{"text":"THE ALAN LYELL CENTRE FOR DERMATO LOGY \nStobhill Hospital \n133 Balornock Road \nGlasgow G21 3UW \nSecretaries: 0141201.3141 \nOutpatient Appointments: 0141201 34593378 \nFax: 0141201 3144 \nManagement Office - QueensParkHouse, Victoria Infimary, \n- R 0141 201 5807, Fax: 0141 201 5825 \nSouth - Prafessor Colin Munro, Dr David Bilsland, Dr Angela Drunmond, Dr Felicity Campbell \nWest - Dr Robert Herd, Dr David Tillman, Dr David Burden, Dx Paula Beattie, Dr Joy ce Leman \nNorth Eag - Dr Susan Holmes, Dr Colin Clark, Dr Catherine Jury \n. - Dr Lisa Naysmith, Dr Heather Graham \ni . CLINIC: 18\/11\/2008 \n- \u2018 DICT: 18\/11\/2008 \n' TYPED: 21\/11\/2008 \nHG\/AMD \n. DR. GRAHAM-TUESDAY MORNING' \n' ' GENERAL DERMATOLOGY CLINIC \nDICTATED AND TYPED IN THE ABSENCE OF CASE NOTES \nDr Marjory Stephens \nKilsyth Health Centre \nBurngreen Park, Kilsyth, Stlrlmgshlre \nG65 OHU \nDear Dr Stephens \nAgnes Clelland - 08\/09\/1955 - CHI: 0809555328 - CRN: 10338654X \n39 Rennie Road, Kilsyth, Glasgow, G65 IPQ \nDiagnosis: ' Reactive dermatosis \nManage ment: \" Ellipse biopsy for histology and IF \nFollow-up: Six weeks \n1 rev1ewed Mrs Clelland who had an open appointment. Approxxmately three weeks ago she had \nurinary infection which was treated by antibiotics of which she is uncertain of the name. Ten \ndays after the start of the UTI, an eruption appeared on the extensor aspect of her elbows, \nforearms and upper arms. It has now been present for ten days. ' \nOn examination it is slightly urticated with some annular lesions, although not exa'ctly targetoid. \nOral mucosa, vulval mucosa are intact. There is slight periorbital irritation but the cornea are \nintact. This is again exactly the same eruption as has previously been identified and I think we \nare dealing with a reactive dermatosis. Whether this is an urticarial vasculitis or perhaps an \n-atypical erythema multiforme is difficult to decide and I have takena further biopsy today \nalthough I am really uncertain whether it will decipher between the two. I have given her \nDermovate cream to be applied twice per day and I plan to review the histology with \nDr Blessing and also the two previous biopsy specimens. I will see Mrs Clelland back in six \nweeks. \nYours sincerely \nHEATHER GRAHAM \nAssociate 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