Trichotillomania

History

          A 62-year-old woman presented with a diffuse non-scarring alopecia involved the frontal and parietal regions of the scalp of more than one year duration. Hairs were cut at different levels from the scalp surface in the involved area. The patient denied any habit of hair pulling under normal or stressful circumstances.

Allergic contact dermatitis to deodorant

History

       A 45-year old woman presented  many hours after using a deodorant with a faintly-red patch associated with burning sensation. Few days later (at presentation) a slightly hyperpigmented scaly patch was seen.

Infantile psoriasis

Infantile psoriasis2

History

           A very interesting and strange case of red scaly oval plaques with central hypopigmentation involving the trunk specially the abdomen in a 2-month old infant of three weeks duration. Few other lesions were clasical psoriatic plaques on the forearms and thighs. On mometasone ointment once daily the rash has almost cleared within 2-3 weeks (see the second photo).

Acrodermatitis continua suppurativa

Acrodermatitis continua suppurativa2

History

          The relation of acrodermatitis continua suppurative (Hallopeau) to psoriasis is controversial. However, some consider it as a localized form of psoriasis characterized by pustules limited to one or a few fingertips including the nail bed. Nail loss is not uncommon. Herein we present a typical case of acrodermatitis continua of Hallopeau characterized by chronic inflammation and pustulation confined to one finger (thumb) with nail loss of more than three years duration.

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.

Granuloma annularae

History

          A 38-year-old man presented with a six-month-history of multiple, asymptomatic, pinkish annular plaques with beaded borders on the dorsum of one hand. The patient has no DM or any other disease. Biopsy was compatible with GA.

Common, interesting and rare dermatoses presented in simple way by Dr. Nameer Al-Sudany