July quiz (open for discussion)

A 20 year old girl presented with a rash that she had for 6 days. she is in good health until the rescent rash that was accompanied by mild fever and malaise. she also reported swelling in her lips that faded in a day, but no other swelling or itching in the body. after the [...]

Taxing cosmetic procedures in the states!

In a surprising move  The White House and Senate Democrats announced “Botax.” they want to tax cosmetic procedures  like Botox, tummy tucks, nose jobs and lifts to pay for costly health care . it is estimated that  it would earn Uncle Sam about 5.8 billion over the next decade. Skin-smoothing Botox injections could be hard-hit. There were some 4.7 million [...]

diabetic with ulcers

  an 80 year old female, who has advanced dibetes with blindness, gastric paresis and renal failure on dialysis complained of ulcers on her lower extermeties for the last few weeks. they were on the knees, legs and feet. some were painful. on examination she had multiple shallow ulcers of varying sizes, with sorrounding erythema. it [...]

trichomegaly a side effect or not?

Side effect of Allergan glaucoma drug is longer eyelashes; competitors spring up By RHONDA L. RUNDLE The Wall Street JournalIn the latest blurring of the line between cosmetics and drugs, new products that promise to make eyelashes look longer are causing a stir among physicians and regulators because they contain ingredients that are the same [...]

Does UVR reduces the risk of cancer?

rescent study by Soerjomataram I et al : Ultraviolet exposure may reduce the risk of colorectal and breast cancer as the result of rising vitamin D levels. Because skin cancer is positively related to sun exposure, the authors hypothesized a lower incidence of breast and colorectal cancer after skin cancer diagnosis. They analyzed the incidence of [...]

facial rash

33 year old indian with 9 month history of this recurrent rash which improves promptly on topical steroids only to relapse after stoping treatment. he works indoors, his only exposure to sun is when he is going to or from work. rash it asymptomatic, no joint pain or history of mouth ulcers. on examination he [...]

white mirage

     i had this patient a teenager with skin type 5 who was so depreesed cuz of her color. she is the darkest among 4 sisters all of whome r white. she was called names since she was young and apparently she doesnt go to parties no more and going through depresion.  then i saw this [...]

Review of tongue lesions (quiz)

since we discussed tongue lesions over the last two weeks here is a review for tongue morpholgy. most pics were taken from dermatlas. answers are down below    1- has thick nails   2-oral sex 3-disseminated vesicled everywhere 4- recurrent blister same location 5- strept infection 6- facial palsy 7-easely scrapes 8-smooth atrphic 9- enlarged tongue [...]

POLL: Can potent steroids cause atrophy in vitliginous patches?

it has been reported anectodally that vitliginous patches is resistant to steroid’s complications. have you seen any cases of vitiligo complicated with atrophy due to potent topical steroids?

Do you have a name for it?

are these fordyce spots? and how would you treat it? i thought about electrocautery but am afraid of scarring especially in this area. what would you do?