Campbell L. Stewart

Eosinophilic Fasciitis (Shulman Disease, Diffuse Fasciitis with Eosinophilia) Are You Confident of the Diagnosis? What you should be alert for in the history Patients with eosinophilic fasciitis (EF) typically give a history of progressive, symmetric skin thickening of the extremities. Some patients complain of rapidly progressive muscle weakness, with associated pain and stiffness of the…

Are You Confident of the Diagnosis? Blue nevi (BN) are benign melanocytic neoplasms that can be congenital or acquired. On physical examination, they have a characteristic blue-gray color rather than the brown color commonly seen in benign nevi. This blue-gray color is attributed to the deep dermal location of melanin in this entity. Because the…

Nevus Spilus [Speckled Lentiginous Nevus, Naevus Sur Naevus] Are You Confident of the Diagnosis? Characteristic findings on physical examination A nevus spilus (NS) or speckled lentiginous nevus (SLN) typically presents before the age of 2 as a light brown macule or patch containing smaller, more darkly pigmented macules or papules within the borders (Figure 1).…