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A woman shows up at Beth Israel Deaconess Medical Center with a rash she’s had since 2010. The rash can be described as papulonodules that show up on her face, trunk, arms and legs. Sometimes the lesions are extremely itchy. A biopsy is performed and finds superficial and deep perivascular and focal interstitial mixed cell inflammatory infiltrate. It includes histiocytes, lymphocytes, eosinophils and occasional plasma and rare giant cells.
The patient had previously been treated with topical and intralesional steroids but they hadn't seemed to work. An attending dermatologist used VisualDx to work up a differential for the patient. The diagnoses included progressive nodular histiocytosis and the attending worked up the diagnosis for consideration.
This story was provided by an attending dermatologist at Beth Israel Deaconess Medical Center. If you are interested in sharing your story about how you used VisualDx to accurately diagnose a patient, please contact us.
VisualDx is an award-winning diagnostic clinical decision support system that has become the standard electronic resource at more than half of U.S. medical schools and more than 1,500 hospitals and institutions nationwide. VisualDx combines clinical search with the world's best medical image library, plus medical knowledge from experts to help with diagnosis, treatment, self-education, and patient communication. Expanding to provide diagnostic decision support across General Medicine, the new VisualDx brings increased speed and accuracy to the art of diagnosis. Learn more at www.visualdx.com.