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Dermatology Images

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DermAtlas: NAIL, HAND - nail dystrophy, median
© 2001-2009, DermAtlas
Image Name: median_nail_dystrophy_1_050723   File Type: jpg
Diagnosis: NAIL DYSTROPHY, MEDIAN /
NAIL DYSTROPHY /
TRAUMA
  Category: nail disorders /
obscessive compulsive disorder
Body Site: nail, hand   Age: 9 years
Contributor: Bernard Cohen, MD    
Description: transverse grooves with yellowish-brown discoloration, scale, and fissuring along the middle of the affected nails and edema and erythema of the proximal nail fold
Comments: This healthy 9-year-old boy developed recurrent redness and swelling of the cuticles of the thumbnails and median nail dystrophy. He admitted to picking and biting at his thumb nails.
Related Images: median_nail_dystrophy_2_050723 

DermAtlas: NAIL, HAND - nail dystrophy, median
© 2001-2009, DermAtlas
Image Name: median_nail_dystrophy_2_050723   File Type: jpg
Diagnosis: NAIL DYSTROPHY, MEDIAN /
NAIL DYSTROPHY /
TRAUMA
  Category: nail disorders /
obscessive compulsive disorder
Body Site: nail, hand   Age: 9 years
Contributor: Bernard Cohen, MD    
Description: transverse grooves with yellowish-brown discoloration, scale, and fissuring along the middle of the affected nails and edema and erythema of the proximal nail fold
Comments: This healthy 9-year-old boy developed recurrent redness and swelling of the cuticles of the thumbnails and median nail dystrophy. He admitted to picking and biting at his thumb nails.
Related Images: median_nail_dystrophy_1_050723 

DermAtlas: SCALP - trichotillomania
© 2001-2009, DermAtlas
Image Name: Trichotillamania_1_050103   File Type: jpg
Diagnosis: TRICHOTILLOMANIA /
ALOPECIA /
TRAUMA
  Category: hair disorders /
obscessive compulsive disorder /
Iatrogenic disorders, child abuse,
Body Site: scalp   Age: 38 years
Contributor: Bethany Cook, BA    
Description: well demarcated patch of hair thinning
Comments: This 38-year-old man developed a patch of hair thinning on the left parietal scalp. The skin was normal, and there were no completely bald patches. Residual hairs within the patch were of varying lengths.

DermAtlas: FACE - acne excoriee
© 2001-2009, DermAtlas
Image Name: acne_excoriee_1_030412   File Type: jpg
Diagnosis: ACNE EXCORIEE /
SCAR
  Category: factitial / self Induced disorders / psychodermatosis /
obscessive compulsive disorder
Body Site: face / forehead   Age: 18 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple excoriated papules with erosions and hyperpigmented macules
Comments: This 18-year-old boy developed multiple acne papules on his face. His habit of picking of the papules resulted in erosions, scarring, and postinflammatory hyperpigmentation .

DermAtlas: HAND - dermatitis, hand
© 2001-2009, DermAtlas
Image Name: obsessive_compulsive_disorder_1_040309   File Type: jpg
Diagnosis: DERMATITIS, HAND /
DERMATITIS, CONTACT IRRITANT
  Category: obscessive compulsive disorder /
papulosquamous eruptions /
environmental injury /
Iatrogenic disorders, child abuse,
Body Site: hand   Age: 37 years
Contributor: Miloslav Kopecek, MD    
Description: confluent red dry scaly patches
Comments: This 37-year-old woman developed a contact irritant dermatitis from obscessive-compulsive hand washing 20-30 times a day.
Related Images: obsessive_compulsive_disorder_2_040309 

DermAtlas: HAND - dermatitis, hand
© 2001-2009, DermAtlas
Image Name: obsessive_compulsive_disorder_2_040309   File Type: jpg
Diagnosis: DERMATITIS, HAND /
DERMATITIS, CONTACT IRRITANT
  Category: obscessive compulsive disorder /
environmental injury /
papulosquamous eruptions /
Iatrogenic disorders, child abuse,
Body Site: hand   Age: 37 years
Contributor: Miloslav Kopecek, MD    
Description: confluent red dry scaly patches
Comments: This 37-year-old woman developed a contact irritant dermatitis from obscessive-compulsive hand washing 20-30 times a day.
Related Images: obsessive_compulsive_disorder_1_040309 

DermAtlas: NAIL, HAND - nail dystrophy, median
© 2001-2009, DermAtlas
Image Name: median_nail_dystrophy_2_030507   File Type: jpg
Diagnosis: NAIL DYSTROPHY, MEDIAN /
TRAUMA
  Category: nail disorders /
obscessive compulsive disorder /
factitial / self Induced disorders / psychodermatosis
Body Site: nail, hand / nail, foot   Age: 12 years
Contributor: Bernard Cohen, MD    
Description: mid nail transverse grooves with nail splitting
Comments: This 12-year-old boy developed median nail dystrophy of the great toe and finger nails. He admitted to picking at the involved nails.
Related Images: median_nail_dystrophy_1_030507 

DermAtlas: NAIL, HAND - nail dystrophy, median
© 2001-2009, DermAtlas
Image Name: median_nail_dystrophy_1_030507   File Type: jpg
Diagnosis: NAIL DYSTROPHY, MEDIAN /
TRAUMA
  Category: nail disorders /
obscessive compulsive disorder /
factitial / self Induced disorders / psychodermatosis
Body Site: nail, hand / nail, foot   Age: 12 years
Contributor: Bernard Cohen, MD    
Description: mid nail transverse grooves with nail splitting
Comments: This 12-year-old boy developed median nail dystrophy of the great toe and finger nails. He admitted to picking at the involved nails.
Related Images: median_nail_dystrophy_2_030507 

DermAtlas: SCALP - hair pulling
© 2001-2009, DermAtlas
Image Name: hairpulling_6_030217   File Type: jpg
Diagnosis: HAIR PULLING /
TRICHOTILLOMANIA /
ALOPECIA /
ALOPECIA, TRAUMATIC, HAIR PULLING
  Category: hair disorders /
Iatrogenic disorders, child abuse, /
factitial / self Induced disorders / psychodermatosis /
obscessive compulsive disorder
Body Site: scalp   Age: 16 years
Contributor: Bernard Cohen, MD    
Description: well demarcated area of hair loss with hairs of varying lengths and stubble
Comments: A 16-year-old boy had a history of chronic migrating patches of hair loss for 6 months. The presence of stubble, crusts, and hairs of different lengths suggested a diagnosis of traumatic hair loss. One cm long hairs were noted on a 4 X 2 cm area in the patch after a 1 month application of an occlusive dressing.
Related Images: hairpulling_1_030217 

DermAtlas: SCALP - hair pulling
© 2001-2009, DermAtlas
Image Name: hairpulling_5_030217   File Type: jpg
Diagnosis: HAIR PULLING /
TRICHOTILLOMANIA /
ALOPECIA /
ALOPECIA, TRAUMATIC, HAIR PULLING
  Category: hair disorders /
Iatrogenic disorders, child abuse, /
factitial / self Induced disorders / psychodermatosis /
obscessive compulsive disorder
Body Site: scalp   Age: 14 years
Contributor: Bernard Cohen, MD    
Description: irregularly shaped but well demarcated area of hair loss
Comments: This adolescent boy had a history of weirdly shaped areas of almost complete hair loss that changed from week to week as old areas regrow and new areas appeared at the border. The patterns of loss did not follow any anatomical landmarks.

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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