A 5-year-old boy presented with pruritic red scaly patches on the side of the trunk of three months duration. The lesions had more active scaly borders. KOH examintion of the scales was positive for fungi. No history of contact with animals and no similar family history.
A solitary, circinate, red scaly plaque studded with pustules having well-defined border of one month duration. Excellent response to twice daily applications of combined topical Clotrimazole and Fusidic acid creams for 4 weeks.
About three weeks after sexual intercourse with a prostitute the lesion began as a single, painless papule that rapidly became eroded and then transformed into an indurated cartilage-like rounded ulcer on the scrotum. Both VDRL and TPHA were positive. The patient was treated with 2.4 million units benzathine penicillin intramuscularly repeated after one week with excellent response.
A 23-year-old medical student presented with painless indurated ulcer having slopping border of three months duration. Two small red papules are also seen in the neighborhood of the mother lesion. Three sessions of sodium stibogluconate intralesionally have eradicated the lesions.
A 50-year-old man presented with an asymptomatic, rounded ulcer with hard cartilage-like sensation on palpation on the shaft of the penis just below the coronal sulcus of few weeks duration. STS (VDRL & TPHA) were positive. Two i.m. injections of benzathine penicillin 2.4 mega units one week apart resulted in cure.
A 28-year-old woman with poorly controlled DM developed thick, whitish, crud-like plaques on the dorsal surface of the tongue (Thrush) and oral commissures (Perleche or Angular cheilitis) of many weeks duration following a prolonged course of antibiotics for severe UTI.
A 45-year-old woman presented with pruritic papulopustules on a background of erythema involved the inter- and infra-mammary region of two weeks duration. Dramatic response to a 10-day-course of topical nystatin combined with weak cortisone (Hydrocortisone) in a cream base was obtained.
