black tongue

 
 2o year old man with pigmented spots over his tongue for 6 months. He smokes sheesha occasionally. He denies any bad smell.
On examination he has multiple pigmented patched over the sides of his toungue. other parts of his oral mocosa are intact. No ulcers
Could this be a hairy tongue?
But the dorsum of the tongue [...]

Erythema dyschromicum perstans (Ashy dermatosis)

 Dear colleagues, I would like to present this case of Erythema dyschromicum perstans to contiue our valuable discussion for the case “A lady with a violaceous lesions”.
This patient is a 35 year old Saudi lady that has a gray-blue ill defined discoloration on neck, face and proximal arms for 7 years. These lesions are preceded by itch [...]

dermatology residancy is five years!

according to one of the residants, there is serios talk about extending the residancy to 5 years from its current duration(4 yrs, one year of general and 3 years core).
they say that four years were not enough to teach the reidants all aspects of clinical dermatology and dermatological surgery. the society itslf  has changed its [...]

what do you think of the local brand of topical steroids?

hey guys,
i have been using theses local creams (ELICA) manufactures here or in nieboring countries. and patients just swear they not getting the same results like with ELOCOM , is it just my patients or are you haveing the same problem.
 what about other treatments? i herd there is indian roacutane …they complain about that too?and hairgrow, do [...]

treatmnet of alopecial in pregnancy

Dr SAMIR wrote
i have a question
a case of alopesia areata,multiple lesions on scalp in a lady 22 years old pregnant one month.can i inject inralesional corticosterid? can i prescribe minoxidil topical? i need ur advice

woods light for vitiligo? r u doing it

woods light has many applications in dermatology. from common diseases such as fungal infetions to rare diseases (porphria) it has been used for long time.
but the  most common application for it in darker skin tyes is problably in hypo/dpigmented disorders. however me and my fellow dermatologists rarely use it. there is no doupt that it is [...]

whats eating her flesh?

25 years old female who has been having lesion for 4 years. it started on her left arm and nose. it is always painful and and end up in wonds that takes months to heal. her nose was destroyed and she had to have reconstructive surgery. she was on various medication including high dose predinsolone, [...]