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.

            A 55-year old man presented with a painful keratotic papule on the helix of the ear of 6 months duration. It has been excised under local anesthetic. Histologically was consistent with Chondrodermatitis nodularis helicis.

          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.