Contents. Part I Genodermatoses

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1 Contents Part I Genodermatoses 1 Hyperkeratotic Palms and Soles with Periorificial Keratosis Indurated, Dark, Hairy Plaques, with Arthritis and Deafness Cleft Palate, with a Peculiar Limb Deformity Blisters, Hypodontia, Deafness and Alopecia Mucocutaneous Pigmentation, Alopecia and Candidiasis Congenital Alopecia Associated with Papular Eruption and Abnormal Lesions Photosensitivity, Lipodystrophy, Mental Retardation and Joint Contractures Dark, Thick Nipples and Areolas Thick Nails, Palms and Soles Eczema, Recurrent Abscesses and Recurrent Respiratory Tract Infections Senile at the Age of Infantile Alopecia, Characteristic Facies and Sclerosed Atrophic Limbs A Child with Sagging Cheeks Acrodermatitis Enteropathica Like Eruption Acrodermatitis Enteropathica-Like Eruption, Another Unusual Cause A Child with Hoarse Cry, Subcutaneous Nodules and Joint Contracture Stubborn Leg Ulcers, Stiff Joints, Acral Sclerodermoid Changes and Fragile Skin Part II Neutrophilic Dermatoses and Related Disorders 18 Unusual Presentations of an Uncommon Ulcerative Disorder Part III Vascular Disorders and Vasculitis 19 An Unexpected Cause of Leg Ulceration Limb Ulcer and Paresis; Acquired and Congenital xi

2 xii Contents 21 Recurrent Abortions and Atrophic Telangiectatic Leg Lesions with Ulcerations Acral Necrosis in a Heavy Smoker Part IV Vascular Malformations and Tumors 23 A Persistent Hemorrhagic Swelling Peripheral Gangrene Affecting a Family Vascular Eruption in a Long-Standing Systemic Sclerosis Pendulous Breasts with Reticulate, Vascular and Necrotic Plaques Disseminated Ulcerative Vascular Plaques in a Child Diffuse Congenital Vascular Lesions Affecting One Limb with Reduced Limb Size Multiple Painless Bluish Nodules A Painful Bluish Nodule An Aggressive Lesion Involving the Scalp of an Elder Part V Cutaneous Lymphomas and Lymphocytic Infiltrate 32 An Unusual Differential Diagnosis of Leg Ulcer A Disease Hiding in a Granuloma Aggressive Follicular Lesions Involving Head and Neck Non-resolving Chronic Eyelid Swelling Rapidly Growing Ulcers on the Face Persistent Papules and Nodules on the Side of the Tongue Ulceration in the Flank of a Middle-Aged Man Pyoderma Gangrenosum-Like Lesions Unexplained Anemia with Pyoderma Gangrenosum-Like Ulcer A Long History of Panniculitis Ulcerated Nodules in a Healthy Woman EBV-Associated Granulomatous Lesions Part VI Metabolic and Nutritional Disorders 44 Facial and Flexural Deposits Associated with Scalp Swelling Generalized Mottled Hyper and Hypopigmentation, Without Systemic Abnormalities Part VII Infections of the Skin 46 Two Infections Coexisting in One Patient An Atypical Presentation of a Cutaneous Infection

3 Contents xiii 48 An Infection Presenting as a Connective Tissue Disease Asymptomatic Acral Exanthem Draining Ulcers in a Healthy Boy A Child with Fever, Lymphadenitis and Rash An Extremely Rare Cause of Erythroderma Painless Disfiguring Tumors with Draining Sinuses Exquisitely Painful, Rapidly Progressing Lesions A Rare Cause of Mucocutaneous Ulceration A Rare and Severe Variant of a Common Disease Pyogenic Granuloma-Like Nodules in AIDS Patient A Scalp Abscess Without an Overlying Wound An Unusual Kerion-Like Scalp Tumor Part VIII Disorders of Connective Tissue 60 Tiny Linear Yellowish Papules on the Neck Widespread Hardening of the Skin with Nodular Thickening and Leg Ulcers Dysmorphic Facies, Tight Skin and Early Death Atrophic Blaschkoid Lines Associated with Syndactyly Part IX Tumors of Skin Surface and Skin Appendages 64 A Painful and Wet Purple Plaque A Rare Epidermal Tumor Mimicking Seborrheic Keratosis Enumerable Tiny Follicular Papules Bluish Discrete Follicular Papules of Gradual Onset Clinically Non-specific, Histologically Very Specific Tumor A Slowly Growing Tumor in Elderly Females A Long Standing Ulcerative Large Tumor on the Scalp An Eye Lid Tumour That Destroyed the Eye and Extended to the Scalp and Face A Keratotic Penile Lesion Part X Lichenoid Disorders 73 A Rare Violaceous and Reticulate Lichenoid Eruption with Greasy Scales on the Face Part XI Pigmentary Disorders 74 Diffuse Pigmentation with Guttate Hypomelanosis in an Anemic Patient

4 xiv Contents 75 Diffuse Hyperpigmentation with Guttate Hypomelanosis and Light Hair Recurrent Pruritic Eruption Resolving with Reticulate Pigmentation A Child with Hypopigmented Skin, Grey Hair, Neurological and Immunological Defects Guttate Hypopigmentation and Punctate Palmoplantar Keratoderma Part XII Blistering Disorders 79 An Adult with Blisters and Milia on Trauma-Prone Sites Traumatic Blisters on the Extremities and White Papules on the Lumbosacral Area of Early Onset Acral Blisters with Decreased Sensation and Muscle Wasting Extensive and Persistent Erosions Involving the Eyes, Oral Mucosa, Vulva and Skin Painful Blisters and Erosions on the Scalp Extremely Pruritic Polymorphous Eruption in an Elderly Male Part XIII Systemic Diseases and the Skin 85 Pruritus Without a Skin Lesion Early-Onset Jaundice with Severe Pruritus Porcelain-Like Scars in a Sick Child Different Granulomatous and Pustular Skin Lesions Caused by One Underlying Disorder A Healthy Female with Migratory Pruritic Figurate Erythema Part XIV Neurogenic Disorders and Tumors 90 Post-traumatic Burning Pain, Swelling, and Vasomotor Dysfunction Middle-Aged Female with Asymptomatic Rapidly Growing Nodule Blueberry-Muffin Lesions in a Baby Part XV Fibrohistiocytic Tumors 93 A Young Woman with Red-White Plaques A Rare Benign Bump on a Child s Digit A Recurrent Tender Nodule on the Tip of the Middle Finger Part XVI Eosinophilic Disorders 96 Post-traumatic, Rapidly Expanding Tongue Lesion

5 Contents xv 97 Recurrent Urticaria and Angioedema Associated with Persistent Eosinophilia Part XVII Histiocytoses 98 Self-Limited Ulcerative Lesions in an Infant Mucocutaneous Yellowish Papules and Polyuria Part XVIII Metastatic Tumors of the Skin 100 Hemorrhagic Papules and Nodules on a Male Breast A Hemorrhagic Nodule on the Scalp of an Elderly Woman Index

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