Tattoo allergic reaction

History

         A young lady presented two weeks after a professional-made tattoo on the dorsal surface of the hand with red tattoo reaction. The reaction was in form of pruritic scaly dermatitis confined to the red portion of the tattoo. Cinnabar (mercuric sulfide) or mercury is the pigment used to give the red color of tattoo and the red tattoo is the most common cause of delayed allergic reaction in tattoos.

Schamberg’s disease

History

          A 45-year-old woman presented with a symptomatic bilateral symmetrical red-brwonish purpuric rash involved both feet and lower legs of one year duration. She had no associated cutaneous lesions or systemic diseases.

Shrapnel’s injury

History

          First look to the presented image may give you an impression that this is a case of nevus comedonicus. However, this boy unfortunately had been subjected to shrapnels’ (shells) injury caused by a nearby bomb’s blast  two months prior to the presentation. On close examination many black dots and spots intermingled with many atrophic scars confined to one side of the anterior trunk.

Pompholyx

History

          A 40-year-old man suffered frequent episodes of very pruritic, deep-seated, thick-roofed vesicles and bullae confined to the palms of both hands within last three years. Most exacerbations occurred at hot summer months. Each attack persists for three to four weeks and resolutes.

Kaposi sarcoma

History

           This 57-year-old man presented with asymptomatic, bilateral symmetrical, infiltrative, purplish plaques involved both lower legs of 10-12 months duration. He had no lymph node involvement or distant metastasis. HIV antibody was negative and skin biopsy has confirmed the diagnosis of KS.

Chickenpox in a man

History

          A 60-year-old man presented with severe generalized hemorrhagic vesicular rash with fever, arthralgia and headache of 4-5 days duration. The presented photo shows severe involvement of the face by vesicular rash with many vesicles having characteristic central umbilication. Family history of chickenpox was positive in many grandsons of the patient.

Palmar psoriasis

History

         A 23-year-old man suffered a more than 3-year-history of palmar psoriasis with exacerbations and partial remissions on potent topical corticosteroids. The well-demarcated,red, scaly plaques involved mainly the thenar and hypothenar eminences of both hands in a symmetrical manner.

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