Wednesday, April 6, 2011

Diagnostic challenge



What is the diagnosis:
1.  Dermatitis herpetiformis
2.  Impetigo
3.  Measles
4.  Secondary syphilis
5.  Varicella  (Chickenpox)

Make your best diagnosis and commit in a comment.  The answer will be posted tomorrow!!!

(Image from NEJM)

18 comments:

abnormalfacies said...

I'm paralyzed without a clinical vignette XD

Varicella.

Steven Reidbord MD said...

Looks like chickenpox to me.

Mel said...

Measles!

Lisa said...

Impetigo

Sandra said...

I vote for chickenpox.

Raymond Bouchayer said...

I think Measles but it should be all over the body ..

sherri said...

I think it's dermatitis herpetiformis.

gradydoctor said...

"Dewdrop on a rose petal" lesions suggest something herpetic. My vote goes to an awful case of disseminated Varicella Zoster in an adult--especially if she were pregnant.

If it ain't that, dermatitis herpetiformis!

(Answer sent while riding on shuttle at the ACP meeting. You here?)

Sarah G said...

Chicken Pox - Varicella.

Anonymous said...

Secondary syphilis

KM said...

Chicken Pox

KM said...

Chicken Pox.

stop smoking help said...

Chicken Pox.

The Phantom said...

Dermatitis herpetiformis.. generalized. At first blush I thought impetigo. So much for first impressions..

abnormalfacies said...

Part of me wanted to go with dermatitis herpetiformis, but it looks like a few of those lesions are at different stages.

I'm not positive, but wouldn't that be evidence against DH/in favor of varicella?

Don't keep us waiting any longer Dr. Brayer!

Alexander said...

Looks like a chickenpox.

ofertas muebles madrid said...

It will not succeed in actual fact, that is what I think.

www.crearpaginaweb.com said...

Well, I don't really think it may have success.