Case Presentation: A 39 year old male with a history of alcohol abuse and recurrent methicillin resistant Staphylococcus aureus bacteremia was referred for tertiary evaluation of recurrent bacteremia and diffuse eczematous eruption. He reported chronic diarrhea and long standing eczema with significant worsening of his rash in the last few months. A scaly and painful [...]

Case Presentation: A 56 year-old woman with well-controlled peri-rectal Crohn’s disease on infliximab presented to the hospital for management of a 2.5 year history of painful, draining vulvar dermatitis that had been biopsied twice and showed lichen simplex chronicus. Prior therapies included topical steroids and multiple antibiotic courses without significant or sustained improvement. MRI to [...]

Case Presentation: A 54-year-old female presented with acute kidney injury and nephrotic syndrome secondary to diabetic nephropathy requiring initiation of hemodialysis. She has a past medical history of chronic kidney disease stage III, diabetes mellitus, and chronic eczematous non-bullous rash for two years. The hospital course was complicated by a marked worsening of her chronic [...]

Case Presentation: A healthy 39-year-old man was admitted to the hospitalist service for an extensive rash that was suspicious for Stevens-Johnson Syndrome (SJS). He presented with diffuse bullae and desquamation of the pelvis and lower extremities (Image A). One week prior to admission, the patient applied topical Nigella sativa oil (colloquially known as black cumin [...]

Case Presentation: A 66-year-old man with atopic dermatitis (managed with topical triamcinolone) presented with three weeks of a diffuse pruritic eczematous rash, anorexia, and a 15-lb weight loss. Vital signs were normal, but he was cachectic (BMI 15) with palpable inguinal lymphadenopathy and erythroderma affecting over 90% of his body. He was admitted for inability [...]

Case Presentation: A 74 year old man with a history of hypertension and chronic hepatitis C infection presented to the hospital with a worsening pruritic rash on his palms and soles. The rash developed acutely one year prior and biopsy was suggestive of eczematous dermatitis. Symptoms persisted in spite of multiple treatments including topical and [...]

Case Presentation: A 2-year-old male with atopic dermatitis presented with worsening eczema, induration, erythema, and inability to bear weight on his left foot. He was afebrile and had initially been diagnosed with cellulitis. He had been treated with 2 different oral antibiotics and was hospitalized due to presumed failure of oral antibiotics. On admission, the [...]

Case Presentation: A 42 year old female with a 5-year history of biopsy-proven eczema presented with two weeks of worsening body pain and skin ulcerations (Figure 1). Six months prior to presentation, she was started on topical steroids and Dupixent without significant improvement. Two months prior to presentation, worsening eosinophilia was noted. On arrival, she [...]