Varicella zoster infection
Angular Chelitis
Description:
Clubbing of finger
brief description ;
bulbous fusiform enlargement of the distal portion of a digits
possible 2 causes :
1- idiopathic
2- familial
3- pachydermoperiostosis
dDx :
1- bronchiectasis
2- Biliary cirrhosis
Klippel Trenaunay Syndrome. It is characterized by a triad of port wine stain, varicose veins and bony and soft tissue hypertrophy involving an extremity {1}. Most cases are sporadic {2}, although few cases in the literature report an autosomal dominant pattern of inheritance {3}. The exact cause of this syndrome remains to be elucidated, underlying mixed mesodermal and ectodermal dysplasia is likely responsible {4}. It generally affects the single extremity although cases of multiple affected limbs have been reported. Diagnosis is mainly clinical {1}. Treatment is conservative and symptomatic. Hypertrophy of limb may lead to subsequent vertebral scoliosis, gait abnormalities and compromise of function {5}. Important differentials are Maffucci syndrome and Proteus syndrome.
Hereditary sensory neuropathy. Patients have absent pain sensation and present with recurrent ulcers, no pain or crying while immunization/injections and self mutilatory behavior.
Diagnosis : Tinea faciei
Tinea faciei is a superficial dermatophyte infection limited to the glabrous skin of the face.In pediatric and female patients, the infection may appear on any surface of the face, including the upper lip and chin. In men, the condition is known as tinea barbae when a dermatophyte infection of bearded areas occurs.
Neurofibromatosis (NF) is a neurocutaneous syndrome that can affect many parts of the body, including the brain, spinal cord, nerves, skin, and other body systems. NF can cause growth of non-cancerous tumors on nerve tissue, producing skin and bone abnormalities.
Effects of NF vary widely — some children live almost unaffected by it; rarely, others can be severely disabled.
NF is defined by tumors, called neurofibromas, that grow along nerves in the body or on or under the skin. As the tumors increase in size, they can press on vital areas of the body, causing problems in the way the body functions.
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