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Armpit Rash

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History of Present Illness:

A 42-year-old male presents to the ED for a severe rash mostly on his face torso and particularly in his armpits.  He has had this in the past and was given a cream by a doctor but doesn’t know more details.    He denies any fever or other complaints

Vital Signs & Physical Exam:

Vital signs are normal.  Physical exam is normal except for the rash which is on his anterior torso and face, but is worst in the armpits.  It may be hard to

Initial Differential Diagnosis:

  • Allergic reaction
  • Hidradenitis
  • Cellulitis
  • Syphilis, the great imitator
  • Other

Initial Diagnostic Testing:

  • Labs: CBC, BMP and LFTs are all normal
  • Imaging: none

QUESTIONS:

  1. What does the case image show?  
  2. What should you do next?  
  3. Want a 1-minute consult/tutorial on this case? 
  4. Want to know what happened with this patient?

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ANSWERS:

  1. What does the case image show?  The image shows severe seborrheic dermatitis
  2. What should you do next?  Treat with topicals.  Refer to derm.
  3. Want a 1-minute consult/tutorial on this case?  See yellow area from sample page below.
  4. Want to know what happened with this patient?  See case conclusion below tutorial page.

1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

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CASE CONCLUSION: His dermatologist was contacted and recommended discharge home

CASE LESSONS

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