squama & patches | Figure 1

MustafaHamdi
Pharmacist

Case Discussion

a 24 yo married girl came with this squama on her shoulder and those patches on her body as described in photoes and they appeared two years ago after she get married as she describes, this patch on her shoulder keep appearing even after it falls, and those patches never goes despite she applied corticosteroids, antibiotics, antifungals and whitening creams, without any healing, she mentioned that she takes diclofenac frequently especially in her period, no chronic disease or any other diseases, her mother has a breast cancer, what could those patches be and what's the proper treatment?

Similar Cases

• Case 1:
  A 27 yo married girl came to my pharmacy, after she get married those squama & patches started to appear as shown in old pic 1,2&3, it felt itchy that time, this patch on her shoulder keep appearing even after it falls, and the new pic shows that this squama appear again on her upper thigh, she applied fucidic acid with corticosteroids and took itraconazole, fluconazole caps, topical antifungal and whitening cream with no effect at all.

• Case 2:
  A 23 yo married female came to me with these rough reticulated pimples appeared in her both hands, leg and elbow, it feels itchy, no history of any disease except mild anemia, she had 3 cats, she mentioned that she walked under the hot sun for a while and she was applying clacipotriol with betamethasone (daivobet) on her abdomen for something else.

• Case 3:
  An 45-years-old woman with those skin rashes, appeared around one week after a visit on a psychiatric hospital.

Additional Cases

• Chest Pain in a 52-Year-Old Man:
  A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
  He had a history of hypertension, long-term smoking, and a sedentary lifestyle.

• Pruritus in a 28-Year-Old Woman:
  A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back.
  She cares for a small kennel with approximately eight dogs rescued from the streets.

• Skin Lesions in a 4-Month-Old Infant:
  A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days.

• Teenager Collapse:
  Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history.

Conclusion

If anyone has further insights or treatment recommendations for the mentioned cases, please share.