoplasm, benign
	*Body Site:*	shoulder / back	*Age:*	20 years
	*Contributor:*	CSBR Prasad
	*Description:*	3 X 4 cm subcutaneous skin colored tumor
	*Comments:*	A 20-year-old woman complained fo a slowly growing swelling on the left shoulder for 2years. On examination the mass was soft, non-tender, and not attached to deeper structures. A small punctum was noted on the surface. Fine needle aspirate cytology yeilded gray white material which showed benign squamous cells without inflammatory cells consistent with an epidermoid cyst.
	*Related Images:*	All related Images Epidermal_Cyst_3_100606 Epidermal_Cyst_4_100606 Epidermal_Cyst_2_100606 Epidermal_Cyst_5_100606

© 2001-2010, DermAtlas	*Image Name:*	Epidermal_Cyst_3_100606	*File Type:*	jpg
	*Diagnosis:*	CYST, EPIDERMAL INCLUSION / CYST	*Category:*	cysts / lumps & bumps (plaques, nodules, tumors) / neoplasm, adnexal, eccrine/apocrine / neoplasm, benign
	*Body Site:*	shoulder / back	*Age:*	20 years
	*Contributor:*	CSBR Prasad
	*Description:*	Panel-A shows the tumor after excision, Panel-B shows the tumor after bisection, and Panel-C is a photomicrograph that shows the cyst lumen on the bottom and the overlying epidermis on the top.
	*Comments:*	A 20-year-old woman complained fo a slowly growing swelling on the left shoulder for 2years. On examination the mass was soft, non-tender, and not attached to deeper structures. A small punctum was noted on the surface. Fine needle aspirate cytology yeilded gray white material which showed benign squamous cells without inflammatory cells consistent with an epidermoid cyst.
	*Related Images:*	All related Images Epidermal_Cyst_1_100606 Epidermal_Cyst_4_100606 Epidermal_Cyst_2_100606 Epidermal_Cyst_5_100606