Chief Complaint: Severe Rash
Western Diagnosis: Poison Wood Rash
Medical History: 57 year old male in good heath with moderately good diet, Plays basketball three times a week for exercise. Past history of fungal type rashes and respiratory infections.
Questioning exam: Patient was hiking on vacation in the Bahamas and brushed against a poison wood tree coming in contact with a black sappy substance. Unaware of what it was, patient tried to remove the sap from his arm. This sap then got under his finger nails and was unknowingly spread to other parts of the body. This sap later caused a severe red, raised rash that oozed and crusted over with bright red margins. Since patient was long distance and had few resources, he was advised to use tea bags on lesions, drink mint tea, and eat cooling foods until return home for treatment.
Chief Complaint: red itchy skin
Western Diagnosis: psoriasis
Medical History: 38 year old male with psoriasis for 10 years. He believes it was caused by photo-processing chemicals. He has been treated with steroid-family injections but relief is temporary. He also uses creams, Ultravate and Duvanex to control itching. His pulse is slow and he exercises regularly.
Questioning exam: He states the psoriasis lesions worsen in winter, with stress, and possibly with spicy food.