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Panniculitis Tom Helm, M.D. Clinical Associate Professor of Dermatology

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Presentation on theme: "Panniculitis Tom Helm, M.D. Clinical Associate Professor of Dermatology"— Presentation transcript:

1 Panniculitis Tom Helm, M.D. Clinical Associate Professor of Dermatology SUNY@Buffalo

2 Case 1

3 An 80-year-old woman with indurated plaques on the thigh and on the cheeks.

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12 The best diagnosis is: A.Necrobiosis lipoidica B.Necrobiotic xanthogranuloma C.Erythema nodosum D.Erythema induratum E.Mycobacterial infection

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14 Case 2

15 A 45-year-old woman has indurated and depressed plaques on the upper arms.

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20 The best diagnosis is: A.Lupus profundus B.Steroid atrophy C.Paraffinoma D.Pancreatic panniculitis E.Tumid lupus

21 Case 3

22 A 45-year-old man with HIV infection has tender nodules on the lower legs.

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27 The best diagnosis is: A.Cryptococcus B.Subcutaneous lymphoma C.Weber-Christian disease D.Alpha I antitrypsin deficiency E.Malakoplakia

28 Case 4

29 A 60-year-old diabetic patient has indurated plaques on the thigh.

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33 The best diagnosis is: A.Erythema nodosum B.Erythema induratum C.Polyarteritis nodosa D.Calciphylaxis E.Athero-emboli

34 Case 5

35 A 40-year-old woman has indurated plaques on the thigh.

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42 The best diagnosis is: A.Scleroderma B.Morphea profunda C.Lupus erythematosus D.Texier’s syndrome E.Eosinophilic fasciitis

43 Case 6

44 A 45-year-old woman has indurated and draining plaques on the posterior calf.

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49 The best diagnosis is: A.Erythema induratum B.Erythema nodosum C.Polyarteritis nodosa D.Sarcoidosis E.Subcutaneous fat necrosis

50 Case 7

51 A 14-year-old girl has tender plaques on the arms and lower legs.

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57 The best diagnosis is: A.Erythema nodosum B.Erythema induratum C.Lupus profundus D.Calciphylaxis E.Lymphoma cutis

58 Case 8

59 A 60-year-old woman presents for evaluation of induration around the ankles.

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65 The best diagnosis is: A.Erythema nodosum B.Polyarteritis nodosa C.Lipodermatosclerosis D.Erythema induratum E.Weber-Christian disease

66 Case 9

67 A 45-year-old man has been using a skin cancer “cure” over the internet.

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73 The best diagnosis is: A.Necrotic arachnidism B.Methicillin-resistant Staph infection C.Black salve reaction D.Pyoderma gangrenosum E.Anaplastic large cell lymphoma

74 Case 10

75 A 35-year-old man has tender nodules on the thigh.

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80 The best diagnosis is: A.Pyoderma gangrenosum B.Polyarteritis nodosa C.Dirofilariasis D.Cutaneous myiasis E.Leishmaniasis

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