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Hi all (Especially Bel)

I have a young female patient 19yrs old who has had this (pics below) warty type skin lesion for several yeras and GP and dermotologist treatments have not resolved it i.e. emolient and steroid creams.

I have been treating as warts using cryo and occlusal (salycilic acid 23% home use) but it has not resolved, although there was a more typical red scaley eczema rash on the dorsum that has resolved.

I'm trying a Nano silver / ceramide cream now but can anyone identify the skin condition and give any advise on effective treatment.

Cheers Dave

The first pic is normal view and looks like warts but the second a 400 magnification does not resemble wart I think, just scaley plaques.

 

Hi Dave,

Great pics, esp the magnified one.

A little more history wouldn't go amiss...but I agree; the straie doesn't appear to have the HPV interference..

What was the dermatologists dx? Is the lesion puritic? Does the pt take any meds? Any similar lesion/rashes elsewhere on the body or a white streaky tongue? Could be LP.

It doesn't look malignant so you might struggle to arrange biopsy, but that's the only way for definitive DX.

http://www.dermis.net/dermisroot/en/32967/image.htm
http://www.dermrounds.com/photo/lic...ions?context=album&albumId=1980062:Album:7513

I'll have a look through The Docs book tomorrorow...

 

Atypical psoriasis ? late teens is one of the onset age groups

http://www.dermnetnz.org/scaly/psoriasis-general.html

after a bit more browsing perhaps this is an outside option

Porokeratotic eccrine ostial and dermal duct naevus

http://www.dermnetnz.org/lesions/peoddn.html

http://www.bing.com/images/search?q...8F5302799C3B87EA6AF922D496E5E&selectedIndex=2

I imagine a biopsy is the best option for a definitive answer

Regards

Greg

 

Cheers Bel good stuff

 

Greg

The PEODDN looks very similar and the description fits plus she has had Eczema since childhood

Update of med Hist

She has had small areas of eczema since childhood, which is sometimes pustular, she has IBS.

cheers Dave