Irritated skin tag

Histroy

        An asymptomatic, sessile, skin-colored nodule of many years duration all of  a suden became red, painful and tender with small blood-containing vesicles and slight purulent discharge. Excisional biopsy disclosed an inflamed “irritated” skin tag.

Flagellate hyperpigmentation

History

       A 40-year-old lady had choriocarcinoma treated with chemotherapy. Bleomycin was one of her treatment regimen. After few doses of bleomycin she developed linear hyperpigmentation on her back. Many brownish lines arranged in a haphazard way on the back. ‘Flagellate’ streaked pigmentation on the trunk and proximal extremities is common with bleomycin usage. It has been proposed that trauma from scratching induces localized vasodilatation, with increased concentration of cutaneous bleomycin.

Flexural candidiasis

History

      A pruritic erythematous macerated patch involved the vault of one axilla of many days duration. On examination many satellite lesions were seen outside the mother patch. The rash responded very well to a two-week-course of topical antifungal therapy (Nystatin cream).

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