Pruritic urticarial papules and plaques of pregnancy (PUPPP) are among the most common pruritic dermatoses observed in pregnant women. PUPPP appears most frequently in the third trimester, in primigravidas, and in multiple gestation pregnancies. The eruption of changes occurs initially on the abdomen and extends over the thighs, legs, back, buttocks, arms, and breasts. Skin changes typical for ...

© 2014 The Authors. doi: 10.2340/00015555-1699 Journal Compilation © 2014 Acta Dermato-Venereologica. ISSN 0001-5555 Angiosarcomas of the skin are uncommon but highly malignant tumours that mainly occur in the head and neck regions of elderly patients. The usual presentation of angiosarcoma is as bruise-like patches or nodules, but variable clinical features are demonstrated (1). We describe a ...

A 59-year-old woman presented with several years of persistent and worsening bilateral pruritic auricular lesions. The rash was limited to the ears, and the patient did not have a history of a similar rash on other areas of her body. She reported rubbing and scratching her ears often. A trial of ketoconazole shampoo and triamcinolone cream was ineffective. Examination revealed cobblestoned, sli...

BACKGROUND Congenital self-healing Langerhans cell histiocytosis (Hashimoto-Pritzker disease) is the rarest form of Langerhans cell histiocytosis, usually confined to the skin and/or mucous membranes. Cutaneous eruption is mostly generalized, papular, nodular or vesicular. Despite impressive clinical presentation in a newborn it infrequently spreads to internal organs (which then portends a gra...

Several modes of therapy are used for treating PPP, including cryotherapy, electrodesiccation, podophyllin, curettage, and carbon dioxide laser ablation; however, treatment should be reserved for patients who have cosmetic or psychological concerns from the appearance of this benign entity (2). We report on the case of a 41-year-old Caucasian man with a history of several months of two nonpainf...

Volume 82, Number 5 www.aafp.org/afp American Family Physician 517 A 15-year-old boy presented with papules concentrated on his bilateral forearms, elbows, knees, and trunk that arose suddenly five weeks earlier. The patient reported that the lesions became pruritic after showering. He had no personal or family history of similar lesions and took no regular medications. He was obese and had a f...

Department of Skin and VD, Topiwala National Medical College and BYL Nair Hospital, Mumbai, Maharashtra, India A 40-year-old woman presented with gradual onset of multiple raised skin-colored lesions over face since two months. There was no history of any associated complaints such as burning, itching, or pain. There was no history of antecedent trauma, seasonal variation, systemic ailments, or...

A 40-year-old white Caucasian woman presented with a 20-year history of asymptomatic lesions on palmoplantar regions. Physical examination revealed numerous keratotic papules with crateriform holes on the palms (Figure 1) and yellow pits over the areas of soles exposed to pressure (Figure 2). Her father reported the same skin signs but he was less severely affected. The patient displayed no sys...

Systemic elastorrhexis is a multisystem genetic disorder characterised by dystrophic mineralization of soft connective tissues in a number of organs, including the skin, the eyes and the arterial blood vessels. Although the eye and skin findings have for years attracted the attention of ophthalmologists and dermatologists, the systemic nature of the disorder has not received sufficient attentio...