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By Mary Jo Goolsby, Laurie Grubbs

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Extra resources for Advanced Assessment-Interpreting Findings and Formulating Different Diagnosis

Sample text

The term eczematous dermatitis encompasses a broad set of conditions that include atopic dermatitis, contact dermatitis, and others (see Plate 12). Atopic dermatitis, however, is differentiated in often having onset in infancy or early childhood, as well as being associated with other atopic diseases, including asthma and rhinitis/hayfever. Signs and Symptoms. The patient presents with complaint of recurrent, itchy skin rash.

Signs and Symptoms. The lesions are less than 1 cm in diameter and are evenly pigmented. The margins are well demarcated, and the shape is round. The patient reports that the nevus has existed for a long period without change. The distribution is random. Diagnostic Studies. None necessary. Biopsy can be performed to rule out malignancy. SEBORRHEIC KERATOSIS (PLATE 25) Seborrheic keratoses are common, benign skin changes found in older adults. The cause is unknown, although they do appear most commonly on sun-exposed areas.

There may be associated concurrent arthralgia. The typical psoriasis lesion has a well-demarcated border, with a silvery colored scale overlying an area of obvious erythema. If the scale is removed, the erythemic base reveals minute bleeding points. The shape of most lesions is oval, and several often coalesce to form one larger lesion. Patients frequently exhibit nail pitting and oncholysis. Diagnostic Studies. Diagnosis is typically made on physical findings. However, biopsy will reveal specific histopathologic features.

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