100 Cases in Dermatology

1. An itchy, slow-growing infant
2. An agitated atopic child
3. An acute monomorphic eruption in a systemically unwell atopic child
4. A recurrent, unsightly facial eruption in a stressed but well young adult
5. Blistered hands and feet in an athletic man
6. Chronic erythematous pruritic eruption on the lower legs
7. An itchy localized eruption
8. An eczematous eruption complicating venous ulcers
9. A transient pruritic eruption exacerbated by heat
10. A toddler with brown patches which urticate
11. Acute soft tissue swelling associated with systemic symptoms
12. Chronic scaly plaques on the knees
13. Widespread scaly eruption appears after a sore throat
14. A patient presents acutely unwell with all his skin red and hot
15. An itchy eruption appearing on the chest and arms after sun exposure
16. Acute-onset linear blistering on the legs
17. Chronic blistering eruption on the dorsal hands
18. Sun-induced skin pain, redness and scarring in a child
19. Sudden-onset widespread rash
20. Recurrent annular erythematous lesions reactivating at identical skin sites
21. Painful lip lesion associated with a localized blistering rash and sore mouth
22. Painful eroded mucous membranes and skin lesions
23. Acute-onset extensive blistering and skin necrosis with mucous membrane involvement
24. Fever, epilepsy and a widespread skin eruption with marked facial oedema
25. Acute-onset multiple pustules on a background of erythematous skin
26. Excessive facial hair in a young woman
27. Multiple skin lesions develop in a renal transplant recipient
28. Stiffness of the skin developing after bone marrow transplantation
29. Streaky skin changes in a toddler and a maternal history of miscarriage
30. A young adult with seizures and markedly photo-damaged skin
31. A young man seeking genetic counselling advice regarding his dry skin condition
32. Recurrent blisters on the extremities associated with minor pressure/friction
33. Macroglossia, fatigue and back pain in an elderly woman
34. Subacute pruritic erythematous eruption in an elderly patient with weight loss
35. A young girl with unusual scars and unexplained injuries

A 23-year-old African Caribbean woman presents in the emergency department with an acute onset facial rash. During initial assessment she complains of a two week history of general malaise, fatigue, fever, and weight loss. You have been assigned her examination... 100 Cases in Dermatology presents 100 scenarios with a dermatological manifestation commonly seen by medical students and junior doctors. A succinct summary of the patient's history, examination and initial investigations, including full colour images showing presentation, is followed by questions on the diagnosis and management of each case. The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors. Making clinical decisions and choosing the best course of action is one of the most challenging and difficult parts of training to become a doctor. These cases will teach students and junior doctors to recognize important dermatological symptoms and signs and, where appropriate, their relationship to other medical conditions, and to develop their diagnostic and management skills.