A 30-year-old female presented fingers and toe nails onychodystrophy with concurrent pain. Patient reported that the first lesion started on her right index finger nail 12 months ago. It gradually involved her other finger and toe nails. On examination, the skin over the distal phalanx becomes pinkish…
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A 35-year-old female presented with a history of psoriasis for the past 3 years. She had no other medical issues and had been using various brands of topical steroids creams to manage her symptoms. She reported that her psoriasis subsided with the application of the creams but rebounded after stopping…
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We present a 9-year-old girl, who no records of atopy, with persistent asymptomatic discoloured scales of the lower limbs and body for 5 years. On physical examination, the skin was xerotic with gross hyperpigmentation and light grey scales on her trunk and limbs. The surface of the…
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A 45-yr-old female felt nameless hot sensation and itch somewhere after her regular faical treatment, she thought it comes and goes as usual before her menstruation. But this time, itch is constant, rashes developed on her neck area one week later. She received diagnoses of neurodermatitis (Lichen…
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A 30-year-old man, who is otherwise healthy, has had psoriasis for the last 5 months, with the initial outbreak occurring on his elbow. Although treatment with Daivobet (Calcipotriol/betamethasone dipropionate) cream and Elomet (Mometasone furoate) cream was successful in reducing the psoriatic plaques,…
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A 40-year-old man was presented with 8 years of multiple red scaly rashes on his arms, legs and trunk that had increased and clumped together to form groups of reddish patches. Patient lamented of a moderate itch. Patient recalled that a solitary scaly rash had first appeared on his upper trunk…
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Venous insufficiency from obstruction, reflux, or calf pump failure leads to the formation of varicosities as well as edema, pain, skin pigmentation, and, in severe cases, ulceration. A diagnosis of venous reflux is established by venous valvular failure with retrograde flow and valve closure times…
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Surgical site infections are common complications of abdominal surgery. Open abdominal wounds with intestinal fistula formation are challenging complications in abdominal surgery. Many topical agents and alternate therapies are available whom are meant to improve the wound healing environment, however…
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A 50-year-old otherwise healthy man is present with 10 months of tender skin rashes with mild itch, reddish-brown spots over the arms, legs, buttocks and torso. Patients recalled the crops of purple spots appearing after his Europe business trip one year ago. The lesion spreaded to his arms and legs over…
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A woman, otherwise healthy, in her 50’s, she was examined via online consultation by our clinic with a 3-month history of grouped blisters and erythematous plaques on her arms. She had received a diagnosis of pemphigus at local hospital. Laboratory studies showed a blood alkaline phosphatase…
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