Man with facial rash

44 y, white gentleman, with PMH of Hep C comes to the office with a facial rash for several years. He is a new patient to the practice and mentions that his previous primary care provider diagnosed him with “lupus”. He was started on Plaquenil, which he voluntarily discontinued to adverse GI symptoms. He smokes about 1- 2 ppd x 30 years and drinks at least 12 beers everyday. He acknowledges using illicit drugs in the 1970’s. On examination, his vital signs are stable. Face shows erythema and yellow-orange scaling of the forehead, cheeks, nasolabial folds and chin.

What is the most likely diagnosis?

1. SLE
2. Seborrheic dermatitis- ANSWER
3. Seborrheic keratosis
4. Mild psoriasis vulgaris
5. Acne Rosacea

Pamidronate and tooth ache

A 57 years old White male is seen in the office with complaints of left sided tooth ache following a recent dental procedure.He has 6 Yrs history of Multiple Myeloma for which he is on Thalidomide maintainance therapy and IV pamidronate infusion every 4 months for the last 3 yrs. Vitals are stable except for a Temp 100 F. His oral cavity examination is shown