Fifty Cases in Dermatological

Medicine

Daniel Creamer

Department of Dermatology

King’s College Hospital

Denmark Hill

London SE5 9RS

Anthony du Vivier

Department of Dermatology

King’s College Hospital

Denmark Hill

London SE5 9RS

LONDON AND NEW YORK A MARTIN DUNITZ BOOK

© 2005 Taylor & Francis, an imprint of the Taylor & Francis Group

First published in the United Kingdom in 2005 by Taylor & Francis, an imprint of the Taylor & Francis Group, 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN

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Dedication

This book is dedicated to our wives, Katherine and Judith.

	Contents
	Dedication	iii
	Preface	ix
	Acknowledgements	x
	Abbreviations	xi
Case 1	Haematemesis and warts	1
Case 2	J Yeh, A du Vivier
	Annular lesions on the face of a neonate	9
Case 3	E Higgins
	A warty plaque on the sole of the foot	15
Case 4	P Gruber, D Vollum, A du Vivier
	Dystrophic nails and lethargy	21
Case 5	A du Vivier
	Stretchy skin	28
Case 6	L Whittam
	Chronic scaling of the scalp	34
Case 7	B Monk, A du Vivier
	Generalized papular thickening of the skin	41
Case 8	A du Vivier
	Flexural erythema following chemotherapy	48
Case 9	K Harman, E Higgins
	Painful pustules in pregnancy	54
Case	E Higgins, A Pembroke
	Discharging nodules on the jaw	60
10	J White, C Fuller
Case	Thickening of the facial skin, weakness of the hands and loss of	67

11peripheral sensation

M Clement, A du Vivier

Case	A facial and anogenital rash in an infant	74
12	M Clement
Case	Non-healing dog bites	80
13	E Higgins, A du Vivier
Case	Two patients with pustular plaques on a neurosurgical ward	87
14	S Munn, A du Vivier

Case	Fever and purpuric lesions in an infant	93
15	A du Vivier
Case	Photosensitivity with skin cancers	100
16	A Pembroke, A du Vivier
Case	A papular eruption in a patient with leukaemia	108
17	K Watson, A du Vivier
Case	A polycyclic rash in a patient with epilepsy	116
18	J White, D Creamer
Case	Flexural papules, thirst and polyuria	123
19	A Pembroke
Case	Facial plaques and fever	129
20	P Todd, A Pembroke
Case	Generalized thickening of the skin following bone marrow	136

21transplantation

G Osborne

Case	Pruritic plaques in pregnancy	143
22	A du Vivier
Case	Multiple painless ulcers in a traveller	150
23	B Monk
Case	A pigmented plaque on the knee	156
24	E Higgins
Case	Photosensitivity with scarring	162
25	S Dawe, DI Williams, D Creamer
Case	Swelling of the hands and generalized hyperpigmentation	169
26	A du Vivier
Case	Birthmarks and macrodactyly	176
27	F Child, A du Vivier
Case	Facial nodules, cough and breathlessness	183
28	A Pembroke
Case	A unilateral breast rash	189
29	E Campalani, A du Vivier
Case	Fever and a desquamating rash in an infant	196
30	E Higgins
Case	A follicular eruption in a vegan	202
31	C Martyn-Simmons, A du Vivier

Case	Erythroderma in a Jamaican man	208
32	G Osborne, A du Vivier
Case	An inflamed toe and a rash on the legs in an immunosuppressed patient	214
33	F Child, A du Vivier
Case	Periorbital erythema following chemotherapy	221
34	F Keane,A du Vivier
Case	Nodules and plaques in a boy with progressive liver failure	226
35	D Buckley, A du Vivier
Case	A unilateral groin rash	233
36	K Short, A du Vivier
Case	Patches, plaques and lymphadenopathy	239
37	M Clement, A du Vivier
Case	A plaque on the shin	245
38	M Clement
Case	A rash and numbness involving the right thumb	251
39	S Dawe, D Creamer
Case	Widespread skin sloughing in a man with fits	258
40	D Creamer
Case	A plaque on the chest	267
41	D Creamer
Case	A polymorphic mucocutaneous eruption in a patient with lymphoma	274
42	G Perera, D Creamer
Case	Abdominal pain, fever and acral purpura	284
43	A Friedmann, D Creamer
Case	Papules on the buttocks	291
44	A du Vivier
Case	A non-healing crusted plaque in a child	297
45	J White, E Higgins
Case	A rash on the face, upper back and hands	304
46	D Creamer, A du Vivier
Case	A large vascular tumour in an HIV-positive man	314
47	Kazim Aderogba, Karen Watson, Christopher Taylor
Case	Linear blisters and pigmentation in a baby girl	320
48	M Clement

Case	Gradual coarse wrinkling of the skin	326
49	A Friedmann, R Marten
Case	Breathlessness and widespread cutaneous necrosis	333
50	K Watson, D Creamer
	Index	341