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Bskirk Barber, MD, FRCPC


Observation and Documentation Still the Foundation of Medical Practice

January 11, 2011

In this age of evidence-based medicine and randomized clinical trials, it is easy to forget that careful clinical observation and documentation are the foundation of medical practice.

Scalp Psoriasis in a 13-Year-Old Girl

November 01, 2008

This 13-year-old girl, who has just entered secondary school, has been devastated by the appearance of psoriatic plaques on her scalp. She states that her peers shun her and make rude comments about the "scabs" on her face

Extensive Psoriasis in a 9-Year-Old Girl

October 01, 2008

This 9-year-old girl has extensive psoriasis and is currently receiving narrowband UVB phototherapy for her body plaques. Her mother has insisted on covering her daughter's face during treatment and on having the girl use sunscreen on her face whenever she is outdoors to prevent premature aging.

Guttate Psoriasis in a Teenage Girl

May 01, 2008

This teenager had been taking penicillin for a sore throat about 2 weeks before this rash developed. Her pediatrician thought that the rash was a drug reaction and had her discontinue the medication. Nevertheless, the rash persisted for more than a month after therapy was stopped.

Vitiligo on a Boy's Face

April 01, 2008

This boy has had areas of hypopigmentation around his eyes, mouth, and nose for the past 2 years. He has been applying a topical corticosteroid to the affected area, but new lesions continue to develop.

Answer to Last Month’s Online Challenge

January 01, 2008

Infantile seborrhea has many of the features of the other papulosquamous conditions listed, but the diagnosis is most commonly clinically evident on examination alone. If you are unsure, a KOH preparation will quickly sort out the dermatophytes. Also, the lack of itch makes atopic dermatitis very unlikely.