A 3-month-old infant has had unilateral right-sided port-wine stain associated with cleft lip since birth. There were no associated neurological or systemic defects. The mother complained of two bouts of spontaneous bleeding from the undersurface of the lip at the site of the vascular malformation which have been stopped with prolonged pressure on site of bleeding.
A 4-year-old girl presented with a very painful and tender red swelling with a central pustule on the anterior aspect of the lower part of the forearm of three days duration. It was associated with a tender axillary lymphadenopathy. The lesion had been drained with a simple small incision under local anesthesia with an anti-staphylococcal antibiotic.
A young adult male (23-y-old) presented with chronic, indolent, inflammatory discharging nodules on the neck of about two years duration. Some older lesions have left scarring behind. Cervical lymph nodes were enlarged and skin biopsy showed dermal tuberculoid granulomas.
A 22-year-old female suddenly developed papulo-pustular rash with many abscesses involved the face of two months duration. Characteristically there was no comedones and the rash was confined only to the face (chest, back and shoulders were not involved).
A 27-year-old male presented with a fluctuant, tense, noninflammatory swelling on the upper half of the ear of six months duration. The patient denied history of any trauma. Needle aspiration yielded serous fluid. This presentation is typical of pseudocyst of the auricle (auricular endochondral pseudocyst).
A 6-year-old boy presented with generalized xerotic scaly skin with cracked appearance involved most of the body parts since early infancy. His twin sister had similar condition.
A 38-year-old married woman presented with an irregular, clear-cut, longitudinal crusted ulcer about 12×2.5 cm with pinkish red border involved the flexor aspect of the upper part of the forearm of 1 month duration. The ulcer seems to be self-induced with a caustic material (chemical burn) but the patient denied any history of self-mutilatin. The ulcer appearance plus the rapid evolution in addition to non-specific histological findings on skin biopsy may permit the diagnosis of dermatitis artefacta.
Flaccid bullae that rapidly rupture leaving raw erosions have been noticed since first one month of life. The blisters involved mainly the lower limbs specially acral parts but also the face and trunk were also affected. Fortunately, the nails and mucous membranes were spared. Skin biopsy showed skin split within the basal cells of the epidermis. Family history of similar condition was negative.
