All posts by Ahmed

Medical Student

Erythema ab igne

History

          A 26-year-old female presented with an asymptomatic but cosmetically disfiguring reticulate dusky erythema with slight hyperpigmentation involved the dorsum of the hands. The patient had a habit of sitting close to a stove (heater) in winter months.

Darier’s disease with warts

Darier's disease with warts2

History

           A 35-year-old woman who is a known case of Darier’s disease since early childhood presented with multiple asymptomatic verrucae on the trunk and hands of more than one year duration.
N.B. Some lesions of the widely spread common warts are highlighted by red rectangle in the second photo.

Trichorrhexis nodosa

Trichorrhexis nodosa.

History

         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.

Recurrent BCC

History

       A 77-year-old woman three years after surgical removal of ulcerative BCC noticed the appearance of new lesion at the periphery of the scar scar of previous operation. On examination, a superficial ulcer with thread-like beaded border was seen. Excisional biopsy with a suitable safe margin was done. Biopsy confirmed a completely excised ulcerative BCC.

Basal cell carcinoma

History

          A 75-year-old man presented with an asymptomatic, oval, slightly crusted red patch with thread-like border on the side of the nose of one year duration. Excisional biopsy with safe margin has removed the tumor totally.

Favre-Racouchot syndrome

History

         A 83-year-old man presented with thickening and wrinkling of the facial skin and numerous black-head comedones on the nose and less on the lateral sides of the face. The nose was studded with yellowish follicular papules and cysts in addition to the comedones.