Category Archives: Skin Infections

Other dermatoses

Lepromatous leprosy

Lepromatous leprosy2

History

           A 70-year-old man presented with advanced lepromatous leprosy of more than a decade duration. The main features shown are madarosis (loss of hair from outer parts of the eyebrows) and characteristic saddle nose (side profile). Among other features of LL which the patient have had are hand contractures and resorption of plalangeal bones.

Orf

History

          A 35-year-old housewife presented with painful nodule with central superficial erosion and seems to be pus-containing on the dorsal surface of the thumb of 2 weeks duration. She gave history of contact with sheep’s head on cooking few days before the appearance of the lesion.

White strawberry tongue

History

            Within 24-48 hours from the onset of scarlet fever the tongue has a white coating through which reddened, hypertrophied papillae project, giving the so-called white strawberry tongue appearance. By the fourth or fifth day the coating disappears, the tongue is bright red, and the red strawberry tongue remains. The presented case of a toddler with a classical white strawberry tongue appearance.

Pityriasis versicolor

History

          A teenager presented with a slightly itchy, blotchy, reddish brown scaly patches and plaques mainly on the trunk of a sudden onset at the start of summer. Pityriasis versicolor is a chronic, often symptom-free or only slightly itchy fungal infection characterized by pigmentary changes. It is caused by overgrowth of the mycelial form of the commensal yeast Pityrosporum orbiculare and is particularly common in humid or tropical conditions. PV mainly affects young adults, appearing on the trunk, neck and proximal parts of the limbs and presents as brown, pink or hypopigmented oval or round scaly patches covered with branny scaling.

Syphilitic chancre

History

          A 22-year old male presented about three weeks post illegal sexual intercourse with a single, painless papule that rapidly became 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  and another dose repeated after one week.

Verruca vulgaris

History

         A 34-year-old man presented with a large number of asymptomatic, skin-colored papules and plaques with rough verrucous surface of one year duration. Some of the lesions had recurred few weeks after electrocautery and curettage.