Multi focal tuberculosis.

A 19-year-old salesman presented with multiple fusiform, fluctuant, non-tender swellings involving dorsum of the left hand, left index finger and little finger. He also had multiple sinuses with puckered scars on the right thumb, left little finger and right elbow. He was provisionally diagnosed as tuberculous gumma. X-ray chest showed apical cavity and infiltration suggestive of tuberculosis X-ray both hands showed osteolytic lesions with pathological fracture. AFB was cultured on Lowenstein Jensen medium and the patient was given antituberculosis treatment with clinical improvement.

Disseminated superficial porokeratosis.

A 65-year-old male diabetic presented with erythematous and hyperpigmented plaques with scaling and crusting involving the trunk and extensor surfaces of extremities of 10 years duration associated with mild itching. Cutaneous examination revealed large hyperpigmented and erythematous plaques with raised borders over the trunk and extremities. A small plaque on the (L) forearm showed a raised thread like margin with a furrow. A provisional diagnosis of disseminated superficial porokeratosis was made. Skin biopsy confirmed the diagnosis of disseminated superficial porokeratosis.