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 7 year-old boy presented with a history of gradual colour loss from his face over the past four months. The skin had been a little itchy. There was no personal or family history of skin problems, or atopy, and the child was otherwise well.
Several ill-defined areas of hypopigmentation, mainly affecting the cheeks. There was also a little erythema and scale close to the nose.
What is the diagnosis?
The diagnosis is pityriasis alba.
Pityriasis alba is a common skin condition causing hypopigmented facial patches in children and occasionally young adults. It is thought to be post-inflammatory in origin, possibly caused by a preceding eczema, however, any inflammation is usually not apparent during the consultation.
The condition is more likely to present in summer, especially in darker-skinned children, because the patches don't tan as well as the surrounding skin.
Clinical features:
Please refer to the chapter on pityriasis alba for more information on this condition, including the management.
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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