, 7 tweets, 5 min read Read on Twitter
Derm/Rheum Consult 1: 82yoW w/ HTN, breast can, new annular rash. Skin bx eosinophilic lymphocytic infiltrate. Gave 1mg/kg steroids.
ANA+ with centromere pattern, CREST?
==>#UnmaskSx with Steroids when tapering steroids.
==>Deep perivascular infiltrate on bx = Derm IDK!

Derm/Rheum Case 2: 78yoF MGUS,HFpEF, rash on legs. ?purpura. w/u Cryocrit normal , RF+ skin bx C3 in vessel walls, LCV.
Dx: Type II Cryo
Learning Pearl: Retiform purpura "angular stellate rash" pic below and diagram -> VASCULITIS or VASCULOPATHY

#dermtwitter #rheumatology
Derm/Rheum 3: Bullous Rash? DDx: Bullous Lupus vs. Epidermal Bullous Acquisita (EBA) vs. Bullous Pemphigoid
Learning Pearl:
Minimal trauma w/ blisters = EBA, treat with dapsone +/- prednisone
Consult Derm!

Derm/Rheum 4: PT with chronic lyme with fevers and new rash. (ddx table below)
BUT: had a linear forehead scar => Linear Morphea?
Linear Morphea can have brain atrophy.
Derm/Rheum Case 5: Pt with rash, Pain Persistence and Pigmentation (3P's) = Urticarial Vasculitis. Pt started on dapsone.
BUT-> Came back with green rash
Hemolytic anemia with dapsone!
Green = Yellow (Jaundice) and Blue (Cyanosis)

Derm/Rheum Case 6: Man with a case of sarcoid.
Nodules found on tattoo. SkinBx showed granulomatous sarcoid.

Learning Pearl: Skin Sarcoid can regress later than systemic sarcoid and may require topical steroids.

Thanks so much @DrStevenTChen!
Interesting cases that help Dermatologists and Rheumatologists work together and collaborate on our interesting cases.

#MedEd #DermTwitter #MedThread #RheumTwitter #AdvancesinRheum2019
Missing some Tweet in this thread?
You can try to force a refresh.

Like this thread? Get email updates or save it to PDF!

Subscribe to Jonathan Dau
Profile picture

Get real-time email alerts when new unrolls are available from this author!

This content may be removed anytime!

Twitter may remove this content at anytime, convert it as a PDF, save and print for later use!

Try unrolling a thread yourself!

how to unroll video

1) Follow Thread Reader App on Twitter so you can easily mention us!

2) Go to a Twitter thread (series of Tweets by the same owner) and mention us with a keyword "unroll" @threadreaderapp unroll

You can practice here first or read more on our help page!

Follow Us on Twitter!

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just three indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3.00/month or $30.00/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!