A 65-year-old woman with long history of osteoarthritis has taken recently a new NSAID. One day later she developed a severe blistering rash involved the entire integument in addition to many mucosal orifices (oral, nasal and conjunctival). On admission to the hospital, she was in a bad general condition with impending hypovolemic shock.
A 5-year-old girl presented with a linear depressed tethered sclerosed plaque of one year duration. The plaque extended from the middle of the scalp across the forehead to the glabellar region. It has an ivory-white center and brownish borders.
Rhinophyma is considered as one manifestation or complication of rosacea. It is more frequent and more severe in males and may be the only manifestation of the disease as in this old man who presented with bulbous hypertrophied nose of more than two years duration.
A classical subacute red scaly dermatitis involved both cheeks associated with irritability in a two months old infant. Family history of atopy was positive.
This 20-year old male suddenly developed monomorphous papulopustular rash mainly on the trunk, shoulders and less on the face. Comedones were absent. He gave a history of taking an appetizer (a mixture preparation containing steroid, cyproheptadine and some tonics to stimulate appetite and to increase body weight) 3 weeks prior to the onset of rash. For the rash a medical sub-staff has prescribed an injectable steroid for the patient which caused further exacerbation of the rash. This scenario is encountered repeatedly during dermatological daily practice. Steroid acne is a folliculitis caused by the use of systemic and/or topical corticosteroids. Although other medications have been implicated in acneiform eruptions, steroid acne results in a distinctive clinical picture characterized by the sudden appearance of monomorphous papulopustules predominantly on the upper truck and arms, but also on the face. Comedones are not apparent.
A 46-year-old woman presented with a unilateral hyperpigmented lichenified plaques characterized by paroxysmal itching involved one leg of three years duration. Skin biopsy was in favour of LSC versus LP hypertrophicus.
A 35-year-old man presented with a generalized papular rash associated with severe itching especially at night. On examination the penis was severely involved with red papules, nodules and erosions. Three days treatment with 10% sulfur ointment resulted in great improvement.
