What is your diagnosis?

This 12-year-old boy had palmoplantar keratoderma, psoriasiform plaques on elbows and knees, and periodontitis resulting in progressive loss of dentition.

What is your diagnosis?

A middle aged woman presented with an asymptomatic large brownish red plaque on the right side of the face, and the right ear lobe which developed from a small papule over a period of ten years. Physical examination revealed a large well demarcated brownish red plaque involving the right side of the face, angle of the jaw, the submadibular area, and the pinna of the right ear. (Figure 1) On palpation, the plaque was smooth surfaced, non-tender and soft in consistency. There was no family history of similar dermatosis. The patient had been prescribed multiple drugs including oral antibiotic and topical steroids for the treatment of the lesion by a few GPs but the lesion did not respond and kept on slowly progressing and extending to involve the adjacent area over time. Histopathologic examination of a biopsy specimen revealed multiple granulomas surrounded by chronic inflammatory cells and central necrosis. Considering the clinical and histopathologic findings, what is your diagnosis?

Cutaneous manifestations of internal disease

Necrolytic acral erythema

Necrolytic acral erythema (NAE) was first described in 1996 by physicians in Egypt, M. El Darouti and M. Abu El Ela. Reports have continued to link hepatitis C with NAE.  Necrolytic acral erythema manifests as well-circumscribed, dusky erythematous plaques with adherent scale. While the plaques are psoriasiform, they do not manifest an Auspitz sign as would be seen with psoriasis. Patients with active necrolytic acral erythema report burning or pruritus. It is limited to an acral distribution and, in most cases, is associated with hepatitis C infection.  Several cases of necrolytic acral erythema have occurred in patients without hepatitis C. This suggests that necrolytic acral erythema might be a result of zinc dysregulation, rather than a result of hepatitis C infection itself.

Darier disease

Keratosis follicularis, also known as Darier disease (DD) or Darier-White disease, is an autosomal dominantly inherited genodermatosis characterized by greasy hyperkeratotic papules in seborrheic regions, nail abnormalities, and mucous membrane changes. The disease was first reported independently by Darier and White in 1889. White was first to recognize the genetic nature of keratosis follicularis (Darier disease) by noticing that a mother and her daughter were affected.

Join telederm.org to discuss your difficult cases

The Teledermatology project: telederm.org was conceived in 2002 by H. Peter Soyer and Rainer Hofmann-Wellenhof from the Department of Dermatology, Medical University of Graz, Austria and is aimed towards the exchange of knowledge and expertise on a worldwide level (PLoS Medicine 2005: Health in Action: telederm.org: Freely Available Online Consultations in Dermatology). The goal of the Community for Teledermatology

Dermatology is to create a surplus value for experts, physicians and healthcare workers interested in dermatology and teledermatology.

This teleconsultation service is based on the transmission of digital images following the store-and-forward method. Users are invited to submit clinical and dermatopathologic cases of interest to the discussion forum thus making them available for viewing and comment by all other members.

Mobile teledermatology in developing world

Please find here an interesting article on mobile teledermatology in developing world

4rth World Congress of Teledermatology

We are happy to invite you to Georgia to take part in the

4th World Congress of Teledermatology

to be held in Tbilisi, Oct. 04-06, 2012 at the Sheraton Metechi Palace Hotel.

This Congress will continue the tradition of previous World Teledermatology Congresses - provide the most updated information in the field of Teledermatology, and give the participants an opportunity of meeting experts from all over the world. At the same time we are planning to maintain the tradition of successful large international medical conferences in Georgia, one of the examples of which is 25th IUSTI-Europe Conference held in Tbilisi in Sept. 2010.

The structure of the meeting is similar to the previous ones. Abstract publication and posters session have also been planned. We sincerely hope that you will enjoy the scientific part of the meeting, as well as the unique historical environment of Tbilisi. Being at the Crossroads of European and Asian cultures Georgia has plenty to offer to you in terms of sightseeing, entertainment, fun, and cuisine. Please see more information by visit our website www.telederm2012.ge  Looking forward to meeting you in Tbilisi.

"Member Making A Difference Award" of the American Academy of Dermatology for Dr. Aisha Sethi

Teledermatology in Pakistan

Please view the Book Chapter, 
Teledermatology in Pakistan by 
Shahbaz A. Janjua, Ijaz Hussain, Arfan Bari, Sadia Ammad and Rahila Naz in Prof. Soyer's newly published book titiled, "Telemedicine in Dermatology".  

2012, Telemedicine in Dermatology, Part 1, Pages 33-41