ABSTRACT
Abstract Oculoectodermal syndrome is a rare disease characterized by the association of aplasia cutis congenita, epibulbar dermoids, and other abnormalities. This report describes the twentieth case of the disease. We report a 4-year-old female child who presented with the classical features of the syndrome: aplasia cutis congenita and epibulbar dermoids. Our case expands the clinical spectrum of the disease to include: diffuse hyperpigmentation (some following the Blaschko´s lines); hypopigmented skin areas on the trunk; arachnoid cyst on the right fronto-parietal border; rounded left side of the hippocampus; and dermoid cyst underlying the bulb-medullary transition. Our patient also reported infantile hemangioma on the right wrist and verrucous hemangioma on the left leg, the latter not previously described in the literature.
Subject(s)
Humans , Female , Child, Preschool , Ectodermal Dysplasia/pathology , Dermoid Cyst/pathology , Skin/pathology , Skin Diseases/pathology , Skin Neoplasms/pathology , Conjunctival Diseases/pathology , Corneal Diseases/pathology , Hemangioma/pathologyABSTRACT
Abstract This paper describes the association of two unusual side effects of treatment with isotretinoin for severe acne: paronychia and excess granulation tissue in the nails furrows. We report a case of male patient aged 19 years, who in the course of the 36th week of treatment with isotretinoin for acne grade III showed erythema, edema, excess granulation tissue and onychocryptosis in various nail beds of hands and feet, with no history of trauma associated. A literature review revealed few reports of these adverse events, and two clinical patterns of exuberant granulation tissue has been described: one in periungual location and other in lesions of previous acne. The rarity and lack of knowledge on the best treatment for granuloma-like reactions make this theme a considerable challenge.
Subject(s)
Humans , Male , Young Adult , Paronychia/chemically induced , Isotretinoin/adverse effects , Acne Vulgaris/drug therapy , Granuloma, Pyogenic/chemically induced , Paronychia/pathology , Paronychia/drug therapy , Treatment Outcome , Granuloma, Pyogenic/pathology , Granuloma, Pyogenic/drug therapy , Granulation Tissue/drug effects , Nail Diseases/chemically inducedABSTRACT
Atypical and unusual locations of psoriasis are very frequent. However, localized linear psoriasis is rare, with few cases described in the literature. It is characterized by a linear distribution of psoriasis lesions along Blaschko lines. We report the case of a three years old child, who presented unilateral erythematous scaly plaques arranged along Blaschko lines in the left hemithorax, with no associated symptoms and no lesions in other parts of the body. The differentiation of linear psoriasis from other linear dermatoses is not easy. The combination of a thorough history, a careful examination of the skin and histopathology are essential to ensure the correct diagnosis and appropriate treatment.
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