A middle-aged woman presented with an asymptomatic off-white creamy coat covered the dorsal surface of the tongue of two weeks duration. Her history was negative except for recently taken oral metronidazole. On stoppage of suspected culprit (Flagyl) the crust had disappeared within 7-10 days. On rechallenging with metronidazole the coat has appeared again. Smear and culture from the coat was negative for candida.
A 20-year-old female presented with asymptomatic, depigmented patches variable in sizes and shapes involved the trunk of two years duration. Many foci of resumed pigmentation had been induced through treatment with topical psoralen plus sun (UVL) exposure.
A 3-year-old boy presented with mental retardation, short stature, alopecia, sparse hair (eyebrows), wide-set eyes, periorbital puffiness, wide broad nose, thick lower lip and dry cool and pale skin. Thyroid hormones levels were very low.
One day after hair dying a pruritic and burning swollen red rash appeared on the face specially around the eyes. The patient presented 2-3 weeks after the onset of the rash.
A 38-year-old woman presented with an asymptomatic, skin-colored, dome-shaped nodule with keratin-filled crater involved the lower lip of many months duration in a patient with xeroderma pigmentosum.
A 21-year-old female has an extra-thumb since birth. The supernumerary thumb is well formed and covered with well developed nail plate. She had no associated cardiovascular, musculoskeletal or neurological developmental defects.
A 13-year-old boy with xeroderma pigmentosum presented with photosensitivity, diffuse facial freckling, photophobia and multiple ulcerative Basal Cell Carcinomas. His parents are consanguineous and three of his brothers and sisters were also having XP.
An 11-year-old boy presented with asymptomatic, multiple, translucent, skin-colored to yellowish 1-3 mm in diameter papules on both cheeks and nose of many years duration. Family history of similar condition (juvenile colloid milium) was negative.
