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Norman Levine, M.D.
Norman Levine, M.D., is a private practitioner in Tucson, Ariz. He also is a member of the Dermatology Times Editorial Advisory board and a co-medical editor.
Yellowish-white papules on forehead
Asymptomatic condition has worsened over several years
Yellowish-white papules on forehead
A 67-year-old man presents with a several-year history of a slowly increasing number of asymptomatic lesions on the forehead. Aside from being a cosmetic embarrassment, he is not physically bothered by these growths.
Persistent, scaly facial erythema with erosions
A 63-year-old woman has a six-month history of a persistent rash on the face and scalp. She has tried shampooing her scalp and using hydrocortisone cream on her face without success.
Patient reports six-month history of minimally pruritic purple dots on legs
A 63-year-old woman presents with a six-month history of small, minimally pruritic purple dots, which gradually spread over the legs.
Facial erythema with scale involving nose, lip folds
A 63-year-old man has a six-month history of a persistent rash on his face and in his scalp. He shampoos daily without relief. The patient has a history of diabetes mellitus and Parkinson's disease. On examination, there is central facial erythema with scale, prominently involving the nasolabial folds (figure).
Facial erythema with scale involving nose, lip folds
A 63-year-old man has a six-month history of a persistent rash on his face and in his scalp. He shampoos daily without relief. The patient has a history of diabetes mellitus and Parkinson's disease. On examination, there is central facial erythema with scale, prominently involving the nasolabial folds.
Medical practice from both sides now
My professional life has changed radically over the past several months. I have left academic medicine and have started a private practice. Living in the professional cocoon of the university, I had absolutely no idea of the complexities, pressures, anxieties and great joy associated with this enterprise. I never dreamed that I would be paying a practice management consultant, a phone installation consultant, an employee health insurance agent, a computer consultant, an office security consultant, a janitorial consultant and the credit card processing company sales associate to provide advice.
Flat, asymmetrical pigmented patch on back
A 70-year-old man presents with an irregularly pigmented lesion on his back, which was discovered a few weeks prior, on routine examination by his physician. The asymptomatic lesion has never bled. The patient has had significant sun exposure to his back in his lifetime.
Flat, asymmetrical pigmented patch on back
Patient reports substantial sun exposure.
Itchy shoulder with discoloration, pebbly appearance
A 67-year-old woman has a two-year history of a persistently pruritic area over the right shoulder. The only relief she gets is by vigorous scratching with a back scratcher. There are no other itchy sites on her skin.

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