The patient, a 46-year-old black woman, was referred to the dermatology clinic at Washington University, St Louis, Mo, for evaluation of reddish-purple nodules on her face and shins. The patient’s medical history was significant for hypothyroidism and an arrhythmia. Findings from a punch biopsy from her right nasal ala showed confluent granulomas with central caseous necrosis in the dermis. Fin...

Despite the social, pathological, physiological, and psychological effects that topical corticosteroids (TCs) present, it has become a widespread practice among Sudanese women. This cross-sectional study involving three localities of Khartoum state assessed perceived risks reasons behind use TC Data was collected from 217 women using validated self-administered questionnaire with Cronbach's alp...

A 48-year old female, with no relevant history of morbidity, consulted for symptoms of 3-month evolution of pruritic lesions located on the left side of the body that had been growing progressively. A physical examination found evidence of hyper-pigmented and hyperkeratotic papules that had coalesced into plaques on the abdomen, hip and upper part of the left thigh. The lesions did not go above...

REPORT OF A CASE A 22-year-old man with history of acne was referred to our dermatology department for possible patch testing and evaluation of his widespread rash. Three months before referral, the patient had an eruption of well-demarcated plaques on his scalp, face, neck, and extremities, associated with pruritus. The patient’s eruption was refractory to topical corticosteroids (desoximetaso...