DERMATOLOGY IS FOR LOVERS

Sezary syndrome:  T-cell cutaneous lymphoma

Sezary syndrome: T-cell cutaneous lymphoma

Derm clinic has been amazing! We see awesome pathology and our doctors are incredibly smart and friendly. Dr. Eli Minja is the head of the department, and she is just this beautiful, intelligent woman…Brittany and I want to bring her back to America! Dr. Andrew Foi is the other derm doc we work with, who unfortunately has malaria. He came into clinic last Thursday and nonchalantly said, “I think I have malaria.” He had been complaining of headaches and joint pain, and said he wasn’t able to do his normal 200 pushups that morning. Well, he didn’t show up for the next two days. So he strolled in this morning and said they found trophozites in his blood, he was on treatment, and felt a lot better. That is how common and desensitized people are to malaria…they feel symptoms, they get treatment, and they go on with their lives. We are visiting here, taking doxycycline every day plus a month after we leave, and we apply 100% poisonous DEET several times a day to prevent a viral infection that these natives contract multiple times in their life.

Anyway, so our doctor has malaria. Both of our doctors are excellent teachers, some of the best I have had in my entire medical education. They teach on every case, they ask us questions, and we discuss treatment options. And luckily they allow us to take pictures of the interesting cases. The diseases we see here are rare in the United States, like vitamin B3 deficiency and Mycosis Fungoides, just as they rarely see skin cancer in Africa.  I love dermatology!

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Sezary syndrome

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Sezary syndrome

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just a really cute picture of a father and his son sleeping in the clinic waiting to be seen

just a really cute picture of a father and his son sleeping in the clinic waiting to be seen

bacillary angiomatosis with Kaposi's sarcoma in a patient with HIV

bacillary angiomatosis with Kaposi’s sarcoma in a patient with HIV

acne keloid

acne keloidalis nuchae with scarring alopecia from chronic folliculitis

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bone resorption in leprosy

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pemphigus foliaceus

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pemphigus foliaceus

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pemphigus foliaceus

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leg ulceration possibly caused by mycobacterium…awaiting biopsy results

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bone resorption in leprosy

bone resorption in leprosy

erythema induratum vs erythema nodosum....awaiting biopsy results

erythema induratum of Bazin vs erythema nodosum with cellulitis….awaiting biopsy results

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picture of their prescription forms

picture of their prescription forms

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we found soap!!! it may be in a water bottle, but it exists!

we found soap!!! it may be in a water bottle, but it exists!

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vitiligo around the mouth

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candida superinfection in a child with Kwashiorkor

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possible lichen amyloidosis...our dermatologist had never seen a case, but when we googled it, it looked like the pictures. the biopsy takes a month to get back, but that will help us with the diagnosis

possible lichen amyloidosis…our dermatologist had never seen a case, but when we googled it, it looked like the pictures. the biopsy takes a month to get back, but that will help us with the diagnosis

palmoplantar vitiligo, the hardest to treat

palmoplantar vitiligo, the hardest to treat

Lichen Planus

Lichen Planus

Morphea

Morphea

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Saber's sign for localized scleroderma called Morphea

Saber’s sign for localized scleroderma called Morphea

patient with Lichen Planus

patient with Lichen Planus

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Lichen Planus

Lichen Planus

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