Pseudofolliculitis Barbare

Abstract:  24 year old man who has been struggling with pseudofolliculitis barbare (PFB) for 5 years.The following is adapted from notes the patient sent us and is presented here with his consent:HPI: This type II skin, 24 yo man has been plagued with PFB for 5 years. At age 19 he was treated for one year with minocyclin which he accepted with no noticeable side effects for the first 4 months until he believed his teeth were developing a a gray...

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Alopecia Areata and Twenty Nail Distrophy

Abstract: 18 year old man with two year history of alopecia areata and six month history of dry lusterless nails.HPI:  The patient is an 18 year-old college student who has had alopecia areata for the past 2 years.  He is well otherwise and has had no other problems until a number of months ago when he developed a nail dystrophy.   He takes no medications by mouth.  There is no family history of alopecia or autoimmune problems. ...

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Incidentaloma

The patient is an 82 man who presented  for evaluation of a facial lesion.  That lesion was a basal cell carcinoma.  However a complete skin exam revealed a suspicious tumor on the right upper back.  The patient has type III skin.  This "new" lesion on the back is an eight mm in diameter hypopigmented papule with an eccentrically placed  2 mm pigmented papule.Clinical Photos:Polarized ViewNon-Polarized ViewThe Power...

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Unusual Pigmentary Process

Presented by Dr. Ana BrasileiroCentral Lisbon Central HospitalLisbon, Portugal Abstract:  51 yo man with 6 year history of pigmentary disorder.HPI: The patient is a 51 year old male, born in Brazil and living in Portugal for 5 years. He reports that for the last 6 years he has experienced a slowly progressive dermatosis, first affecting the posterior cervical region and the superior part of the trunk, with progressive involvement of all...

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Hidrotic Ectodermal Dysplasia

Abstract: 44 yo woman with Clouston Syndrome and severe painful kereatoderma HPI: This 44 year-old disabled woman has the severe stigmata of Clouston Syndrome (CS-HED) (a variant of hidrotic ectodermal dysplasia seen in French Canadian probands).  She has impressive keratoderma of the feet which  make ambulating difficult and painful.  Her father had CS-HED as do three of her daughters.  The presentation in her daughters is variable. ...

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