Bryan Anderson

All articles by Bryan Anderson

Lichen Planus

Are You Confident of the Diagnosis? Lichen planus (LP) is a papulosquamous disorder of the skin, mucous membranes, hair, and nails. Depending on subtype and area of involvement, lesions may range from asymptomatic to pruritic and erosive. Patients may have involvement of one or more of the areas listed above. Lesions of the glabrous skin…

LEOPARD Syndrome (Lentigines, EKG abnormalities, Ocular Hypertelorism, Pulmonary stenosis, Abnormal Genitalia, Retarded Growth, Deafness; Also known as Multiple lentigines syndrome and Cardiocutaneous syndrome, Gorlin syndrome II, Cardio-Cutaneous syndrome, Lentiginosis profusa, Moynahan syndrome, or Progressive Cardiomyopathic Lentiginosis)

Are You Confident of the Diagnosis? Observed expression of the characteristic phenotypes of LEOPARD syndrome (LS) is extraordinarily variable, making an accurate diagnosis difficult. The minimal criteria that must be met for a diagnosis of LS includes multiple lentigines (Figure 1) and 2 or more of the following: cutaneous abnormalities not including lentigines (cafe noir…

Glanders (Farcy, Burkholderia mallei infection, equinia, malleus)

Are You Confident of the Diagnosis? What you should be alert for in the history Burkholderia malleli is able to cause two forms of human infection. Farcy is a subcutaneous form of the bacterial infection that presents with small papules and pustules at the site of skin inoculation. These quickly become subcutaneous nodules and fistulae…

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