Prevalence of metabolic syndrome in psoriasis patients

Objectives: To evaluate the prevalence of metabolic syndrome in patients with psoriasis in Yazd, Iran

Design: A cross sectional study conducted among Iranian patients with psoriasis and age and sex - matched controls

Setting: Department of Dermatology, Burn and Accident Hospital, Yazd, Iran

Subjects: A total of 110 patients with psoriasis and 110 nonpsoriasis patients were enrolled in this study

Intervention: Data on age, sex, weight, height, waist circumference and blood pressure of all participants were obtained. Severity of psoriasis was assessed using Body Surface Area [BSA] as mild [< 2% BSA], moderate [3-10% BSA] and severe [>10% BSA]. Fasting venous blood samples were collected and the fasting glucose and lipid levels were measured

Main Outcome Measure: We assessed fasting glucose, lipid profile, blood pressure and metabolic syndrome

Results: The mean ages of the cases and controls were 14.80 +/- 39 years and 14.25 +/- 39 years, respectively. The results showed that hypertension is significantly more common in psoriatic patients compared with controls. There was no significant difference in BMI, diabetes mellitus and hyperlipidemia between two groups. Metabolic syndrome was detected in 27.3% of patients with psoriasis and 20.9% of the patients in control group but this difference was not statistically significant [P value = 0.270]

Conclusion: The results of our study revealed that there is no close association between psoriasis and metabolic syndrome in Yazd

Acne keloidalis nuchae in a Caucasian woman

Acne keloidalis is a chronic inflammatory process involving the hair follicles of the nape of the neck and leading to hypertrophic scarring papules and plaques. Review of the literature shows that this process occurs only in males after puberty, especially in negroes. We, here, report a 31-year-old Caucasian woman who had hypertrophic papules in the nape of her neck since 10 years and histopathological examination confirmed it is as acne keloidalis. This is a rare case hitherto unreported in Caucasian females

Acute hemorrhagic edema of infancy: a case report

Acute hemorrhagic edema of infancy [AHEI] is a rare skin disorder introduced for the first time by Snow [1913]. The disorder which usually presents exclusively with skin manifestations occurs mostly in less than 2-year-old-age children. Most of the patients have suffered from a background of upper respiratory tract infection and have experienced vaccination or antibiotic treatment before beginning of the symptoms. Clinical sign of the disease is including petechiae, ecchymosis, and edema in head, face, and extremities. We present a typical case of AHEI in a 6- month-old infant

Multidermatomal zosteriform lupoid cutaneous ieishmaniasis: a case report

Leishmaniasis is the result of infection with intracellular protozoan parasites belonging to the genus Leishmania. Cutaneous Leishmaniasis [CL] may present with unusual clinical variants such as acute paronychial, annular, palmoplantar, zosteriform, erysipeloid, lupoid and sporotrichoid. Infection is transmitted by the bite of the sandfly. We report a multidermatomal zosteriform lupoid cutaneous Leishmaniasis

Acquired unilateral nevoid telangiectasia syndrome: a case report and review of literature

Unilateral nevoid telangiectasia syndrome [UNTS] can be classified into two major categories: congenital and acquired. There have been reports showing an increase in skin estrogen and progesterone receptors in patients with this syndrome. We report a male patient with acquired unilateral nevoid telangiectasia syndrome without any associated physiological or pathological conditions

Acne keloidalis nuchae in a white woman

Acne keloidalis is a chronic inflammatory process that involves hair follicles of the nape of the neck and leads to hypertrophic scarring. In all references, it is noticed that this process occurs only in males after puberty and is especially seen in the black race. In this case, we report a 31-year-old white woman who had hypertrophic papules in the nape of her neck since 10 years ago and in pathological examination, the diagnosis of acne keloidalis was confirmed