Three Cases of Cryptococcosis with Cutaneous Manifestations / 대한피부과학회지

Cryptococcosis is the infection caused by the encapsulated yeast Cryptococcosis neoformans. Cutaneous manifestation can develop as a result of the dissemination from pulmonary lesion or, rarely, through inoculation. They have variable morphologies, including papules or pustules, nodules, eczematoid plaques, ulcers, cellulitis, purpura and cold abscess. The authors experienced one case of disseminated cryptacoccosis by multiple papules and two cases of primary cutaneous cryptococcosis manifested by ulcerative lesions. We present 3 cases of cryptococcosis with cutaneous manifestations with review of literatures, especially in point of clinical manifestations.

A Case of Kaposi's Sarcoma Manifested with Unilateral Multiple Cutaneous Lesions after Renal Transplantation / 대한피부과학회지

Kaposi's sarcoma(KS) is a multicentric vascular neoplasm involving the skin or internal organs. Cutaneous manifestations are usually present with multiple papules or plagues, either diffusly or bilaterally. The cases showing multiple cutaneous lesions on unilateral portion of body are unusual. We report a case of KS occurring in an allogeneic renal recipient, whose multiple discrete papulonodular lesions localized on the left lower leg. Because of unusual distribution of cutaneous lesions, we observed the clinical progression of present case on the basis of long term follow-up.

Therapeutic Effect of Microsclerotherapy in the Treatment of Facial Telangiectasia / 대한피부과학회지

BACKGROUND: The treatment of facial telangiectasia include microsclerotherapy, laser, and electrosurgery. It is important that the treatment for telangiectasia be relatively risk-free, especially avoiding unsightly scarring. OBJECTIVE: We evaluated the effectiveness, complications, and recurrence rate of patients with facial telangiectasia treated with microsclerotherapy using osmotic sclerosing agent. In addition, we also evaluated the associated factors, the sites of predilection, and types of facial telangiectasia. PATIENTS AND METHODS: Fifteen patients with facial telangiectasia were treated with microsclerotherapy using osmotic sclerosant(Sclerodex(R)). The procedure was performed at 4 week intervals and on average 2 times. The effectiveness was evaluated by the comparison of photographs monthly during mean 6 months follow-up period. RESULTS: Mean improvement rate was 70% and partial recurrence was observed in 3 cases(20%). Transient bruising(33%), transient pigmentation(7%) and telangiectatic matting(7%) were observed as complications. CONCLUSION: Sclerotherapy with osmotic sclerosant(Sclerodex(R)) is safe and moderately effective; because it usually has more than a good response and minimal complications.

A Case of Glomangioma Treated with Sclerotherapy / 대한피부과학회지

Glomangioma is a kind of glomus tumor showing components of glomus cells and blood vessels. A 12-year-old female visited our department due to a tender 8 X 7 cm sized plaque formed by multiple conglobated nodules that had been growing on the left thigh since her birth. Histopathological findings showed dilated, thin walled vascular spaces surrounded by several layers of glomus cells, compatible with glomangioma. Glomangioma has been treated with surgical excision, laser, and sclerotherapy. We treated her by sclerotherapy in considering size and depth of the lesion. After second sclerotherapy with 1% sodium tetradecyl sulfate, the tender lesion almost disappeared. Sclerotherapy was effective to treat large glomangioma with good cosmetic outcome.