History
A 5-year-old girl presented with a localized,non-cicatricial, rounded patch of hair loss with scaliness of the involved scalp area of three months duration. Excellent response to griseofulvin was obtained.
Category Archives: Skin Infections
Other dermatoses
Tinea corporis
History
A teenager male presented with an itchy, active, circinate plaque studded with papules, vesicles and some pustules of one month duration on the dorsal surface of the wrist. The patient gave history of contact with domestic animals (birds) which may be the source of infection.
Tinea faciei
History
A 17-year-old wrestler presented with an oval red patch with a scaly erythematous margin and clear hypopigmented center. The patient described a relatively slow peripheral extension of the lesion over a period of three months. The patient gave history of contact during training matches with another wrestler who has had similar lesions on the face. Scraping of scales examined after KOH preparation revealed fungal hyphae and spores.
Onychomycosis
History
A 62-year-old man presented with chronic onychomycosis. On examination, mild paronychia, loss of cuticle of some nails, dirt-like yellowish-green nail pigmentation, subungual debris and dystrophy of some nails were seen. The condition started one year ago and involved both fingers’ and toes’ nails. The patient had no history of previous drug intake, diabetes mellitus or other causes of immunosuppression. Nail clipping yielded positive result for fungi.
Pityriasis rosea
History
A 32-year-old female presented with slightly itchy, pinkish-red, scaly plaques and patches involved the trunk and proximal parts of the extremities of two weeks duration. The scales are confined to the peripheral rim of the plaques. Note herald patch on the lower part of the right upper arm.
Lupus vulgaris
History
An 8-year-old girl presented with a slowly growing unilateral well-demarcated reddish-brown scaly indurated plaque involved one cheek and the nose of more than one year duration. Tuberculin test was positive and skin biopsy revealed a tuberculoid granuloma.
Pityriasis versicolor
History
A 30-year-old man presented with widespread slightly pruritic very well demarcated red brownish patches covered with bran-like scales. The rash involved the trunk, neck and arms of many months duration.
Tinea faciei
History
A 21-year-old female presented with a unilateral, well-demarcated, itchy, red scaly plaque with an active more scaly and slightly elevated border involved most of the left side of the face of four months duration. Based on a wrong diagnosis topical corticosteroids had been prescribed and used by the patient for more than two months. KOH examination at time of presentation yielded fungal hyphae and spores. The condition was cured with oral griseofulvin therapy for six weeks.