A 13-year-old boy with xeroderma pigmentosum presented with photosensitivity, diffuse facial freckling, photophobia and multiple ulcerative Basal Cell Carcinomas. His parents are consanguineous and three of his brothers and sisters were also having XP.

         A 32-year-old man presented with an asymptomatic, solitary, keratotic papule surrounded by an elevated skin collar on the dorsal surface of the proximal interphalangeal joint of the middle finger of more than one year. duration. AcraI fibrokeratoma, often called acquired digital fibrokeratoma, is characterized by a pinkish, hyperkeratotic, horn-like projection occurring on a finger, toe, or palm. The projection usually emerges from a collarette of elevated skin. The average age of the patient is 40. The lesion resembles a rudimentary supernumerary digit, cutaneous horn, or a neuroma. Simple surgical excision or laser ablation at the level of the skin surface is effective.

          A 69-year-old man presented with multiple, asymptomatic, infiltrative, red and purplish plaques and nodules of more than two years duration. Cervical, axillary and inguinal lymph nodes were involved and hepatosplenomegally was easily detectable on physical examination. kin biopsy confirmed B-cell lymphoma.

          A 50-year-old man presented with solitary, pruritic, dull-red, dome-shaped, retroauricular nodule of three months duration. Excisional biopsy confirmed ALHE.

       This 35-year-old man presented with an asymptomatic, solitary, mushroom-like, firm, red, slightly crusted nodule on the abdominal wall of 3-4 months duration. He had no other complaint. Excisional biopsy revealed secondary plamacytoma (Biopsy showed nodular and diffuse collections of plasma cells with varying degrees of pleomorphism and atypia). Further assessment by an oncologist with relevant investigations a hidden asymptomatic multiple myeloma was disclosed.

          A middle-aged woman bothered by an asymptomatic, flesh-colored sessile nodular mass with some brownish dots on the flank area of more than 20 years duration. Excisional biopsy showed acrochordon.

          A 49-year-old woman was annoyed by the appearance of a solitary, black-brown nodule with papillated surface on the abdomen of few years duration. It has been surgically excised with primary suturing.

          A 68-year-old man presented with a 9-month-history of asymptomatic, firm-hard, dull-red-purplish nodules involved both ears with no lymph node or distant organ involvement. Biopsy showed primary B-cell lymphoma.