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Recent blog posts
25
Jun
0

A 29-year-old man with 17 years of prurigo papules and eczematous skin lesions

Posted by on in Original Cases

Case 12 Presentation

case12_iconA 29-year-old male Singaporean presented in August 2009 with multiple erythematous prurigo papules distributed mainly on cheeks and trunk (Fig.1-A) and both lower limbs (Fig.2-A).

 

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24
Jun
0

First-line therapeutic options for patient with psoriasis vulgaris in initial stage

Posted by on in Original Cases

Case 11 Presentation

case11_iconA 12-year-old girl began to suffer from psoriasis vulgaris (guttate type) in February of 2005. She presented at Tang Jinghua Clinic on 9th March, 2005. The discrete, erythematous scaling, small papules and plaques were distributed mainly on the trunk (Fig.1-A). Patient blood pressure, pulse and temperature were all normal, she had no backache, no history of any drug used, and no history of syphilis.

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23
Jun
0

A 58-year-old woman with psoriasis vulgaris recieved full recovery in 6 months

Posted by on in Original Cases

Case 10 Presentation

case_10_iconA 58-year-old female Singaporean had been well until a year earlier when she developed a scaly red rash over her knees and shins, and then with an identical distribution on both arms. She was clinically diagnosed with plaque psoriasis at the National Skin Centre.

 

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22
Jun
0

A 21 years old boy with erythema plaques scaling and crusting on whole body

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Case 9 Presentation

case_9_iconA 21-year-old boy presented in March 2009 at our clinic with symptoms and signs of crusting erythema plaques all over his face and body (Fig.1-A). He had suffered from eczema since he was 10 months old, when he developed a scaly red rash over his cheeks and over his knees and elbows. His elder brother and father suffer from hay fever. In the past 20 years, he had been treated with antihistamines, antibiotics and topical corticosteroids alternatively and concurrently, during which time no improvement occurred: new eczematous lesions continued to develop and spread on his trunk, hands, feet and face.

 

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20
Jun
0

A 13-year-old girl with non-stop itching and oozing erosions and scars remained on arms and legs

Posted by on in Original Cases

Case 8 Presentation

case_8_iconA 13-year-old girl had suffered from eczema since she was 5 years old, when she developed a scaly red rash over her knees and elbows (Fig.1-A, Fig.2-A). Her father had atopic dermatitis, and the family lived in a southern city in China before they immigrated to Singapore. There were no pets, and her parents did not smoke.

 

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18
Jun
0

A 44-year-old man with chronic plaque psoriasis located at both lower extremities - successful first-line therapy by Tangs psoria

Posted by on in Original Cases

Case 7 Presentation

case_7_iconA 44-year-old male presented with large confluent reddish plaques on the legs (Fig.1-A). He had been diagnosed with psoriasis 8 years earlier. On examination, well-demarcated erythematous plaques arising on the lower legs (Fig.1-A) could be seen. No hair loss and no diarrheal, with no other diseases reported by the patient. Laboratory serum investigation revealed no abnormal findings, temperature was 37.1°C. The patient reported no oral medication use during the past 8 years, but was unable to recall the names and types of creams applied previously.

 

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15
Jun
0

A 34-year-old woman with reddish papules covered silvery scales on right breast and areola area

Posted by on in Original Cases

Case 6 Presentation

Case_6_iconA 34-year-od woman presented with reddish papules covered by silvery-white scales, on her right areola and breast area of a 1-year duration. She had undergone ultrasound mammary scanning one month earlier, no abnormality had been noted. She was married 4 years and reported no itch and no rashes in the groin, perineum and axilla area; no discharge from the nipple during the onset period.

 

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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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