Monday, December 20, 2010

verruca plana or flat wart

patient developed multiple skin colored papules after threading.
T/T : radiofrequency ablation was done successfully.

extensive DLE

patient presented with scaly plaque with photosensitiviy, ANA -ve, patient was put on sustemic steroid with some improvement.

Thursday, December 16, 2010

chronic paronychia

P alba

an eight year old child presented with hypopigmented macules over face.

perioral dermatitis

allergic contact dermatitis


house wife presented with eczema over dorsal aspects of fingers, she is giving history of exacerbation of lesions after using detergent & soaps. t/t given was symptomatic & use of polythene gloves, result was complete clearance of lesions with in a week.

Wednesday, December 8, 2010

becker's nevus

An acquired and persistent asymmetrical area of skin
pigmentation, sometimes showing evidence of increased
androgen sensitivity, and co-localizing with other developmental
anomalies. M>F, seen in post-pubertal age.

tinea incognito

patient was applying mometasone over affected area since 1 yr, as we can see atrophy & striae due to application of steroid.

Thursday, November 25, 2010

atopic dermatiits


2 year old child suffering from recurrent scaly plaque both ear region with positive history of atopy.
t/t : condition was explain to parents & avoidance of allergens along with mild topical hydrocortisone with sedative antihistaminic

pitted keratolysis

patient is a housewife, there are multiple erosions over sole caused by coryneform bacteria, lesions coalesce to form irregular lesions.
t/t : topical fusidic acid was given and dusting powder to keep the area dry, & avoidance of excess use in watery area

steroid modified tinea

scaly plaue with central clearing, h/o application of betnovate steroid over that area, h/o recurrence of the lesion.
t/t : systemic terbinafine 250mg for 2 weeks succefully treated the case.

verruca plana or flat wart

multiple skin colored asymptomatic papules. H/O threading over face, which appeared after that only.
T/t: Radiofrequency ablation was done.

palmoplantar psoriasis

eruthematous silvery plaque both hand & feet, with winter excerbation, chronic & recurrent.h/o intake of methtrexate,
T/t: 10mg Methtrexate weekly along with symptomatic management

Monday, November 22, 2010

steroid modified ACNE VULGARIS


patient was applying betamethasone for 3 year, was started on isotretinoin 20 mg as initial dosage after all investigations. As we can see multiple papules, nodules & cysts over the face.

chancroid

characterized by multiple superficial erosions, painful, h/o exposure 7 days back prior to eruption of lesions, left side inguinal LN palpable & painful.
Treatment : syndromic management of the disease done. patient was given Azithromycin 1g stat & doxycycline 100 mg twice daily for 3 weeks. and all routine & ELISA for HIV 1& 2 done & was non reactive.

SCABIES

infected scabies, brother & sister effected in the family, typical lesions over finger webs, more itching in night. Scabies is caused by mite, highly contagious.