Wen Hao Tan, Zi Teng Chai, Weiwen Guo, Po Yin Tang, Alwin Loh, Choon Chiat Oh
{"title":"Cutaneous IgA vasculitis with crescentic nephropathy presenting with ulcers resembling pyoderma gangrenosum.","authors":"Wen Hao Tan, Zi Teng Chai, Weiwen Guo, Po Yin Tang, Alwin Loh, Choon Chiat Oh","doi":"10.1111/ajd.13497","DOIUrl":"https://doi.org/10.1111/ajd.13497","url":null,"abstract":"oedematous and yellowish wheals with peripheral erythema on her flanks and thighs for 48 h. She had no fever, and abdominal palpation was normal. A blood test showed hyperbilirubinaemia with total bilirubin 67 μmol/L and direct bilirubin 50 μmol/L. Lipase and haemoglobin levels were normal. A biliary echography showed choledochal lithiasis. Yellow urticaria was diagnosed. The patient received intravenous antihistamines, with rapid improvement. Yellow urticaria is an unusual urticaria variant that appears in patients with hyperbilirubinaemia. It differs from the usual type because of the yellow colour of the hives. This colour seems to be due to the diffusion of bilirubin to the interstitial extravascular sector of the dermis due to the increased capillary permeability induced by urticaria. The originality of our 2 cases show that the colour of the lesions should lead to suspect hyperbilirubinaemia. The origin of hyperbilirubinaemia can be hepatic, haemolytic or enzymatic defect. Most cases of yellow urticaria reported were associated with a liver failure with cholestasis. The triggering factor is not always found. In our first case, sepsis could be the cause. Some authors think that hyperbilirubinaemia or high serum bile acid levels may be responsible for triggering urticaria, through the direct activation of mast cells. The diagnosis of yellow urticaria is clinical and does not require a biopsy. Fleeting, migrating and oedematous plaques confirm urticaria. The distinctive feature of this urticaria is that the yellow lesions persist for several days similar to the yellow phase of a bruise. This is due to the affinity of bilirubin for elastin, which explains why the yellow colour persists even if bilirubinaemia returns to normal. The presence of yellow urticaria should suggest hyperbilirubinaemia and may allow the diagnosis of a previously undetected liver or biliary disease.","PeriodicalId":243138,"journal":{"name":"The Australasian journal of dermatology","volume":" ","pages":"e327-e329"},"PeriodicalIF":2.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/ajd.13497","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38626261","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}
Yumi Aoyama, Seiko Sugiyama, Chieko Katayama, Koji Kamiya
{"title":"Risk factors for cytomegalovirus reactivation in autoimmune bullous disease patients on immunosuppressive therapy.","authors":"Yumi Aoyama, Seiko Sugiyama, Chieko Katayama, Koji Kamiya","doi":"10.1111/ajd.13528","DOIUrl":"https://doi.org/10.1111/ajd.13528","url":null,"abstract":"1. Hofmann SC, Leandro MJ, Morris SD et al. Effects of rituximabbased B-cell depletion therapy on skin manifestations of lupus erythematosus Report of 17 cases and review of the literature. Lupus 2013; 22: 932–9. 2. Gr€ onhagen CM, Fored CM, Granath F et al. Cutaneous lupus erythematosus and the association with systemic lupus erythematosus: A population-based cohort of 1088 patients in Sweden. Br. J. Dermatol. 2011; 164: 1335–41. 3. Quelhas Da Costa R, Aguirre-Alastuey ME, Isenberg DA et al. Assessment of Response to B-cell depletion using rituximab in cutaneous lupus erythematosus. JAMA Dermatol. 2018; 154: 1432–40. 4. McCarthy EM, Sutton E, Nesbit S et al. Short-term efficacy and safety of rituximab therapy in refractory systemic lupus erythematosus: results from the British Isles Lupus Assessment Group Biologics Register. Rheumatology 2018; 57: 470–9. 5. Vital EM, Wittmann M, Edward S, Md Yusof MY, MacIver H, Pease CT, Goodfield MEP. Responses to rituximab suggest B cellindependent inflammation in cutaneous systemic lupus erythematosus. 2015; 1–23. https://doi.org/10.1002/art.39085.","PeriodicalId":243138,"journal":{"name":"The Australasian journal of dermatology","volume":" ","pages":"e343-e344"},"PeriodicalIF":2.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/ajd.13528","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39149924","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}
Natalia A Zapata-Salazar, Valeria F Garza-Dávila, Jorge Ocampo-Candiani, Giuseppe Argenziano, Sonia Chávez-Álvarez
{"title":"Dermatoscopic features of lichen amyloidosis: A case report.","authors":"Natalia A Zapata-Salazar, Valeria F Garza-Dávila, Jorge Ocampo-Candiani, Giuseppe Argenziano, Sonia Chávez-Álvarez","doi":"10.1111/ajd.13554","DOIUrl":"https://doi.org/10.1111/ajd.13554","url":null,"abstract":"1. Torti DC, Brennick JB, Storm CA et al. Spitz nevi arising in speckled lentiginous nevus: clinical, histologic, and molecular evaluation of two cases. Pediatr. Dermatol. 2011; 28: 561–7. 2. Schaffer JV, Orlow SJ, Lazova R et al. Speckled lentiginous nevus: within the spectrum of congenital melanocytic nevi. Arch. Dermatol. 2001; 137: 172–8. 3. Fox JC, Reed JA, Shea CR. The recurrent nevus phenomenon: a history of challenge, controversy, and discovery. Arch. Pathol. Lab. Med. 2011; 135: 842–6. 4. Yoshida Y, Yamada N, Adachi K et al. Traumatized recurrent melanocytic naevus with typical starburst pattern on dermoscopy. Acta Derm. Venereol. 2008; 88: 408–9. 5. Blum A, Hofmann-Wellenhof R, Marghoob AA et al. Recurrent melanocytic nevi and melanomas in dermoscopy: results of a multicenter study of the International Dermoscopy Society. JAMA Dermatol. 2014; 150: 138–45. doi: 10.1111/ajd.13554","PeriodicalId":243138,"journal":{"name":"The Australasian journal of dermatology","volume":" ","pages":"e356-e357"},"PeriodicalIF":2.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/ajd.13554","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25348776","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":"The effect of topical sirolimus on superficial Kaposiform haemangioendothelioma.","authors":"Yuan-Xiang Liu, Jian Zhang, Xiao-Lu Nie, Yun-Liu Chen, Zhao-Yang Wang, Zi-Gang Xu","doi":"10.1111/ajd.13499","DOIUrl":"https://doi.org/10.1111/ajd.13499","url":null,"abstract":"therapy for severe nephritis. This approach is similar to the KDIGO guidelines for crescentic IgA nephropathy and glomerulonephritis in antibodies-associated small vessel vasculitis. The future, however, remains bright for IgA nephropathy with emerging therapies being evaluated, including modulators of B-lymphocyte function and complement activation. Our patient’s dramatic yet unusual cutaneous presentation of vasculitis highlights the importance of screening for systemic involvement, in particular urinary sediments. Early suspicion, a careful review of clinical history, thorough evaluation, is pivotal to achieve the diagnosis before permanent end-organ damage results.","PeriodicalId":243138,"journal":{"name":"The Australasian journal of dermatology","volume":" ","pages":"e329-e331"},"PeriodicalIF":2.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/ajd.13499","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38623775","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":"Pigmented infundibulocystic basal cell carcinoma: A diagnostic challenge in dark skin.","authors":"Biswanath Behera, Rashmi Kumari, Devinder Mohan Thappa, Debasis Gochhait, Pavithra Ayyanar","doi":"10.1111/ajd.13540","DOIUrl":"https://doi.org/10.1111/ajd.13540","url":null,"abstract":"1. Curry JL, Tetzlaff MT, Nagarajan P et al. Diverse types of dermatologic toxicities from immune checkpoint blockade therapy. J. Cutan. Pathol. 2017; 44: 158–76. 2. Wang LL, Patel G, Chiesa-Fuxench ZC et al. Timing of onset of adverse cutaneous reactions associated with programmed cell death protein 1 inhibitor therapy. JAMA Dermatol. 2018; 154: 1057–61. 3. Zitouni NB, Arnault J-P, Dadban A et al. Subacute cutaneous lupus erythematosus induced by nivolumab: two case reports and a literature review. Melanoma Res. 2019; 29: 212–5. 4. Liu RC, Sebaratnam DF, Jackett L et al. Subacute cutaneous lupus erythematosus induced by nivolumab. Australas J. Dermatol. 2018; 59: e152–4. 5. Blakeway EA, Elshimy N, Muinonen-Martin A et al. Cutaneous lupus associated with pembrolizumab therapy for advanced melanoma: a report of three cases. Melanoma Res. 2019; 29: 338–41. doi: 10.1111/ajd.13540","PeriodicalId":243138,"journal":{"name":"The Australasian journal of dermatology","volume":" ","pages":"e349-e351"},"PeriodicalIF":2.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/ajd.13540","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39112632","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":"Sweet's syndrome following surgery: cutaneous trauma as a possible aetiological co-factor in neutrophilic dermatoses.","authors":"Rashi Minocha, Deshan F Sebaratnam, James Yj Choi","doi":"10.1111/ajd.12142","DOIUrl":"https://doi.org/10.1111/ajd.12142","url":null,"abstract":"<p><p>A 47-year-old man presented with an acute, cutaneous eruption of exquisitely painful papules at the operative site 4 weeks after a right tibial osteotomy. Initially this was managed as a postoperative wound infection; however the exacerbation and spread of the cutaneous eruption prompted further investigation. Histopathology and clinical findings were consistent with the development of Sweet's syndrome and resolution was obtained after the initiation of dapsone. We propose that surgery may produce an acute inflammatory response in a similar manner to pathergy reactions, which play an aetiological role in other neutrophilic dermatoses, such as pyoderma gangrenosum. We conclude that there may be greater overlap between these neutrophilic dermatoses than previously appreciated. </p>","PeriodicalId":243138,"journal":{"name":"The Australasian journal of dermatology","volume":" ","pages":"e74-6"},"PeriodicalIF":2.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/ajd.12142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40295556","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}
Kenneth Fong, Shang-Ian Tee, Madeline S L Ho, Jiun Yit Pan
{"title":"Cutaneous protothecosis in a patient with previously undiagnosed HIV infection.","authors":"Kenneth Fong, Shang-Ian Tee, Madeline S L Ho, Jiun Yit Pan","doi":"10.1111/ajd.12153","DOIUrl":"https://doi.org/10.1111/ajd.12153","url":null,"abstract":"<p><p>Protothecosis is an uncommon condition resulting from infection by achlorophyllous algae of the Prototheca species. Immunocompromised individuals are generally most susceptible to protothecal infection and tend to develop severe and disseminated disease. However, the association between protothecosis and HIV-induced immunosuppression is not clear, with only a handful of cases having been described to date. Here we report a case of cutaneous protothecosis in a Chinese man with previously undiagnosed HIV infection that responded well to oral itraconazole. </p>","PeriodicalId":243138,"journal":{"name":"The Australasian journal of dermatology","volume":" ","pages":"e71-3"},"PeriodicalIF":2.0,"publicationDate":"2015-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/ajd.12153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40281372","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}
Casey J Rowe, Ivan Robertson, Daniel James, Erin McMeniman
{"title":"Warfarin-induced erythroderma.","authors":"Casey J Rowe, Ivan Robertson, Daniel James, Erin McMeniman","doi":"10.1111/ajd.12140","DOIUrl":"https://doi.org/10.1111/ajd.12140","url":null,"abstract":"<p><p>Erythroderma is a potentially serious and life-threatening skin disease with a number of possible aetiologies. Drug reactions are well-documented causes, with carbamazepine, penicillin and allopurinol being the most commonly implicated. This case describes a unique presentation of warfarin-induced erythroderma in a 78-year-old female patient. </p>","PeriodicalId":243138,"journal":{"name":"The Australasian journal of dermatology","volume":" ","pages":"e15-7"},"PeriodicalIF":2.0,"publicationDate":"2015-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/ajd.12140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40278357","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":"Spitz naevi misdiagnosed histologically as melanoma: prevalence and clinical profile.","authors":"D. Orchard, J. Dowling, J. Kelly","doi":"10.1097/00008390-199706001-00158","DOIUrl":"https://doi.org/10.1097/00008390-199706001-00158","url":null,"abstract":"A Spitz naevus is a benign melanocytic tumour that may histologically resemble a malignant melanoma. Data was retrospectively gathered from patients who attended the Victorian Melanoma Service to determine the prevalence of Spitz naevi pathologically misdiagnosed as melanoma. Assessment of the clinical characteristics of these patients was also performed and compared to those with correctly diagnosed melanoma. It was found that 6.5% of all melanomas referred were in fact Spitz naevi and that Spitz naevi represented the majority of pathologically misdiagnosed melanomas. The Spitz naevi were more likely to be on the lower extremities and were no average, considerably smaller than the melanomas. Patients with Spitz naevi were more likely to be younger, female, have fewer dysplastic naevi and have brown eyes. One hundred per cent of the Spitz naevi were brought to the attention of the initial doctor by the patient compared to 72% of the melanomas. This study concludes that Spitz naevi that are pathologically misdiagnosed as melanomas retain the clinical characteristics of other Spitz naevi and that greater clinicopathological communication may reduce the frequency of diagnostic error.","PeriodicalId":243138,"journal":{"name":"The Australasian journal of dermatology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1997-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125149261","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":"Minocycline is a useful adjuvant therapy for pemphigus.","authors":"Z. Gaspar, V. Walkden, F. Wojnarowska","doi":"10.1016/0926-9959(95)96133-S","DOIUrl":"https://doi.org/10.1016/0926-9959(95)96133-S","url":null,"abstract":"","PeriodicalId":243138,"journal":{"name":"The Australasian journal of dermatology","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1995-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122178090","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}