Recurrent Paronychia as a Presenting Manifestation of Pemphigus Vulgaris: A Case Report.

Nail involvement in pemphigus vulgaris (PV) is an unusual clinical finding. The most common clinical manifestations include chronic paronychia and onychomadesis. We report an adult female patient with PV who initially presented with chronic paronychia of multiple fingernails and toenails before the onset of vesiculobullous eruptions.

Follicular pityriasis rosea. A case report and a new classification of clinical variants of the disease.

Background: Atypical forms of pityriasis rosea are often noticed in Indian children.

Main Observations: We describe a 9-year-old male child with predominant follicular eruptions on trunk consistent with a clinical diagnosis of pityriasis rosea.

Conclusion: Follicular pityriasis rosea is an extremely rare presentation of the disease.

Chronic urticaria associated with recurrent genital herpes simplex infection and success of antiviral therapy--a report of two cases.

The role of infectious agents as a cause of chronic idiopathic urticaria (CIU) is uncertain. The objective of this study was to investigate whether genital herpes simplex infection is causally related to CIU. We identified two patients with recurrent genital herpes simplex infections associated with CIU.

Multiple recurrences of pityriasis rosea of Vidal: a novel presentation.

We report a young girl with large annular scaly lesions of pityriasis rosea in the axillae and groins, which recurred three times after the initial episode. The initial attack and the first recurrence were preceded by upper respiratory-tract infection. The recurrences had a less severe presentation than usual and also lacked the herald patch.

Efficacy of ribavirin in a case of long lasting and disabling Gianotti-Crosti syndrome.

Background: Gianotti-Crosti syndrome, also known as papular acrodermatitis of childhood, is an acrally distributed papular eruption occurring mostly in infants and young children.

Main Observations: A six-year-old girl presented to us with four-month history of a generalized intensely pruritic rash, clinically consistent with Gianotti-Crosti syndrome, following a febrile illness with common cold symptoms. Clinical remission was not achieved despite of several medications.

Bilateral extensive linear nodules on upper extremities in a child - a rare presentation of neurofibromatosis type 1 (Recklinghausen disease).

Background: Type 1 neurofibromatosis is a common neurocutaneous disease characterised by café-au-lait macules, neurofibromas, plexiform neurofibromas, axillary freckling, optic glioma, and Lisch nodules.

Main Observations: We report a 10-year-old boy with a rare presentation of type 1 neurofibromatosis, presenting with bilateral, multiple linear asymptomatic nodules extending from the axillae to the wrists, bilateral thickening of ulnar and supraorbital nerves, and 16 cafe café-au-lait macules over 0.5 cm in diameter on trunk and extremities, and bilateral axillary freckles.

Facial hirsutism following danazol therapy.

We describe a 32-year-old woman who presented with excessive facial hair growth of sudden onset that disturbed her psychologically. She had been treated for fibrocystic breast disease with danazol for 6 months. Two months after discontinuation of the drug, the patient had complete reversal of the hair abnormality.

Fixed drug eruption - a sexually inducible reaction?

We present three cases of diagnosed fixed drug eruption (FDE) in male patients with known drug sensitivity. In each case, the patient has refrained strictly from intake of the offending agent over many years. FDE developed after history of sexual contact with their spouses who were found to be receiving the same medication to which their partners were hypersensitive.