Tick Bites / 대한피부과학회지

Tick bites are dermatoses not commonly encountered in Korea. Identification of causative ticks as well as recognition of clinical signs and histopathologic findings are important in making a diagnosis in tick-related dermatoses. Hard ticks which belong to the Family Ixodidae are responsible for most tick-related diseases. Since the first human case of tick bite in Korea was reported in 1982, seventeen cases have been reported up to the present. All the inflicted ticks belonged to the genus Ixodes except a case by Haemaphysalis flava. Among 16 ticks, collected from 16 cases of tick bites caused by the genus Ixodes, nine I. nipponenses, an I. ovatus and I. persulcatus were identified. Recently we experienced 8 cases of tick bites, 6 of them were caused by the genus Ixodes including 4 I. nipponenses. One of them, whose essential complaint was fever and chills, showed the clinical course of tick bite pyrexia which had not been reported in Korea. The clinical and epidemiological findings of tick bites reported in Korea were reviewed, including these 8 cases.

Erosive Adenomatosis of the Nipple / 대한피부과학회지

The patient was a 35 year old woman complaining of non tender erythematous nodule on the left nipple for 2 years. Histopathologic findings showed focal acanthosis and extension of epithelium into some of the superficial ductal structures. In the dermis, the tubules were lined by a peripheral layer of cuboidal cells and a inner layer of columnar cells. The papillary projections of the luminal cells into the lumen also were shown. In the upper dermis, we could find the keratin cysta. She was treated with a simple excision of the nipple and subareolar tissue.

A Case of Granulomatous Reaction to Tattoo Pigment / 대한피부과학회지

A 48-year-old woman, who had had tattoo on her eyebrows, was seen with pruitic erythematous indurated plaques on the tattooing sites. The skin react ion was begun to observe about 4 weeks after getting tattoo. Skin biopsy specimens from the indurated lesions showed granulomatous reactions. Intradermal tests by means of multiple pricks and patch test were done on her low back with the same tattoo dye and also 4 others available in Korea. Serial punch biopsy specimens were obtained from the sites of intradermal test at 2nd, 7th, 28th, and 56th day after intradermal test. Granulomatous reactions were found in the spiecimens taken at the 28th and 56th day.

A Case of Lichen Myxedematosus / 대한피부과학회지

The patient was a 50 year old woman complaining of generalized multiple pruritic erythematous waxy papules on the face, chest, abdomen, both dorsum of hands and both knee joints areas. There was marked accentuation i>f the skin folds, and the thickened skin was freely movable. Histopathologic findings showed extensive proliferation of fibroblasts throughout the dermis associated with irregularly arranged bundles of collagen, In many areas, the colagen bundles were split up into individual fibers by much, which was confirmed by special stains. She showed clinical response to melphalan therapy, which had to be discontinued because of severe bone marrow depression after 7 weeks.

A Case of Generalized Pustular Psoriasis in an Infant Trated with Etretinate / 대한피부과학회지

We present herein a case of generalized pustular psoriasis in a 17-month-old female infant, who showed good response to etretinate therapy. The baby showed generalized pustular eruptions with high fever and marked leukocytosis preceded by annular scaly erythematous and annular pustular lesions. Etretinate was given in a dose of 10mg(0.75mg/kg/day) for 10 days, and then tapered to 7mg, 5mg, and 4mg in every 10 to 13 days. Clinical improvement was noted after 7 days' treatment and almost all of the skin lesions including erythroderma were cleared after 6 weeks' treatment. She is now maintained with 3mg of etretinate without recurrence.