Man with groin rash that won’t go away. What is your diagnosis? Crutchfield Dermatology Case of the Month.

A 64 year old man presented with a diagnosis of tinea cruris. He said that he had been treating it for 3 years without resolution. He reported using at least 3 different prescription anti-fungal creams and for the past 5 months and used a different prescription cream called triamcinolone. He reports little to no pruritus. With the rash being so resistant, his primary care doctor referred him to a dermatologist for evaluation. Continue reading Man with groin rash that won’t go away. What is your diagnosis? Crutchfield Dermatology Case of the Month.

An infant with papules and pustules on feet. What is your diagnosis? Dr. Crutchfield’s Case of the Month

Foot sores

11-month-old infant presents with pruritic crusted papules and pustules on feet, as seen in the picture. Also hand and axilla involvement. A teen cousin visiting for the summer has a similar rash, and both are very pruritic.

Here is a picture of a mineral oil scraping I took through the microscope ocular with my cell phone.

Microscopic photo

What is your diagnosis?

Continue reading An infant with papules and pustules on feet. What is your diagnosis? Dr. Crutchfield’s Case of the Month