Dr. Abeer Quitta Comments: Chronic discoid LE.
dr radwa Comments: lupus vulgaris
Dr.Nagi mohamed Elhadi ginawi Comments: Tinea imbricata
Fatma Sadik Comments: tinea corporis
emy Comments: psoriasis
eman ragheb Comments: we need a pathology
d\mohamed mohdy Comments: discoid L.E subacute type
hannah Comments: lupus valgaris
Iman Kotb Comments: Porokeratosis
Hussein Fahmy Comments: Please,for the future present the clinical and the pathology slide
Hussein Fahmy Comments: Tuberceloid Leprosy
Mohsen Soliman Comments: All the comments are veryfor good, for excellent differential diagnosis. In the begining the case was suspected to be superficial fungus infection, that disseminated. However, negative mycology exam and nor response to systemic or local antifungal excluded the possibility. Vitiligo with an inflammatory wasanother possibility that was put forward, but was not confirmed neither clinicaly nor hisopathologicaly. Professor B.Ackerman in a visit diagnosed the case as subacute cutaneous type ofLupus erythematosus. So I like to congratulate the colleagues who clinshed the diagnosis, as she was the first case to be descibed in egypt, and this was some twent years ago. Thank you and we meet for the next case
mai Comments: are there any systemic manifestations,alopeia,photosenstivity or eryhema anywhere?
Abbaro Comments: ?? Inflammatory vitiligo
dr sameh Comments: it seems to be fungal but it is -ve so it may be lupus
nermen mehriz Comments: a case of subacute cutanous lupus erythematosus
Lilian Harby Comments: Lupus vulgaris
Mohsen Soliman Comments: Thank you all for the comments, about this young 11 years old girl, who has got these annular lesion affecting the lateral aspect of the arm. The lesions were rounded well demarcated, scaaly at the marginand superficial. Mycological examination was negative, the lesions slowly progressed in couple of years and started to unite with each other, and in 4 years time it markedly increased in size. What would you suggest for the management. Histopathology examination demonstrated lichenoid infiltrate. Waiting for your comments after examination of the case after 2 & 4 years.
Dr. Zahraa Comments: Lupus Vulgaris
mostafa shaheen Comments: Discoid L E L VULGARIS USUALLY LEFT SIDED Is she Egyption?
Dr. Tim Comments: Lupas Vulgaris
Dr. Altamimi Comments: Lupus vulgaris
nabil maher Comments: porokeratosis
nabil maher Comments: extera facial lupus erthematosus
mariam okair Comments: as erythematous scally plaques(psoriasis) no signs of scars
AK Comments: Lupus vulgaris
Dr. Mohsen Soliman Comments: Please comment on this photo.