‫‪P age |1‬‬

‫اﻟﺮﻳﺎض اﻟﻨﺪﻳﺔ‬
‫ﻓﻲ‬

‫اﻷﻣﺮاض‬
‫اﻟﺠﻠﺪﻳﺔ‬

‫ﺍﻟﻄﺒﻌﺔ ﺍﻷﻭﱃ‬

‫‪Esnips.com/user/ma7moud‬‬
 P age |2

.:: ‫ ﻣﻘﺎرﻧﺎت‬::.
VERRUCA PLANA (PLANE WART) LICHEN PLANNUS
• More common in children. • Less …
• Face, back of hands & shins. • Unusual on face.
• Flexors of forearm.
• MM is often involved.
• Itching is usually present.

CONDYLOMA ACCUMINATA CONDYLOMA LATA

CAUSE H.R.V. T. pallidum
MORPHOLOGY Soft, flesh colored & Flat & sessile.
pedunculated mass (es).

SURFACE Rough. Smooth.

COLOR Pink. Grayish white.

BASE Not … Indurated.

BLEEDING Easy. Not …

LYMPHADENOPATHY X Generalized.
DARK GROUND X √
ILLUMINATION
SEROLOGY X √
TREATMENT ** Physical & chemical ** Anti-syphilitic drugs.

VERRUCA PLANTARIS (PLANTAR CALLOSITIES

WART)
SURFACE • Rough keratotic. • Smooth.
EPIDERMAL RIDGES • Not continuous. • Continuous without
interruption.
IF HORNY LAYER IS PARED • Obvious separation between • No separation between
wart tissue & protective horny callosities & surrounding skin.
ring. • No …
• Small bleeding points.

KERION CELSI ABSCESS

CONSTITUTIONAL •+ • +++
MANIFESTATIONS
CAUSATIVE ORGANISM • M. canis • Bacteria.
FLUCTUATION TEST • -ve (solid mass). • +ve (pus).
HAIR • Loose. • Firmly attached.

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 P age |3

TINEA CRURIS CANDIDA INTERTRIGO

• Well defined. • Does not have a sharp margin.
• Central clearing. • Rare.
• Few & large satellite lesions. • Numerous & small.
• Frayed peeling edge that occurs as the tiny
pustules rupture.

NAPKIN CANDIDIASIS NAPKIN DERMATITIS

• Erythema, soreness & itching. • X
• Subcornial pustules. • X
• Fringed irregular idges & satellites. • X
• Involves the natal cleft, peri-anal area, outer • Involves the convex surface of buttocks.
surface of buttocks.

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 P age |4

.:: ‫ ﺗﺠﻤﻴﻌﺎت‬::.
P = Psoriasis.
LP = Lichen Plannus.
EM = Erythema Multifore.
SD = Seborrheic Dermatitis.

LEUCO-DERMA
v DEFINITION:
• Partial or complete loss of melanin pigment.

v TYPES:
• Congenital:
1. Albinism:
o Total (oculo-cutaneous).
o Partial (piebladism) “patches of skin devoid of pigment”.
o Hypo-pigmented naevi.
2. De-pigmented naevi.

• Acquired:
1. 1ry:
o Vitiligo.

2. 2ry:
o Post-infection:
§ Pityriasis versi-color.
§ Leprosy (all types).
§ Syphilis (late).
o Post-inflammation:
§ Psoriasis.
§ Lichen plannus.
§ Pityriasis rosea.
§ Pityriasis alba.
§ Eczema.
o Chemicals:
§ Phenol & hydroquinones.
o Systemic infections:
§ Endocrinal disturbances & malnutrition.

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 P age |5

SKIN & MM
1. Viral skin infections (chicken pox, H.S., H.Z., …).
2. P.
3. LP.

4. Angio-edema (giant urticaria).

5. EM.

6. Syphilis.
7. Bullous dermatitis.

CIRCINATE LESIONS
v Superficial: v Deep: “granuloma”
1. Circinate impetigo. 1. BB leprosy.
2. Tinea circinata. 2. Sarcoidosis.
3. Pityriasis versi-color. 3. TB (lupus vulgaris).
4. Leishmaniasis.
4. Circinate psoriasis. 5. Syphilis (2ry & 3ry).
5. Circinate lichen plannus (annular!!). 6. Granuloma annulare.
6. Pityriasis rosea.

7. EM.
8. SD.

CICATRICIAL ALOPECIA
v Congenital:
• Birth trauma.

v Traumata: “any deep trauma”

• Chemical, physical & thermal.

v Inflammation:
• Lichen plano-pylaris.
• Discoid lupus erythromatosis.
• Pimphegoid.

v Infection:
• Bacterial: Deep folliculitis.
• Viral: H.Z.
• Fungal: Favus & kerion celsi.
• Parasitic: Leishmaniasis.

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 P age |6

ITCHY DISEASES
v Dermatological:
1. Varicella (chicken pox).
2. Scabies.
3. Pediculosis.
4. Urticaria.
5. Chronic eczema.

v Non-dermatological:
1. Obstructive jaundice.
2. DM.

PAINFUL VERRUCA
1. Verruca plantaris.
2. 2ry bacterial infection.
3. Sub-ungual verruca.
4. Malignant transformation of condyloma accuminata.

KOPNER PHENOMENON
“Specific lesion on top of non-specific stimulus in genetically pre-disposed patient”
“Formation of new lesions at sites of trauma”
1. Verruca plana.
2. Molluscum contagiosum.

3. P.
4. LP.

5. Vitiligo.
6. Infective eczematoid dermatitis.

ERYTHRO-DERMA
“Generalized redness & scaling”
.:: Emergency ::.
1. Scabies (Norwegian).

2. P.
3. LP.

4. Pityriasis rosea.
5. Pityriasis rubra pilaris.
6. Pityriasis alba.

7. Seborrheic dermatitis.
8. Lymphoma (T-cell).

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 P age |7

INTRA-LESIONAL STERODIS
1. P (localized & resistant).
2. LP (hypertrophic LP & MM lesions).

3. Acne vulgaris.
4. Vitiligo.
5. Alopecia areata.

INTERTRIGENOUS AREAS
“Skin-opposing surfaces”
“Crura”
1. Streptococcal intertrigo.

2. Tinea cruris.
3. Candida intertrigo.

4. Inverted psoriasis.
5. SD.
6. Erythrasma.

NODULAR DISEASES
1. Leprosy.
2. Scabies.
3. Acne conglobata.

SCALY SCALP
1. Hair dandruff.
2. SD.
3. Diffuse scaly T. capitis.
4. P.
5. Pityriasis rubra pilaris.

YEAST/MYCELIAL SHIFT

Pityrosporum ovale/orbiculare→ “under certain factors” → Malassezia furfur.

(Yeast/like fungus)
“Non pathogenic” “Pathogenic”

1. Pityriasis versi-color.
2. Acne.
3. SD.

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