#idboardreivew A pt w/scattered vesicles on trunk, face & extremities +fever & malaise. Vesicles look like chickenpox but in same stage of development. She has hx of chickenpox as child, no new sexual contact. What else is important in history? #idtwitter #dermtwitter #MedTwitter
Increasing acquisition and trading of exotic pets among the United States public is creating new risks for pet owners, including a well-documented outbreak of #monkeypox from imported prairie dogs, an illness which this patient could have. Ref GWIDBR
#Monkeypox lesions are generally in same stage of development, in contrast to varicella; where lesions are in varying stages. In the more common form of monkeypox seen in the US, the patients are rarely very ill, in contrast to smallpox.
A clear history of childhood chickenpox makes this patient very unlikely to have chickenpox now. Though she is at risk of reactivation of varicella zoster virus infection as shingles, the failure to begin with a dermatomal distribution would be very unusual for shingles.
Herpes simplex can cause focal collection of lesions in persons who have eczema or wrestlers who have multiple areas inoculated from an open lesion.
Sexually transmitted diseases do not present at scattered vesicles. Allergy to an alternative medicine could cause erythema multiforme but the lesions in this patient were scattered vesicles, not bullae in the center of erythematous macules.
جاري تحميل الاقتراحات...