Table 1.

Some potential examples of reflexive nosology that are possibly bordering on panchreston status.

What the patient's concern is:	What you as a dermatologist diagnoses their condition as:	What the patient then asks:	And your reply:
My daughter's big toenails have not been growing straight since birth	That's what we dermatologists call ‘congenital malalignment of the great toenails’	What's that, then, doctor?	Well, it means that your daughter's big toenails have not grown straight since birth
I've got these red rings on my skin	Ah, you have got an annular erythema	Can you explain to me what that means?	There are red rings on your skin
All my nails have become rough	You have 20‐nail dystrophy	Ooh, that sounds nasty; what's that?	All 20 of your nails have become rough
I have got this brown streak in my nail	You have longitudinal melanonychia	That sounds serious; what does it mean?	You have a brown streak in your nail
I have noticed these prominent blood vessels present since birth on one side of my chest	Fascinating; that's what we call unilateral naevoid telangiectasia	What's that, then?	Prominent blood vessels present since birth on one side of the body
My child has this new rash around one of his armpits	I have just asked Professor Williams, and he says it is asymmetrical periflexural exanthem of childhood	I am sure he is very clever, but what does it all mean, though?	Your child has a rash around one of his armpits