Tiny red spots on the tongue.
Learn more about strawberry tongues
Erythematous macules over distal foot, some purpuric. Likely viral exanthem.
Learn more about hand, foot and mouth
Well defined pink plaque in a flexural site. Some white scaling still evident.
Learn more about psoriasis
Raised bright red strawberry lesion with associated swelling of the scalp.
Learn more about haemangiomas
Scarlet Fever
Erythematous skin with overlying scale.
Learn more about ichthyosis
Well defined, erythematous, scaling rash, with peeling over the second left toe extending to the first interdigital space.
Learn more about staphylococcal infection
Multiple monomorphic pearly white papules with central umbilication.
Learn more about molluscum contagiosum
Round ulcer with undermined edges,
Learn more about BCG
Indurated plaque with large central punctum and peripheral scale.
Learn more about staphylococcal abscesses
Central break in the skin in two lesions with surrounding erythema and impression of sub epidermal swelling, fading into normal skin at edge.
Learn more about bites
Lichenified excoriated patch with erosions and weeping
Learn more about eczema
White smooth shiny papules with central umbilication.
Learn more about molluscum contagiosum
Widespread white scaling of the face on a background of erythema, some periorbital swelling and Dennie Morgan folds with nasal tip sparing. More marked scaling in the neck region.
Learn more about eczema
Erythema with lichenification of the dorsum of the hand focused over the MCP joints and wrist.
Learn more about eczema
Eruption of dark red macules, vesicles, and erosions distributed across areas previously affected by atopic dermatitis, with relative sparing of the trunk
Widespread small papules across left side face, including inner ear. Small amount of scale in ear helix.
Learn more about scabies
Few comedones (blackheads), papules + cysts with inflammation.
Learn more about acne vulgaris
Extensive lichenification of the dorsal fingers, hand, and wrist, with excoriations and erosion.
Learn more about eczema
Blistering and desquamation with ulceration L1/2 distribution.
Learn more about herpes zoster
Excoriated papules on lower limbs including soles.
Learn more about scabies
Papules + nodules.
Learn more about eczema
Non-blanching palpable purpura of upper limbs.
Learn more about Henoch-Schonlein purpura
Lichenified erythematous/violaceous plaque
Learn more about eczema
Erythematous swollen leg.
Learn more about cellulitis
Extensive healing erosions with haemorrhagic crust and a collarette of scale
Erythematous maculopapular/morbilliform eruption on trunk.
Learn more about measles
Small blisters on the sole of the foot, with post-inflammatory hyperpigmentation.
Learn more about dyshidrosis
Multiple erythematous papules with peripheral scale some with a dry crusted scab over the right thigh and knee.
Learn more about leishmaniasis
Learn more about skin tags
Annular erythematous eruption with central crusting and erosion.
Numerous irregular ulcerating lesions on background of lichenification. Possible impetiginisation with golden crust overlying lesions.
Learn more about eczema
Excoriated erythematous micro papules on a background of diffuse erythema.
Learn more about scabies
Subtle Petechial Rash
Multiple little tiny superficial sweat-filled blisters.
Learn more about miliaria
Punctate lesion with associated erythematous swelling on the left forearm. There is also a macular papular rash on the chest.
Learn more about BCGs
Grouped erythematous slightly urticated papules on trunk with surrounding dry skin.
Learn more about eczema
Skin coloured papules centred around hair follicles.
Learn more about folliculitis
Mouth Injury
Eczema Coxsackium
Symmetric swelling of lower limbs associated with hyperkeratosis, plantar keratoderma, and dystrophic toenails
Bitonsillar hypertrophy with white exudate.
Learn more about streptococcal pharyngitis
Nodules over right edge. Dystrophic scarring seen on left from recent abscesses. Old scars from previous abscesses also seen.
Learn more about hidradenitis suppurativa
Small area of inflammation with surrounding pus on the skin surrounding the nail.
Learn more about paronychia
Scleral icterus.
Learn more about jaundice
Petechiae of the hard palate. Common in viral infections.
Learn more about petechiae
Multiple flaccid bullae with erosions on upper limb.
Inflammatory nodules with sinus tracts of axilla.
Learn more about hidradenitis suppurativa
Erythema and punched-out erosions affecting the chin.
Learn more about eczema herpeticum
Atrophic and hypo and hyperpigmented round scars.
Learn more about chicken pox
Ill-defined symmetrically distributed erythema on the lower limbs.
Learn more about PIMS-TS
Blue subcutaneous swelling.
Learn more about cephalhaematoma
Papulosquamous eruption affecting the dorsa of the fingers.
Learn more about syphilis
Multiple scattered crateriform nodules on trunk with surrounding erythema.
Learn more about leukaemia cutis
Eczematous patches with lichenification.
Learn more about eczema
Multiple vesicles with erythema affecting the right cheek and periorbital area with purulent weeping from the right eye.
Learn more about eczema herpeticum
Scarlet Fever
Induration at site of intradermal tuberculin injection.
Learn more about the Mantoux test
Injected conjunctiva with some erythema.
Learn more about conjunctivitis
Pustules on an erythematous base.
Learn more about erythema toxicum
Dry scaly patch on the scalp.
Learn more about tinea capitits
Silvery scaly plaques predominantly on extensor arms.
Learn more about psoriasis
Confluent erythema affecting forearm with no associated angioedema.
Learn more about urticaria
Freckle with surrounding lighter area on the abdomen vertical line downward from the nipple.
Learn more about accessory nipples
Subcutaneous swelling of anterior neck.
Learn more about goitres
Symmetric swelling of lower limbs associated with hyperkeratosis, plantar keratoderma, and dystrophic toenails
Erythematous lump on the upper eyelid.
Learn more about chalazion
Erythematous maculopapular eruption with sparing of vermillion.
Learn more about eczema
Superficial erosion over chin with crusting.
Learn more about bullous impetigo
Annular erythematous wheals.
Learn more about urticaria
Eczematous patch at antecubital fossa with lichenification, scale, and excoriations.
Learn more about eczema
Learn more about corneal abrasions
Haemangioma to scalp
Scarlet Fever
Eczema plus haemangioma and dermal melanocytosis
Skin-coloured bulge emanating from the umbilicus with erythema and scale consistent with lichen simplex chronicus.
Learn more about umbilical hernia
Non blanching symmetrical purpuric lesions on the lower legs. Dusky erythema on the feet.
Learn more about Henoch-Schonlein purpura
Moist confluently erythematous inflamed area with pustules.
Learn more about eczema
Crops of monomorphic vesicles on dorsal hand and fingers.
Learn more about herpes simplex virus
Multiple vesicles and bullae on the face and upper chest. Lesions in clusters with some slight evidence of golden crust.
Learn more about bullous impetigo
Erythematous rash forehead interspersed with pinpoint papules in a young infant
Normal Bruising Pattern
Scattered small lesions of non-blanching erythema/purpura. Two ecchymoses evident
Learn more about idiopathic thrombocytopenic purpura
Mild erythema seen on wrist and dorsum of right hand.
Learn more about eczema
Periorbital vesiculation with hyperpigmentation left side of face.
Learn more about eczema herpeticum
Hair Tourniquet
Small area of punctum/scab on scalp.
The lack of hair around the plaited braid suggest a degree of traction alopecia from braiding.
Learn more about epidermoid cysts
Multiple crusty erosions on the nose and chin with associated vesicles/blisters on the chin.
Learn more about bullous impetigo
Multiple little pus-filled pustules with erythematous halo.
Learn more about folliculitis
Papular change on the cheeks, eyebrows and forehead with no pustule formation.
Learn more about eczema
Faint scale on the abdomen with periumbilical wrinkling and an eczematous patch on the upper abdomen.
Learn more about eczema
Wide spread ill defined erythema over back.
Learn more about PIMS-TS
Unilateral erythematous rash well circumscribed around the eye.
Learn more about eczema
Crops of peri-ocular pustules across both eyes. Background erythema and some excoriation.
Learn more about eczema herpeticum
Mildly eczematous patch in the antecubital fossa.
Learn more about eczema
Superficially eroded patch with golden crust at periphery.
Learn more about bullous impetigo
Hypopigmented patches on the anterior thighs.
Learn more about pityriasis alba
Erythema, lichenification, and hyperpigmentation of anterior neck folds.
Learn more about eczema
Round, scaly, confluent, erythematous patches.
Learn more about pityriasis versicolor
Ill-defined, erythematous, maculopapular rash, upper right thigh with post inflammatory hyperpigmentation.
Learn more about napkin dermatitis
Mature natal teeth nearly or fully developed.
Learn more about natal teeth
Confluent bright pink patches in skin folds of groin and axillae with scattered satellite areas.
Learn more about intertrigo
Abrasion
Paronychia
Bulge at the site of the umbilicus with a soft red mass on top of the skin.
Learn more about umbilical hernias
Puncture site noted inferiorly.
Learn more about extravasation
Blue coloured tongue and lips.
Learn more about central cyanosis
Multiple scaly lesions on the lower legs, some appear papular.
Learn more about Gianotti-Crosti syndrome
Lichenified eczematous patch in the distribution of the beltline.
Learn more about eczema
Widespread ichthyosis with severe lichenification and xerosis.
Learn more about ichthyosis
Multiple polygonal yellow papules and plaques on his dorsal area of the feet.
Learn more about lichen planus
Clubbing noted at distal fingers/nails.
Learn more about clubbing
Deep ulceration of the thigh with necrotic tissue and eschar.
Widespread eczematous changes on back, bright erythema to buttocks, sparing of natal cleft.
Learn more about irritant dermatitis
Discoid plaque with crusting, erosions and ooze.
Learn more about eczema
Confluent crops of monomorphic vesicles on dorsal hand and finger.
Learn more about herpes simplex virus
Eczematous rash across the chest – erythema and lichenification.
Learn more about eczema
Erythematous papules inner thighs with a solitary pustule on left thigh in a caucasian child.
Learn more about folliculitis
Single well-circumscribed hyperpigmented macular patch on chest.
Learn more about café-au-lait macules
3 year old boy. Tripped and fell twice in a week, a few days later noted to have pus in wound. Skin infection secondary to wound.
Extensive papular eruption on upper limbs with thick crust affecting trunk.
Learn more about scabies
Hypopigmented round patches localized on the scalp, as post-inflammatory marks on the skin of atopic patient.
Learn more about pityriasis alba
Lichenified hyperpigmented plaques on the abdomen with background follicular eczema.
Linear superficial excoriations/erosions with associated loss of hair.
Learn more about trichotillomania
Irregular purpura of distal feet.
Learn more about meningococcal septicaemia
Confluent pustules and nodules with honey-colored crusts and ragged edge.
Learn more about bullous impetigo
Bite mark on fifth toe.
Learn more about bites
Throat burning with bubbles at the back of the mouth.
Erythema and adherent scale over scalp.
Learn more about seborrhoeic dermatitis
Small superficial erosion of the right lower labial mucosa with surrounding erythema.
Learn more about aphthous ulcers
Lichenified hyperpigmented plaque with excoriations.
Learn more about eczema
Periorbital diffuse swelling with mild erythema.
Learn more about periorbital cellulitis
Skin-coloured protrusion emerging from the umbilicus.
Learn more about umbilical hernias
Slightly necrotic central umbilicus with periumbilical ulceration with slightly red raised rim.
Learn more about ulcers
Accidental bruising to shin
Multiple erythematous targetoid macular lesions on the back.
Learn more about erythema multiforme
Scarlet Fever
Widespread red, blotchy rash on abdomen.
Learn more about urticaria
Learn more about bites
Abrasion
Severe lichenified eczema with induration and impetiginisation
Well circumscribed, hyperpigmented plaques of varying sizes on the flexor surfaces. There is central clearing in areas. There is fine overlying scale.
Learn more about psoriasis
Single well-circumscribed hyperpigmented macular patch on abdomen.
Learn more about café-au-lait macules
Erythema with indistinct margins and sparing of pressure points (underwear).
Learn more about scombroid poisoning
Scarlet Fever
Pus-filled pustules + nodules with honey-colored crusts + ragged edges.
Learn more about staphylococcal infection
Erythematous papules + microvesicles.
Learn more about miliaria
Swelling of the left upper eyelid and erythema of the cheeks bilaterally.
Learn more about periorbital oedema
Red tender fluctuant swelling consistent with abscess in this case caused by MRSA.
Erythema with lichenification, scale, and excoriations.
Learn more about eczema
Severe lichenified eczema with induration and impetiginisation
Pink and white oval patches on the trunk due to post-inflammatory hypopigmented marks on atopic skin.
Learn more about pityriasis alba
White horizontal lines mid-nails consistent with chemotherapy.
Learn more about Beau’s lines
Swelling of lower limb with hyperpigmentation.
Learn more about lymphoedema
Grouped vesicles over knee.
Learn more about bites
Widespread erythematous maculopapular rash.
Learn more about infectious mononucleosis
Post-immunisations (12 month imms)
Lichenifed patch of eczema.
Learn more about eczema
Multiple coin-shaped eczematous areas on the dorsal hands.
Learn more about eczema
Confetti-like small hypopigmented macules affecting upper chest and neck.
Learn more about hypopigmentation
Red swollen lesion with yellowish spots on the lower lid.
Learn more about styes
Eruption of dark red macules, vesicles, and erosions distributed across areas previously affected by atopic dermatitis, with relative sparing of the trunk
Multiple small crusted erosions with larger erythematous erosions.
Learn more about chicken pox |
Learn more about bullous impetigo
Swelling and redness of the eyelid and surrounding soft tissues.
Learn more about cellulitis
Erythematous papules with surrounding hazy erythema and follicular hyperkeratosis.
Bilateral tender erythematous lesions on the lower legs.
Learn more about erythema nodosum
White patch of depigmentation in annular shape with island of sparing centrally on right upper lip.
Learn more about vitiligo
Erythematous papules arranged in an annular distribution with central clearing. One erythematous satellite papule superiorly
Learn more about eczema
Crust on an erythematous base.
Learn more about chicken pox
Excoriated papules on dorsal hand with lichenification and pustules.
Learn more about scabies
Coated tongue with areas of loss of normal rugosity revealing smooth flat areas.
Learn more about geographic tongue
Multiple nodules covering whole of the left sole with slough and ulceration.
Learn more about lymphatic filariasis
Scaly adherent plaques on scalp.
Learn more about seborrhoeic dermatitis
Multiple blisters, yellowish coloured, on mouth mucosa.
Learn more about herpangina
Eczema Coxsackium
Swelling and blistering with associated erythema involving the whole finger.
Learn more about bites
Multiple vesicles on an erythematous base.
Learn more about chicken pox
Excoriated vesicles around the eye.
Learn more about herpes simplex virus
Excoriated papules on dorsal foot, with some pustules.
Learn more about scabies
Multiple papules on an erythematous base on the trunk. Occasional pustules with macular base.
Learn more about erythema toxicum
Multiple black papules on the cheeks.
Learn more about dermatosis papulosis nigra
2 week old with paronychia
Pustular lesions on the scalp.
Learn more about folliculitis
Rough verrucous flat-topped lesions on the dorsal fingers.
Learn more about warts
Widespread homogeneous pink macules, patches and plaques with no obvious epidermal change.
Learn more about urticaria
Normal dried umbilical cord
Learn about umbilical hernias
Papular eruption with erythematous base.
Learn more about viral exanthem
Vesicular lesions on palm and fingers of left hand.
Learn more about hand, foot and mouth
Abscess with scaling and yellow crust.
Learn more about kerions
Umbilical erosion with multiple crusted erosions on the abdomen.
Learn more about impetigo
Eroded vesicles at corners of mouth and lower lip.
Learn more about herpes simplex virus
Patches of severely scaly skin.
Learn more about ichthyosis
Blue sclera is associated with osteogenesis imperfecta.
Learn more about blue sclerae
Widespread dusky erythema of the posterior trunk with no blistering
Bulge at the site of the umbilicus with a dark-coloured discolouration of the skin.
Learn more about umbilical hernias
Widespread hyperpigmented, irregular patches across back of patient. Patches have poorly defined borders.
Learn more about dermal melanocytosis
Papular rash on the abdomen.
Learn more about eczema
Hyperkeratosis over left forehead and glabella.
Learn more about eczema
Extensive blue-grey discolouration affecting the lower back.
Learn more about dermal melanocytosis
A button gastrostomy. The width (12Fr) and size (3cm) are written on the top of the tube. The side port (labelled ‘BAL’) is used for inflating and deflating the balloon.
Learn more about gastrostomies
Well-circumscribed blue/green fluctuant mass.
Learn more about abscesses
Impetigo
Multiple papulopustules with early punched-out erosions.
Learn more about eczema herpeticum
Erythema of cheeks and perioral area with likely secondary bacterial infection (note the honey-coloured crusting).
Learn more about eczema
Multiple clustered erosions with central ulceration on the back
Erythema and crusting of the umbilical stump.
Learn more about omphalitis
Areas of sloughing of superficial skin and pale, white, leathery appearance suggest possible third degree burn with surrounding blister formation.
Learn more about bullous impetigo
Erythematous skin with maceration and superficial erosions on the posterior neck in the skin folds.
Learn more about intertrigo
Swelling of left eyelid.
Learn more about periorbital oedemas
Raised red edge surrounding a central area of hyperpigmentation with accentuated skin markings.
Learn more about tinea corporis
Infection extending 2 days later
Erythematous rash with surrounding blister and peeling of the skin.
Learn more about staphylococcal scalded skin
Multiple, discrete, annular patches of hair loss over right side (parietal area) of scalp.
Learn more about alopecia areata
Widespread erythema across upper chest anteriorly extending to neck. Well defined border at neck. Some wheals.
Learn more about urticaria
Dusky atypical target lesions with blisters and erosions.
Learn more about toxic epidermal necrylosis
Patch of hypopigmentation on the right flank with indistinct margins.
Learn more about hypopigmentation
Dark brown pigmented lesion of dorsal wrist.
Learn more about congenital melancytic naevi
Small raised shiny cherry like lesion on the temple. There is an associated well-demarcated, erythematous, scaly rash suggestive of contact dermatitis secondary to tape placed over the lesion.
Learn more about pyogenic granulomas
Widespread facial erythema. Fine surface scale and some possible impetiginisation and crusting over the nose. Sparing of forehead and chin. Excoriations.
Learn more about eczema
Clubbing or bulbous uniform swelling of the terminal phalanx involving all fingers with loss of normal angle between the nail and the nail bed.
Learn more about clubbing
Tinea capitis with associated alopecia
Sandpaper-like popular eruption with desquamation.
Learn more about scarlet fever
Vesicles on an erythematous base with some crusted lesions.
Learn more about chicken pox
Moist erythema of the anterior neck fold.
Learn more about intertrigo
Blashkoid distribution of hyperkeratotic papules and plaques along arms.
Learn more about epidermal naevus
Multiple eroded areas with surrounding flaccid skin.
Learn more about bullous impetigo
This tube has a triangular Freka PEG fixation plate and Cor-Flo end part. The tube itself is held in place by a plastic disc in the stomach and by the triangular plate on the outside. The tube has been in place for some time and the plastic has darkened with use.
Learn more about gastrostomies
Inflammed lesion with central punctum and pustular eruption surrounding this. Background erythema.
Learn more about bites
Diffuse erythematous maculopapular eruption on trunk.
Learn more about drug eruptions
Hypopigmented papules and plaques on posterior neck.
Learn more about eczema
Eruption of dark red macules, vesicles, and erosions distributed across areas previously affected by atopic dermatitis, with relative sparing of the trunk
Oval shaped ecchymosis with central sparing.
Learn more about bites
Cradle Cap
Infected stye
Progression of umbilical granuloma with salt treatment.
Learn more about umbilical granulomata
Erythema and lichenification of the dorsal hands, with excoriations and bleeding.
Infected, round ulcer with erythematous borders.
Learn more about ecthymas
Islands of repigmentation from patches of vitiligo on anterior shins.
Learn more about vitiligo
Discrete dermal nodule with associated erythema and hyperpigmentation.
Learn more about BCGs
Oedema and erythema of the toes circumferentially.
Discoid erythematous plaques affecting forehead and eyes, with a ‘raccoon-eye’ appearance, in a neonate with a mother with anti-SSA (Ro) antibodies.
Follicular based erythematous papules.
Learn more about folliculitis
An abscess (tuberculosis colliquativa cutis). An ulcerated abscess with well-defined + raised borders.
Learn more about scrofulderma
Generalised raised pink/brown macular papular rash on the back of varying sizes.
Learn more about urticaria
Erythematous edematous plaques “wheals” some of which are confluent on legs.
Learn more about urticaria
Multiple, discrete 1-2mm, hypopigmented papules over the flexor aspect of the wrist.
Learn more about lichen nitidus
Xerosis, lichenification, and erythema of the posterior neck.
Learn more about eczema
Exacerbation of eczema with likely herpetic lesions
Extensive ulceration and eschar affecting lower abdomen with surrounding erythema.
Learn more about chicken pox
Superficial raised erythematous swelling/wheals affecting the chest.
Learn more about urticaria
Tick is seen in this image amongst the hair.
Learn more about tick bites
Erythematous papules with surrounding pallor on lower trunk.
Learn more about Henoch-Schonlein purpura
Multiple erythematous linear/actuate lines on toes and dorsal foot.
Learn more about larva migrans
Blue pigmented patches over buttocks and sacrum
Learn more about dermal melanocytosis
Multiple discrete /coalescing wheals over torso and abdomen.
Learn more about urticaria
Generalised macular papular rash on the back.
Learn more about viral exanthem
Clubbing noted at distal toes/nails.
Learn more about clubbing
Dermal melanocytosis over the lower lumbar region. Scattered erythematous papules over back.
Learn more about dermal melanocytosis
Abrasion to lower leg from AstroTurf – 17 year old male
Scaly skin on dorsal hand with increased skin markings + scattered skin coloured papules.
Learn more about xerosis lichenification
Molluscum contagiosum with secondary infection and ulceration. White material likely exogenous (?zinc cream).
Learn more about molluscum contagiosum
Mouth injury with impacted tooth.
Blue discolouration affecting the leg.
Learn more about dermal melanocytosis
Multiple, small, superficial, clear blisters.
Learn more about miliaria
Erythematous vascular-looking nodule inferior to right eye.
Learn more about pyogenic granulomas
Diffuse micropapules coalescing in areas with underlying erythema
Learn more about eczema
Pre de- roof: skin coloured bulla with verruciform lesion at the inferior pole. Post de-roof: deroofed bullae with centralised detached epidermis and underlying denuded skin. Fleshy verruciform lesion at inferior pole.
Learn more about warts
Acral erythematous macules. No vesicles/blisters or target lesions apparent.
Learn more about hand, foot and mouth
Area of axillary lichenification and excoriation.
Learn more about eczema
Hyperpigmentation with scattered hypopigmentation and scale.
Learn more about pityriasis versicolor
Erythematous papules on dorsa of both feet extending to the ankles.
Learn more about hand, foot and mouth
Lymphoedema with thickening of the skin (elephantiasis) and associated ulceration and hyperpigmentation.
Learn more about lymphoedema
Erythematous maculopapular eruption on trunk.
Learn more about viral exanthem
Patchy loss of skin colour with sharp margins bilaterally on arms and forearms.
Learn more about vitiligo
Milky discolouration of the tongue.
Learn more about neonatal thrush
Palmar erythema as manifestation of PIMS-TS (area on middle finger circled in blue ink by patient relative).
Learn more about PIMS-TS
Head Injury
Erythematous, maculopapular eruption with sparing of vermillion.
Learn more about eczema
Hyperpigmented plaques in concha, pinna, and periauricular skin.
Learn more about discoid lupus
Urticarial Vasculitis
Indurated skin at site of injection.
Learn more about the Mantoux test
Multiple erythematous irregular eroded areas with areas of scarring.
Learn more about pemphigus
Multiple erythematous to violaceous subcutaneous nodules.
Learn more about erythema nodosum
Punched out erosion affecting the left lateral neck fold with multiple discrete eroded areas. Lesions appear wet and a number feature deroofed blisters, with one cluster remaining medially. Largest lesion appears ulcerated.
Learn more about herpes simplex virus
Multiple scaly papules on the skin, with characteristic crusting of the skin.
Learn more about eczema
Patches of lichenified skin in the antecubital fossa with post-inflammatory hyperpigmentation.
Learn more about eczema
Pale, white, flat-topped papules on labial mucosa
Bilateral eye swelling.
Thigh abscess post men c vaccine
The gastrostomy tract is healing. The scar at the medial side of the tract and the vertical lines suggest that this may have been a surgically inserted gastrostomy rather than a true PEG (percutaneous, endoscopic gastrostomy).
There is some redness around the tract and a small amount of discolouration on the dressing which suggests there might be some leakage or maybe infection.
The tube appears to be a ‘PEG tube’ (e.g. a Freak PEG tube) which is held in place by a plastic disc in the stomach and a plastic retainer on the outside which can be seen under the dressing. It is important that once the tract has healed these tubes are ‘exercised’ every week – the outside retainer is released, the tube is pushed in several (4-5) cm and then drawn back until snug and the retainer is re-secured. This helps prevent a buried bumper – where the stomach lining grows over the plastic disc on the inside and often needs to be retrieved with an open operation.
Learn more about gastrostomies
Extensive crusted erosions on the trunk and upper limb.
Learn more about eczema herpeticum
Wheal on cheek (with incidental papules suggesting mild acne).
Learn more about urticaria
Skin-coloured protrusion emerging from the umbilicus.
Learn more about umbilical hernias
Erythematous patches on the posterior neck and back.
Learn more about eczema
Dusky atypical target lesions with blisters and erosions.
Learn more about toxic epidermal necrolysis
Eczema Coxsackium
Erythematous macules and papules with some crusting and scale.
Learn more about eczema
Partially detached papule with bleeding and peripheral scale.
Learn more about molluscum contagiosum
Widespread follicular rash upper chest, with papules and some small pustules.
Learn more about folliculitis
Scattered erythematous papules on the left side of abdomen with some early pustulation seen in a few.
Learn more about folliculitis
Yellow scaling of scalp.
Learn more about seborrhoeic dermatitis
Impetiginized Eczema
Eczematous patches on the neck and upper chest with some secondary mild impetiginsation. Mild lichenifaction around the mouth. Some areas are hypopigmeted.
Learn more about eczema
Large raised firm swelling with associated erythema.
Learn more about abscesses
Extensive healing erosions with haemorrhagic crust and a collarette of scale
Superficial infantile haemangioma on the anterior neck.
Vascular pedunculate lesion with underlying visible veins.
Learn more about haemangiomas.
Mouth Injury
Swelling of the lip with associated drooling and rash.
Learn more about anaphylaxis
Bruised Toe
Hyperpigmented patch with raised border and evidence of scar from previous surgery.
Learn more about haemangiomas
Scattered patches of hypopigmentation with indistinct margins on abdomen.
Learn more about pityriasis alba
Plantar erythema as manifestation of PIMS-TS.
Learn more about PIMS-TS
Multiple annular plaques with central erosion and hyperpigmentation and peripheral hypopigmentation.
Learn more about pemphigus
Urticarial Vasculitis
Single verrucous plaque on posterior neck.
Learn more about epidermal naevus
Lichenified excoriated patch with erosions and weeping.
Learn more about eczema
Strawberry tongue (due to reduced filiform papillae with retained fungiform papillae), crusted nodule on left cheek, and desquamation on trunk.
Solitary erosion lower leg +/- crust.
Learn more about staphylococcal infection
Learn more about corneal abrasions
Postinflammatory hypopigmented macules.
Learn more about eczema herpeticum
Learn more about gastrostomies
Multiple urticated bruises, some of which have a targetoid appearance
Skin coloured blisters coalescing into bullae surrounded by erythema in a multi-dermatomal distribution.
Learn more about chicken pox
Pustules with erythematous base.
Learn more about neonatal cephalic pustulosis
Scattering of erythematous papules.
Hyperpigmented annular lesions, featuring erythema and some slight scale.
Learn more about eczema
Pink superficial cracks between the linear fissures probably caused by injury or trauma.
Learn more about traumatic fissures
Eroded superficial blisters with some crusting.
Learn more about bullous impetigo
Linear patch of alternating light and dark brown pigmentation with hypertrichosis.
Learn more about beckers naevus
Learn more about gastrostomies
Left facial droop.
Learn more about Bell’s palsy
Multiple little tiny superficial blisters sweat-filled.
Learn more about miliaria
Discrete tense bullae with surrounding erythema in linear “breakfast, lunch, and dinner” distribution.
Learn more about bites
Multiple red petechiae across the dorsum of the foot.
Learn more about vasculitis
Redness and swelling of upper eyelid with associated ptosis.
Learn more about chalazion
Pityrosporum Folliculitis
Multiple annular, scaly patches all over body, face, and scalp.
Learn more about tinea corporis
Scaly inflamed patches on the back with excoriations and post-inflammatory hyperpigmentation.
Learn more about eczema
Everted portion of soft tissue.
Learn more about accessory digits
Facial erythema.
Learn more about eczema
Erythematous lesions with blisters, erosions, + crusting on dorsal hands and perioral area.
Learn more about eczema coxsackium
Raised reddish/purplish firm bumps arranged in multiple confluent rings localized on the third finger of the hand.
Learn more about granuloma annulare
4 year old with kerion
Wheal demonstrated next to intradermal injection site.
Learn more about the Mantoux test
Rough verrucous flat-topped lesions on the dorsal fingers.
Learn more about warts
Annular hypopigmented patch with central scaling on a background of asteatotic skin.
Learn more about tinea faciei
Asymmetrical, left sided orbital erythema and associated oedema. Associated mild crusting/skin peeling. Possible exotropia and secondary ptosis.
Learn more about periorbital cellulitis
Multiple patches of eczema with post inflammatory hypopigmentation over flexural aspect of neck and likely secondary infection (crusting).
Learn more about eczema
Extensive scale and eczematous patches affecting the upper chest and face with dyspigmentation.
Learn more about eczema
Blue black macular patches on arms.
Learn more about dermal melanocytosis
Extensive healing erosions with haemorrhagic crust and a collarette of scale
Erythematous area of leg.
Learn more about cellulitis
Erythematous papules symmetrically distributed on legs with surrounding pallor.
Learn more about Henoch-Schonlein purpura
Head Laceration
Central forehead bruise.
Impetiginized Eczema
Extensive wheals affecting the upper chest and neck. Areas of sparing throughout and irregular borders.
Learn more about urticaria
Flat blue grey birthmark on the lower spine.
Learn more about dermal melanocytosis
Blotchy macular erythema on trunk. Could also be consistent with viral exanthem.
Learn more about urticaria
Multiple papules on the plantar surfaces of the feet with evidence of burrows.
Learn more about scabies
Erythematous papules and pseudo vesicles over shins.
Learn more about Gianotti-Crosti syndrome
White coating on tongue.
Learn more about neonatal thrush
Multiple areas of deep blue dermal pigmentation on the back.
Learn more about dermal melanocytosis
Hyperpigmented patch on the leg.
Learn more about dermal melanocytosis
Vesiculopustular eruption of lips with crust and ulceration.
Non-blanching palpable purpura of lower limbs.
Learn more about Henoch-Schonlein purpura
Erythematous tender nodules on shins with bruised appearance.
Learn more about erythema nodosum
Excoriated erythematous papules on legs with surrounding dry skin.
Learn more about eczema
Non blanching symmetrical purpuric lesions on the dorsum of the hands.
Learn more about Henoch-Schonlein purpura
Exacerbation of eczema with likely herpetic lesions
Abscess of the heel with surrounding redness and swelling with an incision wound to the heel.
Learn more about abscesses
Multiple erythematous nodules of varying sizes with overlying and peripheral scale.
Learn more about abscesses
Monomorphic erythematous papules with central pustule (this pustule will eventually rupture leaving an ulcer).
Learn more about herpes simplex virus
Multiple areas of deep blue dermal pigmentation on the back.
Learn more about dermal melanocytosis
Asymmetric bulge over the right scalp.
Learn more about cephalhaematoma
Facial atopic dermatitis with secondary infection and crusting.
Learn more about eczema
Vesicular eruption on palms.
Learn more about hand, foot, + mouth disease
Multi-focal non-scarring alopecia with preservation of follicular ostia. Scaly, adherent plaque on the scalp.
Learn more about seborrhoeic dermatitis
Bruise to shin
Keloid scar (scar extends outside the margin of the original scar).
Learn more about keloid scars.
Frictional darkening of the extensor surfaces of the knees with thickened skin.
Learn more about hyperkeratosis factitia
Dermatitis over cheeks with a solitary urticated lesion over right upper eyelid. Asteatosis over cheeks bilaterally.
Learn more about eczema
Extensive desquamation on back post scarlet fever.
Localised induration with overlying erythema and oedema (peau d’orange) and areas of blistering and papulation within the erythema.
Learn more about cellulitis
Extensive linear ulceration of the left side of the face extending from the chin to the temple including the tragus and ear, consistent with involvement of the maxillary and mandibular branches of the trigeminal nerve.
Learn more about herpes zoster
Punctuate grouped ulcers on tongue and crusted vesicles in perioral region.
Learn more about herpes simplex virus
Bright red rash in symmetrical distribution on cheeks
Eczema plus haemangioma and dermal melanocytosis
Extensive wheals.
Learn more about urticaria
Blister following Mantoux.
Learn more about the Mantoux test
Blue sclera is associated with osteogenesis imperfecta.
Learn more about blue sclerae
Single annular lesion with central ulceration. Thickened, pink edge to lesion.
Learn more about Mantoux ulceration
Scaly and erythematous patches localized on the neck.
Learn more about eczema
Widespread erythema with generalised lichenification of the flanks generalised. No evidence of secondary infection.
Learn more about eczema
Intertrigo
Infected round ulcer with well-defined borders.
Learn more about ecthymas
Clusters of peri-ocular pustules on a background of erythematous patches. Numerous vesicles and erythematous changes across the face.
Learn more about eczema herpeticum
Severe erythema, lichenification, and bleeding of the lower limbs.
Patch of hypopigmented skin of the left lower cheek.
Learn more about pityriasis alba
Widespread multiple greyish blue patches over back of a child with skin type 4.
Learn more about dermal melanocytosis
Butterfly or malar violaceous raised erythematous rash across the cheeks and bridge of the nose. There is mucosal involvement with lesions on the lips.
Learn more about systemic lupus erythematosus
Extensive desquamation on upper chest post scarlet fever.
Sheets of pustules on abdomen with generalised erythema and desquamation of skin.
Learn more about psoriasis
Erythema and scaling on the scalp.
Learn more about tinea capitis
Inflamed boggy mass on scalp with associated hair loss and crusting.
Learn more about kerions
Normal umbilical cord
Multiple small facial pustules predominantly on forehead and peri-nasal areas.
Learn more about neonatal cephalic pustulosis
Rectangular patch of erythematous, inflamed skin.
Learn more about eczema
Single erythematous lesion. Well defined, symmetrical and uniform in colour. Likely vascular given colour with ‘strawberry-like’ appearance.
Learn more about haemangiomas
Discoid plaque with crusting, erosions and ooze.
Learn more about eczema
Generalised erythematous scaly rash on the back.
Learn more about eczema
Nailbed injury pre and post repair.
Background erythema with papular component on cheek.
Learn more about infantile acne
Petechiae around eyes – 4 year old male
Extensive scalp scale.
Learn more about tinea capitis
Blue black macular patches over lumbosacral area.
Learn more about dermal melanocytosis
Non blanching patch of erythema.
Extensive bruising and haematoma formation around left ankle.
Learn more about ecchymosis
Erythematous and crusted pre-auricular lesion. Inflammation and swelling with surface scale.
Learn more about sinuses
Bulge at the site of the umbilicus with a soft red mass on top of the skin.
Learn more about umbilical hernias
Erythematous patches and plaques with surrounding pallor.
Learn more about urticaria
Multiple areas of oval depigmentation, some with scabs still present and some chronic changes.
Learn more about impetigo
Generalised widespread scaly plaque rash affecting the torso and arms with areas of lichenification.
Learn more about psoriasis
Multiple excoriated pustules with scaly ragged edge.
Learn more about bullous impetigo
Chalazion
Annular scaly shiny plaque on the dorsal foot.
Learn more about tinea corporis
Multiple planar warts on the sole of the foot , some in a mosaic appearance.
Learn more about warts
Annular plaques with some peripheral scaling on limb.
Learn more about tinea corporis
Widespread xerosis and fissuring, with ichthyotic appearance to skin. No obvious sparing and there are widespread eczematous changes.
Learn more about ichthyosis
Small pustule with underlying swelling.
Learn more about abscesses
Bullae on fingertip of left second finger.
Learn more about herpes simplex virus
Bright red non-confluent eruption with very fine papules.
Learn more about scarlet fever
Scaly hypopigmented patches on posterior neck.
Learn more about pityriasis versicolor
Oval membranised nodule lateral to midline of scalp at occipital hair whorl. Look for a ‘hair collar sign’. Heals with scarring.
Learn more about cutis aplasia
Scarlet Fever
Chelitis of lips. The lesions on the chin are flat hypopigmented macules likely post-inflammatory.
Learn more about Kawasaki disease
Scaly hypopigmented patches on the lateral neck.
Learn more about pityriasis versicolor
Well circumscribed violaceous umbilical plaque.
Pearl-like papules with a dimple in the centre.
Learn more about molluscum contagiosum
Urticaria
Ill-defined hyperpigmentation with follicular prominence over neck. Solitary area of excoriation/ulceration noted on the right side.
Learn more about eczema
Bruised Toe
Chalazion
No epidermal change. Macular pale pink erythema with a white edge/skin coloured edge and appearance of sub epidermal swelling.
Learn more about bites.
Scar overlying the medial malleolus of the left foot. Scattering of erythematous papules, xerosis of the skin (fine overlying scale)
Symmetric swelling of lower limbs associated with hyperkeratosis, plantar keratoderma, and dystrophic toenails
Exaggerated scarring response to injury.
Learn more about keloid scars.
Erythematous scale over cheeks, mouth and chin. Atopic with irritant dermatitis.
Learn more about eczema
Fine predominantly macular erythematous eruption on the trunk.
Learn more about roseola
Lichenified, pale, papular eruption on the extensor surface of the arm. Some excoriation. Possibly some xerosis.
Learn more about eczema
Erythema around gastrostomy site.
Learn more about gastrostomies
Well defined erythema in the scalp.
Learn more about tick bites
Erythema and scaling of the cheeks and forehead.
Learn more about eczema
Raised purplish confluent are in a ring pattern on the dorsal area of the foot.
Learn more about granuloma annulare
Erythematous papules coalescing into serpiginous plaques on a background of hazy erythema and hyperpigmentation in the right axilla. On the right cheek there is erythema and fine scale.
Learn more about scabies
Fine macular erythema on trunk.
Learn more about roseola
Swelling to right side of face.
Learn more about abscesses
Multiple excoriated vesicles on an erythematous base, some crusted.
Learn more about chicken pox
Eruption of dark red macules, vesicles, and erosions distributed across areas previously affected by atopic dermatitis, with relative sparing of the trunk
Multiple small papules on the leg.
Learn more about scabies
Multiple urticated bruises, some of which have a targetoid appearance
Multiple urticated bruises, some of which have a targetoid appearance
Round patches of erythema with desquamation on the neckline.
Learn more about PIMS-TS
Stomatitis in child with bilateral pneumonia, urticaria rash and cardiovascular instability requiring >40ml/kg fluid + inotropes.
Post-inflammatory hyperpigmentation.
Learn more about erythema nodosum
An erythematous rash with multiple and polymorphic vesicles and blisters, located on the dorsal skin of the knees.
Learn more about hand, foot and mouth
Unilateral, well-defined, purplish discolouration of skin extending from elbow to dorsum of right hand.
Learn more about ecchymosis
A 4-year-old girl with café-au-lait macula lesions on the chest, abdomen and extremities from birth. By maternal branch, all generations present the same type of café-au-lait mácula.
Yellowing of the skin and sclera.
Learn more about jaundice
Grazed Knee – 13 year old boy
Erythema, scale, and excorations on the posterior neck.
Erythematous macular patch on heel with some surface peeling.
Learn more about COVID
Raised scaly patches and plaques.
Learn more about psoriasis
Flat blue/grey areas on the back.
Learn more about dermal melanocytosis
Central erythema, lichenification, and hyperpigmented edge over flexure. Shiny due to emollient.
Learn more about eczema
Skin desquamation and scaling at the periphery on background of erythema.
Learn more about psoriasis
Torn upper lip frenulum
Avulsed Nail
