Skin Deep - Clinical & Cosmetic Dermatology Blog

Skin Deep is a blog for dermatologists and skin care professionals with focus on theoretical, cosmetic and aesthetic dermatology. This blog is associated with ‘Dermatologists Sans Borders’ one of the largest curated groups of skin care professionals on facebook. If you are looking for non-technical information, please visit http://skinhelpdesk.com


Rosacea

Rosacea is relatively common here! A very popular brand of condensed milk available here is often responsible for flushing and rosacea like skin changes on long term use. I have experienced the flushing after drinking this milk myself! Milk is as harmful as alcohol here. Posted by Picasa

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January 2006

Click here to see last months’ cases

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Keratoacanthoma

English: Keratoacanthoma, on the skin of the b...
English: Keratoacanthoma, on the skin of the breast Español: Queratoacantoma, en la piel de una mama Català: Queratoacantoma, en la pell d'una mama (Photo credit: Wikipedia)
Here is a classical Keratoacanthoma!



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Seborrhoeic keratosis

1.A biopsy proven seborrhoeic keratosis (acanthotic varient).
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2.
The central keratin plug which developed recently made me consider the possibility of keratoacanthoma. However this lesion is there for the last 3 years and is probably just a seborrhoeic keratosis. The patient was adviced a biopsy
Posted by Picasa

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NB UVB in Children

This 10 year old patient presented to me with a vitiligo patch of diamension 8cm x 4 cm. She had evidence of dental infection which was corrected first. I was reluctant to start her on Narrow Band UVB. However recent studies have demonstrated its efficacy and safety in children. I started her on a weekly once regimn with excellant results as shown here (Pre treatment photograph is not available.) However lesion still remains over the area of elastic band of the goggles! Posted by Picasa

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Herbal Remedies

A 13 year boy was brought to me by his mother today with this unilateral eczematous and infected lesion over the shin. I came to the following conclusion after a detailed history. He developed a minor asteatotic eczema patch which was entusiastically treated by his parents with a herbal paste which led to this. When I offered the diagnosis the mother promptly agreed though she blamed her husband for it :-). The boy said that he developed intense itching after applying the paste. Posted by Picasa

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Stasis Ulcer

Stasis Ulcer with Stasis Dermatitis. Posted by Picasa

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ACD - Hair Dye

This patient came today with characteristic features of hair dye allergy but he insisted that he has been using the same brand for the last 14 years, but he purchased a new pack 1 week back. Hence I feel it is unlikely to be due to PPD but something else added to improve the product. Unfortulately we dont have patch test available. Posted by Picasa

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Lamellar Ichthyosis

Today a gentleman from UK came to me with photographs of his cousin in Somalia. This is my first ever photographic consultation. He had extensive icthyosis with loss of one eye because of ?exposure keratitis. With 3 photographs (2 photos of the face, which I have not posted here) and little history I came to the diagnosis of Lamellar Ichthyosis. I suggested an antiseptic wash and an emolient/keratolytic. I also told him about the scope of retinoid therapy. Review of literature shows that it is a proliferative hyperkeratosis due to mutation in the gene for transglutaminase 1 (TGM1). Time to explore TGM1 mutations! (Over to my Bioinformatics Blog) Posted by Picasa

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query

Can cholinergic like urticaria occur on cold exposure? I get these tiny itchy papules on both arms, lasting say 10 mints on cold exposure. Is this cold urticaria or what? Not very troublesome though only on exposure to cold air on arms, not precipitated by cold water or icecream (Thankfully!)

I dont have any photographs to share.Sorry!

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Read Next posting first

[Read the next posting first]
He also had lichenoid papules over the exposed parts. Histopathology showed basal cell degeneration. Is this Actinic Lichen planus, PLE or Lichenoid melanodermatitis common in Middle East, which represent hybrids between lichen planus and other conditions rather than as a mere variant of lichen planus. I have started him on Chloroquine. Posted by Picasa

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Diagnosis

This 30 year old male patient of mine presented with this well defined hyperpigmented patch over the forehead and nose. The lesions started after taking metronidazole for dental infection. However the lesions progressed after stoping the drug. A faint hypopigmented border is visible even in this low resolution picture. Posted by Picasa

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Lichen Planus

This case of Lichen planus started as hypertropihic form, disseminated to this guttate form after 2 years. Posted by Picasa
Lichen Planus on DermKnowledgeBASE ]

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Cholinergic Urticaria

This patient complained to me that she gets rashes when she comes walking to the clinic in the morning. Today she showed me the lesions, numerous small (1-4 mm in diameter) pruritic wheals with surrounding flares. Lesions used to subside in 30 minutes. A diagnosis of cholinergic urticaria was made. Posted by Picasa

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'Mobile Phone Dermatitis'

This patient presented with a eczematous patch on right thigh which according to him was more painful than itchy. However he finally agreed that the pain radiating from the back is present for 2 years, but the patch started only two weeks back. Further 'Sherlock Holmes' investigation revealed that he carries his mobile phone in his right pocket and he has changed its cover few weeks back! Is this Allergic Contact Dermatitis? I have started him on steroid cream. I have called him for followup after 2 weeks. Posted by Picasa

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Alopecia Areata (Ophiasis)

A 32 year old patient with Ophiasis pattern of Alopecia Areata. Received several sittings of Intralesional triamcinolone and Oral Mini pulse steroid. He was referred to me by Dr Salim from Kerala. I have started him on PUVA. Posted by Picasa
[ Ophiasis on DermKnowledgeBASE ]

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Welcome to my blog

This is a Blog for Dermatologists to post interesting cases.
http://www.GulfDoctor.net

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About Me

As a Dermatologist and Informatician my research mainly involves application of bioinformatics techniques and tools in dermatological conditions. However my research interests are varied and I have publications in areas ranging from artificial intelligence, sequence analysis, systems biology, ontology development, microarray analysis, immunology, computational biology and clinical dermatology. I am also interested in eHealth, Health Informatics and Health Policy.

Address

Bell Raj Eapen
Hamilton, ON
Canada