ABSTRACT
We report a case of tinea barbae in a 51-year-old man, who presented with erythematous pustules on the upper lip, and a relatively well-defined pustular patch on his left cheek. Histopathologically, fungal hyphae were found in the hair shaft upon PAS staining. A fungal culture from scales and tissue of the lesions was grown on Sabouraud's dextrose agar and showed typical Trichophyton mentagrophytes. The patient was treated with 250 mg of terbinafine, 10 mg of prednisolone and 300 mg of roxithromycin daily for the first week, then 250 mg of terbinafine combined with topical lanoconazole for 4 weeks. The skin lesions improved 5 weeks after treatment, and recurrence has not been observed.
Subject(s)
Humans , Middle Aged , Agar , Cheek , Glucose , Hair , Hyphae , Lip , Prednisolone , Recurrence , Roxithromycin , Skin , Tinea , Trichophyton , Weights and MeasuresABSTRACT
Pediculosis (phthiriasis) palpebrarum is a rare disease which occurs on the eyelashes and is caused by Phthiriasis pubis (crab louse). The common symptoms are pruritus, irritation and foreign body sensation, but it is rarely associated with ocular diseases such as blepharitis, conjunctivitis or secondary bacterial infection. We report a case of pediculosis palpebrarum in a 3-year-old girl who had several lice and many nits on both eyelashes, and this was accompanied with blepharitis. She was treated by removal of lice and nits with fine forces, then application of petrolatum ointment twice a day for 7 days.
Subject(s)
Child, Preschool , Female , Humans , Bacterial Infections , Blepharitis , Conjunctivitis , Eyelashes , Foreign Bodies , Lice Infestations , Pediculus , Petrolatum , Phthiraptera , Pruritus , Rare Diseases , SensationABSTRACT
We report a case of type IV hyperlipoproteinemia and eruptive xanthoma associated with diabetes mellitus in a 38-year-old male patient. He had multiple, erythematous, yellowish papules on the trunk, extremities and buttocks. Laboratory examinations showed an increase in serum blood glucose, cholesterol and triglyceride. Lipoprotein electrophoresis revealed increased pre-beta bands and a plasma standing test showed turbid plasma. Analysis of lipoprotein revealed an increase of triglyceride levels in the plasma. A skin biopsy from the lesion revealed a xanthoma. We diagnosed the patient as having type IV hyperlipoproteinemia with eruptive xanthoma. After 3 months of treatment with diet restrictions and fenofibrate, the serum level of triglyceride was reduced to a normal level, and the skin lesions disappeared.
Subject(s)
Adult , Humans , Male , Biopsy , Blood Glucose , Buttocks , Cholesterol , Diabetes Mellitus , Diet , Electrophoresis , Extremities , Fenofibrate , Hyperlipoproteinemia Type IV , Hyperlipoproteinemias , Lipoproteins , Plasma , Skin , Triglycerides , XanthomatosisABSTRACT
Malignant eccrine poroma is a rare skin appendage tumor, originating from the intraepidermal eccrine duct. It develops either spontaneously or in an eccrine poroma of long-standing duration. It usually affects older people and is located most commonly on the lower extremities. We report a case of an 84 year old woman with a malignant eccrine poroma on the left upper eyelid, which resembled a cutaneous horn. She presented with a solitary, tender, firm, 0.4x0.4x0.9 cm-sized, silvery-white colored papule on the left upper eyelid. She was treated with surgical excision and to date shows no recurrence.
Subject(s)
Aged, 80 and over , Animals , Female , Humans , Eccrine Porocarcinoma , Eyelids , Horns , Lower Extremity , Poroma , Recurrence , SkinABSTRACT
Lymphangioma circumscriptum is a rare, congenital benign hamartous malformation caused by the saccular dilatation of lymph channels lined by normal, single-cell, lymphatic endothelia that present as local eruptions of persistent, grouped, translucent vesicles. The predilection sites of lymphangioma circumscriptum are the tongue, axilla, abdomen, buttocks & groin, but scalp lesions are rare. We report a case of lymphangioma circumscriptum on the scalp of a 12 year old girl, which resembled a nevus sebaceous. She had a solitary, asymptomatic, 4.5 x 4.5 cm sized, normal skin-colored to yellowish grouped vesicular plaque on the scalp.
Subject(s)
Child , Female , Humans , Abdomen , Axilla , Buttocks , Dilatation , Groin , Lymphangioma , Nevus , Scalp , TongueABSTRACT
We report two cases of extramammary Paget's disease associated with ad enocarcinoma with metascases. Histologically, Iaget cells in the epidermis and the hair follicles and adenocarcinoma in the der mis was observed in both cases. Of special interest was the demonstration of Eaget cells extending from the involved epidermis to the underlying dermis in case 2, There were metastatic lesioris of 3rd lumbar vertebra in case 1 and of the liver and lymph nodes in rase 2.
Subject(s)
Adenocarcinoma , Dermis , Epidermis , Hair Follicle , Liver , Lymph Nodes , Neoplasm Metastasis , Paget Disease, Extramammary , SpineABSTRACT
Five volunteers received patch tests with 5% sodium lauryl sulfate (SIS) in solutions of differing pH. The irritant effect was monitored by visual scoring as well as by a laser Doppler vlelocimeter, evaporimeter, cutometer, and colorimeter. The non-invasive methods used in this study with the exception of the cutometer were effective in the evaluation of skin irritation. No significant differences in the skin responses to SIS in different pH solutions were found either clinically or by the non-invasive methods used for quantification. It was concluded that the pH of SIS is not a major factor in the degree of skin irritation produced by SIS.
Subject(s)
Hydrogen-Ion Concentration , Patch Tests , Skin , Sodium Dodecyl Sulfate , Sodium , VolunteersABSTRACT
We report two cases of benign symmetrical lipornatosis, one associated with mild hyperthyroidism in a 57-year-old man and the other with alcoholic hepatitis in a 57-year-old man. In the histologic exsmination of the excised mass we found fibrous pseudocapsules surrounding adipose tissue in case 1, but not in case 2. Liposuction was performed in case 1 and simple excision in case 2 for treatment of tumors. The tumor masses were not recurred in clinical observation for follow-up 5 months after treatment.
