Trichorrhexis nodosa

Trichorrhexis nodosa.

History

         A 5-year old girl presented with sparse, short and easily-broken scalp hairs. The mother noticed the hair defect since early months of life. The skin, nails, teeth and mentality were normal. There was no family history of similar hair problem. Many hairs were plucked, mounted on a microscopic slide and carefully examined under the light microscope. Hair shaft fractures were seen with the hair ends at the fracture line look like two brooms stuck together.

Recurrent BCC

History

       A 77-year-old woman three years after surgical removal of ulcerative BCC noticed the appearance of new lesion at the periphery of the scar scar of previous operation. On examination, a superficial ulcer with thread-like beaded border was seen. Excisional biopsy with a suitable safe margin was done. Biopsy confirmed a completely excised ulcerative BCC.

Basal cell carcinoma

History

          A 75-year-old man presented with an asymptomatic, oval, slightly crusted red patch with thread-like border on the side of the nose of one year duration. Excisional biopsy with safe margin has removed the tumor totally.

Favre-Racouchot syndrome

History

         A 83-year-old man presented with thickening and wrinkling of the facial skin and numerous black-head comedones on the nose and less on the lateral sides of the face. The nose was studded with yellowish follicular papules and cysts in addition to the comedones.

Unilateral pustular psoriasis

History

          A middle-aged woman presented with strikingly unilateral asymptomatic, grouped pustules, scaliness and brownish hyperpigmentation confined to the middle portion of one sole. Her condition was characterized by exacerbations and remissions of more than one year duration. It is differentiated from pustular bacterid  by being asymptomatic, unilateral, normal WBC count and there was no focus of remote infection.

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