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.
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.
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.
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 versicoloris 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 orbiculareand 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.
A 29-year old sexually active male presented with asymptomatic, multiple brownish papules of few months duration. Many lesions have coalesced together produced a cauliflower like mass at the root of the penis.
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.
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.