Search

A 9-year-old school going boy presented with asymptomatic nail deformity of both thumbs for the past 6 months. Examination revealed closely spaced and sharp-cut horizontal ridges over a median longitudinal band of depression, extending from the proximal nail fold to the distal edge of the nail plate, producing a characteristic washboard appearance (Fig.). Periungual erythema and desquamation was also noted; other finger nails and toenails were unaffected. [Extracted from the article]

An otherwise healthy 4-year-old boy was brought in by his mother complaining of a sudden-onset itchy skin eruption over genitalia for the past 3 days. Routine laboratory analysis was notable for peripheral eosinophilia. GLO:81V/01feb21:jpc1-15165-fig-0001.jpg PHOTO (COLOR): 1 A solitary serpiginous track over shaft of penis (highlighted with white arrows). gl What is the diagnosis?. [Extracted from the article]

The nail biting (NB) habit was present for around the same duration and had worsened over the past 2 months as the boy was frequently being left alone by friends due to the fear of contracting the same infection. GLO:81V/01jun20:jpc14920-fig-0001.jpg PHOTO (COLOR): Verruca vulgaris over fingers, upper lip, right angle of mouth and dorsum of tongue. gl NB is commonly associated with underlying psychiatric disorders like ADHD, oppositional defiant disorder, and separation anxiety disorder. Other occasional associations include enuresis, obsessive compulsive related disorders, depressive disorder, intellectual disability and other stereotypic behaviours.[1] Socially, nail biters are often seen as nervous and immature and are subjected to critical comments which might further worsen the behaviour. [Extracted from the article]

(Answer on page 654) Answer The clinical presentation shows the characteristic "breakfast, lunch and dinner" sign of cimicosis. Cimicosis represents the cutaneous manifestation of bedbug bites. 2 Peres G, Yugar LBT, Haddad Junior V. Breakfast, lunch, and dinner sign: A hallmark of flea and bedbug bites. [Extracted from the article]

A 9-year-old Indian girl, born to healthy unrelated parents, presented with curly scalp hair and thickened skin over the palms and soles since birth. Light microscopy revealed that the collected scalp hair sample was comparatively thinner than that of the normal for her age; but was otherwise normal. GLO:81V/01feb20:jpc1-14656-fig-0001.jpg PHOTO (COLOR): (a) and (b) Kinky, curly, light coloured hair over the scalp (c) plantar keratoderma. gl. [Extracted from the article]