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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.
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.
Enlarging blister on foot with no known trauma
A 72-year-old woman presents with a four-day history of an enlarging blister on her foot. She does not recall trauma to the area. The patient has a history of poorly controlled congestive heart failure.
Enlarging blister on foot with no known trauma
Patient has history of poorly controlled congestive heart failure.
Improve image of dermatology
I would propose a temporary partial moratorium on splashy infomercials and interviews with magazines, whose readers are more interested in beauty than in improved function of the skin. ... I am only asking that we calm down the rhetoric about the cosmetic portion of our practices and emphasize other aspects instead.
Sclerotic hands with fissuring and thickening of palms
A 72-year-old taxi cab driver from Nogales, Mexico presented with a 10-year history of a slowly progressive problem involving his hands. Over time, he was less able to hold onto the steering wheel of his taxi, so he would turn the wheel with the palms of his hands.
Sclerotic hands with fissuring and thickening of palms
72-year-old man wih marked sclerotic changes with contractures along with erythema, scaling, and minimal fissuring of the palm
Destroyed toenail with ill-defined crusted plaque
A 72-year-old man presents with a four-month history of a sore on his right great toe. It is intermittently painful, particularly when he is in bed at night. The patient has a history of diabetes mellitus, coronary artery disease, and mild hypertension.
Destroyed toenail with ill-defined crusted plaque
Patient has history of diabetes mellitus, coronary artery disease, and mild hypertension
Erythema, edema, and fissuring around mouth
A 61-year-old man has a 3-month history of a persistent irritation at the corners of his mouth. He has type 2 diabetes mellitus and is being treated with insulin. Otherwise, he is in good health.
Separation of nail plate from nail bed
64-year-old woman has had a several-year history of asymptomatic nail plate disfigurement. She does not recall trauma to the area. The woman has had no history of other skin conditions, including psoriasis. A three-month trial of oral terbinafine did not improve the condition.

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