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Case Reports in Dermatology

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https://www.readbyqxmd.com/read/27920685/lipofilling-a-new-therapeutic-option-for-the-treatment-of-lupus-panniculitis-induced-atrophy
#1
Laura Polivka, Marc Revol, Maxime Battistella, Hervé Bachelez
Lupus panniculitis is a rare manifestation of cutaneous lupus erythematosus, which may lead to major aesthetic sequelae with a severe impact on patients' quality of life. We report 2 cases supporting the short- and long-term efficacy and safety of lipofilling in the treatment of lupus panniculitis-induced atrophy. These observations pave the way for prospective, larger-scale studies in patients with scarring lupus panniculitis, provided that the autoimmune pathogenic process is in complete, stable remission...
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27920684/worsening-of-lymphopenia-during-apremilast-treatment
#2
Antonios G A Kolios, Lars E French, Alexander A Navarini
Apremilast is an oral phosphodiesterase IV inhibitor recently registered for the treatment of psoriasis and psoriatic arthritis in Switzerland and other countries. Even though it offers only moderate efficacy compared to biologics, many patients prefer drugs given by the oral route. Apremilast is frequently used in private practice, as it showed no relevant safety signals in clinical trials and often, laboratory tests are omitted completely. Here we report a patient who developed acute lymphopenia and worsening of psoriasis during apremilast treatment, which resolved with discontinuation of apremilast...
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27920683/squamous-cell-carcinoma-in-african-children-with-xeroderma-pigmentosum-three-case-reports
#3
Mamadou Kaloga, Pauline Dioussé, Boubacar Ahy Diatta, Mariama Bammo, Sarah Kourouma, Almamy Diabate, Ndiaga Gueye, Haby Dione, Moussa Diallo, Bernard Marcel Diop
INTRODUCTION: Xeroderma pigmentosum is a rare autosomal recessive genetic disease. This disease predisposes patients to early-onset skin cancers, particularly squamous cell carcinoma. Here, we report 3 pediatric cases, including 2 deaths. OBSERVATION: The subjects included 2 boys and 1 girl with skin type VI. All subjects were from consanguineous marriages, and the average age was 7.6 years. The patients all had ulcerative budding tumor lesions in the cephalic region, and the mean disease duration was 18 months...
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27920682/scleroderma-with-nodular-scleroderma
#4
Chutika Srisuttiyakorn, Kobkul Aunhachoke
BACKGROUND: Nodular scleroderma is a rare variant of scleroderma which can occur in connection with systemic sclerosis or morphea. A biopsy from the lesion can demonstrate the scleroderma pattern, i.e., keloid pattern or mixed type. Treatment is challenging, and several treatments modalities have been reported with unsatisfactory results. MAIN OBSERVATIONS: We present a case of systemic sclerosis in a 50-year-old female who developed nodular scleroderma in the absence of deterioration of the scleroderma condition...
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27920681/a-rare-case-of-mycosis-fungoides-in-the-oral-cavity-and-small-intestine-complicated-by-perforation
#5
Drew Arthur Emge, Juri Bassuner, Daniel J Lewis, Madeleine Duvic
Extracutaneous involvement in mycosis fungoides (MF) carries a poor prognosis. Oral and gastrointestinal (GI) tract lesions are both rare locations of disease. We describe the clinical findings of one case with oral and GI MF complicated by perforation after systemic antineoplastic treatment, and review the relevant literature. The patient had a 1-year history of MF before development of tongue and palate tumors. He was treated with local electron beam radiation, but re-presented to the hospital after what was found to be small intestine perforation following systemic antineoplastic therapy...
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27920680/mucocutaneous-ulcerations-and-pancytopenia-due-to-methotrexate-overdose
#6
Katharina Knoll, Florian Anzengruber, Antonio Cozzio, Lars E French, Carla Murer, Alexander A Navarini
Methotrexate (MTX) is an antifolic drug used in the treatment of immune-mediated and neoplastic diseases. Initiation or dosage changes in MTX therapy can cause mucositis and bone marrow suppression. Skin lesions due to acute MTX toxicity are rare, but they serve as a herald for later-onset pancytopenia. Therefore, identification of those cutaneous lesions might help to initiate rescue strategies at an early stage. Here we describe a case with mucocutaneous ulcerations and pancytopenia due to overdosed MTX.
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27920679/basal-cell-carcinoma-on-the-sole-an-easily-missed-cancer
#7
Natalie L Hone, Radhika Grandhi, Adam A Ingraffea
Basal cell carcinoma (BCC) is the most common skin cancer, and solar ultraviolet ray exposure is the most significant risk factor for its development. The plantar foot is infrequently exposed to the sun, thus the presence of BCC on the sole is rare. We report a case of BCC on the sole of the foot and its treatment in the hope to facilitate its detection.
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27920678/diffuse-bullous-eruptions-in-an-elderly-woman-late-onset-bullous-systemic-lupus-erythematosus
#8
Prajwal Boddu, Mojtaba Nadiri, Owais Malik
Vesiculobullous eruptions in the elderly represent a diverse range of varying pathophysiologies and can present a significant clinical dilemma to the diagnostician. Diagnosis requires a careful review of clinical history, attention to detail on physical and histomorphological examination, and appropriate immunofluorescence testing. We describe the case of a 73-year-old female who presented to our hospital with a painful blistering skin rash developed over 2 days. Examination of the skin was remarkable for numerous flaccid hemorrhagic bullae on a normal-appearing nonerythematous skin involving both the upper and lower extremities...
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27920677/subungual-squamous-cell-carcinoma-the-diagnostic-challenge-and-clinical-pearls
#9
Wai Leong Kok, Joyce Siong See Lee, Martin Tze-Wei Chio
Subungual squamous cell carcinoma is a rare entity and difficult to diagnose as its clinical presentation may resemble benign conditions. This case report highlights the need to maintain a high clinical index of suspicion, and recommends a practical approach for subungual conditions. Dermoscopy and a biopsy for histology are important adjuncts to clinch the diagnosis.
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27790114/bilateral-necrotizing-fasciitis-of-the-foot-associated-with-group-b-streptococcus
#10
Keitaro Fukuda, Misao Ryujin, Reiko Sakio, Satoshi Fukuzumi, Takanori Omae, Kazuhito Hayakawa
Necrotizing fasciitis (NF) is a severe bacterial infection involving fascia and subcutaneous tissue. It generally affects upper or lower extremities unilaterally, and there are few reports of bilateral-extremity NF. Here, we report a case of a 43-year-old male with type 1 diabetes who had NF on the left foot and subsequently developed NF on the other foot 1 week later. The patient survived with antimicrobial therapy and bilateral below-knee amputation. As group B streptococcus (GBS) was isolated by blood culture and culture of excised tissues of both feet, bilateral GBS NF of the foot was diagnosed...
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27790113/an-atrophic-plaque-with-arborizing-vessels
#11
Alejandra Villarreal-Martinez, Sonia Chavez-Alvarez, Maira Herz-Ruelas, Ivette Miranda-Maldonado, Osvaldo Vázquez-Martinez
Dermatofibromas are a common finding in the daily clinical practice. Most lesions are found incidentally or because patients seek medical attention due to the aspect of the lesion. Rare variants of dermatofibroma such as aneurismatic or atrophic dermatofibroma can be encountered simultaneously; thus, these combined features may raise the possibility of other diagnoses to be considered. By providing diverse clinical and dermoscopic examples of dermatofibromas, we may prevent misdiagnosing these lesions. This case illustrates how two rare variants of dermatofibroma can coexist...
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27790112/medical-photography-documentation-art-and-the-expression-of-human-emotions
#12
Elisabeth Aberer, Werner Stieber, Donja Homayoon, Regina Fink-Puches, Roland Lichen, Wolfgang Salmhofer, Alexandra Gruber-Wackernagel, Werner Aberer
Medical photography is the state of the art for the documentation of dermatological disease. Experienced photographers take pictures of the most typical skin lesions in order to assist the clinician in assessing disease morphology and activity. In this study, we present 6 individuals with a variety of dermatoses and the expression of the patients' emotions. The patients were asked to show their diseased skin and to present typically involved areas in the respective disease. The feelings expressed by their body movements and positions are viewed and interpreted...
September 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27920676/idiopathic-facial-aseptic-granuloma-in-a-13-year-old-boy-dramatically-improved-with-oral-doxycycline-and-topical-metronidazole-evidence-for-a-link-with-childhood-rosacea
#13
Camille Orion, Alicia Sfecci, Laurent Tisseau, Laure Darrieux, Gilles Safa
Idiopathic facial aseptic granuloma (IFAG) is a rare, benign pediatric dermatological lesion that occurs in children between 8 months and 13 years of age. The pathogenesis of IFAG is still unclear but it is likely to be associated with granulomatous rosacea in childhood. Here we describe a case of IFAG in a 13-year-old boy who showed a dramatic response to oral doxycycline and topical metronidazole, which supports the hypothesis that IFAG may belong to the spectrum of rosacea.
May 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27721755/apremilast-is-effective-in-lichen-planus-mucosae-associated-stenotic-esophagitis
#14
Jürg Hafner, Christoph Gubler, Karin Kaufmann, Stephan Nobbe, Alexander A Navarini, Lars E French
A 74-year-old woman with extensive lichen planus mucosae (LPM) developed stenotic esophagitis that was refractory to intravenous glucocorticosteroids. Esophageal dilatations to 14 mm width were repeatedly performed without any lasting effect. After introducing oral apremilast, she experienced complete clinical remission within the first 4 weeks of treatment. Control esophagoscopy confirmed a marked recovery of the esophageal mucosa with no recurrence of the former stenosis. Our observation is in line with the case series of Paul et al...
May 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27721754/exacerbation-of-darier-disease-under-interferon-%C3%AE-2a-therapy-with-clinical-signs-of-lichen-nitidus
#15
Ioannis Karagiannidis, Martina Brunner, Christos C Zouboulis
Darier disease/dyskeratosis follicularis is a genodermatosis characterized by brown, oily keratotic papules and plaques in the seborrheic areas of the face and chest. Responsible for the disease are mutations in the ATP2A2 gene, encoding SERCA2, a calcium pump of the sarco-/endoplasmic reticulum. Mechanical trauma, heat, humidity, ultraviolet B radiation, oral corticosteroids and lithium are known trigger factors of the disorder. We report on a 48-year-old German woman with a flare-up of Darier disease under interferon-α-2a (IFNα-2a) therapy with clinical signs of lichen nitidus...
May 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27721753/ulcerated-giant-dermatofibroma-following-routine-childhood-vaccination-in-a-young-boy
#16
Michelle S Y Ng, Alice Y W Foong, Mark J A Koh
INTRODUCTION: The development of cutaneous neoplasms at immunization sites following vaccination is uncommon, and only few have been reported in the literature worldwide. We report an unusual case of an ulcerated giant dermatofibroma that developed as a chronic nonhealing plaque in the immunization scar of a young boy after vaccination. CASE REPORT: A 13-month-old Chinese boy presented with an unusual skin reaction on the vaccination site at the right anterolateral thigh following a routine intramuscular injection of '5-in-1' (diphtheria, tetanus, pertussis, polio and Haemophilus influenzae B) vaccine at 4 months of age...
May 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27721752/malignant-melanoma-on-a-thermal-burn-scar-with-an-interval-of-more-than-70-years
#17
Shusuke Uchida, Naoki Oiso, Kuriko Shiga, Tomohiko Narita, Akira Kawada
Cases of malignant melanoma on thermal burn scars have occasionally been reported. We report a 78-year-old Japanese female with malignant melanoma on a thermal burn scar with an interval of more than 70 years. Our case reemphasizes the importance of regular examinations in persons with thermal burn scars.
May 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27504090/nodular-cutaneous-amyloidosis-at-the-temple
#18
Kathrin Schucht, Josef Schröder, Heiko Siegmund, Claudia Grafe, Stephan Schreml
A 52-year-old woman presented with a large partially yellow and erythematous tumor on her right temple. She reported that it had grown over the last 4 years. Regional lymph nodes were impalpable. A punch biopsy showed eosinophilic material in the dermis and subcutis. Immunohistochemistry showed positive staining for kappa and lambda light chains. Electron microscopy showed the typical amyloid fibrils (7-10 nm in diameter). There was no evidence of systemic amyloidosis, paraproteinemia or underlying plasmacytoma...
May 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27504089/inframammary-dermatitis-a-case-of-localized-late-onset-darier-s-disease
#19
Dennis Linder, Elena Marinello, Pietro Maria Donisi, Roberto Salmaso, Edoardo Zattra, Anna Zampetti
Darier's disease (DD) is an autosomal dominant inherited genodermatosis which is often under- or misdiagnosed. In the majority of cases, the disease manifests in adolescents or young adults with small brownish-yellow, warty, hyperkeratotic papules in multiple seborrheic areas of the body. Localized DD (LDD) is a clinical variant, first described by Kreibich in 1906; only a few cases are reported in the literature. We described the case of an aged woman presenting with LDD, and we review the literature on this subject...
May 2016: Case Reports in Dermatology
https://www.readbyqxmd.com/read/27504088/a-case-of-bilateral-acquired-localized-lipoatrophy
#20
Osman Tanrıkulu, Yavuz Yesilova, Mustafa Aksoy
Lipoatrophy is characterized by inflammation and tissue loss in fatty tissue. This disease may be congenital or acquired, primary or secondary. Secondary lipoatrophy develops with infections, collagen tissue diseases, tumors and drug injections. In this report, we present the case of a 14-year-old female patient who developed lipoatrophy following intramuscular steroid injection to both buttocks.
May 2016: Case Reports in Dermatology
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