All posts by Ahmed

Medical Student

Unilateral pustular psoriasis

History

          A middle-aged woman presented with strikingly unilateral asymptomatic, grouped pustules, scaliness and brownish hyperpigmentation confined to the middle portion of one sole. Her condition was characterized by exacerbations and remissions of more than one year duration. It is differentiated from pustular bacterid  by being asymptomatic, unilateral, normal WBC count and there was no focus of remote infection.

Plaque psoriasis of the palms

History

         A 46-year-old man presented with asymptomatic, well-demarcated, erythematous, scaly plaques confined to both palms of more than three years with frequent exacerbations and remissions. No other body areas were involved.

Erythrasma

History

         A 40-year-old man presented with asymptomatic, well-demarcated, red-brownish patches involved both axillae and both crural areas of many months duration. A characteristic coral red flourescence under wood’s lamp was seen.

Severe herpes zoster

History

       A 67-year-old man having many medical problems (HT, DM, Heart failure and chronic renal impairment) presented with vesicular rash on erythematous base involving T9 &T10 dermatomes associated with severe pain and burning sensation of five days duration. Some blisters were hemorrhagic and few others had target-like appearance.

Impetigo contagiosum

History

          A 4-year-old boy presented with asymptomatic, red crusted patches involved the periorbital region of three days duration. An oral cephalosprine suspension (Cefodox) plus fusidic acid ointment for one week gave excelllent result.

Herpetic whitlow

History

          A middle-aged lady suffered sudden excrutiating pain on two finger pulps (thumb and index finger) associated with discrete pustules of three days duration. One week later, the lesions have disappeared on treatment of oral acyclvir and topical fusidic acid cream.

Plexiform neurofibroma

History

          A 20-year-old female presented with a large nodular plexiform neurofibroma involved the arm in addition to tother manifestations of neurofibromatosis-1. Another giant plexiform neurofibroma had been surgically removed at age of 12 years (evidenced by long wide scar).