7 year old boy having this presentation for past 3 months. Treated as Tinea from another clinic without any response. No history of itching completely asymptomatic, increased during this summer vacation. Borders are indurated and no scaling. 1. Diagnosis 2. Possible Etiology. 3. Work up needed 4. Treatment. To avoid confusion, it's not Tinea.

40/y/o/f c/o generalized itching. after which these occur some heal by themselves leaving hyperpigmented areas n some forming crusts..pt is suffering from this on n off since 6months.. she also suffers from seasonal allergic rhinitis n asthma since many yrs ..my dear curofians help me DX n RX this case

A 43 year old female presents to the clinic with the following examination finding. The patient states that for the past few years she notices this rash that occurs on the dorsum of her hands and can extend up to her elbows. She describes the rash as pruitic at times and also states that the rash burns most of the time.She states some association of the rash with humidity. Patient denies allergies, denies joint or muscle pains and does not take any daily medicine. She has tried steroid creme in the past but reports it did not work and she stopped using it after one application. Patient denies any new lotion, gardening, new laundry detergent, new soaps or shampoo. On physical exam, a vesicular rash that is concentrated on the hands with sparse vesicles noted on the antebrachium is seen. Past medical history includes inactive hepatitis C.

1.Multiple Molluscum Contagiosum in a adult married man aged36 yrs with PMC 6 yrs back and serological reactive for HIV 1 and HIV 2 ..it almost indicate his CD 4 cell count will be around 300 to 400 .2.3 .Psoriatic nails with grooves and putting in a 4 yrs boy born to Tyjpe2 Diabetes Mellitus father .4.5.6 . vasculitis palpable purpura of 4 days duration in 17 yrs man suffered From Tuberculosis. 2 yrs

3 yr /f baby had tt for cough n cold from some bams doctor,Soon after that she developed edema n this skin lesions She is severe acute malnourished below -3sd..can be zinc deficiency too