All posts by Ahmed

Idiopathic Thrombocytopenic Purpura

Idiopathic Thrombocytopenic Purpura

Idiopathic Thrombocytopenic Purpura2

History

           A 4-year old girl presented with multiple ecchymotic lesions of varying sizes involving the forehead, arms and legs of two weeks duration. Her mother said that one week before the onset of the condition her daughter suffered a febrile disease lasted about 5 days. There was no history of bleeding from any part of the body and negative drug history before purpuric manifestations. Family history of bleeding tendency also was negative. On investigations the CBC was normal apart from reduced platelets count which was 60000/mm3. Bone marrow examination showed normal megakaryocytes no. and morphology.
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Dupuytren’s contracture

Dupuytren’s contracture

History

          A 68-year old man presented with idiopathic bilateral hard nodules involving the base of both ring fingers (usual site of Dupuytren’s contracture nodules) resulting in mild flexion deformity of both fourth fingers. On examination, hard cord-like flexor tendons within the palm extending from the bases of the ring fingers proximally to mid-palm.
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Venereal wart

Venereal wart

History

         A 29-year old sexually active male presented with asymptomatic, multiple brownish papules of few months duration. Many lesions have coalesced together produced a cauliflower like mass at the root of the penis.
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Dermatitis artefacta

Dermatitis artefacta

History

          A 38-year-old married woman presented with an irregular, clear-cut, longitudinal crusted ulcer about 12×2.5 cm with pinkish red border involved the flexor aspect of the upper part of the forearm of 1 month duration. The ulcer seems to be self-induced with a caustic material (chemical burn) but the patient denied any history of self-mutilatin. The ulcer appearance which didn’t fit any ulcerative dermatological entity and the rapid evolution in addition to non-specific histological findings on skin biopsy may permit the diagnosis of dermatitis artefacta.
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Syphilitic chancre

Syphilitic chancre

History

          A 22-year old male presented about three weeks post illegal sexual intercourse with a single, painless papule that rapidly became an indurated cartilage-like rounded ulcer on the scrotum. Both VDRL and TPHA were positive. The patient was treated with 2.4 million units benzathine penicillin intramuscularly  and another dose repeated after one week.
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Trichotillomania

Trichotillomania

History

          A 25-year-old female suffered bad social and psychological circumstances presented for non-scarring alopecia localised mainly to the crown area of the scalp. On examination, the hairs were broken at different levels from the surface of the scalp.
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