Question from Iraq

Dear Colleagues,Pityriasis alba, a disease of young children, is a superficial dermatitis which often presents in two stages: first the erythematous stage which over time developes into (the second) a whitish stage. In Iraq, we see, not infrequently, children with pityriasis alba-like patches that change over time into true vitiligo and then progress and spread to vitiligo in other parts. Many of these patients have a positive family history of...

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Black Papule in a Child

Abstract: 11 yo boy with long history of black lesion left armHistory: The lesion has been present for years, little change but patient and parent are worried bout it.O/E: 5 mm diameter papule with a peculiar serrated borderClinical Photo(s) Dermoscopic ImageLab: Pathology: Diagnosis or DDx: Reed Nevus (aka Pigmented spindle cell nevus)Questions: For inerestReason(s) Presented: When I first saw this patient, I thought...

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Eyelid Tumors

Submitted by Arash Abtahian from Shiraz, IranAbstract: 24 yo man with three year hx of eyelid lesionsHistory: This 24 man has come with 3 years hx of multiple translucent papule and nodules on the left upper lid. They are asymptomatic but he'd like them removed.O/E: revealed multiple translucent papules and nodules some of which showed bluish hue.Clinical Photo(s): Lab: N/AHistopathology: Apocrine HidrocystomaDiagnosis or DDx: Apocrine HidrocystomaQuestions:...

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Papular Unticaria

Abstract: 20 yo student with pruritic papules for three weeksHistory: While on a ski trip in New Mexico, this young woman developed a few pruritic papules around the neck. Over the next few days, these spread to torso and extremities. Some of the lesions were grouped in a "breakfast, lunch and dinner" distribution. She is in excellent health: a ski racer.Exam: 1/3/08: There were 40 - 60 6 - 8 mm in diameter erythematous papules on torso, upper...

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Unusual Keratoderma

Presenters:Susan Walsh, DPMFoot Care Specialists of Boston Medical CenterJag Bhawan, MDBoston University School of MedicineBoston, MAAbstract: 44 year man with congenital keratoderma left footHx: The patient was born with this problem. He has never seen a podiatrist or dermatologist. No other skin problems. He tries to keep callus under control by regular soaks of foot and using razor.Past Medical History2004- 3v CABG surgeryCHOLECYSTECTOMYDEPRESSIONHYPERTENSIONHYPERCHOLESTEROLEMIAReasons...

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