Spider angioma at the injection site of the meningitis vaccine.

Spider angioma is a cutaneous nevus caused by a vascular abnormality, characterized by a central red area with radiating reddish, web-like extensions. It is typically associated with liver cirrhosis, hyperestrogenism, and alcohol consumption. In this case report, we present a unique instance of a patient who developed spider angioma at the injection site of the meningitis vaccine as a long-term adverse effect. The lesion was treated with electrocautery and diminished within one week of treatment. This case highlights the potential for spider angioma to develop as a long-term adverse effect of the meningitis vaccine, a possibility that has not been previously reported. Further research is required to understand the underlying mechanisms and identify potential risk factors for this rare adverse effect.

Palmar papules as a manifestation of cutaneous oxalosis in primary hyperoxaluria: A case report and review of the literature.

Cutaneous oxalosis is a rare manifestation of systemic oxalosis, typically associated with primary or secondary hyperoxaluria. We present a rare case of a 23-year-old female diagnosed with primary hyperoxaluria and end-stage renal disease, who presented with papules on the palms without any vascular complications. The skin can be affected by oxalate deposition, resulting in various manifestations such as vascular complications or calcified nodules. In our case, the patient had primary hyperoxaluria and end-stage renal disease but exhibited atypical features of cutaneous oxalosis. Histopathology confirmed the presence of oxalate crystals in the dermis, subcutis, and medium-sized arteries. The mechanism of oxalate deposition in this case remains unclear. This case underscores the importance of considering cutaneous oxalosis in the differential diagnosis of patients with renal failure and skin lesions, and highlights the variability of clinical presentations in primary hyperoxaluria.

The first reported case of furuncular myiasis in Syria with no international travel history of the patient to an endemic area.

Myiasis is defined as the infestation of any part of the body by fly larvae. It is particularly common in tropical and subtropical regions. Cutaneous myiasis is the most common manifestation of this infestation. Here, we report a 21-year-old Syrian female who presented with a 10-day history of painful 2 ulcer-like lesions on her scalp and was diagnosed with furuncular myiasis, which included more than 20 larvae. The patient had no history of international travel to myiasis-endemic areas before the onset of the lesions. She probably acquired the infestation while visiting a cattle farm located in a rural region east of Hama governorate. Seborrheic dermatitis developed on her scalp after the myiasis treatment was performed.

A successful treatment with oral beta-blocker: A case report of a recurrent pyogenic granuloma in the external auditory canal.

Pyogenic granuloma or lobular capillary hemangioma is a vascular proliferation of the skin and mucosal surface, most commonly in the oral or nasal cavity. To the best of our knowledge, a few cases of auricular pyogenic granuloma were published in the literature. In our case, a 14-year-old female complained of a recurrent pyogenic granuloma in the external auditory canal that regressed successfully with the oral beta-blocker treatment.

Lower urinary tract symptoms caused by scabies mites (sarcoptes scabiei): A case report.

Lower urinary tract symptoms (LUTS) are including an overactive bladder, voiding and storing urine. The causes of LUTS include infectious and inflammatory. In this paper we present a rare case of LUTS caused by scabies mites and could be the third case reported in the medical literature. A 12-year-old child came to hospital complaining of tenesmus, dysuria and hematuria several days ago. A diagnosis of LUTS was established and investigations showed the scabie mite is the possible cause for the disease. Scabies mites have the ability of entering into the urinary tract leading to LUTS in patients affected with scabies.

Blisters and bullae over the skin graft site: a complication of the Coronary Artery Bypass Graft Surgery (CABG).

Coronary artery bypass grafting is one of the most widely used interventions for patients with ischemic heart disease worldwide. Skin incision blistering after vein harvesting surgery has an estimated incidence rate of 7%. Our case emphasizes the importance of using the right way of applying and removing bandages to minimize incision skin complications.

Necrolytic acral erythema associated with hypothyroidism in hepatitis C virus seronegative patient.

Necrolytic acral erythema (NAE) is a rare cutaneous sign of hepatitis C virus (HCV), which generally presents as circumscribed keratotic plaques on the extremities. Many studies reported NAE in the absence of HCV. This case presents a female diagnosed with NAE and hypothyroidism in the absence of HCV infection.

Adams-Oliver syndrome, intestinal obstruction and heart defects: a case series of aplasia cutis congenita.

Aplasia cutis congenita (ACC) is a rare congenital defect described by the absence of skin and occasionally subcutaneous tissues or bone. The management of ACC varies depending on the lesion size, location and associated abnormalities. Small lesions often heal spontaneously, whereas larger lesions are significant and usually associated with additional anomalies in other organs. This paper reports three cases, which describe large lesions of ACC, presented with other abnormalities (Adams-Oliver syndrome, intestinal obstruction and heart defect). Particular attention should be paid to the patient with large lesions of ACC to investigate more congenital anomalies.

Diffuse Idiopathic calcinosis cutis: a case report in a 13-year-old Syrian boy.

Calcinosis cutis is characterized by the deposition of calcium salts in the skin and subcutaneous tissue. It is divided into the following subtypes: dystrophic, metastatic, iatrogenic, idiopathic and calciphylaxis. In this case, we report a 13-year-old Syrian boy with idiopathic calcinosis cutis, the lesions were unusually widespread, unlike the common condition which is usually localized to one area. The case was unrelated to any systemic or local disorders, and the patient had no complications, so no treatment was planned. As the best of our knowledge, there are very few cases of diffuse or widespread idiopathic calcinosis cutis. We analyzed the clinical, laboratory, radiographical and pathological characteristics of our patient, which helped us to reach the final diagnosis. We will discuss the pathogenesis, investigation and management of this disease.

Two cases of halo scalp ring.

Halo scalp ring (HSR) is a rare form of non-scarring annular alopecia that is attributed to caput succedaneum. It arises perinatally because of prolonged pressure on the scalp by the cervix during or before the delivery. We report two new cases of halo scalp ring in full term pregnancy - newborns.

Letter: Pseudoverrucous papules and nodules: a case report.

Pseudoverrucous papules and nodules (PPN) is an uncommon complication, mainly reported in the diaper area. It is thought to be a manifestation of chronic irritant contact dermatitis that develops as a result of prolonged exposure to liquid stool and/or urine. We describe a case of a peristomal PPN in a patient who had a urostomy after treatment of bladder carcinoma with radical cystectomy.

Perianal cutaneous malakoplakia in an immunocompetent patient.

Malakoplakia is an uncommon inflammatory condition usually affecting the genitourinary tract, which has been associated with infections, tumors, and immunocompromised states. The condition has been reported in many different organs and it may rarely involve the skin. We describe a case of an isolated perianal cutaneous malakoplakia in an immunocompetent 23-year-old Syrian male.

Letter: It is Dermatosis neglecta.

The case presented in the article "Severe retention hyperkeratosis occurring with Susac syndrome" in October 2010 of DOJ (16:10) is very dramatic. Although it was implied in the article, the authors did not state that this is actually Dermatosis neglecta, the same entity reported by Poskitt et al 15 years ago. The description of the case in the article, histopathology, mechanism of pathogenesis, and treatment are consistent with Dermatosis neglecta, only with a different name.

Treatment of crusted scabies with albendazole: A case report.

Crusted scabies is a severe variant of scabies caused by the ectoparasite Sarcoptes scabiei. It is characterized by high mite burden, extensive hyperkeratotic scaling, crusted lesions, variable pruritus, generalized lymphadenopathy, erythroderma, and eosinophilia, in some cases. There is an increased incidence of crusted scabies, particularly among patients with HIV infection. We describe a 22-year-old Syrian immunocompetent female who had hyperkeratotic psoriasiform plaques and hyperkeratosis without itching. She was treated with oral albendazole and topical crotamiton with salicylic acid 5 percent.

Unknown: Erythematous nodules on the right cheek and chin.

Cutaneous metastases from internal malignancies are uncommon. We report on a 55-year-old man who presented with cutaneous metastases from a squamous cell carcinoma of the lung. Chest x-ray and chest Computerized Axial Tomography (CT) revealed the lung tumor.

Yellow nails syndrome in two siblings.

Yellow nails syndrome (YNS) is a rather rare condition. The syndrome was first described in 1964 by Samman and White. Later, Emerson added pleural effusion as a frequent feature of the disease. The classic triad of YNS includes yellow nails, lymphedema, and respiratory tract involvement, with or without sinusitis. However, these three alterations are simultaneously present in only 27 percent of cases. We describe two siblings (ages 32 and 26) with 20 yellow nails. There have been only a few published reports where a positive family history (FH) has been documented in cases of YNS.

Plate-like cutaneous osteoma on the scalp.

Platelike osteoma cutis is a rare lesion that is most often congenital. We report a 25-year-old woman who developed a linear plate of subcutaneous bone in a normal area of scalp.

Keratosis lichenoides chronica: report of a new case with partial response to PUVA therapy.

Keratosis lichenoides chronica is a rare disorder characterized by a distinctive seborrheic dermatitis-like facial eruption together with development of asymptomatic verrucosities on the limbs and the trunk, with a partially linear distribution. We report a case of a 35-year-old Syrian woman who presented with keratotic plaques and papules of the limbs for several years, and a seborrheic dermatitis-like facial eruption. A diagnosis of keratosis lichenoides chronica was clinically and histologically. Treatment with isotretinoin was without benefit. She had partial response to PUVA.

Cicatricial alopecia due to sarcoidosis.

Sarcoidosis of the scalp is a rare manifestation of cutaneous sarcoidosis. We report a case in a Syrian man without systemic involvement. Sarcoidosis should be considered in the differential diagnosis of cicatricial and non-cicatricial alopecia along with discoid lupus erythematous (DLE), lichen planopilaris, and scleroderma.