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A febrile patient with an unusual eruption
A 45-year-old man presented to dermatology outpatient department with complaints of sudden-onset, painful, clustered, monomorphic, punched-out erosions and ulcers, distributed symmetrically in the periocular and malar area, and nose (Fig. 1). He also complained of associated fever, malaise and bilateral cervical lymphadenopathy. Additionally, multiple eczematous lesions and excoriations were present over his beard region.Painful fingernails in a patient with chronic fibrosing pulmonary aspergillosis
A middle aged male, farmer by occupation was diagnosed with chronic fibrosing pulmonary aspergillosis due to Aspergillus flavus. He was started on oral voriconazole (400 mg/day) after he had poor clinicoradiological response to itraconazole. After a month of initiating voriconazole, he presented with bleeding and painful fingernails. Examination revealed tender separation of distal nail plates from nail bed (onycholysis) with hemorrhagic blisters beneath, in multiple fingernails (Fig. 1a). Onycholysis was crescentic with well-defined proximal erythematous rim that was concave distally (Fig.
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