A 7-year-old girl has a 3 cm-diameter patch of alopecia in the left parietal region with another smaller similar area nearby. The skin in the patch is itchy and the few remaining hairs seem to have fallen out near the scalp surface. Her father has noticed that the area of alopecia is spreading. There is no itching of the right scalp and there is no rash elsewhere on her body.
What is the most probable diagnosis?
A 50-year-old woman presents with multiple, ring-shaped, papular rashes on her forearms. She has recently noticed a white lacy intra-oral lesion.
What is the most likely cause of this?
What is the probable reason for the nail changes observed in Mr Williams, an 86-year-old retired dock worker with a history of hypertension and mitral valve replacement, who visited his general practitioner with symptoms of fever, night sweats and fatigue? During examination, his hands showed loss of angle between the nail fold and nail plate, a bulbous fingertip, and painful, erythematous nodules present on both hands.
An 80-year-old man visits his General Practitioner (GP) with a growth on the left side of his cheek. The growth has been present for around six months, and it is not causing any discomfort. Upon examination, it is a raised pearly papule with central telangiectasia and a rolled edge. The GP suspects it to be a basal cell carcinoma, measuring approximately 8 mm in diameter.
What is the best course of action for management?
A 32-year-old man with psoriasis affecting the scalp and legs visits his General Practitioner with ongoing symptoms despite using once-daily Betnovate® (potent steroid) and a vitamin D analogue for six weeks. What should be the next course of action in managing this patient?
A 21-year-old woman presents with acne vulgaris. On examination there are mixed comedones and pustules. She has three slight acne scars to her left cheek. The lesions are multiple and prominent but do not extend beyond the face. She has not tried any medications for the acne to date and is requesting your advice on treatment. You note that she last attended for an emergency contraception prescription, which was in the last 6 weeks. She does not use any regular contraception and does not want to commence contraception as she indicates she is no longer sexually active. She says that she does not feel overly self-conscious about her acne but wants something to help improve the appearance of the spots.
Which treatment plan is most appropriate?
A 70-year-old man presents with erythema, vesicles and crusted ulcerations on the right scalp, forehead and periorbital region. The affected area is swollen and causing him pain. Additionally, there are some vesicles present at the tip of his nose. He reports experiencing a headache in that area several days prior to the onset of the rash. What is the most probable causative organism for this rash?
A 23-year-old man presents to his GP with complaints of redness and itching on his face and hands. He has been to another GP for similar issues in the past two years and has been on sick leave from his job as a builder. He is currently receiving benefits and is in the process of making an insurance claim for loss of earnings. He mentions that there was one ointment that worked for him, but he has not been able to find it again. On examination, there are no visible skin lesions or rash. The patient appears unconcerned and requests that his GP sign his insurance claim paperwork. What is the most likely diagnosis?
A 42-year-old black woman comes in with depigmented patches of skin on her hands and face. What is the probable diagnosis?
A 9-month-old girl is brought to the clinic by her parents. She had a fever for four days, and as this disappeared she was noted to have a rash.
On examination, she is apyrexial, but has a macular rash on the trunk and lower limbs.
What is the most probable diagnosis?