RESUMEN
Cutaneous tuberculids are relatively rare hypersensitivity reactions to Mycobacterium tuberculosis, characterized by erythematous eruption on the skin of a tuberculosis patient. Papulonecrotic tuberculid, lichen scrofulosorum, erythema induratum and nodular tuberculid were originally included in tuberculids. However, some cases are difficult to classify into the subtypes because of their broad spectrum of cutaneous manifestations and various histopathologies. This is particularly true in immunocompromised patients. We report a case of atypical cutaneous tuberculid in an immunocompromised patient in whom mycobacterical DNA was not demonstrated by PCR. However, the diagnosis of latent tuberculous infection was supported by IFN-gamma assay (QuantiFERON(R)-TB Gold test) and tuberculous lymphadenitis was diagnosed. The skin lesions responded dramatically to anti-tuberculous therapy, and there has been no evidence of recurrence.
Asunto(s)
Humanos , ADN , Eritema Indurado , Hipersensibilidad , Huésped Inmunocomprometido , Líquenes , Mycobacterium tuberculosis , Reacción en Cadena de la Polimerasa , Recurrencia , Piel , Tuberculosis , Tuberculosis Cutánea , Tuberculosis GanglionarRESUMEN
Molluscum contagiosum is a viral infection of the skin and mucous membranes which is caused by a DNA virus from the poxvirus family. It is usually transmitted by direct skin contact, autoinoculation or fomites. Children are generally affected, and adults who are immunocompromised or sexually active may also be afflicted. Although molluscum lesions can be presented on any skin surface of the body, its occurrence on the sole is unusual. Molluscum contagiosum virus appears to have a particular affinity for follicular epithethelium and it may explain its lack of sole involvement. A 30-year-old male had a small pea sized nodule on his right sole that had been present for several days. Histological examination showed numerous molluscum bodies within the epithelium. Herein, we report a rare case of solitary molluscum contagiosum on the right sole of a healthy male patient.
Asunto(s)
Adulto , Niño , Humanos , Masculino , Virus ADN , Epitelio , Fómites , Molusco Contagioso , Virus del Molusco Contagioso , Membrana Mucosa , Pisum sativum , PielRESUMEN
Piercing of various parts of the body is common practice in Korea nowadays. In particular, ear piercing appears to be increasingly prevalent among adolescents and young-adults. Because of the complication of the procedure, auricular perichondritis after piercings can arise in this patient population. Staphylococcus aureus and Pseudomonas aeruginosa are the most common causative organisms associated with infections due to ear piercing. In most cases, however, the patients were not prescribed anti-pseudomonal antimicrobial agent at presentation. This may result in persistent complicated infection and permanent cosmetic deformities. Herein, we describe two cases of post-piercing auricular perichondritis caused by P. aeruginosa successfully treated with intravenous antimicrobial agents. Also, a literature review of auricular perichondritis after ear piercing was done.
Asunto(s)
Adolescente , Humanos , Antiinfecciosos , Perforación del Cuerpo , Anomalías Congénitas , Corea (Geográfico) , Pseudomonas aeruginosa , Pseudomonas , Staphylococcus aureusRESUMEN
Cutaneous metastasis is a relatively rare complication of internal malignancy and has been reported in 0.7% to 9% of all malignant cancers. It may be an important clue for undiagnosed malignancies or even the prognosis of primary cancers. Cutaneous metastatic cancers vary in type and are rarely presented with zosteriform distribution. The lung is one of the most common primary sites of zosteriform cutaneous metastasis. We describe a 52-year-old man with a prior history of lung cancer in whom zosteriform cutaneous metastasis developed along the right T4-5 dermatome on his trunk. This case highlights the importance of the differential diagnosis of cutaneous metastasis with zosteriform distribution and the need of skin biopsy in order to confirm the early diagnosis.
Asunto(s)
Biopsia , Diagnóstico Diferencial , Diagnóstico Precoz , Pulmón , Neoplasias Pulmonares , Metástasis de la Neoplasia , Pronóstico , PielRESUMEN
Lichen striatus is an uncommon, self-limiting dermatosis that is characterized by linearly distributed eruptions that follow Blaschko's lines. It usually occurs unilaterally, but few cases of bilateral or multilinear eruptions have also been reported. In addition, lichenstriatus is commonly seen in children and rarely affects adults. We report a case of 29-year-old woman with multiple, unilateral lichen striatus on the right abdomen and right chest that was treated successfully with topical tacrolimus.
Asunto(s)
Adulto , Niño , Femenino , Humanos , Abdomen , Líquenes , Enfermedades de la Piel , Tacrolimus , TóraxRESUMEN
Herpes zoster is a common viral disease that accompanies segmental, painful vesicular eruptions along the dermatome. Motor involvement can also occasionally occur in this disease entity and its reported incidence is between 0.5% and 5%. However, the impairment of motor function often goes unrecognized, probably because of severe pain that is a more prominent feature than motor weakness. We experienced an 83-year-old female patient with herpes zoster infection of the right C5-7 dermatomes, who showed right upper extremity paralysis. We examined the limb using motor nerve conduction velocity (MNCV) test and concluded that herpes zoster caused patient's motor paralysis. After 4 months, her motor paralysis was completely recovered spontaneously.
Asunto(s)
Anciano de 80 o más Años , Femenino , Humanos , Extremidades , Herpes Zóster , Incidencia , Conducción Nerviosa , Parálisis , Extremidad Superior , VirosisRESUMEN
Tinea capitis occurs mostly in the children and rarely affects adults. The most common cause of tinea capitis is known as Microsporum canis. Trichophyton rubrum is an anthropophilic, commonest dermatophyte affecting man but rarely involves the scalp and hair. A 19-year-old woman, current judo player, presented with 1-month history of hair loss and erythematous scaly macules with brownish crusts on her scalp. The patient was diagnosed as tinea capitis caused by T. rubrum based on macroscopic and microscopic characteristics of the fungus culture. As T. rubrum rarely causes tinea capitis, we assumed this patient might have had contact with T. rubrum on the ground or other players while playing judo, which could be described as tinea gladiatorum.
Asunto(s)
Adulto , Niño , Femenino , Humanos , Arthrodermataceae , Hongos , Cabello , Artes Marciales , Microsporum , Cuero Cabelludo , Tiña , Tiña del Cuero Cabelludo , TrichophytonRESUMEN
BACKGROUND: Keloids and hypertrophic scars may complicate wound healing secondary to trauma or surgery. They are benign growths of dermal collagen that usually cause major physical, psychological, and cosmetic problems for patients. OBJECTIVE: The purpose of this study was to evaluate the efficacy of using a 5-FU (Fluorouracil)/Triamcinolone acetonide (TCN) mixture to treat keloids and hypertrophic scars. Further, the results were compared via TCN alone. METHODS: Patient chart from 2007 to 2011 were reviewed. Patients were stratified into 2 groups: (1) intralesional injection of TCN 0.1 ml (40 mg/ml) mixed with 5-FU 0.9 ml (50 mg/ml), every 2 weeks; (2) intralesional injection of TCN (20 mg/ml), every 2 weeks. Lesions were assessed for height, erythema, pliability, pruritus, pain/tenderness, patient-self assessment and side effects at baseline (initiation of treatment) and at weeks 2, 4, 6. RESULTS: There has been 23 patients (43 lesions) that completed the study. At the 2, 4, 6 week visits, both groups showed an acceptable improvement in all nearly parameter., However, in comparison between the groups, there was no statistically significant differences (p>0.05). Complications such as injection pain and hyperpigmentation were seen in both treatment groups. CONCLUSION: The overall efficacy of 5-FU/TCN mixture was comparable with TCN alone.
Asunto(s)
Humanos , Cicatriz Hipertrófica , Colágeno , Cosméticos , Eritema , Fluorouracilo , Hiperpigmentación , Inyecciones Intralesiones , Queloide , Docilidad , Prurito , Triamcinolona , Triamcinolona Acetonida , Cicatrización de HeridasRESUMEN
Cutaneous lymphoid hyperplasia (CLH, pseudolymphoma) refers to a heterogeneous group of benign reactive T- and/or B-cell lymphoproliferative diseases of the skin, that resemble cutaneous lymphoma both clinically and histologically. Despite the unknown causes of CLH development, various stimuli can induce CLH, such as medications, infections, insect bites, photosensitivity and foreign agents. To date, there has been no reported case of CLH development after an allergy skin test of antibiotics. Thus, we report a patient who developed CLH following an allergy skin test of antibiotics. He was a 21-year-old man who presented with 1.5x1.5 cm sized erythematous plaque with yellowish crusts on his right forearm that showed features of a CLH, based on histopathologic assessment.
Asunto(s)
Humanos , Adulto Joven , Antibacterianos , Linfocitos B , Antebrazo , Hiperplasia , Hipersensibilidad , Mordeduras y Picaduras de Insectos , Linfoma , Seudolinfoma , Piel , Pruebas CutáneasRESUMEN
Chondroid syringoma is a myxoid tumor of the skin and the reported incidence of this is 0.098% among all the primary skin tumors. This tumor generally occurs in middle or old aged patients. A 15-year-old woman presented with a 2-year history of a 0.4x0.4 cm sized whitish papule on her nasolabial fold. The tumor was diagnosed as chondroid syringoma by histologic examinations. We present here a case of chondroid syringoma in an adolescent girl, and such a case has not been previously reported in the Korean medical literature.
Asunto(s)
Adolescente , Anciano , Femenino , Humanos , Adenoma Pleomórfico , Incidencia , Surco Nasolabial , PielRESUMEN
Chronic mucocutaneous candidiasis (CMC) consists of several clinical syndrome characterized by chronic, treatment-resistant, superficial candidal infections of skin, nails and oropharynx. The patients with CMC usually have other manifestations including non-candidal infections, endocrinopathies and autoimmune diseases. These findings suggest that patients with CMC have multiple or complex abnormalities in their immune systems, especially of cell mediated immunity. The scrofuloderma or scrofuloderma-like BCGitis is used to describe the skin reaction and enlargement of regional lymph node with suppuration. In contrast to chronic mucocutaneous candidiasis, BCGitis does not suggest underlying host immune defect in most cases. In our knowledge, there is no report about scrofuloderma-like BCGitis and chronic mucocutaneous candidiasis occurring in the same patient. Herein, we report a case of chronic mucocutaneous candidiasis associated with scrofuloderma-like BCGitis.
Asunto(s)
Humanos , Enfermedades Autoinmunes , Candidiasis Mucocutánea Crónica , Sistema Inmunológico , Inmunidad Celular , Ganglios Linfáticos , Uñas , Orofaringe , Piel , Supuración , Tuberculosis CutáneaRESUMEN
The cholelithiasis and common bile duct(CBD) stone are rare problems among children. Endoscopic retrograde cholangiopancretogram(ERCP) and endoscopic sphincterotomy are rarely commomly utilized in the treatment of children, primarily because there are fewer indications. ERCP is an established procedure for visualization of the biliary tract. Endoscopic sphincterotomy with stone extraction has been accepted as the treatment of choice for CBD stone removal in adults. However, the role and value of these procedures in children are not as clear. We experienced a case of CBD stone in 3-year-old boy, who suffered reccurent jaundice and abdominal pain. The boy was administrated and was diagnosed with a mild abnormal gallbldder on ultrasound. Laboratory data showed obstructive jaundice, so, an ERCP was performed and identified that the child had a distal CBD stone. An Endoscopic sphincterotomy was then performed. After the sphincterotomy, the stone passed the Ampulla of Vater spontaneously without the use of a Dormia basket or Forgathy catheter.