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Dr Ram's Dermatology Profile picture
@manojramMD
Dec 19, 2022 • 3 tweets • 2 min read • Read on X
45 yr F
Thick irregular hyperpigmented patches on both sides of face
Asymptomatic
>5yrs duration

Dx & Management?

#MedTwitter #MedEd #dermatology #skincare #neet Image
Facial AN

Brown-to-black macular pigmentation with blurred ill-defined margins, found on the zygomatic and malar areas
With varying degrees of textural change
AN neck+
Obesity +
Friction & exposure to sunlight contributes to the accentuation of FAN
+
My compliments to all my friends for participating liking & retweeting my posts.
Regards
Dr Manoj Ram

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More from @manojramMD

Dr Ram's Dermatology Profile picture
Jan 1, 2023
QuizTime 13
Happy New Year 2023

40yr old M comes to us with the following lesions of few months duration.
Asymptomatic
Applying various ointments from different places

Dx ?
#dermtwitter #MedTwitter #dermatology #MedEd #FOAMed #NEET #USMLE Image
Local adverse effects of topical corticosteroid use

On detailed history taking and careful examination it was found out
The patient was using verities of topical ointments from shops and sources for prolonged duration
They mostly contained corticosteroids
Self medication +
Skin atrophy is the most prominent cutaneous adverse effect
Involves both the epidermis and dermis

The development/ exacerbation of dermatoses of the face
steroid rosacea, acne, and perioral dermatitis, is a well-known side effect of topical corticosteroids
Read 5 tweets
Dr Ram's Dermatology Profile picture
Dec 28, 2022
QuizTime 11
Good afternoon my dear friends
32 yr F
>1yr duration
H/O burn
Slowly progressing
Dx & Management?

#MedTwitter #dermatology #dermtwitter #MedEd #NEET #FOAMed #surgery #scar Image
Hypertrophic Scar HTS

Keloids and (HTS) are the result of an overgrowth of fibrous tissue following healing of a cutaneous injury
Keloids
Extend beyond the margins of the original wound
Do not usually regress spontaneously
Tend to recur after excision

HTS
do not expand beyond the boundaries of the initial injury may undergo partial spontaneous resolution.
Read 4 tweets
Dr Ram's Dermatology Profile picture
Dec 24, 2022
QuizTime 10

35 yr F
Slight itchy/mostly asymptomatic lesions
Scaling+/-
Present on face back chest
Sun exposed areas
>1yr duration

Dx ?
#MedTwitter #dermatology #dermtwitter #MedEd #usmle #NEET #FOAMed #Medstudent #health #education Image
Chronic Cutaneous Lupus Erythematosus/Classic DLE

Begin as red-purple macules, papules, or small plaques Rapidly develop a hyperkeratotic surface
Early classic DLE- sharply demarcated, coin-shaped (i.e., discoid) erythematous plaques covered by a prominent, adherent scale+
Typically expand with erythema and hyperpigmentation at the periphery
Leaving hallmark atrophic central scarring/telangiectasia/hypopigmentation
Read 4 tweets
Dr Ram's Dermatology Profile picture
Dec 22, 2022
QuizTime 9

32 yr F
Hyperpigmented lesion on lip
2wks duration
Initially burning
Now asymptomatic
Similar history 1yr back

Dx?
#MedTwitter #MedEd #Quiz #FOAMed #neetug #dermatology #Skin
FDE
Fixed drug eruption (FDE) Development of one or more annular or oval erythematous patches
As a result of systemic exposure to a drug
Normally resolve with hyperpigmentation
May recur at the same site with reexposure to the drug+
Repeated exposure to the offending drug may cause new lesions to develop in addition to "lighting up" the older hyperpigmented lesions
Read 5 tweets
Dr Ram's Dermatology Profile picture
Dec 20, 2022
QuizTime 8

25 yr F
Multiple well-marginated lesions all over the body
Itchy hyperpigmented
Rough surface
>3 months duration
Tt at multiple health care centers
Photograph of upper back

Dx ? Image
Tinea corporis

Superficial fungal (dermatophyte) infection of keratinized tissues including skin, hair, and nails

Dermatophyte sp included in 3 genera (Epidermophyton, Microsporum & Trichophyton)
further divided according to 3 natural habitats (humans, animals &soil)+
Trichophyton rubrum is the most common cause of dermatophytosis of the skin

Although any part of the body may be affected, most common in buttocks thighs underarms inframammary area
Heat sweating friction from tight clothes exacerbate symptoms
Itchy & scaly +
Read 4 tweets

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