Erythematous plaques in axillae - a report of two cases

Inverse [flexural] psoriasis is characterized by shiny, pink to red, sharply-demarcated thin plaques. Frequency of isolated involvement of these areas is very rare and the morphology is frequently altered by maceration and friction. All this leads to diagnostic confusion. We describe two cases of inverse psoriasis with isolated involvement of axillae. One patient presented with dry mildly scaly plaque, while the other presented with macerated plaque. Histopathology was consistent with the diagnosis of inverse psoriasis. Although there are previous reports, but localization of lesions only to axillae in a case of inverse psoriasis is unique

Cutaneous metastasis as presenting feature of internal malignancy - report of two cases

Cutaneous metastasis [CM] from internal malignancy is usually seen in advanced stage and hence is associated with bad prognosis. Sometimes, CM alone is a presenting feature without any obvious feature of internal malignancy. High index of suspicion and histopathology can establish the diagnosis of CM. Identification of underlying malignancy is based on clinical futures, histopathology, immunohistochemistry and other investigations. CM was the presenting feature in our cases and identification of CM led to search for underlying malignancy and then initiation of therapy