Chilblains

History

          A 20-year-old female presented one day after exposure to extreme cold weather with painful purplish plaques on the toes of both feet. On examination the forefeet were cold and tender. Pentoxyfylline 400 mg twice daily for 10 days gave marked improvement.

Necrobiosis lipoidica diabeticorum

History

          A 45-y-o man with type II diabetes mellitus since 5 years presented with an irregular, large, shiny and waxy atrophic plaque with yellowish-brown hue and surface telangiectasia on the shin of more than three years duration. Many atrophic small rounded scars are seen in the middle part of the plaque due to previous ulcerations.

Secondary syphilis

Secondary syphilis palms

History

          A 40-y-o woman presented with asymptomatic bilateral symmetrical papulosquamous lesions on the palms and whitish mucous patches involved the tongue, cheeks’ inner sides and the lips of three weeks duration. She denied any illegal sexual activity, however STS (VDRL & TPHA) were positive.

Keratoacanthoma

History

         A 72-year-old woman  presented with an asymptomatic dome-shaped red nodule with central crater filled with keratin. Surface telangectases were apparent on the surface of the tumor which has been present for about three months. The lesion has been surgically excised in toto for therapeutic and diagnostic purposes and revealed histologic changes consistent with the diagnosis of keratoacanthoma.

Impetigo contagiosum

History

            A 2-year-old infant presented with multiple dirty-yellow crusted patches involved the perioral area especially the chin and the v-region of the chest of 4-5 days duration. The lesions had been cured on oral cephalexin and topical fusidic acid for one week.

Orf

History

         A 32-year-old lady presented with  a very fascinating and interesting case of multiple orf. Two tense bullae on erythematous base with central necrosis giving both lesions a target-like appearance on both hands of about 10 days duration.

Ingrown toe nail

History

          lngrown nail (Onychocryptosis or Unguis lncarnatus) is one of the most frequent nail complaints. It occurs chiefly on the great toes (ingrown big toe nail), where there is an excessive lateral nail growth into the nailfold, leading to painful, inflammatory condition. The lateral margin of the nail acts as a foreign body and may cause exuberant granulation tissue.

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