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)

21 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.

barb1283 said...

What or where is the answer?

barb1283 said...

What or where is the answer?

barb1283 said...

What or where is the answer?

Toni Brayer, MD said...

Hi Barb 1283: Go to the right sidebar that says "search this blog" and enter April 8, 2011. You will find the answer there.

Anonymous said...

its HD or Candida...I know because I have it and have for a year and am losing my mind and beautiful body as a result of this shit