The morphology and history (that is, the fact that the mass was present fully-formed at birth) indicate that this is a congenital hemangioma. Infantile hemangioma are not present at birth, but rather proliferate during the first year of life. "Stork-bite" macules are not raised. Cherry angioma are typically found in older individuals and are much smaller.

The diagnosis of seborrheic keratosis is a clinical one, taking into account the appearance of the lesion, its location, and patient characteristics. "Seb k's" are benign and tend to slowly enlarge over the years. If in doubt, biopsy!

From: Rosen, Cheryl F. "The Skin in Pregnancy". Medical Complications During Pregnancy. Eds. Burrow, Duffy & Copel. Elsevier Saunders. Philadelphia. 2004. pp 496-477.

Cholestyramine is a risine used to treat hypercholesterolemia.

The distractors are all similar nature&key is different from them.So easy to pick up

Morphea is an idiopathic condition affecting four times as many women as men. It is most common in women in their 30's and is relatively asymptomatic (although pruritis may occur during the inflammatory stage). The condition is usually diagnosed clinically, although punch biopsy can confirm your clinical findings. Morphea plaques appear violaceous and feel indurated and warm in the early inflammatory stages, becoming hypopigmented and sclerotic with time. Possible therapies include sun protection (to prevent darkening of the lesions with sun exposure), topical corticosteroids, intralesional triamcinolone, calcipotriene ointment, and hydroxychloroquine.

Both ICD and ACD are causes of significant morbidity and absenteeism from the workplace. Irritant contact dermatitis occurs in any individual after a single or repeated exposures to an irritating substance like soapy water, bleach, or rubbing alcohol. Allergic contact dermatitis is a delayed hypersensitivity (type IV) allergic reaction occuring after a sensitization exposure. The most common substances to evoke such a reaction are poison ivy, poison oak, and poison sumac. Diagnosis of ACD primarily depends on history and physical exam, although patch testing may be necessary.

This gentleman is suffering from herpes zoster infection, commonly known as shingles, of the ophthalmic branch of the trigeminal nerve (CN V). His prodromal symptoms are typical, as is the dermatomal distribution. The rash usually resolves in 2-3 weeks in immunocompetent hosts, however, it is important to monitor these patients for complications, and refer to the appropriate consultants - particularly in patients with opthalmic zoster, like this man.

The most likely diagnosis is tinea versicolour. The typical history is one of hypopigmented macules noticed by the patient as being unevenly tanned. A simple, non-invasive test is KOH microscopy. Wood's lamp exam is also a good test, although is known to produce false negatives if a patient has recently showered. Biopsies are too invasive at this time, and swabs for C&S are unlikely to yield results.

Hair loss typically occurs in arterial leg ulcers, which tend to be painful at night and when legs are elevated. The skin looks atrophic, shiny, and pale, with ulcers on pressure sites and the lateral supramalleolar area.

Venous stasis changes include irregular ulcers on the medial malleolar and supramalleolar areas, lipodermatosclerosis, stasis dermatitis, atrophie blanche, pigmentation, and lymphedema.