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14
Jun
0

A 13-year-old girl with reddish plaques on lower limbs

Posted by on in Original Cases

Case 5 Presentation

case_5_iconA 13-year-old girl was seen in the clinical centre because of reddish plaques with loosely adherent silvery-white lamellar scales on her two legs (Fig.1-A). The patient had been well until approximately 6 years earlier, when she fell down and injured her knees, a sharply marginated erythematous papule with a silvery-white scale developed on her knees, the scales are lamellar, loose and easily removed by scratching. During the next 5 years, the patients applied various creams and ointments, the lesion subsided then later on flared up and spread when the topical cream discontinued. Patient has no familial history of skin diseases.

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14
Jun
0

A 43-year-old man with diffused silvery scales adherent entire scalp and salmon-pink papules on forehead and face

Posted by on in Original Cases

Case 4 Presentation

case_4_iconA 43-year-old man was seen in the clinical centre because of silvery scales covering his entire scalp, and scattered salmon-pink papules on the face and forehead. The patient had been well until approximately 1.5 years earlier, when silvery scales developed, first on his scalp, and then gradually covering his entire scalp.

 

 

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13
Jun
0

A 35-year-old man with 7 years of thick whitish scale on reddish plaque

Posted by on in Original Cases

Case 3 Presentation

case_3_iconA 35-year-old male Indian Singaporean had been well until approximately 7 years earlier, when papules developed first on his right forearm, and then in an identical distribution on the left arm. He was clinically diagnosed with plaque psoriasis. Initially, calcipotriol (Davonex) cream was administered and offered temporary relief. Later on, corticosteroid (betamethasone dipropionate) and calcipotriol (Davonex) cream was prescribed, but the psoriatic lesions continued spreading to his trunk; he was treated with UVB for 1.5 months, resulting in a remission of the symptoms. But approximately 3 months later, psoriatic thick lesions flared up and spread on even more skin area than before.

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11
Jun
0

A 40-year-old woman with severe itch and crusted rashes resistant to steroid, cyclosporine

Posted by on in Original Cases

Case 2 Presentation

A 40-year-old woman presented to Tangs Clinical Centre in August 2004 due to persistent itching and oozing erosions on her hands and legs.(Fig.1-A) The rash had occurred 1.5 years earlier, developing later into the weeping and crusting of lesions on her legs. She was administered prednisolone 5mg, hydroxyzine 10mg and betamethasone and fluocinolone cream from September 2003 to March 2004, but the lesions were resistant to response. She was then treated with cyclosporin 100mg, cephalexin 250mg and 0.1% betamethasone & 3% clioquinol cream in April, without success. The eczematous lesions then spread to her arms and fingers.

 

 

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05
Jun
0

A 14-year-old girl with multiple, firm, dome-shaped eroded nodules and itching on the limbs

Posted by on in Original Cases

Case 1 Presentation

A 14-year-old girl presented at Tangs Clinical Centre in 2004 because multiple, firm, dome-shaped nodules -several millimeters to 1 centimeter- developed on her arms and legs. Persistent itching and scratching had occurred over 4 years. The affected areas were eroded, excoriated and some even ulcerated as the patient frequently dug into them with her fingernails (Fig.1).

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