A 17-year-old wrestler presented with an oval red patch with a scaly erythematous margin and clear hypopigmented center. The patient described a relatively slow peripheral extension of the lesion over a period of three months. The patient gave history of contact during training matches with another wrestler who has had similar lesions on the face. Scraping of scales examined after KOH preparation revealed fungal hyphae and spores.
A 12-year-old boy presented with asymptomatic, thick-roofed blister-like lesions involved one side of the trunk in dermatomal distribution since first year of life. Some of the lesions were bloody and others filled with clear fluid. The scar in the upper portion was due to bad surgical treatment at age of 6 years.
A 2-year-old male infant presented with pruritic, urticated papules involved the face, extremities and the trunk of one week duration with crops of new lesions are appearing whereas some old ones have disappeared.
A 62-year-old man presented with chronic onychomycosis. On examination, mild paronychia, loss of cuticle of some nails, dirt-like yellowish-green nail pigmentation, subungual debris and dystrophy of some nails were seen. The condition started one year ago and involved both fingers’ and toes’ nails. The patient had no history of previous drug intake, diabetes mellitus or other causes of immunosuppression. Nail clipping yielded positive result for fungi.
An 8-month- old female infant presented with a unilateral, asymptomatic, large (an egg-size) purplish-red compressible nodule involved the right side of the chest since birth. A dermatologist has prescribed her oral Propranolol 1 mg per day for 4 months with no regression.
A 40-year-old multiparous woman (G5 P5 A0) presented with widespread striae involved the entire abdomen. The rash consisted of multiple longitudinal linear hypopigmented atrophic lines and bands.
This unfortunate young female suffered multiple, asymptomatic, flesh-colored, translucent, firm papules involving the center of the face especially the melolabial folds. These lesions first appeared at early childhood and continued to increase in number with time. One of her brothers also has had similar lesions. Skin biopsy showed trichoepithelioma.
A 22-year-old female presented with grouped closely-arranged slightly elevated papules with central black keratinous plugs involved one side the trunk near the shoulder area. At one side of the nevus inflammatory cyst surrounded by a small area of cellulitis is seen. The nevus had been noticed since early childhood.
