—  SPECIALTY CONFERENCE  —

Dermatopathology

Tuesday, February 14, 2006 - 7:30 PM
International North Room



Moderator:

Bruce R. Smoller
University of Arkansas for Medical Sciences
Little Rock, AR

Prior to this Annual Meeting, slides and case histories for this Specialty Conferences were posted below so they may be reviewed in advance. During the meeting, the slides and protocols were also available for study in the microscope room (Chicago B - F Room) for participants who wished to review them prior to the evening session.

Click here for the handout from this conference.

Click on each slide thumbnail image for an enlarged view
Case 1

Submitted by:
Bruce R. Smoller
University of Arkansas for Medical Sciences
Little Rock, AR

Clinical Summary:

67 year old woman with many erythematous papules, extensive joint pain, malaise and slight fever for months


Case 1 - Figure 1
Case 1 - Figure 2



Case 1 - Figure 3
Case 1 - Figure 4




Case 2

Submitted by:
Bruce R. Smoller
University of Arkansas for Medical Sciences
Little Rock, AR

Clinical Summary:

45 year old with 4 year history of hemodialysis secondary to end-stage renal disease secondary to diabetes mellitus. Now with thickened, somewhat rigid extremities (more on lower), rule out scleroderma


Case 2 - Figure 1
Case 2 - Figure 2
Case 2 - Figure 3




Case 3

Submitted by:
Jennifer M. McNiff
Yale University School of Medicine
New Haven, CT

Clinical Summary:

40 year old female who presented with erythroderma after years of atopic dermatitis. Important underlying history (initially withheld) is that she is HIV+ and has very low CD4 counts


Case 3 - Figure 1
Case 3 - Figure 2



Case 3 - Figure 3
Case 3 - Figure 4




Case 4

Submitted by:
Jennifer M. McNiff
Yale University School of Medicine
New Haven, CT

Clinical Summary:

53 year old man with nodule on the back. Additional nodules on the face at roughly the same time. Underlying history of CLL


Case 4 - Figure 1
Case 4 - Figure 2
Case 4 - Figure 3




Case 5

Submitted by:
Kim M. Hiatt
University of Arkansas for Medical Sciences
Little Rock, AR

Clinical Summary:

A 47 year old woman with multiple myeloma has a hospital course complicated by myocardial infarct, respiratory failure and acute renal failure. She has developed indurated violaceous patches on the posterior legs and back.


Case 5 - Figure 1
Case 5 - Figure 2
Case 5 - Figure 3




Case 6

Submitted by:
Kim M. Hiatt
University of Arkansas for Medical Sciences
Little Rock, AR

Clinical Summary:

A 57 year old man has scarring and erosions on the dorsum of both hands. He has received occasional therapeutic phlebotomy for iron overload.


Case 6 - Figure 1
Case 6 - Figure 2
Case 6 - Figure 3




Case 7

Submitted by:
James W. Patterson
University of Virginia Health Sciences Center
Charlottesville, VA

Clinical Summary:

14 year old boy with a history of chronic diarrhea, sinopulmonary infections, and asthma. He had high titers to islet cell and thyroid microsomal antigens. Cutaneous findings in the past had included eczematous dermatitis. He recently developed prurigo nodularis-like lesions on abdominal skin and on the extremities. A biopsy was taken of a nodular lesion from the right forearm


Case 7 - Figure 1
Case 7 - Figure 2




Case 8

Submitted by:
James W. Patterson
University of Virginia Health Sciences Center
Charlottesville, VA

Clinical Summary:

A 46 year old woman had a two week history of tender, erythematous papules and nodules on the hands, arms, and legs. She did not have fever, chills, or systemic symptoms, and there was a negative history for arthritis. A medication history was obtained. The clinician's differential diagnosis included erythema elevatum diutinum, erythema nodosum, and "lymphocytic infiltration". Biopsy from lesion on the left arm of a 46 year old woman


Case 8 - Figure 1
Case 8 - Figure 2



Case 8 - Figure 3
Case 8 - Figure 4