Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Dec 27, 2012.
what is your diagnosis ?
smooth white/yellowish dome shaped papules and some have a central umblication - looks like, Molluscum contagiosum
Clinical Pearl - This condition being a marker of immunodeficiency - first ask for history of contacts ( with similar lesions ) and screen this patient ( and contacts with similar lesions ) for HIV, leukemia etc.
Usually children and people involved in close contact sports ( like wrestling ) are predisposed without any underlying immunodeficiency. So it's not like an alarm bell when I see it, but if a totally new patient comes then discuss / screen because if you miss then you can get into trouble.
I agree with dr.angela and according to the doctor who diagnosed it Dr. Rohit Garg - the patient says that it appeared after threading over face.
source - Doctor's life: verruca plana or flat wart
My question - Assuming that it is Verruca plana ( & not a mild folliculitis, which is more common after threading ) and that a new thread was used ( ruling out cross contamination ), what could have caused this presentation post threading.
Answer : Verruca plana
Answer: The patient may have had a few lesions of verruca plana ( which she never noticed ) and following threading, it spread to her entire face - "Kobner phenomenon".
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