Case 1 Gardening trauma

After cutting his finger while gardening this man developed a friable nodule at the site of the cut. It was not painful but bled repeatedly when knocked and it was often difficult to stem the flow of blood.

A What is this condition called?

B How is it treated?

Case 2 Complication of inhaler use

After a diagnosis of asthma was made this lady was commenced on an inhaled steroid. The treatment worked well improving her wheezing but a week later she presented with a sore throat.

A What is the diagnosis?

B How should she be treated?

C What advice can be helpful to prevent recurrence?

Case 3 Pyoderma gangrenosum

Pyoderma gangrenosum is an uncommon neutrophilic dermatosis which causes painful skin ulceration.

A Name three underlying conditions which can be associated with pyoderma.

B List three other neutrophilic dermatoses.

Case 4 Localised pigmentation of the neck

Over a number of years this lady had noticed an increased pigmentation on both sides of her neck. She had recently

returned from a summer holiday and sought your advice.

A What is the name of this condition?

B What is thought to be the aetiology?

Case 5 Linear rash

After developing a number of itchy papules this patient was diagnosed with lichen planus. After scratching his arm a few days later he noticed that a lesion had developed along the line of trauma.

A What is this phenomenon called?

B Name five other conditions in which it can occur?

Case 6 Dark lip lump

A few months after getting sunburnt on holiday this man noticed a dark swelling on his lower lip and having read about melanoma sought your advice.

A What is the name of this condition?

B How would you manage this case?