An 84-year-old man presented with small erythematous, necrotic papules on the knees (Fig 1) and the dorsal side of hands, associated with 2 plantar ulcers and paraesthesias. Pancytopenia and a peak of kappa IgM monoclonal immunoglobulin (28.3 g/L), with free kappa light chains, were noted. A Bence-Jones kappa-like proteinuria was present. Bone marrow aspirate analysis revealed a B-cell…

Atopic dermatitis (AD) is a chronic, relapsing, inflammatory skin disorder with a heterogeneous clinical presentation and the cardinal symptom of itch, that results in significant patient burden and a significant decrease in patient’s quality of life.1 The pathogenesis of AD is multifactorial and results from an immune response skewed toward the Th2 axis, displaying upregulation of key cytokines,…

Acute inflammatory edema (AIE) is a non-infectious pseudocellulitis that was initially described by Marchione et al1 in a case series of 15 patients in 2019. AIE typically presents as bilateral blanchable, erythematous, and edematous plaques in predisposed patients. AIE tends to be localized to the thighs, lower abdomen, and flanks in a dependent, pressure-sparing distribution.2 Given the paucity…

Digitate keratoses (DK) are a heterogenous group of inherited or acquired disorders of keratinization.1,2 These rare entities are characterized by digitate spiked keratotic papules that can be both follicular and non-follicular in origin.1-3 DK have multiple clinical presentations, resulting in confusion and debate in the literature. Caccetta et al3 suggested a classification and diagnosis…

Capnocytophaga canimorsus is a Gram-negative, fastidious bacillus found in the oral flora of dogs and, less commonly, cats. The first reported case of C. canimorsus infection was published in 1976, and there have been nearly 500 more since.1 Many patients have cutaneous manifestations, most commonly petechiae, purpura, gangrene, and cellulitis.2 We describe a rare case of C. canimorsus bacteremia…