Ibrahim El Gharib, D. Aly, Hanaa Emam, Omnia Hani Khater
{"title":"Evaluation of Acitretin in the Treatment of Multiple Recalcitrant Common Warts: a Pilot Study","authors":"Ibrahim El Gharib, D. Aly, Hanaa Emam, Omnia Hani Khater","doi":"10.4172/2376-0427.1000183","DOIUrl":"https://doi.org/10.4172/2376-0427.1000183","url":null,"abstract":"Background: Oral acitretin, a synthetic compound of retinoids, seems to be a promising modality in treating warts. To the best of our knowledge, no studies regarding its use have been performed on Egyptian patients. Objectives: Evaluating the role of acitretin in the treatment of multiple recalcitrant common warts. Patients and Methods: Forty adult patients with multiple recalcitrant warts were treated with oral acitretin [20 with 1 mg/kg/day for 3 month (group A), 20 with 0.5 mg/kg/day for 3 months (group B), and 20 served as controls and were given placebo (group C)]. Results: Oral acitretin was found to be a statistically significant therapy compared to placebo in treating warts. Total clearance of lesions was noted in 70% of group A compared to 80% in group B and none in group C. A non significant difference between group A and B was noted. However, there was a significant relation between the clinical response and the duration of disease, as the longer the duration of the disease, the higher was the percentage of patients showing complete response to therapy. Conclusions: Acitretin can be used as an effective non-invasive alternative form of therapy for multiple recalcitrant common warts.","PeriodicalId":91761,"journal":{"name":"Journal of pigmentary disorders","volume":"2 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2015-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-0427.1000183","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70305112","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":"Halo Nevus - the Vascular Connection","authors":"B. Iyengar","doi":"10.4172/2376-0427.1000188","DOIUrl":"https://doi.org/10.4172/2376-0427.1000188","url":null,"abstract":"Abstract Background: Halo Nevi (HN), are defined as benign melanocytic nevi that are surrounded by a rim of depigmentation, resembling a halo. The halo phenomenon indicates the involution and subsequent regression of the melanocytic nevus. Material and Methods: A random series of 137 nevi, including 75 HN were examined. Serial paraffin and frozen sections were subjected to: routine histochemistry; (HE, Reticulin, Auro, PAS), enzyme histochemistry: dopa oxidase, counterstained with Nuclear Fast Red (NFR) to highlight the endothelium and dopamine oxidase; immunohistochemistry to assess presence of lymphocytic infiltrates; electron microscopy: after enbloc dopa stain. Results and Discussion: Junctional nevi show proliferation of highly dendritic melanocytes within the epidermis. Intradermal nevi are composed of dermal nevus cells separated from the epidermis by a clear Grenz zone. Compound nevi show a combination of junctional activity and sheets of dermal nevus cells. Some nevi show a depigmented halo and can regress completely to be replaced by a depigmented patch, the halo nevus. The nevus cells and marginal melanocytes are replaced by endothelial cells, lining vascular spaces, with involution of the nevus. Intriguingly there is a complete absence of inflammatory and immune related lympho-histiocytic cells in the cases studied. These observations, suggest that nevus cells are replaced by vascular endothelial cell types which results in dissolution of the lesion.","PeriodicalId":91761,"journal":{"name":"Journal of pigmentary disorders","volume":"2015 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-0427.1000188","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70305287","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":"Pigmentation Disorders: A Short Review","authors":"R. I. Engin, Y. Çayır","doi":"10.4172/2376-0427.1000189","DOIUrl":"https://doi.org/10.4172/2376-0427.1000189","url":null,"abstract":"Pigmentation disorders are a group of diseases caused by changes in the levels of the pigment melanin produced by melanocytes, the cells that manufacture pigment in the skin, or due to the accumulation of other pigments in the skin. These can be examined under the headings hypo-, hyper- and depigmentation. This review describes pigment disorders in the light of the current literature.","PeriodicalId":91761,"journal":{"name":"Journal of pigmentary disorders","volume":"2 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2015-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-0427.1000189","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70305296","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":"Nodular Melanoma-Like Superficial Spreading Melanoma Arising fromIntradermal Unna Nevus-Can Incomplete Oncogenic-senescence beResponsible for Non-hierarchical Melanomagenesis?","authors":"B. Tas, O. Pilanci, Y. Koy, U. Tetikkurt","doi":"10.4172/2376-0427.1000179","DOIUrl":"https://doi.org/10.4172/2376-0427.1000179","url":null,"abstract":"We report a 70-year-old woman who presented a superficial spreading malignant melanoma with a nodular melanoma appearance, located on her leg. Most common clinicopathological types of malignant melanoma are lentigo maligna, superficial spreading, nodular, and acral lentiginous melanoma. Unusual variants of melanoma are rare but important. These are amelanotic melanoma, neurotropic melanoma, desmoplastic melanoma, metastatic melanoma, invisible melanoma, balloon cell melanoma, melanoma arising within a benign nevus and pedunculated melanoma. The lesion of our patient simulated a nodular or a pedunculated melanoma clinically, but its histopathological examination showed a superficial spreading melanoma arising from the surface of an Unna nevus. To the best of our knowledge, such misleading nodular appearance of a superficial melanoma arising from an intradermal nevus of Unna which seems to be a unique finding has not been reported previously.","PeriodicalId":91761,"journal":{"name":"Journal of pigmentary disorders","volume":"2015 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70305484","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":"Genetics of Vitiligo: An Insight","authors":"S. Poojary","doi":"10.4172/2376-0427.1000178","DOIUrl":"https://doi.org/10.4172/2376-0427.1000178","url":null,"abstract":"Vitiligo is the most common depigmenting disorder having a major impact on the quality of life of patients. Despite continued progress toward an elucidation of the biochemical, genetic and immunopathological pathways in vitiligo, a definitive cure remains elusive. During the past few decades, advances in the field of molecular genetics have enriched us in understanding the etiopathogenesis of vitiligo. Several candidate genes have been associated with susceptibility to vitiligo. They include genes important for melanin biosynthesis, response to oxidative stress and/or regulation of autoimmunity. A recent genome-wide scan performed on families with numerous members presenting with vitiligo has clearly revealed linkage of susceptibility loci especially autoimmune susceptibility loci. Genetic studies have helped us identify not only the natural course and clinical aspects of vitiligo but also the shed profound light on the inverse relationship between genetic susceptibility to GV and malignant melanoma. In the future, dissection of the complex genetic architecture of vitiligo will provide new approaches for treatment and prevention. In this article, we review the genes involved in vitiligo and also focus on the pathogenic mechanisms of the same.","PeriodicalId":91761,"journal":{"name":"Journal of pigmentary disorders","volume":"2 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2015-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-0427.1000178","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70305474","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":"Vogt-Koyanagi-Harada Syndrome: Case Report","authors":"C. Jordão, C. Sodré, M. Ramos‐e‐Silva","doi":"10.4172/2376-0427.1000181","DOIUrl":"https://doi.org/10.4172/2376-0427.1000181","url":null,"abstract":"Vogt-Koyanagi-Harada syndrome (VKHS) is a multi-organ disorder with well-established diagnostic criteria, which is little known by the dermatologist. We emphasize the importance of early recognition and treatment of VKHS, avoiding especially the ophthalmologic sequels. Since vitiligo is closely related to the syndrome and other autoimmune disorders, we question the need for a better evaluation of patients with vitiligo by dermatologists.","PeriodicalId":91761,"journal":{"name":"Journal of pigmentary disorders","volume":"2015 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-0427.1000181","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70305039","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":"A Short Review of Pigmentation Disorders in Systemic Diseases","authors":"M. Rojekar, S. Sawant","doi":"10.4172/2376-0427.1000174","DOIUrl":"https://doi.org/10.4172/2376-0427.1000174","url":null,"abstract":"Since ages, the skin colour is an important issue for human race. Melanocyte abnormalities are mentioned during the fetal developmental stages in literature from ancient cultures. The deciding factor for the pigmentation is melanin. An old notion of melanocyte producing melanin is now obsolete. It is the epidermal unit which is responsible for the process of melanogenesis, production and distribution of the melanin. Various systemic diseases are having hyper or hypo-pigmenatation as their signs. The present review briefly describes a few of these systemic disorders.","PeriodicalId":91761,"journal":{"name":"Journal of pigmentary disorders","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70304724","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":"Analysis of Neurofibromatosis Type 1 (NF1) Children and AdolescentsâÂÂWeight, Length and Head Circumference - A Cross-Sectional Study","authors":"M. Ribeiro, M. Coutinho","doi":"10.4172/2376-0427.1000182","DOIUrl":"https://doi.org/10.4172/2376-0427.1000182","url":null,"abstract":"Objective: The main purpose of this study was to carry out a clinical evaluation about anthropometric measurements (weight, length and head circumference) of a group of Brazilian Neurofibromatosis type 1 (NF1) children and adolescent individuals. Patients and Methods: This was an observational and cross-sectional study. The patient sample included 146 children and adolescents of both sexes; aged zero to 19 years and each individual was measured just once. The dispersion of the anthropometric measurements was evaluated and their position in relation to the percentiles of standard WHO growth charts were used as a reference in pediatric practice. Results: Short stature was present in 17.1% of the subjects; the higher frequency was observed in males aged 5-19 years (20.4%). The heritability of NF1 in patients with short stature was not statistically significant (p value >0.05) when we compared the individuals that presented short stature or not and positive or negative familial history of NF1 using a 2×2 Table (χ2 analysis). In males, the percentage of low birth weight was 5.5% while in females it was 1.4%. The percentage of underweight individuals was 3.7%. Macrocephaly was observed in 25.0% of boys and girls aged 0-5 years. Conclusions: In a group of Brazilian NF1 patients, we found cases of short stature even in the first five years of life. Weight below percentile 50 was predominant in girls aged 0-5 years (72.2%) and head circumference above percentile 50 with macrocephaly was also present. Birth’s mean weight and length below average apparently are not general characteristics of NF1 individuals from Brazil.","PeriodicalId":91761,"journal":{"name":"Journal of pigmentary disorders","volume":"2 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2015-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70305053","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}