A 5-year-old girl presented with multiple, large-sized, pinkish wheals involving most of the body areas especially the face, arms and hands of 48 hours duration. The eruption associated with severe itching. The mother noted that some lesions appearing while others disappearing within a matter of few hours during the two days of rash persistence. There was negative drug history but one hour prior to the onset she drank banana-flavored milk. There were no fever or other associated systemic symptoms.
All posts by Nameer Al-Sudany
Perniosis
Unilateral painful purplish plaques involved only two fingers of 5 days duration. O/E the involved parts were cold and the patient complained severe itching on exposure to heat. Pentoxyphyllin 400 mg twice daily for 10 days gave very good improvement.
Papular urticaria
An 18-month old male baby presented with bilateral symmetrical rounded urticated plaques on both calves of 5 days duration. Characteristic central puncta are well seen.
Congenital melanocytic nevus
A 13-year-old boy suffered a cosmetically-bothering congenital melanocytic nevus about 6×4 centmeters in maximum diameters involved the lower part of the forehead and merging with the eyebrow.
Plaque psoriasis
A 36-year-old man presented with asymptomatic, well-demarcated, bilateral symmetrical, red plaques covered with white silvery scales involved a classical site (elbows’ extensors) of two years duration.
Halo nevus
An asymptomatic, solitary, depigmented oval patch about 5 x 2.5 centimeters in diameters involves the upper part of the chest of 6 months duration. As the usual history, there was a central small pigmented compound melanocytic nevus. Few linear depigmented lesions were also seen due to koebnerization.
Basal cell carcinoma
A 62-year-old man presents with pigmented-ulcerative lesion in the right infraorbital region of 18-months duration. It has been excized with an about 0.5 cm safe margin and primarily closed. Biopsy revealed as expected BCC.
Plaque psoriasis
A 52-year-old woman presented with a well-demarcated, severely pruritic, red scaly plaques with exaggerated skin lines involved the extensor surface of the extremities especially the knees of 5 years duration.