Pustular psoriasis started at the second trimester of first pregnancy three years ago and resolved after delivery. Few exacerbations occurred when the patient had used contraceptive pills. At this pregnancy it has reoccurred with the onset at second trimester with many grouped pustules on erythematous bases involved the trunk mainly the abdomen of this 30-year-old woman.
A 30-year-old man presented with widespread slightly pruritic very well demarcated red brownish patches covered with bran-like scales. The rash involved the trunk, neck and arms of many months duration.
This 20-year-old patient presented with a unilateral, fluctuant, tense, noninflammatory cystic swelling on the upper half of the ear of one year duration. No history of previous trauma.
A 20-year-old male presented with red scaly fissured plaques confined to the palms and soles associated with red scaly plaques on the scalp and positive family history of psoriasis.
A 21-year-old female presented with a unilateral, well-demarcated, itchy, red scaly plaque with an active more scaly and slightly elevated border involved most of the left side of the face of four months duration. Based on a wrong diagnosis topical corticosteroids had been prescribed and used by the patient for more than two months. KOH examination at time of presentation yielded fungal hyphae and spores. The condition was cured with oral griseofulvin therapy for six weeks.
A 60-year-old woman presented with severe drug-induced reaction on both lower limbs with few lesions elsewhere in addition to mucosal involvement of the mouth of two days duration. The insulting drug was sulfonamide and the onset of the rash was within 48 hours of taking the drug. The rash comprised of bilateral symmetrical bullae on a background of erythematous macules and patches in addition to erosions and peeling.
The relation of acrodermatitis continua suppurative(Hallopeau) to psoriasis is controversial. However, some consider it as a localized form of psoriasis characterized by pustules limited to one or a few fingertips including the nail bed. Nail loss is not uncommon. Here we present a typical case of acrodermatitis continua of Hallopeau characterized by chronic inflammation and pustulation confined to one finger (thumb) with nail loss of more rhan three years duration.
