BookMohammad Ali El-Darouti.
Summary: Challenging Cases in Dermatology provides a strategic and analytic way of thinking about unusual dermatologic presentations. Every case presented within this book is a unique story, but the clinical decision pathways used to reach an appropriate solution are similar. A wide range of cases are covered including many extremely rare diseases and rare presentations of diseases that are not, themselves, uncommon. A familiarity with such unusual cases will provide the dermatologist with increased knowledge, a wider perspective, and innovative techniques that can be used to solve diagnostic dilemmas.The author has used his vast experience in practicing dermatology to create a visual reference for skin disease, with the emphasis on working through each case as presented, starting with the clinical data, histological slides, and other available investigations. Each chapter includes a brief discussion of each extraordinary case and includes epidemiology, pathogenesis, clinical and histological features, differential diagnosis, definite diagnosis, prognosis, and management.
Contents:
Part I. Genodermatoses
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 20
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
Unusual Presentations of an Uncommon Ulcerative Disorder
Part III. Vascular Disorders and Vasculitis
An Unexpected Cause of Leg Ulceration
Limb Ulcer and Paresis; Acquired and Congenital
Recurrent Abortions and Atrophic Telangiectatic Leg Lesions with Ulcerations
Acral Necrosis in a Heavy Smoker
Part IV. Vascular Malformations and Tumors
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
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
Facial and Flexural Deposits Associated with Scalp Swelling
Generalized Mottled Hyper and Hypopigmentation, Without Systemic Abnormalities
Part VII. Infections of the Skin
Two Infections Coexisting in One Patient
An Atypical Presentation of a Cutaneous Infection
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
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
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
A Rare Violaceous and Reticulate Lichenoid Eruption with Greasy Scales on the Face
Part XI. Pigmentary Disorders
Diffuse Pigmentation with Guttate Hypomelanosis in an Anemic Patient
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
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
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
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
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
Post-traumatic, Rapidly Expanding Tongue Lesion.