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Recognizing localized perioral solar elastosis: a common finding often overlooked. 识别局部口腔周围太阳弹性：一种经常被忽视的常见发现。
Dermatology online journal Pub Date : 2024-12-15 DOI: 10.5070/D330664705
Sydney A Keatts, Riley Shin, T Austin Black, Rashid M Rashid
{"title":"Recognizing localized perioral solar elastosis: a common finding often overlooked.","authors":"Sydney A Keatts, Riley Shin, T Austin Black, Rashid M Rashid","doi":"10.5070/D330664705","DOIUrl":"10.5070/D330664705","url":null,"abstract":"<p><p>Solar elastosis is a form of photoaging theorized to result from long-term exposure to ultraviolet radiation. Clinically, solar elastosis manifests as yellow, atrophic, rhytid skin with a leathery appearance, most commonly affecting sun-exposed areas such as the face, neck, chest, or arms. Owing to its well-documented association with an elevated risk of skin cancer, recognizing the presence of solar elastosis is essential for clinicians. In this case, we evaluate a presentation of solar elastosis confined strictly to the perioral region, sparing the remainder of sun-exposed facial areas.</p>","PeriodicalId":11040,"journal":{"name":"Dermatology online journal","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case of blastomycosis presenting as a non-healing unifocal ulcerative nodule on the jawline. 一例芽孢菌病表现为一个不愈合的单灶性溃疡结节在下颌线上。
Dermatology online journal Pub Date : 2024-12-15 DOI: 10.5070/D330664687
Katherine Snow, Mackenzie Poole, Sino Mehrmal, Pooria Khoshnoodi, Nicole Burkemper, Sofia B Chaudhry
{"title":"A case of blastomycosis presenting as a non-healing unifocal ulcerative nodule on the jawline.","authors":"Katherine Snow, Mackenzie Poole, Sino Mehrmal, Pooria Khoshnoodi, Nicole Burkemper, Sofia B Chaudhry","doi":"10.5070/D330664687","DOIUrl":"10.5070/D330664687","url":null,"abstract":"<p><p>Blastomyces dermatitidis is a dimorphic fungus that can disseminate in the immunocompetent and immunodeficient. Many infected patients display heterogenous cutaneous findings, making it one of dermatology's great clinical mimics. Cases presenting as single lesions are often mistaken for neoplasms or other infections. We report a patient with diabetes mellitus who presented to the emergency department with a two-month history of an ulcerated jawline nodule. Treatment with incision/drainage and doxycycline for presumed bacterial abscess was unsuccessful. Upon re-presentation 10 days later, biopsy and fungal culture of the tumor confirmed infection with B. dermatitidis. Chest computed tomography revealed disease dissemination. Halfway through a 6-month course of itraconazole, cutaneous and pulmonary findings were notably improved. Diabetes is an emerging risk factor for dissemination that likely contributed to the severity in our case. Early biopsy can prevent potentially life-threatening treatment delays, highlighting the need for blastomycosis to be considered in the differential diagnosis of non-healing wounds.</p>","PeriodicalId":11040,"journal":{"name":"Dermatology online journal","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From squats to spots: vitiligo koebnerization triggered by powerlifting. 从深蹲到斑点：举重引发的白癜风。
Dermatology online journal Pub Date : 2024-12-15 DOI: 10.5070/D330664702
Katherine Snow, Mackenzie Poole, Sino Mehrmal, Aibing Mary Guo
{"title":"From squats to spots: vitiligo koebnerization triggered by powerlifting.","authors":"Katherine Snow, Mackenzie Poole, Sino Mehrmal, Aibing Mary Guo","doi":"10.5070/D330664702","DOIUrl":"https://doi.org/10.5070/D330664702","url":null,"abstract":"","PeriodicalId":11040,"journal":{"name":"Dermatology online journal","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erythematous-purpuric lesions in a one-year-old child revealing a case of acute hemorrhagic edema of childhood. 红斑紫癜病变在一个一岁的孩子揭示了儿童急性出血性水肿的情况。
Dermatology online journal Pub Date : 2024-12-15 DOI: 10.5070/D330664703
Aline Schultz Klitzke, Roberto Andre Goral, Carolina Airao Destefani, Sandra Maria Barbosa
{"title":"Erythematous-purpuric lesions in a one-year-old child revealing a case of acute hemorrhagic edema of childhood.","authors":"Aline Schultz Klitzke, Roberto Andre Goral, Carolina Airao Destefani, Sandra Maria Barbosa","doi":"10.5070/D330664703","DOIUrl":"https://doi.org/10.5070/D330664703","url":null,"abstract":"","PeriodicalId":11040,"journal":{"name":"Dermatology online journal","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bullous herpes zoster in a patient with bullous systemic lupus erythematosus. 系统性红斑狼疮患者的大疱性带状疱疹。
Dermatology online journal Pub Date : 2024-12-15 DOI: 10.5070/D330664685
Sandra Jaroonwanichkul, Yen Luu, Katherine Nguyen, Hongyan Dai, Anand Rajpara
{"title":"Bullous herpes zoster in a patient with bullous systemic lupus erythematosus.","authors":"Sandra Jaroonwanichkul, Yen Luu, Katherine Nguyen, Hongyan Dai, Anand Rajpara","doi":"10.5070/D330664685","DOIUrl":"10.5070/D330664685","url":null,"abstract":"<p><p>Bullous systemic lupus erythematosus (SLE) is a rare cutaneous manifestation of SLE characterized by sudden vesiculobullous eruptions. Herpes zoster infection may lead to rapid bullae development in patients with known bullous SLE. Herein, we describe a case of rapid development of bullous herpes zoster in a patient with bullous SLE. Patients with SLE and lupus nephritis exhibit an increased risk for herpes zoster infection. Bullous herpes zoster has been described in a previous patient with SLE and lupus nephritis. The current case illustrates that the presence of bullous SLE may have precipitated the development of bullous variant herpes zoster, as blisters leading to breakages in the skin increase risk for superinfection by viral pathogens. The current case highlights the importance of monitoring for skin changes in patients with SLE and maintaining a low threshold for infectious workup. Furthermore, it is important to recognize that the presence of bullae in SLE may confuse the diagnosis of bullous herpes zoster, leading to delays in diagnosis and management. Given high rates of morbidity and mortality in disseminated herpes zoster infection, the emergence of bullae in patients with SLE should raise a high index of suspicion for herpes zoster infection and prompt systemic workup.</p>","PeriodicalId":11040,"journal":{"name":"Dermatology online journal","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rippled-pattern basal cell carcinoma: a unique characteristic of an otherwise common diagnosis. 波纹型基底细胞癌：一个独特的特征，否则常见的诊断。
Dermatology online journal Pub Date : 2024-12-15 DOI: 10.5070/D330664695
Douglas H Atmatzidis, Christos Zouzias, Arlene Rogachefsky, Kristyna Lee
{"title":"Rippled-pattern basal cell carcinoma: a unique characteristic of an otherwise common diagnosis.","authors":"Douglas H Atmatzidis, Christos Zouzias, Arlene Rogachefsky, Kristyna Lee","doi":"10.5070/D330664695","DOIUrl":"10.5070/D330664695","url":null,"abstract":"<p><p>Herein we present a 48-year-old man who was diagnosed with a nodular basal cell carcinoma (BCC) of the left chin that was revealed on Mohs frozen sections to be a rippled-pattern BCC with invasion into muscle and necessitated interdisciplinary care for concern for a concurrent salivary gland carcinoma. Rippled-pattern BCC has been documented in fewer than ten cases, though this may also be attributed to confusion regarding nomenclature. Microscopically, rippled-pattern BCC exhibits distinctive features that differentiates it from other patterns. The tumor cells form interconnected networks or cords with intervening mucinous spaces within a fibrotic stroma resulting in a rippled appearance. As they are generally considered nodular BCCs, management of rippled-pattern BCCs can involve surgical excision, Mohs micrographic surgery, or other appropriate treatment modalities based on the tumor's location, size, and degree of invasion.`.</p>","PeriodicalId":11040,"journal":{"name":"Dermatology online journal","volume":"30 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Skin necrosis following digital wart intralesional injection of cantharidin. 数字疣局部注射卡他林后皮肤坏死。
Dermatology online journal Pub Date : 2024-10-15 DOI: 10.5070/D330564434
Sebastian D Arango, Tristan B Weir, Andrew J Miller, Meredith N Osterman
{"title":"Skin necrosis following digital wart intralesional injection of cantharidin.","authors":"Sebastian D Arango, Tristan B Weir, Andrew J Miller, Meredith N Osterman","doi":"10.5070/D330564434","DOIUrl":"10.5070/D330564434","url":null,"abstract":"<p><p>A right-hand-dominant female presented 5 weeks following a right middle finger intralesional cantharidin injection for a common wart by a dermatologist. The patient experienced progressive stiffness, blistering, swelling, pain, and ultimately, full-thickness skin necrosis surrounding the injection site. Careful debridement followed by a full-thickness skin graft was performed with no evidence of involvement of the germinal matrix or terminal extensor tendon. At the 7-month postoperative mark, the patient's graft exhibited favorable healing and improved functionality that did not require further follow-up. Intralesional injection of cantharidin solutions for digital warts leads to progressive skin necrosis. Our case required prompt debridement and defect coverage. Involvement of the underlying anatomical structures was also a concern. Dermatologists and hand surgeons should be familiar with this complication as intralesional cantharidin injections are contraindicated.</p>","PeriodicalId":11040,"journal":{"name":"Dermatology online journal","volume":"30 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The use of dupilumab for the treatment of alopecia areata. 使用杜必鲁单抗治疗斑秃。
Dermatology online journal Pub Date : 2024-10-15 DOI: 10.5070/D330564438
Iman Ali, Emelie E Nelson, Brandy Phan, Veda Kulkarni, Christina McGee, Emily Cao, Rashid M Rashid
{"title":"The use of dupilumab for the treatment of alopecia areata.","authors":"Iman Ali, Emelie E Nelson, Brandy Phan, Veda Kulkarni, Christina McGee, Emily Cao, Rashid M Rashid","doi":"10.5070/D330564438","DOIUrl":"https://doi.org/10.5070/D330564438","url":null,"abstract":"","PeriodicalId":11040,"journal":{"name":"Dermatology online journal","volume":"30 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Botryomycosis associated with retained hair piece and accompanying ethnic hair considerations. 与残留发片有关的肉孢子菌病以及随之而来的种族头发问题。
Dermatology online journal Pub Date : 2024-10-15 DOI: 10.5070/D330564440
Anna Conner, Amy Musiek, Ethan Barnes, Nupur Singh, Zachary Nahmias
{"title":"Botryomycosis associated with retained hair piece and accompanying ethnic hair considerations.","authors":"Anna Conner, Amy Musiek, Ethan Barnes, Nupur Singh, Zachary Nahmias","doi":"10.5070/D330564440","DOIUrl":"https://doi.org/10.5070/D330564440","url":null,"abstract":"","PeriodicalId":11040,"journal":{"name":"Dermatology online journal","volume":"30 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring opposing arguments in the call for randomized controlled trials to demonstrate benefit of Mohs micrographic surgery for cutaneous melanoma. 在呼吁进行随机对照试验以证明莫氏显微放射手术治疗皮肤黑色素瘤的益处时，探讨了对立的论点。
Dermatology online journal Pub Date : 2024-10-15 DOI: 10.5070/D330564424
Nahid Y Vidal, Keegan O'Hern, Aaron Steen, Sama Carley, Ji Won Ahn
{"title":"Exploring opposing arguments in the call for randomized controlled trials to demonstrate benefit of Mohs micrographic surgery for cutaneous melanoma.","authors":"Nahid Y Vidal, Keegan O'Hern, Aaron Steen, Sama Carley, Ji Won Ahn","doi":"10.5070/D330564424","DOIUrl":"https://doi.org/10.5070/D330564424","url":null,"abstract":"<p><strong>Importance: </strong>The call for robust randomized clinical trials (RCTs) comparing Mohs micrographic surgery (MMS) with wide local excision for treatment of melanoma has stymied the development of guidelines for MMS despite growing evidence of benefit. This commentary explores the controversy by detailing opposing arguments, reviewing the relevant evidence supporting the use of MMS for early-stage melanoma, and discussing the role that RCTs may play in development of national guidelines for surgical treatment options for melanoma. Randomized clinical trials are considered the gold standard of clinical research, but there are no such trials currently to support MMS for melanoma. However, there is a growing literature base of retrospective and prospective cohorts and meta-analyses consistently demonstrating the efficacy and cost-effectiveness of MMS for melanoma. The dearth of clear consensus guidelines has contributed to confusion by referring specialties, controversy across specialties managing melanoma, and inequality in access. Recognizing that this is an ongoing area of discussion within dermatologic surgery, we explore opposing arguments with regard to the demand for RCT data to support dermatologic surgery practices.</p>","PeriodicalId":11040,"journal":{"name":"Dermatology online journal","volume":"30 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142834410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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