All posts by Ahmed

Medical Student

Pityriasis rosea

History

          A 32-year-old female presented with slightly itchy, pinkish-red, scaly plaques and patches involved the trunk and proximal parts of the extremities of two weeks duration. The scales are confined to the peripheral rim of the plaques. Note herald patch on the lower part of the right upper arm.

Lupus vulgaris

History

         An 8-year-old girl presented with a  slowly growing unilateral well-demarcated reddish-brown scaly indurated plaque involved one cheek and the nose of more than one year duration. Tuberculin test was positive and skin biopsy revealed a tuberculoid granuloma.

Tinea faciei

History

          A 21-year-old female presented with a unilateral, well-demarcated, itchy, red scaly plaque with an active more scaly and slightly elevated border involved most of the left side of the face of four months duration. Based on a wrong diagnosis topical corticosteroids had been prescribed and used by the patient for more than two months. KOH examination at time of presentation yielded fungal hyphae and spores. The condition was cured with oral griseofulvin therapy for six weeks.

Stevens Johnson syndrome

History

          A 60-year-old woman presented with severe drug-induced reaction on both lower limbs with few lesions elsewhere in addition to mucosal involvement of the mouth of two days duration. The insulting drug was sulfonamide and the onset of the rash was within 48 hours of taking the drug. The rash comprised of bilateral symmetrical bullae on a background of erythematous macules and patches in addition to erosions and peeling.