An asymptomatic, pinkish papules with central umbilication invoved the scrotum of a 12-month year infant of one month duration. All lesions were successfully treated with 10% KOH solution applied once daily within 3-4 weeks.
An 8-year-old boy presented with multiple scaly patches with hair loss on the scalp of two months duration. O/E; the hairs in the involved areas were lusterless and easily and painlessly pulled-out of their follicles. It was diagnosed as gray-patch tinea capitis on clinical background and was given oral griseofulvin 20 mg per day in 2 divided doses taken with fatty meals. One month later, a dramatic response was seen and the patient was advised to continue his treatment for further 2 weeks.
A 24-year-old man suffered a painful vesicular rash involving the left side of the chest of 5 days duration. One day before, the rash was preceded by severe left- sided chest pain with burning sensation. On examination, a classical zosteriform vesicular rash on erythematous background involving T3-T4 dermatomes was seen.
A 6-month-old female infant presented with red glazed rash involved the groin area including the inguinal flexures. It started as as napkin irritant contact dermatitis with superimposed candidiasis of one month duration. The rash is well-demarcated erythemtous with peripheral scales and many characteristic satellite papules and pustules. KOH smear yielded short wide hyphae and budding candidal cells Nustatin cream plus Hydrocortisone 2.5% cream applied twice daily for 2 weeks have cured the rash.
A 36-year-old house-wife woman presented with an asymptomatic, cosmetically-disfiguring nail discoloration involved all fingernails of many years duration. On examination: yellowish greenish nails’ discoloration particularely at the lateral borders and the base of the nail plates, paronychia and longtudinal split of the middle fingernail of the right hand. Nail clippings with KOH mounting showed fungal hyphae and spores and short budded hyphae and culture on Sabouraud’s agar yielded growth of both Candida albicans and Trichophyton rubrum. A prolonged course of oral Terbinafine (Lamisil) 250 mg single oral daily dose for 4 months gave good result.
A-26 year-old male presented with widely distributed hyperpigmented patches covered with fine scales involved the trunk and proximal parts of the upper extremities of many years duration. Wood’s lamp showed yellow fluorescence over the affected sites.
A 14-year-old boy presented with fever, malaise, and myalgia followed one day later by sudden eruption of generalized rash involving mainly the face and trunk. O/E, polymorphous rash with many vesicular lesions on red base assuming an appearance of “dew drops on rose petals) the characteristic of chicken pox. Varicella occurring in late childhood or adulthood may present with more severe prodromal symptoms and rash.