ABSTRACT
Herpes zoster is a acute viral infection of nerve structures manifesting cutaneous lesions in the form of groups of vesicles distributed along one or more peripheral sensory nerves. Sometimes involve motor nerves. The skin lesions usually appear on unilateral, but some on bilateral. And caused by variella-zoster virus, which is the same virus, with varicella. The most important etiologic mechanism is the reactivation of the latent virus; a latent virus infection is set up in spinal and cranial sensory ganglion as a result of hematogenous dissemination during the initial varicella infection and is activated in later life so that the virus spread down to the peripheral nerve into the skin. Durig last 5 years (1968-1972) 94 cases of Herpes zoster, of Dermatology Dept. in N.M.C. were investigated by statistics of sex, age, predilection site of skin eruptions, seasonal variation, and of its complications or associated diseases. The reults were following; In sex, age distribution, female is rather common than male and more commonly affected after 40's. In predilection site, more than half cases, involved thoracic cutaneous nerves, and the least were sacral and lateral cutaneous nerves. Right and left side proportion was about same (40: 49), bilateral or mid-zone involvement were 5 cases. In seasonal distribution, there was no relation between epidemic of varicella and Herpes zoster, The most were at Summer, and the least at Autumn. In complications and associated diseases, complication noted in 4 cases, 3 were Herpes zoster ophthalmicus and 1 case was Ramsey-Hunt syndrome. The most frequent associating disease was pulmonary tuberculosis, otherwise were diabetes, asthma etc.
Subject(s)
Female , Humans , Male , Age Distribution , Asthma , Chickenpox , Dermatology , Ganglia, Sensory , Herpes Zoster Ophthalmicus , Herpes Zoster , Peripheral Nerves , Seasons , Skin , Tuberculosis, PulmonaryABSTRACT
A case of 23 years old male with Reiters syndrome was reported. The skin lesions were characterized by thick, britle and heavy keratotic crust formation on whole body with weakness, severe arthritis, ankylosis, on the feet, wrists, knees, ankle and finger joints. Histopathological examination showed a spongiform vesicopustules, acanthosis and parakeratosis, interpapillary process elongated in the epidermis hyperkeratosis, dilated. vessels with perivascular infiltrate in the dermis. He was treated with Arning's tincture, Nystatin ointment, coaltar ointment painting and oral administration of prednisolone, methotrcxate for 1 month, resulting favorable improvement.
Subject(s)
Humans , Male , Young Adult , Administration, Oral , Ankle , Ankylosis , Arthritis , Candidiasis , Dermis , Epidermis , Finger Joint , Foot , Knee , Nystatin , Paint , Paintings , Parakeratosis , Prednisolone , Skin , WristABSTRACT
Porokeratosis (mibelli's disease) is a chronic, heritable disorder of the skin, which has a regular dominant limitation to the male sex. This is characterized by localized areas of faulty keratinization resulting in the cornoid lamella, the morphologic and histologic hallmakr of the disease process. Histogenesis is best explained as a mutant clonal keratosis of epidermis, these clonal cells are probably ingerited. A case of porokeratosis Mibelli is reported with its clinical, histological evaluation and review of articles.
Subject(s)
Humans , Male , Epidermis , Keratosis , Porokeratosis , SkinABSTRACT
A case of 24 years old male patient with Acrodermatitis continua(Hallopeau) is reported. Clinically, the skin lesions were characterized by the pustular eruption on digit of extremities. Diagnosis was conformed by characteristic clinical appearance, laboratory findings and histopathology finding. He has been treated with prednisolone 20 mg daily, antibiotics and symptomatic therapy and relieved temporaly.
Subject(s)
Humans , Male , Young Adult , Acrodermatitis , Anti-Bacterial Agents , Diagnosis , Extremities , Prednisolone , SkinABSTRACT
Pityriasis Circinata is a rare, symptomless, etiologically uncertain disease, but often associated with chronic illness such as Tuberculosis, diseases of uterus and ovaries. It was first described- in Japan by Toyama(1906), Matsura(1906), then reported in South Africa, France, England, Germany, and North-Africa. However, much more frequent evidence noted in Far East. Many authers agree that this condition is a specific localized type of acquired ichthyosis. This disease is manifested by strictly round scaly, light or dark brownish ichthyotic patches of variable number and diameter. Mainly distributed on trunk, and extremities with freedom of flexure. And having history of winter exacerbation and summer remission. These two cases of pityriasis Circinata are, although Toyama quoted 4 Korean patients reports and 2 cases of Manchuria, the first report in Korea, which have been associated with tuberculous empyema and meningitis, respectively.