Hypopigmentation in a Young Child

Presented by Dr. Henry FoongIpoh, MalaysiaHistory: A 6 year old boy presented with patches of hypopigmentation on the trunk and extremities since one year's of age. It was occasionally pruritic. He is otherwise well and has no history of fever or other constitutional symptoms. There was no family history of similar problem and no personal or family history of atopy.Examination showed the skin was quite dry. Multiple irregular patches of hypopigmentation...

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Distinctive Disorder

The patient is a seven-year old girl with a one year history of a linear band of confluent hypopigmented scaly papules. She has Fitzpatrick Skin Type IV.The clinical diagnosis is Lichen Striatus.Reference: You can read a good chapter about L.S. on: Emedicine.comQuestions: This does not particularly bother the child or her parents. Would you treat this? And if so with what? A topical corticosteroid? Pimecrolimus? Tacrolimus? Oth...

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Clam Digger's Legs

Mike LaCombe, a cardiologist from Maine, has a question for our panel."G.M. is a 48 y.o. clam digger from Maine. These individuals are exposed to avian schistosomiasis, and on a web search, the consequent clam-digger’s itch has been rarely associated with lymphedema.Sorry, I have no pictures. This man has well-documented lymphedema of the lower extremities for six months.All studies negative: CT scans of pelvis, abdomen, chest, ultrasound of leg veins, cardiac echo ruling out any cor pulmonale, and labs showing no evidence of liver disease,...

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