Dermatology

EXTRA EDGE INFO

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WARTS BECKER NEVUS
ƒƒ Becker nevus presents as a hyperpigmented, hypertrichotic patch
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on the upper trunk or proximal upper extremity. The lesion is
usually single & begins before puberty.
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FO
ƒƒ Co-existence of underlying connective tissue nevi smooth muscle
hamartomas and structural abnormalities of bone and soft tissue
is known.
ƒƒ The male predominance (M:F ratio, 5:1), onset at or after puberty
and hypertrichosis suggest that local androgen hypersensitivity
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may be an etiological factor.
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IN
DERMATITIS
ƒƒ Atopic dermatitis is an itchy, chronic or chronically relapsing
inflammatory skin condition that often starts in early childhood E
(usually before 2 years of age).
○○ The rash is characterized by erythema, itchy papules/
GE papulovesicles which may become excoriated and lichenified,
and typically has a flexural distribution. The eruption is
frequently associated with other atopic conditions in the
individual or other family members.
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○○ Childhood AD the classic sites of involvement are the
The lesions shown in image are typically warty lesions over dorsum
of hand. Cardinal features suggestive of warts are:
antecubital and popliteal fossae, flexor wrists, eyelids, face,
and around the neck. Pruritus is a constant feature.
U
ED
ƒƒ Raised papular warty lesions. Lesions may be smooth and papular
ƒƒ Allergic contact dermatitis (ACD) is a form of contact dermatitis
or keratotic/ cauliflower-like.
ƒƒ Lesions are usually non-itchy
ƒƒ The characteristic distribution pattern of lesions : ano-genital are
which is characterised by rashes or lesions in form of papules,blister
or vesicles . It is confined to the area where the triggering material P
comes in contact. It occurs within a day or 2 of contact with the
most common.
allergen . Symptoms disappear when allergen is removed.
ƒƒ History in one of the family members of the household or other
contacts may be there.
ƒƒ Asteatotic eczema / xerotic eczema or eczema craquelé, is a form
of eczema seen in elderly and occurs when the skin becomes
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The cardinal features in the clinical diagnosis of scabies are:
abnormally dry, itchy and cracked . Most people develop
ƒƒ The presence of the burrow, especially on the hands or penis;
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symptoms in winter months.

ƒƒ The characteristic distribution pattern of lesions (papules/
ƒƒ Seborrheic dermatitis is a common skin condition that mainly
papulovesicles)---Scabies characteristically involves the webs of
affects scalp. Patchy, red skin lesions are seen over scalp with
the fingers, flexor aspects of the wrists, elbows, anterior axillary
folds, the nipple and areola, umbilicus and periumbilical region,
genitalia & upper thighs, knees and ankles.
stubborn dandruff. Seborrheic dermatitis can also affect oily
areas of the body, such as the face, sides of the nose, eyebrows, E
ears, eyelids and chest.
ƒƒ The presence or history of similar illness in other members of the

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household or other contacts; and

ƒƒ Intense pruritus, which tends to worsen at night.
NECROBIOSIS LIPOIDICA
ƒƒ Necrobiosis lipoidica (NL) is characterized by wellcircumscribed,
EX

Features Warts Scabies

Caused by HPV Sarcoptes scabiei (Itch mite)
firm, depressed, waxy, yellow-brown plaques, usually of the
anterior shin. Necrobiosis lipoidica (NL) appears in 0.3%–1.6%
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Lesions Anogenital area, Interdigital clefts are usually of diabetics. Around 11%–65% of patients with NL have DM at

Family history
dorsum of hand involved
Rare Common, most of the family
the time of presentation; most of the rest eventually develop overt
diabetes or impaired glucose tolerance. Non-diabetics with NL N
members have similar lesions should therefore be followed up for the development of diabetes.
It is also more frequent in type 1 DM (6.5%) than in type 2
Pruritus Non-itchy Intense itchy lesions
(0.4%) or maturity-onset (2.8%) diabetes. Control of the diabetes
does not influence the course of the NL.
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These Updates are from Primes Supplement 2018