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JAMA Dermatology

A woman in her 30s had asymptomatic erythematous scaly plaques over the face and proximal extremi... more A woman in her 30s had asymptomatic erythematous scaly plaques over the face and proximal extremities. The lesions started as a erythematous papule on the face, which had progressed to larger plaques within 10 years. What is your diagnosis?

Pediatric Dermatology, 2020

A 2-month-old, full-term, male infant presented with asymptomatic, indurated skin lesions over th... more A 2-month-old, full-term, male infant presented with asymptomatic, indurated skin lesions over the cheeks, arms, thighs, and lower back. These lesions were first noted over the thighs and back in the first week of life, followed by a gradual progression to involve cheeks, arms, and chest in the subsequent 6 weeks. No systemic complaints were noted, and the child was well. He was born by cesarean section due to breech presentation, with no perinatal complications. On examination, multiple, nontender, symmetrically distributed, erythematous to skin-colored, firm, subcutaneous plaques and nodules were seen over the cheeks, arms, thighs, and back (Figures 1 and 2). He also had an umbilical hernia. Serum chemistry and calcium were normal, and chest radiograph was unremarkable. A skin biopsy was performed (Figures 3 and 4).

Clinical and Experimental Dermatology, Jan 19, 2023

A woman in her 50s, presented for evaluation of progressive asymptomatic papules of 2 years durat... more A woman in her 50s, presented for evaluation of progressive asymptomatic papules of 2 years duration. In addition, she also had dysphagia, reported significant weight loss and had been operated on for carpal tunnel syndrome in the recent past. There was no history of hoarseness of voice, arthritis, bone pain, breathlessness or palpitations. Examination revealed multiple, symmetrical, discrete, skin-coloured, dome-shaped waxy papules 2-4 mm in size over her face, trunk and extremities with lesions concentrating over the periorbital area and upper trunk (Figure 1). Multiple skin-coloured to purpuric papules were also noted over the tongue and lips (Figure 2). There was sclerodactyly and macroglossia. Dermoscopic evaluation showed haemorrhagic spots on a yellowish structureless background. A punch biopsy was obtained from one of the skin papules for histopathological evaluation (Figure 3).

Indian Journal of Dermatology, Venereology and Leprology, May 1, 2023

International Journal of Dermatology

Indian Journal of Paediatric Dermatology

Indian Journal of Dermatology, Venereology and Leprology

Clinical and Experimental Dermatology

Tuberous sclerosis (TS) has varied manifestations. We report a unique association of TS with pieb... more Tuberous sclerosis (TS) has varied manifestations. We report a unique association of TS with piebaldism, capillary malformation and epidermoid cyst.

Clinical and Experimental Dermatology

A woman in her 50 s presented with progressive asymptomatic papules on her face, trunk and extrem... more A woman in her 50 s presented with progressive asymptomatic papules on her face, trunk and extremities of 2 years duration. She had dysphagia, significant weight loss and had been operated on for carpal tunnel syndrome. Biopsy showed deposition of amorphous eosinophilic material in the dermis that was highlighted by Congo red stain.

Indian Journal of Dermatology, Venereology and Leprology

JAMA Dermatology

A woman in her 30s had asymptomatic erythematous scaly plaques over the face and proximal extremi... more A woman in her 30s had asymptomatic erythematous scaly plaques over the face and proximal extremities. The lesions started as a erythematous papule on the face, which had progressed to larger plaques within 10 years. What is your diagnosis?

Pediatric Dermatology, 2020

A 2-month-old, full-term, male infant presented with asymptomatic, indurated skin lesions over th... more A 2-month-old, full-term, male infant presented with asymptomatic, indurated skin lesions over the cheeks, arms, thighs, and lower back. These lesions were first noted over the thighs and back in the first week of life, followed by a gradual progression to involve cheeks, arms, and chest in the subsequent 6 weeks. No systemic complaints were noted, and the child was well. He was born by cesarean section due to breech presentation, with no perinatal complications. On examination, multiple, nontender, symmetrically distributed, erythematous to skin-colored, firm, subcutaneous plaques and nodules were seen over the cheeks, arms, thighs, and back (Figures 1 and 2). He also had an umbilical hernia. Serum chemistry and calcium were normal, and chest radiograph was unremarkable. A skin biopsy was performed (Figures 3 and 4).

Clinical and Experimental Dermatology, Jan 19, 2023

A woman in her 50s, presented for evaluation of progressive asymptomatic papules of 2 years durat... more A woman in her 50s, presented for evaluation of progressive asymptomatic papules of 2 years duration. In addition, she also had dysphagia, reported significant weight loss and had been operated on for carpal tunnel syndrome in the recent past. There was no history of hoarseness of voice, arthritis, bone pain, breathlessness or palpitations. Examination revealed multiple, symmetrical, discrete, skin-coloured, dome-shaped waxy papules 2-4 mm in size over her face, trunk and extremities with lesions concentrating over the periorbital area and upper trunk (Figure 1). Multiple skin-coloured to purpuric papules were also noted over the tongue and lips (Figure 2). There was sclerodactyly and macroglossia. Dermoscopic evaluation showed haemorrhagic spots on a yellowish structureless background. A punch biopsy was obtained from one of the skin papules for histopathological evaluation (Figure 3).

Indian Journal of Dermatology, Venereology and Leprology, May 1, 2023

International Journal of Dermatology

Indian Journal of Paediatric Dermatology

Indian Journal of Dermatology, Venereology and Leprology

Clinical and Experimental Dermatology

Tuberous sclerosis (TS) has varied manifestations. We report a unique association of TS with pieb... more Tuberous sclerosis (TS) has varied manifestations. We report a unique association of TS with piebaldism, capillary malformation and epidermoid cyst.

Clinical and Experimental Dermatology

A woman in her 50 s presented with progressive asymptomatic papules on her face, trunk and extrem... more A woman in her 50 s presented with progressive asymptomatic papules on her face, trunk and extremities of 2 years duration. She had dysphagia, significant weight loss and had been operated on for carpal tunnel syndrome. Biopsy showed deposition of amorphous eosinophilic material in the dermis that was highlighted by Congo red stain.

Indian Journal of Dermatology, Venereology and Leprology