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We report fifteen cases showing focal acral hyperkeratosis. They were clinically identical to acrokeratoelastoidosis (AKE) but lacked the elastorrhexis which is a feature of AKE. The name focal acral hyperkeratosis is proposed for this condition which differs histologically from AKE.

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often repeatedly, to extremely time consuming tests that they knew could provoke uncomfortable symptoms. Financial help was provided by a research grant from the Oxford RHA(T).

Thirty-seven patients with psoriatic nail dystrophy were treated with intradermal nail-fold injections of either triamcinolone acetonide or triamcinolone hexacetonide, using the Port-O-Jet needleless injector. Mild nail-matrix changes showed a very good response to treatment, whilst nail-bed and/or hyponychial changes causing onycholysis and the more severe types of dystrophy usually showed little improvement. Although in occasional cases this may be a useful form of treatment, we would not recommend its general use in patients with psoriatic nail dystrophy.

SUMMARY We report a patient in whom a histologically unusual carcinoma has arisen in an area of erosive pustular dermatosis of the scalp.

Cutaneous larva migrans is becoming more common in the U.K. with the popularity of tropical countries as holiday destinations. We describe the increasing use of a new benzimidazole derivative, albendazole, which is very effective in the treatment of cutaneous larva migrans. In contrast to thiabendazole, it is virtually free from side-effects and should, we feel, become the treatment of choice for this condition.

SUMMARY Staining of the nails due to hydroquinone‐containing creams is not a well‐recognized condition. We report two cases in older women in whom brown discoloration developed after the use of cosmetic skin‐lightening creams for actinic lentigines of the hands. The cause of the discoloration and its relation to light exposure is discussed.