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Dermatology Cases

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Dec 27, 2012.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    what is your diagnosis ?

    Derma.jpg
     

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  2. neo_star

    neo_star Moderator

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    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.
     

    Last edited: Dec 28, 2012
  3. dr.angela

    dr.angela Bronze Member

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    Verruca plana
     

  4. neo_star

    neo_star Moderator

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    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.
     

  5. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer : Verruca plana

     

  6. neo_star

    neo_star Moderator

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    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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