A 14-day-old neonate presented with a pinkish nodule protruding from the umbilical stump with bleeding tendency on minor touch. It has been successfully chemically cauterized with silver nitrate stick.
A young adult man presented with a few days history of severely pruritic, evanescent geographical map-like wheals, some of which had an annular configuration involved most parts of the body but especially the trunk. There was no recognizable precipitating factor.
Morphoea is a localized form of scleroderma with hard, smooth, ivory-coloured, indurated, immobile plaques and give the appearance of hidebound skin but no internal sclerosis. There are many clinical variants of morphea (guttate, linear, localized, generalized, profunda and pansclerotic). Localized morphea is twice common in women as in men. It occurs in childhood as well as in adult life. The trunk is the most common site involved. Its prognosis is usually good, and the fibrosis slowly clears leaving slight depression and hyperpigmentation. The case depicted here is a 20-year-old showed many resoluting plaques of morphea leaving slightly depressed hyperpigmented areas mainly on the trunk.
A 65-year-old farmer presented with an ulcer on the lower lip that increased in size for one and a half year causing massive destruction of the lower lip. On examination one submental lymph node was palpable. Skin biopsy showed SCC and lymph node was positive.
A middle-aged lady suffered pruritic, red, papular eruption confined to the sun-exposed parts of the face and neck of many months duration with exacerbations occur mainly after sun exposure. There was no history of topical agent appliaction or systemic drug intake before the onset of the rash.
Many clinical types of tinea infections may associate with each other i.e one type may predispose to other and so may present in any combination, these types are: tinea cruris, tinea pedis, tinea unguium and tinea mannun. The current case is an example of such combinations (tinea cruris and tinea manum) of three months duration. KOH was positive and excellent response to systemic griseofulvin was obtained.
Periungual fibromas usually seen in the context of tuberous sclerosis. They arise from the nail folds and usually appear in late childhood. However, sporadic cases of fibromas may occur in persons without tuberous sclerosis as in the presented case of a young adult lady with one year history of a digitate growth originated in the proximal nail plate and extended to the nail plate surface resulted in a longitudinal groove.
A 24-year-old male presented with an asymptomatic unilateral brownish discoloration and hypertrichosis confined to the right upper chest and shoulder area of more than one decade duration.