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Dr. Mona Abdel Halim's Blog

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Dermal Hypersensitivity Reaction

In my practice, it is often that I come across slides showing only dermal hypersensitivity reaction. In such cases one encounter a mild superficial perivascular lymphocytic infiltrate with no or minimal deep dermal extension, associated with some perivascular and interstitial esinophils and mild dermal edema. Usually the epidermis is normal or only mildly spongiotic. Sometimes, lymphocytic vasculitis is associated. In such cases, going back to the clinical presentation will be of no hel

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

What does a successful dermatopathologist need?

[center][b][i]Mona R.E. Abdel Halim[/i][/b][/center] [center][b][i]MD Dermatology, Diploma of Dermatopathology (ICDP-UEMS)[/i][/b][/center] Dermatopathology is a very challenging discipline that requires complete dedication, extensive practice and continuous reading. However, the most important tool each dermatopathologist need is the ability to achieve good clinical correlation. The clinical picture to a dermatopathologist is equivalent to the gross pathology of a specimen sent to a genera

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

The Red Man Mystery

One of the challenging situations that face dermatologists is how to solve the case of the mysterious Red Man??!! Do you know who the Red Man is??!! The Red Man is a term used to describe patients with erythroderma or exfoliative dermatitis. Erythroderma is not a disease by itself, but a severe state of skin irritation that represents morphologic presentation of a variety of cutaneous and systemic diseases including both inflammatory and malignant conditions. The great challenge in such condi

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Verrucous lesions on the vulva, not necessarily condylomas!!

I came across an interesting case last week that I would like to share with you. A female patient 58 years old was referred to me and my colleague, Dr Eman El Nabarawy, with a lesion on the vulva that had been there for 15 years. The patient was diagnosed by her gynecologist to have genital wart (condyloma), in spite of the much localized nature of the lesion and the very long duration. The patient being a widow for 5 years with no sexual relations was not convinced and seeked the advice of a de

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Dermatopathology is all around you!

Dermatopathology is an interesting branch with which one develops a special passion! A passion that make you live with cells running in front of your eyes, tissue reaction patterns puzzling you day and night, lovely adnexal tumors dancing in your visual memory, scary yet pretty looking malignant tumors popping in front of you every now and then. When you love dermatopathology, you take it with you wherever you go! Just see: • You enjoy a cup of tea with your best friends, you look at the

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

Large plaque parapsoriasis or early patch stage mycosis fungoides? A continuous challenge.

[center][b][i]Mona R.E. Abdel Halim[/i][/b][/center] [center][b][i]MD, Diploma of Dermatopathology (ICDP-UEMS)[/i][/b][/center] This area in dermatopathology has been always challenging to me. Many dermatopathologists consider large plaque parapsoriasis (LPP) equivalent to early patch stage mycosis fungoides (MF). I do believe that they are separate entities. In Egypt, we see lots of cases presenting with light red-brown or salmon pink patches, of variable sizes, mostly larger than 5 cm, wi

Dr. Mona Abdel-Halim

Dr. Mona Abdel-Halim

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