Dirk M. Elston, MD

Article

What’s Eating You? Human Body Lice (Pediculus humanus corporis)

Author:: Dirk M. Elston, MD

Publish date: March 5, 2020

Compared to head and pubic lice, body lice carry increased morbidity in the form of greater body surface area involvement, possible infectious dise...

Article

What’s Eating You? Vespids Revisited

Author:: Dirk M. Elston, MD

Publish date: January 7, 2020

Three types of reactions can be seen after a vespid sting: uncomplicated local reactions, large local reactions, and systemic reactions. Although m...

Article

What’s Eating You? Blister Beetles Revisited

Author:: Dirk M. Elston, MD

Publish date: December 6, 2019

Blister beetles can cause a blistering dermatitis in humans by emitting the substance cantharidin, which has been pharmologically used as a vesican...

Article

Solitary Papule on the Nose

Author:: Dirk M. Elston, MD

Publish date: November 8, 2019

A 25-year-old man presented with a flesh-colored papule on the left side of the nose of 2 years' duration.

Article

Systemic Epstein-Barr Virus–Positive T-cell Lymphoma of Childhood

Author:: Dirk M. Elston, MD

Publish date: November 5, 2019

Systemic Epstein-Barr virus–positive T-cell lymphoma of childhood is a fulminant illness with a predilection for Asians and indigenous populations ...

Article

What’s Eating You? The South African Fattail Scorpion Revisited

Author:: Dirk M. Elston, MD

Publish date: October 3, 2019

Worldwide, there are more than 3250 deaths a year related to scorpion stings. With the increasing popularity of exotic and dangerous pets, American...

Article

Solitary Papule on the Leg

Author:: Dirk M. Elston, MD

Publish date: September 11, 2019

A 28-year-old man presented with a growing asymptomatic papule on the right leg.

Article

What’s Eating You? Cat Flea (Ctenocephalides felis) Revisited

Author:: Dirk M. Elston, MD

Publish date: September 4, 2019

Article

Acute-Onset Alopecia

Author:: Dirk M. Elston, MD

Publish date: April 30, 2019

A previously healthy 45-year-old man presented to the dermatology department with abrupt onset of patchy, progressively worsening alopecia of the s...

Article

Acquired Hypertrichosis of the Periorbital Area and Malar Cheek

Author:: Dirk M. Elston, MD

Publish date: April 22, 2019

An otherwise healthy woman in her late 50s with Fitzpatrick skin type II presented to the dermatology department for a scheduled cosmetic botulinum...

Article

What’s Eating You? Millipede Burns

Author:: Dirk M. Elston, MD

Publish date: April 3, 2019

Millipede burns cause localized pigmentary changes that may be associated with pain or burning. Because these burns may resemble child abuse in ped...

Article

Indurated Plaque on the Shoulder

Author:: Dirk M. Elston, MD

Publish date: March 6, 2019

A 66-year-old man with mycosis fungoides presented with a new indurated plaque on the left shoulder. Biopsies of the left shoulder and back lesions...

Article

Aquatic Antagonists: Stingray Injury Update

Author:: Dirk M. Elston, MD

Publish date: March 4, 2019

Stingrays cause more sting-related injuries than any other fish. In addition to proper treatment to minimize complications, patient education about...