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DERMATOLOGY CONSULTATION

HISTORY: This is a 55-year-old male who complains of a rash in the right arm for about 2 months. His past medical history is significant for diabetes, hypertension, high cholesterol, previous MI and thyroid problems. He is a pharmacist. 

PHYSICAL EXAMINATION: Reveals red, scaly, well-demarcated plaques on his right arm extending up to his elbow. He has hyperpigmented macules on the chest.

IMPRESSION: Possible psoriasis versus tinea versus contact dermatitis. He also has multiple lentigos.

RECOMMENDATION: All risks and options were explained. Biopsy was done on the right arm. Features of skin cancer recognition were reviewed and Westcort cream and Spectazole cream were prescribed to him.