September 2021 - Case of the Month
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 16 year old boy presented with redness and rough skin over his cheeks and eyebrows, along with some thinning of the eyebrows. This had come on gradually. No other family members were affected and the patient was otherwise well.
On examination there was fixed erythema of the cheeks and eyebrows, along with follicular plugging. The skin felt rough. There was also some hair loss of the lateral eyebrows. There was no hair loss from the scalp.
What is the diagnosis?
The diagnosis is keratosis rubra pilaris faciei atrophicans (syn. ulerythema ophryogenes), a variant of keratosis pilaris.
Ulerythema ophryogenes is a relatively infrequent disorder that mainly affects children and young adults. It is usually sporadic, although cases inherited in an autosomal dominant pattern also are described. It is a more inflammatory form of keratosis pilaris, which has the following clinical findings:
There is little in the way of effective treatment.
For more information please refer to the chapter on keratosis pilaris.
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 52 year old man presented with a one year history of skin lesions predominantly on his hands, ears and scalp. He was also complaining of painful swollen fingers associated with morning stiffness. There was no family history of skin or joint problem...
A 72 year old man was referred with a rash, predominantly on the legs. The patient was systemically well and the lesions were only mildly symptomatic. The lesions presented as one to several at a time lasting several weeks. They had not res...
Welcome back to the new look PCDS website, and our first case. This lady was referred as a 2-week wait with a changing lesion on the right temple.
A 15 year old lady was referred for a diagnostic opinion for skin changes presenting in birth, affecting the right upper back, shoulder, antecubital fossa and dorsal wrist. The patient was asymptomatic and otherwise well.
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