Hypopigmented pityriasis versicolor is commonly encountered during daily dermatologic practice especially in dark-complexioned individuals during summer time. The neck, chest and upper back are the commonest sites involved. The major concern of most patients is the cosmetic appearance and for some people fear of vitiligo. The current patient is a 21-year-old male presented with relatively large hypopigmented patches on the nape of the neck. On wood’s lamp examination, these patches showed golden yellow fluorescence.
All posts by Nameer Al-Sudany
Mucocele
A 19-year-old male presented with a painless, translucent, cystic swelling about 1 cm in diameter involved the ventral surface of the tongue of 6 months duration. It has been excised under LA but recurs after 6 months. Re-excision was successful with no recurrence one year after second operation.
Impetiginized discoid eczema
A 50-year-old woman presented with nummular, oozy and crusted red plaque associated with itching and mild tenderness. Another small disc-like plaque was seen near the ankle area of same limb. Oral cephalexin 250 mg four times daily plus combined steroid-antibiotic cream (Betamethasone plus Fusidic acid) twice daily for two weeks yielded excellent response.
Psoriasis
A 6-years-old girl presented with a well-demarcated salmon pink psoriatic plaque covered with characteristic silvery scales on one of the predilection sites of psoriasis (auricle).
Mycosis fungoides
This 38-year-old lady presented with more than one year history of non itchy unilateral erythematous scaly indurated plaques on the lower limbs. There were no organomegaly or lymphadenopathy. Skin biopsy showed typical histologic features of mycosis fungoides.
Granuloma gravidarum
Pyogenic granuloma is an exuberant overgrowth of granulation tissue, frequently occurring in the oral cavity, most often involving the gingiva. It may also occur on the buccal mucosa, lip, tongue, or palate. It is a red to reddish-purple, soft, nodular mass that bleeds easily and grows rapidly, but is usually not painful. When it develops during pregnancy it is called pregnancy tumor or granuloma gravidarum. This 35-year-old pregnant woman presented with a large nodular vascular mass involved the floor of the mouth and lower gingiva of three months duration with the onset was at 12 weeks of gestation.
Hypopigmented pityriasis versicolor
Asymptomatic, scaly hypopigmented patches involved the forarm. KOH smear of scales showed huphae and spores. Treatment with clotrimazole cream twice daily for 4 weeks has vanished the rash.
Leukonychia
Leukonychia striata is one variant of leukonychia, it may be of hereditary, traumatic or systemic origin. This 17-year-old female presented with multiple transverse white bands affecting the finger nails of many years duration. She had no similar family history and was not associated with any systemic disease.