Winter's Toes

Abstract: 18 yo boy with pruritic, erythematous toes.History: The patient was referred by his pediatrician with complaints of red, itchy lesions on his toes for two to three weeks. The pediatrician was concerned because some of the lesions looked vasculitic. The patient is in good general health. A non-smoker. He recollected as the interview progressed that he'd had similar but less severe problems in the past.Physical Exam: Erythematous macules,...

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Notched Nose

This 55 year-old woman had micrographic surgery for a basal cell of the left ala three years ago. The graft did not take and she has been left with a notched ala. The defect, in the center of her face, is more disfiguring than it appears in this photo.Question: What kind of repair could be done at this time to give her a better functional and cosmetic repa...

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Uncommon Warts

SRLAMAT DATANG!Welcome, New Members from the Penang ConferenceEarly morning, view before we convened for our scientific sessions. Penang is an amazing place to meet new friends, relax and sample a singular culture.Please look at two interesting cases.This is the tale of two young patients with warts who were seen back to back on November 17, 2007. Verruca vulgaris (the common wart) is sometimes quite "uncommon."1. This is a seven year old boy who...

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Eczema herpeticum

A 2-year-old boy presented with a 3-day history of vesicular eruptions on the mouth followed by extensive pruritic skin eruptions on the upper and lower limbs. This was preceded by fever. He was otherwise well.Examination of the skin showed extensive eczematous lesions on the lower and upper limbs. Excoriations, erosions and vesicles were also noted on the affected areas. Vesicular lesions and erosions were noted around the mouth. He was afebrile.Clinically...

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Buttock eruptions

This is an 11-month-old girl with a one day history of skin eruptions on the shoulders and gluteal areas. She was otherwise well. no fever. Feeding well. She was referred to me by a pediatrician.Exam: symmetrical patches of erythematous vesiculopapules on the gluteal areas. Similar lesions were noted on the shoulders and chest. No lesions were noted on the upper limbs. Hep B was not checked.Is this viral? Gianotti Crosti Syndrome?Than...

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