Case Number : Case 482 Posted By: Guest

[b]Richard Carr - Magdalen College, Oxford (UK) Wrote:[/b]

You few responders are all very good (I am guessing others found it difficult though). Clues to eruptive psoriasis are the confluent parakeratosis, absent granular layer, upper epidermal pallor (a feature of nutritional dermatoses and any explosive / eruptive dermatoses)only mild acanthosis and a highly mitotic basal zone are clues to early / acute psoriasis. The histological pattern is okay for nutritional deficiency (and dermatophytosis) but the clinical description given is typical of the guttate variant of psoriasis. Remember lesions evolve and early psoriais lacks psoriasiform epidermal hyperplasia.

[size=2]Submitted on 13/04/2012 18:47[/size]
[b]Eman El-Nabarawy - () Wrote:[/b]

Psoriasis.

[size=2]Submitted on 13/04/2012 17:17[/size]
[b]Marie MD - () Wrote:[/b]

To me the features are more that of nutritional deficiency. DX: Necrolytic migratory erythema, probably due to villous atrophy from celiac disease

[size=2]Submitted on 13/04/2012 16:58[/size]
[b]Marwa Fawzy - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:[/b]

Suprabasal mitosis is another clue for psoriasis.

[size=2]Submitted on 13/04/2012 16:55[/size]
[b]Mona Abdel Halim - () Wrote:[/b]

Early psoriasis

[size=2]Submitted on 13/04/2012 16:25[/size]
[b]Izzat Abdul-kadir - ST2 - York Hospital (UK) Wrote:[/b]

Early psoriasis.

[size=2]Submitted on 13/04/2012 13:52[/size]
[b]Engin Sezer - (Istanbul) Wrote:[/b]

Confluent parakeratosis as a clue for psoriasis

[size=2]Submitted on 13/04/2012 13:44[/size]