The Internet Journal of Dermatology最新文献

{"title":"Vesicular Pityriasis Rosea In An Adult: A Case Report And Review Of The Literature","authors":"O. Zehou, J. Rivet, J. Ducret, M. Janier","doi":"10.5580/2acd","DOIUrl":"https://doi.org/10.5580/2acd","url":null,"abstract":"Pityriasis rosea (PR) is a common disease with a characteristic pattern. Diagnosis is clinically easy in most cases but some atypical presentations are possible. Etiology is unknown, although viruses have been suspected. We report a case of vesicular PR in an adult woman, raising the question of the differential diagnosis. She noticed a first single lesion on the abdomen considered as the herald patch followed 5 days after by a squamous and vesicular eruption of the trunk and upper limbs. She was treated with topical steroids and had 2 successive itchy flares which resolved after 6 weeks. Evolution was marked by hypopigmentation after 2 months. According to the literature, vesicular PR is a rare form of PR, occurring in 0.5 to 5.5% cases. Other diagnoses especially varicella should be excluded.","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123976429","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}

{"title":"Incidence Of Physiological And Pathological Skin Changes In The Newborn","authors":"J. Kaur, N. Sharma","doi":"10.5580/2acb","DOIUrl":"https://doi.org/10.5580/2acb","url":null,"abstract":"The neonatal period i.e. first 28 days of life is one of the rapid adaptation in which the skin plays an important role and for the first time fully assumes its function as a barrier and thermo regulator. About 96% to 99.3% of all newborn babies suffer from one or the other dermatosis if skin examination is carried out as discussed by Moosavi Z [1] and Rivers JK [2] but pathological skin changes were observed in 41.2% neonates only by Nobbay et al [3].","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116677831","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}

{"title":"Comparative Study Of Various Regimens In Alopecia Areata","authors":"Bhavesh Mehta, A. Raka, Vinita Bharmbhatt","doi":"10.5580/2a66","DOIUrl":"https://doi.org/10.5580/2a66","url":null,"abstract":"AIM: To compare clinical efficacy of liquid phenol (20%), Minoxidil (2 %), and oral minipulse steroid in Alopecia areata.METHOD: A randomized single blind clinical comparative study was undertaken on 51 patients of Alopecia areata .Among which 17 patients were applied liquid phenol (20%) on weekly basis, 17 patients were applied liquid phenol (20%) on weekly basis & asked to apply topical Minoxidil (2%) from second day twice daily, remaining 17 patients were given oral minipulse therapy in the form of Tab. Betamethasone (1 mg) 5 tab on Saturday/Sunday with milk along with weekly liquid phenol (20%). Patients in each group were asked to come for follow up on weekly basis till 3 months. Clinical improvement was assessed in each visit and complications were noted.RESULTS: We observed a clinical improvement of 100% in maximum no. of patients (88.23%) treated with liquid phenol (20%) with oral minipulse steroid while it was only (47.06%) and (52.94 %) in patients treated with liquid phenol (20%) alone & liquid phenol (20%) with Minoxidil (2%)CONCLUSION: As per study, combination therapy of liquid phenol and oral minipulse steroid is better than single agent used alone. Addition of Minoxidil (2%) did not affect the results markedly. Liquid phenol with minipulse steroids is more cost effective than liquid phenol with minoxidil","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130738353","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}

{"title":"Symmetrical Keratoderma On The Palms, Soles And Elbows Associated With Acute Hepatitis B Viral Infection","authors":"S. Funaki, D. Tsuruta, M. Ishii, K. Nakagawa","doi":"10.5580/2681","DOIUrl":"https://doi.org/10.5580/2681","url":null,"abstract":"HB virus is well-known to cause several skin manifestations. We present an unusual case of keratoderma associated with acute hepatitis B. Hepatitis B antigens were detected in a 24-year-old Japanese woman as part of a regular health examination. Three weeks later, she felt common cold-like symptoms, and noticed eruption of her palms and soles. Clinical examination showed well-circumscribed erythematous hyperkeratosis on the palms and soles, with partial extension into the dorsal aspect of her hands and feet. In addition, she had well-demarcated erythematous hyperkeratotic plaques on both elbows. Histopathology obtained from the right palm showed hyperkeratosis, acanthosis, and focal parakeratosis without granular degeneration. We consider that the keratoderma appeared in our patient must be related to acute hepatitis B virus infection. The differential diagnosis of our case was made for acquired PPK (APPK), hereditary PPK (HPPK), PSE, PRP, and psoriasis inverse. The most plausible diagnosis of keratoderma in our case is PRP, because PRP has reported to be precipitated with viral infections including hepatitis A and C. Another possibility is APPK associated with hepatitis B.","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127885190","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}

{"title":"Giant Verruca Vulgaris-Rare Presentation","authors":"K. Pandurengan, Natarajan R.M, R. Chidambaram, Sowmya T.K","doi":"10.5580/1cdf","DOIUrl":"https://doi.org/10.5580/1cdf","url":null,"abstract":"Common wart is the most frequent clinical lesion caused by human papillomaviruses (HPVs). Giant, chronic raised lesion, bilaterally on the same anatomical area is uncommon. We reported a case of giant verruca vulgaris in a 25 year-old man on both legs that slowly enlarged and hardened in 5 years. It was a hyperkeratotic verruca vulgaris, grey brownish in color, circumscribe, round, and 4.0x3.0x1.0 cm in size on the right leg and 3.5x3.4x0.5 cm on the left leg and around 0.4cm raised from the skin surface. Histopathologic examination revealed compact hyperkeratosis/orthokeratosis, many koilocytes in the granular and upper spinous layer, acanthosis, and elongated rete ridges that were pointing radially toward the center of the lesion. The patient was successfully treated with surgical excision followed by split skin grafting.","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122347549","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}

{"title":"Klebsiella Pneumonia Presenting With Candida Balanitis In A 23-Year-Old Immunocompetent Male: A Case Report","authors":"Yana Gofman, Marlow B. Hernandez, T. Weaver, J. Méndez","doi":"10.5580/f8","DOIUrl":"https://doi.org/10.5580/f8","url":null,"abstract":"Klebsiella pneumoniae is a facultative gram-negative bacillus that is not commonly known to cause dermatological infections. However, K. pneumoniae is one of the etiological organisms of erysipelas, and has also been found to cause more serious skin infections. According to C.M. Chang et al., K. pneumoniae was found to cause complicated skin (and soft tissue) infection of the extremities in adults sixteen years of age or older. Most of the patients infected with K. pneumoniae shared the characteristics of being male and frequently had liver cirrhosis, malignant neoplasm and alcoholism. Although K. pneumoniae commonly causes infections in immunocompromised individuals, there has been a recorded incidence of infection in an immunocompetent male, whom presented with a severe cellulitis of his left leg without concomitant infection.","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128646035","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}

{"title":"Hand And Foot Dermatoses In Dermatology Outpatients","authors":"G. Demirci, I. Altunay, B. Ateş, G. Gökdemir","doi":"10.5580/150e","DOIUrl":"https://doi.org/10.5580/150e","url":null,"abstract":"Aims: We aimed to sort out clinical types, localizations and frequencies of only hand dermatoses (HD), only foot dermatoses (FD) and both hand and foot dermatoses (HFD) and to evaluate the relationship with sociodemographic parameters. Methods and Material: Dermatological examination of 450 outpatients was done and the relationship between the frequencies of diseases, localizations of the lesions and sociodemographic features was assessed statistically. Results: The frequencies of dermatoses were 34% for tinea pedis, 29% for eczema, 9% for warts, 5% for corns, 3% for psoriasis and 21% for the others in the participiants. Tinea pedis was the most frequent dermatose of men while eczema of women. HD except warts were the most frequent in housewives while warts in students. The most frequent HFD were psoriasis, eczema and tinea.Statistical analysis used: Chi square test, one way ANOVA test and tukey’s test were used for statistical assessments Results: The frequencies of dermatoses were 34% for tinea pedis, 29% for eczema, 9% for warts, 5% for corns, 3% for psoriasis and 21% for the others in the participants. Tinea pedis was the most frequent dermatose of men while eczema of women. HD except warts were the most frequent in housewives while warts in students. The most frequent HFD were psoriasis, eczema and tinea.Conclusions: We believe that elucidating the frequencies, clinical localizations and demographic features of these dermatoses will be helpful both for diagnosing and decreasing the incidence of these diseases in general population which seem to be a common health problem.","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127163646","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}

{"title":"Eruptive Cherry Angiomas Secondary To Exposure To Sulfur Mustard Gas","authors":"S. Aghaei, A. Moradi","doi":"10.5580/1aff","DOIUrl":"https://doi.org/10.5580/1aff","url":null,"abstract":"During the Iraq-Iran war (1980-1988) many Iranian soldiers had been exposed to mustard gas. We had opportunity to observe the late-onset skin manifestations of these patients. In a prospective study we examined the skin of 2921 patients, were referred to Shiraz Chemical Warfare Victims’ Clinic One hundred and seventy-two (5.88%) out of 2921 patients had late-onset skin involvement. Forty-eight (27.9%) of 172 patients had mild mustard dermatosis, 44.8% (77/172) and 27.3% (47/172) had moderate and severe skin involvement, respectively. Cherry angiomas were seen in 62 out of 172 (36%) patients. Twenty-nine out of 62 (46.78%) patients with cherry angiomas had mild mustard dermatosis, 35.48% (22/62) and 17.74% (11/62) had moderate and severe mustard dermatosis, respectively. There were statistically significant correlation between the severity of mustard dermatosis and the incidence of eruptive cherry angiomas (P = 0.00015). The higher of the severity correlates with the less number of cherry angiomas.","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"63 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121752720","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}

{"title":"Community Acquired MRSA Skin and Soft Tissue Infection and its Possible Relationship With IgG Deficiency and CD4 Lymphopenia","authors":"S. Antony, N. Regalado, F. Ciriza, O. Alozie, L. Brumble","doi":"10.5580/2826","DOIUrl":"https://doi.org/10.5580/2826","url":null,"abstract":"Staphylococcus aureus is the most common pathogen associated with infections of skin and soft tissue structures Staphylococcus aureus colonizes the skin of approximately 35% of Americans of which approximately 1% is methicillin resistant Staphylococcus aureus (MRSA). The vast majority of skin and soft tissue infections have been associated with Community acquired-MRSA strains, but other presentations such as pneumonia, necrotizing fascitis and on rare occasions, septicemia have occurred 4,5 . Risk factors for CA-MRSA infections include being a child, an athlete, a member of the armed forces or an intravenous drug user with the majority of these being immunocompetent 6,7 . CA-MRSA infections have also been reported in patients with immunodeficiency states such as HIV, cancer etc . This study was performed to identify any existing correlations between CA-MRSA skin infections and immunocompromised conditions, as assessed by IgG deficiency and CD4 lymphopenia and to define the local epidemiology of (CA-MRSA) skin infections in El Paso, Texas in an Infectious Disease Clinic over a 3 year period. MATERIAL AND METHODS Data was collected prospectively from the medical and laboratory records of outpatients seen at a Infectious Disease Clinic in El Paso, Texas between 2006 -2009. Inclusion criteria for analysis included: (1) Documented skin and soft tissue infections (SSTIs) , (2) Positive wound cultures obtained just prior to or at the time of evaluation, (3) No known previous history of MRSA colonization or infections, and (4) No recent history of hospitalization, nursing home admission, dialysis, surgery, indwelling catheter or devices that pass through the skin in the past year. Data collected included age, gender, complete blood count (CBC), IgG level and CD4 count. Possible confounders including diabetes, steroid use, cancer or other immunecompromised states and sick contacts were assessed. Description of the lesions included site and characteristics of the infection, as well as the clinical course including surgical intervention, antibiotic therapy and relapses or recurrences. If family members were susupected of having the same presentation, phone interviews or face to face contact was established to determine if they had a reasonable probability of having MRSA skin infections. Any cultures that were done on them by other physicians were reviewed. Patients were followed for an average of 2 years following their initial presentation. The definition of a cure was no further skin and soft tissue infections at the end of the 2 year period.","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131468437","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}

{"title":"Thrombosed Varix Of The External Jugular Vein: Diagnostic Considerations","authors":"V. Naraynsingh, M. Ramdass","doi":"10.5580/648","DOIUrl":"https://doi.org/10.5580/648","url":null,"abstract":"This is the case of a middle-aged male presenting with a lump over the external jugular vein region of the neck. The clinical differential diagnosis included a sebaceous cyst or lipoma, however it remarkably turned out to be a thrombosed varix of the external jugular vein. We advise caution and proper history taking to avoid potential catastrophic complications with bleeding when such a lump presents in close proximity to the external jugular vein. CASE REPORT A 57-year old male patient of Afro-Trinidadian descent presented with a swelling on the left side of his neck for approximately 2-years. The lump was located in the posterior triangle and bulged-out on shouting or singing, then reduced spontaneously. One week prior to presentation the lump became hard, tender and swollen. It did not reduce spontaneously. On clinical examination, there was a 2cm lump in diameter, firm consistency, had limited mobility in all planes, not attached to skin and located in the posterior triangle and posterior to the external jugular vein (implying the external jugular vein was not thrombosed. There was no history of trauma or venous canulation. At operation, a thrombosed varix of the external jugular vein was found [Figures 1 and 2 and excised with ligation of the proximal and distal ends of the vein with 2.0 Vicryl sutures. Figure 1 Figure 1: Varix of External Jugular Vein showing external jugular vein with instrument in the lumen Thrombosed Varix Of The External Jugular Vein: Diagnostic Considerations 2 of 3 Figure 2 Figure 2: Varix of External Jugular Vein with thrombus within the varix. Varices of the external jugular vein have been extensively reported in the literature with many case series and complications. The differentials include a sebaceous cyst and lipoma. There is always a risk of bleeding if one approaches such a lump without possible awareness of an external jugular varix. We advise caution and proper history taking to avoid potential catastrophic complications with bleeding when such a lump presents in close proximity to the external jugular vein. References 1. Wieringa JW, van Houten MA. Case 2: A crying patient with a swelling in the neck. Phlebectasia of the external jugular vein. Acta Paediatr. 2008 Dec; 97(12):1603. 2. Ajuluchuku EU, Da-Rocha Afodu JT, Bode C, Adebanjo AK, Elesha SO. Varix of the external jugular vein. Thorac Cardiovasc Surg. 1986 Apr; 34(2):135-6. 3. Nocito FJ, Quiros RS. Varices of the external jugular. Bol Trab Soc Cir B Aires. 1963 Sep 25;47:595-600. Thrombosed Varix Of The External Jugular Vein: Diagnostic Considerations 3 of 3 Author Information Vijay Naraynsingh, FRCS Professor of Surgery, Department of Clinical Surgical Sciences, University of the West Indies Michael J. Ramdass, FRCS Lecturer/ Consultant Surgeon, Department of Clinical Surgical Sciences, University of the West Indies","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126904443","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}