Annular Urticaria

History

          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.

Morphea

History

        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.

Squamous cell carcinoma

History

          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.

Polymorphous light eruption

Polymorphous light eruption2

History

         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.

Tinea cruris and mannum

History

         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 fibroma

History

           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.

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