A 5-year old girl presented with sparse, short and easily-broken scalp hairs. The mother noticed the hair defect since early months of life. The skin, nails, teeth and mentality were normal. There was no family history of similar hair problem. Many hairs were plucked, mounted on a microscopic slide and carefully examined under the light microscope. Hair shaft fractures were seen with the hair ends at the fracture line look like two brooms stuck together.
A 16-year-old male patient has had an asymptomatic solitary rounded spongy compressible vascular nodule in the forehead close to frontal hair line since birth. The nodule has deep purplish hue. Based on clinical background, the lesion was diagnosed as a case of cavernous hemangioma which is a misnomer as it is not a neoplasm but rather a congenital venous malformation.
The mother of the this 5-year-old girl has noticed that many irregular smooth map-like patches of depapillated areas on the dorsum of the tongue of her daughter of about two years duration. She also stated that these patches were rapidly changing their shapes, sites and sizes. The girl had no history of psoriasis or any other related disease.
A 17-year-old girl presented with brownish dirty warty papules of wide distribution on the axillae, trunk and neck of many years duration. Skin biopsy was consistent with Darier’s disease. Family history of similar condition was negative.
A case of Darier’s disease diagnosed since 15 years ago. On examination a characteristic nail dystrophy was found in form of longitudinal white lines and longitudinal ridges of the nail plate run over the lunula to the free margin of the nail and end with triangular nicks in addition to subungual debris.
A less than 2 years old infant presented with congenital large asymptomatic compressible vascular swelling composed of strawberry-colored superficial part and deeper bluish spongy part involved the upper part of the left cheek.
A 3-month-old infant has had unilateral right-sided port-wine stain associated with cleft lip since birth. There were no associated neurological or systemic defects. The mother complained of two bouts of spontaneous bleeding from the undersurface of the lip at the site of the vascular malformation which have been stopped with prolonged pressure on site of bleeding.
A 6-year-old boy presented with generalized xerotic scaly skin with cracked appearance involved most of the body parts since early infancy. His twin sister had similar condition.