Category Archives: Skin Infections

Other dermatoses

Erythrasma

History

         A 40-year-old man presented with asymptomatic, well-demarcated, red-brownish patches involved both axillae and both crural areas of many months duration. A characteristic coral red flourescence under wood’s lamp was seen.

Severe herpes zoster

History

       A 67-year-old man having many medical problems (HT, DM, Heart failure and chronic renal impairment) presented with vesicular rash on erythematous base involving T9 &T10 dermatomes associated with severe pain and burning sensation of five days duration. Some blisters were hemorrhagic and few others had target-like appearance.

Impetigo contagiosum

History

          A 4-year-old boy presented with asymptomatic, red crusted patches involved the periorbital region of three days duration. An oral cephalosprine suspension (Cefodox) plus fusidic acid ointment for one week gave excelllent result.

Herpetic whitlow

History

          A middle-aged lady suffered sudden excrutiating pain on two finger pulps (thumb and index finger) associated with discrete pustules of three days duration. One week later, the lesions have disappeared on treatment of oral acyclvir and topical fusidic acid cream.

Tinea faciei

History

          A 35-year-old man presented with an itchy, red, scaly rash involved the butterfly region of the face of two months duration. The rash had an active slightly elevated scaly border and clear center. KOH smear showed fungal elements. Cure was obtained through 6 weeks course of griseofulvin 500 mg twice daily.

Kerion

History

          A 7-year-old child from a rural area had long time contact with domestic animals presented with a boggy mass on the occipital scalp of one month duration. The mass was tender, crusted, studded with many pustules and associated with hair loss and suboccipital lymph nodes enlargement.

Impetigo contagiosa

History

          This 2-year-old baby presented with multiple erythematous patches covered with yellow crusts that spread quickly within 3 days to involve the periorificial areas around the mouth and nose. The following features  are good clues to the diagnosis of impetigo contagiosum which commonly occurs in children:
1. Periorificial distribution
2. Short duration
3. Honey-coloured crusts.