Diagnosing Skin, Eye, Ear and Throat Disorders

DiagnosingSkin, Eye, Ear and Throat Disorders

DiagnosingSkin, Eye, Ear and Throat Disorders

Description

Thepatient is a 46 years old male who visits the doctor’s officebecause of a pruritic skin rash.

History

Thepruritic skin rush has been present for the last few weeks.Initially, the rash was observed in the chest before spreading toother parts of the body, including arms and back. There were norashes in the legs. He had no history of fever, chills or new soapsand detergent. He has travelled to Florida recently, but has not hadinsect bites.

Allergies

Thepatient has no known allergies.

Currentmedication

Thepatient takes occasional ibuprofen for knee pain.

Physicalexamination

Physicalexamination of the patient revealed that the patient had deep tan andnotable 1-1.5 centimeters flat, circular, light colored patches onhis chest, back and upper extremities.

Differentialdiagnosis

Possibleconditions include pityriasis rosea, secondary syphilis, nummulareczema, tinea corporis, gutteta psoriasis, Kaposi sarcoma and drugeruption. The absence of rushes on the legs and soles indicates thatthe patient is not suffering from secondary syphilis, nummulareczema, or gutteta psoriasis. Multiple red patches suggest that thepatient does not have a case of tinea corporis. The patient is notunder any medication and does not have a history of insect bites,which rules out drug eruption. The annular lesions on the trunk andabsence of other symptoms suggest a case of pityriasis rosea (Chuh etal, 2015, Zawar &amp Chuh, 2013).

Laboratorytests

Skinbiopsy can be used to confirm the pityriasis rosea since it causesdyskeratotic degeneration.

Potentialtreatment

Usually,pityriasis rosea does not require any treatment since it is able toresolve through natural body mechanisms and clear within two to threemonths. However, antifungal creams are recommended (Buttaro, 2013).The itching can be managed by using steroid creams andantihistamines, although they have no effect on the rash. Otherstrategies involve reducing discomfort by having lukewarm bath avoiddetergents and soups that irritate the skin and wearing cottonclothes (Bolognia, 2015).

References

Bolognia,J. (2015). Dermatology.Gulf Professional Publishing. ISBN 9997638999.

Buttaro,T. (2013). Primarycare: a collaborative practice.St. Louis, Mo.: Elsevier/Mosby.

Chuh,A. et al (2015). The diagnostic criteria of pityriasis rosea andGianotti-Crosti syndrome – a protocol to establish diagnosticcriteria of skin diseases. JR Coll Physicians Edinb45, 218-225.

ZawarV. &amp Chuh A. (2013). Applicability of proposed diagnosticcriteria of pityriasis rosea– results of a prospective case-controlstudy in India. IndianJ Dermatol58: 439–42.