Toluene-induced erythrodermic lichen planus

Lichen planus is an inflammatory disease that affects the skin and mucous membrane. The exact etiology is unknown, but it is considered an immunologically mediated disease toward unrecognized antigen possibly located at the basal cell layer. Many clinical variants are recognized. Lichen planus-like lesions can be seen in chronic versus host disease, drugs, and chemicals. Here, we report a new case of a male patient who was exposed to toluene-containing compounds after which he developed an erythrodermic eczematous and lichenoid eruption, which is to the best of our knowledge, the third case of toluene-induced lichen planus reported worldwide and the first case in our country.

Chronic mucocutaneous candidiasis and rheumatoid arthritis in autoimmune polyendocrinopathy

Chronic mucocutaneous candidiasis is a heterogeneous group of disorders characterized by early-onset chronic recurrent mucocutaneous infections with Candida albicans. It is associated with several endocrinopathies such as hypoparathyroidism, hypoadrenalism, and hypogonadism with or without other autoimmune diseases such as vitiligo, alopecia areata, pernicious anemia, and hepatitis. Here, we describe a case of chronic mucocutaneous candidiasis with polyendocrinopathy with unusual presentations and rheumatoid arthritis.

A case series on bullous pemphigoid like scabies: A diagnostic challenge

Scabies is an ectoparasitic infection caused by Sarcoptes scabiei var. hominis in humans. Accurate figures of the prevalence of scabies are difficult to obtain, it seems to affect around 100�0 million people worldwide. Scabies is usually transmitted by close intimate physical contacts, such as the sharing of a bed or prolonged hand-holding. Scabies mites survive for 24� h outside of human bodies. Itching is the most obvious manifestation of scabies, which is usually sparing the face in adult classic scabies. The onset occurs 3�weeks after acquiring the infection. Bullous pemphigoid-like scabies is one of the atypical and rare forms of scabies that may be overlooked and mismanaged, where only 44 cases worldwide with this mode of presentation were reported. Here, we reported a series of three cases of bullous pemphigoid-like scabies, which presented with nocturnal itching and vesiculobullous lesions that are to the best of our knowledge the first cases reported in our country.