ABSTRACT
The lesions of neutrophilic dermatosis (pustular vasculitis) of the dorsal hands clinically resembled those of Sweet's syndrome and showed similar histologic evidence of a dense dermal neutrophilic infiltrate. We, herein, present a case of neutrophilic dermatosis of the dorsal hands in a 70-year-old woman with bacterial endocarditis. The patient presented with hemorrhagic pustular blisters on the dorsal hands. Histopathologic findings were pseudoepitheliomatous hyperplasia, intraepidermal pustules, histiocytic infiltration and a few perivascular neutrophilic infiltrations. The skin lesion improved spontaneously.
Subject(s)
Aged , Female , Humans , Blister , Endocarditis, Bacterial , Hand , Hyperplasia , Neutrophils , Skin , Skin Diseases , Sweet SyndromeABSTRACT
The lesions of neutrophilic dermatosis (pustular vasculitis) of the dorsal hands clinically resembled those of Sweet's syndrome and showed similar histologic evidence of a dense dermal neutrophilic infiltrate. We, herein, present a case of neutrophilic dermatosis of the dorsal hands in a 70-year-old woman with bacterial endocarditis. The patient presented with hemorrhagic pustular blisters on the dorsal hands. Histopathologic findings were pseudoepitheliomatous hyperplasia, intraepidermal pustules, histiocytic infiltration and a few perivascular neutrophilic infiltrations. The skin lesion improved spontaneously.
Subject(s)
Aged , Female , Humans , Blister , Endocarditis, Bacterial , Hand , Hyperplasia , Neutrophils , Skin , Skin Diseases , Sweet SyndromeABSTRACT
Allergic contact dermatitis from aroma oils has long been recognized and with increasing frequency. Contact dermatitis of the allergic type of fragrances used for aromatherapy has been reported rarely, and only in patients exposed due to their occupation. We report herein a case of allergic contact dermatitis to aroma oils in an aroma therapist. A 25-year-old woman, an aroma therapist, had been treated with topical steroids under the impression of contact dermatitis. She had had pruritic erythematous maculopapules on the arms extending to the hands for the previous 6 months. Patch tests showed strong reactions to aroma oils(3% fennel and 3% juniper). The skin lesions were cleared after she stopped her job. However, re-exposure to aroma oils caused eczematous lesions repeatedly at the sites previously involved. We predict that increasing popularity of aromatherapy will lead to increasing number of patients developing allergic contact dermatitis from aroma oils. This has to be taken into consideration when testing patients with suspected contact dermatitis.
Subject(s)
Adult , Female , Humans , Arm , Aromatherapy , Dermatitis, Allergic Contact , Dermatitis, Contact , Foeniculum , Hand , Oils , Patch Tests , Skin , SteroidsABSTRACT
Squamous eddy, focal necrosis, focal hemorrhage, and acute and chronic inflammation are common and reliable indicators of irritation. Squamous eddy is most commonly seenin inverted follicular keratosis, but it may be found on occasion in other conditions. Herein we describe a case of dilated pore with the feature of squamous eddies.
Subject(s)
Hemorrhage , Inflammation , Keratosis , NecrosisABSTRACT
Clear cell sarcoma is a rare malignant soft tissue neoplasm with unknown oringin. It is slow growing tumor , but uncommonly, it shows rapidly progressive course. In Korea, there has been rare case of clear cell sarcoma, especially with systemic metastasis. We herein present a case of clear cell sarcoma rapidly progressing with systemic metastasis. She had a deep seated nodule on left heel and inguinal and abdominal lymphadenopathy at the initial presentation. While chemotherapy, acute renal failure occurred and it was suspicious from abdominal ultrasono that both kidneys were invaded with clear cell sarcoma. She died with repiratory failure.
Subject(s)
Acute Kidney Injury , Drug Therapy , Heel , Kidney , Korea , Lymphatic Diseases , Neoplasm Metastasis , Sarcoma, Clear Cell , Soft Tissue NeoplasmsABSTRACT
Lichen sclerosus et atrophicus is a benign, chronic inflammatory dermatosis with multifactorial origin. It is most common in the vulvar and perianal areas, but it may involve any other area, rarely face, oral mucosa, and palm and sole. Especially, lichen sclerosus et atrophicus on face is more difficult in diagnosis due to atypical location and may be confused with morphea, discoid lupus erythematosus, vitiligo, and atophic scar. We, herein, present a case of facial lichen sclerosus et atrophicus with central brownish atrophic change in a 21-year-old man. The lesion showed atypical clinical feature and unusual location. But histologic examination revealed typical features of lichen sclerosus et atrophicus.