Previously published Photo Quizzes are now featured in a mobile app. Get more information at http:// www.aafp.org/afp/apps. A 52-year-old male smoker presented with a mildly pruritic rash that began three months earlier on his back and spread to his scalp, trunk, and extremities, including the palms and soles. He had a history of alcoholic cirrhosis. He had no recent new exposures, including me...

Andranthobius setirostris sp. nov. is the first species of Andranthobius Kuschel described from the Amazon. It is distinguished from other species within the genus by an anterior obtuse tubercle on the lateral margin of the pronotum, the rostrum of the males with a lateroventral row of tubercles and comb of setae, and a much larger body. Adult specimens were originally collected in flowers of t...

BACKGROUND Acral peeling skin syndrome is a rare autosomal recessive genodermatosis due to a missense mutation in transglutaminase 5. The skin peeling occurs at the separation of the stratum corneum from the stratum granulosum. CASE PRESENTATION We present a case of two siblings who developed continuous peeling of the palms and soles from the first year of life. This peeling was more severe o...

Although the title of William Faulkner‘s famous novel The Sound and the Fury overtly references the senses, most critics have focused on the fury rather than on the sound. However, Faulkner‘s stories, vividly and descriptively set in the U.S. South, contain not only characters and plot, but also depict a rich sensory world. To neglect the way Faulkner‘s characters employ their senses is to miss...

By Surgeon B. D. BASU, i.m.s. Case 1.?Lance Naik I. Gr. had been suffering from eczema of palms of both hands and heel of left foot for a long time before he came under my observation. His medical history sheet showed several admissions in hospital for eczema of the palms for a period extending over a year. Zinc, iodoform, vaseline, &c., locally had been tried before. When he came to me, I trie...

We report an outbreak of a "rash" syndrome in patients attending methadone clinics in New South Wales. It presents with a pruritic, exanthematous or purpuric rash involving the trunk, limbs, palms and soles, which develops over a week and proceeds in most patients to desquamation (mainly of palms and soles) persisting for 3-4 weeks. Mucosae are not involved, and patients are generally systemica...

This paper reports the case of a 57-year-old, previously healthy male with no systemic symptoms who over a short period of time developed multiple wart-like lesions on his trunk, limbs and face, typical lesions of acanthosis nigricans in the major body folds and tripe palms. Diagnostic tests revealed a metastatic gastric adenocarcinoma. Despite the implementation of therapy, which had a transie...

Case Report A 40-year-old priest presented with asymptomatic depigmented and hyperpigmented areas on the palms and the soles of 2i years' duration. The depigmented lesions on the palms had developed first and a month later hyperpigmented lesions appeared nearby. New lesions gradually involved the skin of the backs and sides of the hands and the flexor surface of the wrists. Similar lesions appe...