Case Number : Case 507 Posted By: Guest

[b]Marie MD - () Wrote:[/b]

with clinical, Flegel's dz

[size=2]Submitted on 21/05/2012 18:59[/size]
[b]SAMEH ABDELKODOUS - ALAZHAR UNIVERISTY (CAIRO EGYPT) Wrote:[/b]

Lichen nitidus

[size=2]Submitted on 21/05/2012 08:18[/size]
[b]Izzat Abdul-kadir - ST2 - York Hospital (UK) Wrote:[/b]

This wasn't easy at all!

[size=2]Submitted on 19/05/2012 20:51[/size]
[b]Richard Carr - Warwick (UK) Wrote:[/b]

In this case the biopsy was received with a clinical diagnosis of Flegel's from an experienced dermatologist. This case clearly demonstrates without clinical help we often find ourselves lost. There is a lichenoid reaction here with some spongiosis and lost granular layer along with hyper and paraakeratosis and all these features are well described in Flegel's. Well done Mona. Regards to all.

[size=2]Submitted on 19/05/2012 17:50[/size]
[b]Izzat Abdul-kadir - ST2 - York Hospital (UK) Wrote:[/b]

If this is not a lichenoid dermatitis, I honestly don't know what it is. Rook's and Fitzpatrick's both say Flegel’s disease is autosomal dominant & affects the lower legs, both of which don't fit the clinical details.

[size=2]Submitted on 19/05/2012 15:00[/size]
[b]Azza Mostafa - (Egypt) Wrote:[/b]

Flegel's disease!

[size=2]Submitted on 19/05/2012 14:58[/size]
[b]Rodrigo Restrepo - UPB/CES (Mdlln/Col) Wrote:[/b]

Why not? Could be Flegel's disease

[size=2]Submitted on 19/05/2012 14:22[/size]
[b]Eman El-Nabarawy - () Wrote:[/b]

Agree with Flegel's disease.

[size=2]Submitted on 19/05/2012 13:02[/size]
[b]Mona Abdel Halim - () Wrote:[/b]

Flegel's disease (hyperkeratosis lenticularis perstans)

[size=2]Submitted on 19/05/2012 12:43[/size]
[b]Richard Carr - Warwick (UK) Wrote:[/b]

Try another chapter!

[size=2]Submitted on 19/05/2012 11:57[/size]
[b]Rodrigo Restrepo - UPB/CES (Mdlln/Col) Wrote:[/b]

Agree, keratosis lichenoides chronica

[size=2]Submitted on 19/05/2012 02:04[/size]
[b]Izzat Abdul-kadir - ST2 - York Hospital (UK) Wrote:[/b]

Pityriasis lichenoides chronica versus lichenoid drug reaction.

[size=2]Submitted on 19/05/2012 00:07[/size]
[b]S Madhogaria - UHCW () Wrote:[/b]

Keratosis lichenoides chronica

[size=2]Submitted on 18/05/2012 21:09[/size]
[b]Eman El-Nabarawy - Cairo University (Egypt) Wrote:[/b]

Lichen spinolosus (Reported in association with Chron"s disease in an elderly female).

[size=2]Submitted on 18/05/2012 20:53[/size]
[b]Richard Carr - Warwick (UK) Wrote:[/b]

The full history should be as follows: F80 Incision biopsy, right thigh. Multiple small keratotic papules - arms and legs, 4mm, 50yrs. No family history.

[size=2]Submitted on 18/05/2012 20:02[/size]
[b]Richard Carr - Warwick (UK) Wrote:[/b]

Sharmila you are absolutely right far too easy but you are all wrong!! Try again. I think it may have been posted late so I will post the answer tomorrow morning and give you all another chance. Regards to all.

[size=2]Submitted on 18/05/2012 19:57[/size]
[b]S Madhogaria - UHCW () Wrote:[/b]

This is too easy!

[size=2]Submitted on 18/05/2012 16:29[/size]
[b]Mona Abdel Halim - () Wrote:[/b]

Lichen nitidus

[size=2]Submitted on 18/05/2012 14:35[/size]
[b]Wilber J. Martínez Corredor - CES University (Medellín - Colombia) Wrote:[/b]

Lichen nitidus

[size=2]Submitted on 18/05/2012 14:08[/size]
[b]Rodrigo Restrepo - UPB/CES (Mdlln/Col) Wrote:[/b]

Lichen nitidus

[size=2]Submitted on 18/05/2012 13:41[/size]
[b]Marwa Fawzy - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:[/b]

Lichen nitidus

[size=2]Submitted on 18/05/2012 13:39[/size]
[b]Yüksel Okumuş - Bursa State Hospital (Turkey) Wrote:[/b]

Lichen nitidus

[size=2]Submitted on 18/05/2012 12:52[/size]
[b]Amira Tawdy - Cairo university (Egypt) Wrote:[/b]

Lichen nitidus

[size=2]Submitted on 18/05/2012 12:32[/size]
[b]Izzat Abdul-kadir - ST2 - York Hospital (UK) Wrote:[/b]

Lichen nitidus.

[size=2]Submitted on 18/05/2012 12:26[/size]
[b]Engin Sezer - (Istanbul) Wrote:[/b]

Lichen nitidus

[size=2]Submitted on 18/05/2012 11:51[/size]