All posts by Ahmed

Medical Student

Systemic lupus erythematosus

History

          A 12-year-old girl presented with fever, arthralgia and butterfly erythematous rash affected the face of two months duration. Her ESR was 60 mm/hr and the ANF and Anti-dsDNA antibody were positive.

Pityriasis versicolor

History

         A 35-year-old woman presented with an asymptomatic, circinate red patches with fine scales involved the trunk of many months duration. Three 150 mg capsules of Sporanox (Fluconazole) one week apart had cleared the rash.

Tinea barbae

History

         A 25-year-old man presented with pruritic, erythematous plaque studded with pustules in the beard of three months duration. KOH mount preparation showed fungal hyphae and spores and the condition responded very well to systemic griseofulvin therapy.

Mycosis fungoides

History

          A 43-year-old woman presented with a solitary, asymptomatic, brownish red, indurated plaque with multinodular surface and irregular well-demarcated outline on the thigh of one year duration. Skin biopsy was consistent with MF plaque stage.

Vitiligo

History

           A 23-year-old male  suffered large patches of depigmentation affecting the neck, upper back and the chest of three years duration. The whitish patches are sharply demarcated with some residual brownish areas within.

Acneiform eruption

History

           A 26-year-old female presented with an asymptomatic but cosmetically-bothering monomorphous papulopustular rash involved mainly the upper trunk and shoulders of one month duration. The patient gave history of previous oral corticosteroid intake for respiratoy allergy.

Tinea incognito

Tinea incognito2

History

          A 4-year-old woman  had been treated wrongly with potent topical corticosteroid after being diagnosed as foot eczema. Later she presented with red scaly pruritic plaques on the dorsum of the foot (Psoriasiform or eczematous-like rash). KOH mount preparation of lesional scales yielded positive results of tinea infection (hyphae and spores). She responded well to systemic antifungal therapy.