Purpuric Papules – Friday Pop Quiz 8/11/2023
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A 47-year-old patient with psoriasis, chronic venous insufficiency and venous ulcers presents with one week's history of purpuric papules with some vesiculobullous lesions affecting the lower extremities and distal forearms. The distal lesions have central necrosis with scattered erosions. The patient says the lesions itch and complains of mild abdominal pain. How should the patient be managed …
A 47-year-old patient with psoriasis, chronic venous insufficiency and venous ulcers presents with one week's history of purpuric papules with some vesiculobullous lesions affecting the lower extremities and distal forearms. The distal lesions have central necrosis with scattered erosions. The patient says the lesions itch and complains of mild abdominal pain. How should the patient be managed … Continue reading "Purpuric Papules – Friday Pop Quiz 8/11/2023"
As dermatologists, we know that not every warm, red, swollen leg represents cellulitis. Chronic venous insufficiency causing stasis dermatitis can present very similarly. While dermatologists are likely able to (in most cases) distinguish between the two conditions, the same cannot always be said of providers outside of our specialty from whom our patients may also be seeking care. Dr. Jeave Reser … 