A 65-year old man presented with two rounded red plaques with well-demarcated, thread-like pigmented borders about 2 cm diameter involving the chest and back. Both lesions cured with twice daily applications of Efudix (5 FU) ointment for 8 weeks.
* The interesting and peculiar aspect in this case is the occurrence of two BCCs simultaneously and on covered part of the body (trunk) in a patient with no risk factor except his age.
A young adult female developed blistering erythematous zoster-like rash on the lower part of the face and neck 24 hours after spraying a newly-used perfume on the affected sites.
A middle-aged woman diagnosed with actinic cheilitis and for which 5-FU cream had been prescribed. One week later she presented with severe oozy and crusted dermatitis reaction involving the lips and surrounding perioral region. The 5-FU ointment had been stopped and topical steroid was advised.
A 62-year-old woman presented with a diffuse non-scarring alopecia involved the frontal and parietal regions of the scalp of more than one year duration. Hairs were cut at different levels from the scalp surface in the involved area. The patient denied any habit of hair pulling under normal or stressful circumstances.
A 45-year old woman presented many hours after using a deodorant with a faintly-red patch associated with burning sensation. Few days later (at presentation) a slightly hyperpigmented scaly patch was seen.
A 30-year-old male presented with an extra digit emerging from the radial side of the thumb which has been noted since birth. The extra finger has normally-looking nail unit.
A very interesting and strange case of red scaly oval plaques with central hypopigmentation involving the trunk specially the abdomen in a 2-month old infant of three weeks duration. Few other lesions were clasical psoriatic plaques on the forearms and thighs. On mometasone ointment once daily the rash has almost cleared within 2-3 weeks (see the second photo).
The relation of acrodermatitis continua suppurative(Hallopeau) to psoriasis is controversial. However, some consider it as a localized form of psoriasis characterized by pustules limited to one or a few fingertips including the nail bed. Nail loss is not uncommon. Herein we present a typical case of acrodermatitis continua of Hallopeau characterized by chronic inflammation and pustulation confined to one finger (thumb) with nail loss of more than three years duration.
