All posts by Nameer Al-Sudany

Professor & Consultant dermatologist

Pyogenic granuloma

A middle-aged woman presented with a bright red, dome-shaped nodule with an easy bleeding tendency surrounded at its base by an epidermal collarette on the palm of one month duration. No history of previous trauma was found. Electrocautery under local anesthesia has abolished the lesion.

Annular lichen planus

A 30-year-old man presented with a few pruritic annular plaques with elevated violaceous borders and depressed hyperpigmented centers of many months duration on the dorsa of the hands. Skin biopsy was consistent with lichen planus.

Tinea faciei

A 47-year-old woman presented with an itchy, erythematous, scaly plaque with an active border involved most of the lower half of the face of one year duration. The patient had used many topical corticosteroid preparations prescribed by GPs. Of these preparations, clobetasol propionate and betamethasone valerate in cream and ointment bases had been applied for long periods. Each time she noticed partially and transiently improvement on these agents but shortly later deteriorates with extension of the rash. A cure was obtained on oral Griseofulvin 500 mg twice daily for one month.

Infantile atopic eczema

A 4-month male infant presented with red scaly rash with excoriations involved the lateral parts of both cheeks and forehead. This pruritic rash has started since age of 2 months. Family history of atopy was strongly psitive.

Pyogenic granuloma

A 32-year-old woman presented with a dome-shaped with a tendency for easy bleeding pinkish nodule  aroused from the pulp of the middle finger after history of trauma by a splinter two days prior to the onset of the lesion appearance. On examination, a fleshy non-tender nodule about 1.5 cm diameter surrounded by a white macerated epidermal collorate giving a castle and moat appearance emerging from the palmar aspect of the distal phalanx of the middle finger was seen.

 

Localized scarring alopecia

This 25-year-old female developed severe irritant contact dermatitis (burn-like picture) within few minutes of leaving a hair saloon after using high concentration of hydrogen peroxide to be complicated by severe bacterial infection and ended with scarring alopecia !!!