Subungual Onycholemmal Cysts: A Case Report
Subungual onycholemmal cysts (SOCs) are rare nail abnormalities. The clinical findings vary and include onychodystrophy, ridging, nail bed pigmentation, and thickening, but most often SOCs do not cause any symptoms and are accidental findings. In this case report, we present a case of a woman with pigmentation of the toenail, suspect for melanoma. Surprisingly, the histopathological examination showed SOCs. We discuss the histological features of SOCs, etiology, and differential diagnoses.Case Rep Dermatol 2021;13:394 –398 (Source: Case Reports in Dermatology)
Source: Case Reports in Dermatology - July 19, 2021 Category: Dermatology Source Type: research

A Case of Possible Loiasis Contracted in Cameroon and Diagnosed in Milan, Italy, and Review of Cases Published in Dermatological Journals
We report a case of loiasis in a woman who contracted the infestation in Cameroon. The clinical picture was characterized by Calabar swellings on the upper limbs and axillary lymphadenopathy. Laboratory tests revealed persistent leucocytosis with neutropenia, lymphopenia, and eosinophilia. The search for microfilariae was always negative. The patient was successfully treated with ivermectin and albendazole. Follow-up (5 years) was negative for both clinical manifestations and laboratory tests.Case Rep Dermatol 2021;13:389 –393 (Source: Case Reports in Dermatology)
Source: Case Reports in Dermatology - July 19, 2021 Category: Dermatology Source Type: research

Psoriasis of the Lips: A Case Report with Review of the Literature
We report a case of a 45-year-old female patient with psoriatic cheilitis with a review of the literature.Case Rep Dermatol 2021;13:384 –388 (Source: Case Reports in Dermatology)
Source: Case Reports in Dermatology - July 19, 2021 Category: Dermatology Source Type: research

Delayed-Type Hypersensitivity Reaction to Red Tattoo Ink Triggered by Ledipasvir/Sofosbuvir for Hepatitis C: A Case Report
Tattoos have become increasingly popular worldwide making adverse effects from tattoos a growing concern. In our report, we present a 51-year-old man who developed an unusual allergic reaction to the red ink portions of his tattoos that coincided with the initiation of ledipasvir/sofosbuvir treatment for his hepatitis C. Clinical and histological features were consistent with a delayed-type hypersensitivity reaction to red ink.Case Rep Dermatol 2020;13:379 –383 (Source: Case Reports in Dermatology)
Source: Case Reports in Dermatology - July 16, 2021 Category: Dermatology Source Type: research

Psoriasis, Vitiligo, and Biologic Therapy: Case Report and Narrative Review
Psoriasis and vitiligo are 2 multifactorial immune-mediated diseases, partially sharing pathogenetic underpinnings. Their coexistence in the same patient, although uncommon, is documented in the literature. Further, several cases of vitiligo induced by biological drugs in psoriatic patients are reported. However, improvements in psoriasis and pre-existing vitiligo after the introduction of biological therapy are also described. To date, anti-TNF-alpha is the most cited group of biological drugs that induce new-onset vitiligo or progression of pre-existence vitiligo in psoriatic patients. Even anti-IL-12/23 class would seem...
Source: Case Reports in Dermatology - July 16, 2021 Category: Dermatology Source Type: research

A Self-Limited Facial Rash in a Lupus Patient: The Case of Primary Facial Raynaud ’s Phenomenon
Skin is involved in 80% of systemic lupus erythematosus (SLE) and the second most affected after joint disease. Lupus-specific lesions include (a) acute ones viz. malar rash (80%), (b) subacute ones viz. photosensitive maculopapular dermatitis (50%), and (c) chronic ones viz. discoid rash. The lupus nonspecific lesions include; (a) nonscarring alopecia (86.67%), oral ulcers (56.67%), vasculitic lesions (33.34%), bullous lesions (10%), and Raynaud ’s phenomenon (6.67%). In this case report, we describe a patient with SLE and antiphospholipid antibodies that had developed a transient facial form of Raynaud’s phenomenon t...
Source: Case Reports in Dermatology - July 16, 2021 Category: Dermatology Source Type: research

Cercarial Dermatitis at Public Bathing Sites (Region Zealand, Denmark): A Case Series and Literature Review
During recent years, we have observed an increasing occurrence of cercarial dermatitis in Denmark. We here describe 5 new cases from 2019 to 2020 associated with bathing in lakes Esrum s ø, Furesø, and Ringen with emphasis on clinical symptoms and their relation to previous exposure to bird schistosome cercariae. In 2020, 2 patients from Furesø suffered from different severity of clinical symptoms after morning bathing in the same lake. We suggest that the differential symptoms m ay be explained by primary versus secondary exposure to the immunogenic pathogen.Case Rep Dermatol 2021;13:360 –365 (Source: Case Reports in Dermatology)
Source: Case Reports in Dermatology - July 16, 2021 Category: Dermatology Source Type: research

Supraclavicular Scrofuloderma: A Diagnostic Challenge without Apparent Clinical Manifestations of Tuberculosis
Scrofuloderma is one of the cutaneous manifestations of tuberculosis and usually occurs when underlying tuberculosis such as lymphadenitis directly involves the skin. However, the diagnosis of scrofuloderma without other apparent clinical manifestations of tuberculosis is sometimes challenging. A 27-year-old male from Bangladesh presented with a dome-shaped tumor on his right clavicle. MRI showed a high-density area that expanded from the lymph nodes between the internal jugular vein and the common carotid artery into the tumor on his right clavicle. Bacterial examinations of cultures from the tumor detectedMycobacterium t...
Source: Case Reports in Dermatology - July 13, 2021 Category: Dermatology Source Type: research

Recurrent Auricular Pseudocyst: Successful Treatment Using a Dental Silicon Cast
Auricular pseudocysts (APs) are benign intercartilaginous cysts at the auricle. Various therapeutic options have been used to treat APs, but they frequently recur in usual clinical practice. Here, we report a case of AP successfully treated using a silicon cast. A 65-year-old male presented with a cyst on his right auricle. Although a local injection of steroid was administered, the cyst had recurred. A dental silicon cast was applied after removal of the contents of the cyst by suction. There was no recurrence of the cyst 6 years after that treatment. Dental silicon casts are a novel technique for an appropriate fixation ...
Source: Case Reports in Dermatology - July 9, 2021 Category: Dermatology Source Type: research

Tine а Corporis with Trichophyton Rubrum Mimicking a Flare-Up of Psoriasis UnderTreatment with IL17-Inhibitor Ixekizumab
Biologics, as IL17 inhibitors, are frequently prescribed for moderate to severe plaque psoriasis. Although mucocutaneous candida infections are a well-known side effect of IL-17 inhibitors, there is no data about dermatophyte infection under this therapy. Generalized tinea corporis can mimic the clinical picture of psoriasis, especially if concomitant treatment with topical corticosteroids is used. Therefore, physician should be aware of this differential diagnosis if they suspect a loss of efficacy of IL-17-inhibitors with a flare-up of psoriasis.Case Rep Dermatol 2021;13:347 –351 (Source: Case Reports in Dermatology)
Source: Case Reports in Dermatology - July 9, 2021 Category: Dermatology Source Type: research

Removal of Common Warts by High-Intensity Focused Ultrasound: An Introductory Observation
Therapies of common warts are cumbersome and not very effective. Recurrences are common. A new 20 MHz high-intensity focused ultrasound (HIFU) method is introduced as a new potential treatment modality. With HIFU, selected targets in the epidermis and dermis can be treated with full control of the depth and position of the ultrasound lesion and the energy applied to the target. The treatment can be monitored directly in real-time via an integrated dermoscope in the ultrasound probe. Two warts were treated with 8 –10 shoulder-by-shoulder treatment doses, focal depth 1.3 mm, and 1.2 J/dose. Pretreatment ultrasound B-mode s...
Source: Case Reports in Dermatology - July 9, 2021 Category: Dermatology Source Type: research

Atopic Dermatitis as a Paradoxical Effect of Secukinumab for the Treatment of Psoriasis
We describe a case of a paradoxical reaction, with the appearance of atopic dermatitis, after using secukinumab to treat psoriasis.Case Rep Dermatol 2020;13:336 –339 (Source: Case Reports in Dermatology)
Source: Case Reports in Dermatology - July 9, 2021 Category: Dermatology Source Type: research

Unilateral Nevoid Telangiectasia in a Healthy Man
We report the case of a healthy 26-year-old man presenting telangiectatic macules on the left thorax and arm since childhood. The main diagnostic hypothesis were unilateral nevoid telangiectasia (UNT), hereditary benign telangiectasia, atrial myxoma, segmental serpiginous angioma, circumscribed neviform angiokeratoma, and nevus vascularis mixtus. The diagnosis retained was UNT characterized by congenital or acquired telangiectasia distributed asymmetrically along the upper extremities, or the third or fourth cervical dermatomes. The congenital form is extremely rare, predominant in men, and persists in adulthood. The acqui...
Source: Case Reports in Dermatology - June 23, 2021 Category: Dermatology Source Type: research

Lupus Miliaris Disseminatus Faciei versus Granulomatous Rosacea: A Case Report
Lupus miliaris disseminatus faciei (LMDF) and granulomatous rosacea are 2 distinct inflammatory dermatoses with overlapping clinical features: reddish-yellow papular eruptions localized on the central face. Consequently, LMDF can easily be misdiagnosed as granulomatous rosacea or vice versa. Because delayed treatment in LMDF may increase chances of permanent scar formation, accurate diagnosis is important. We therefore analyzed published literature and case studies to organize the essential features differentiating LMDF from granulomatous rosacea. In addition, we report each case of LMDF and granulomatous rosacea for direc...
Source: Case Reports in Dermatology - June 21, 2021 Category: Dermatology Source Type: research

Laser Surgery of Extensive Homogeneous Oral Leukoplakia Histologically Suggestive of Proliferative Type: A Case Report
Oral leukoplakia (OL) has the potential for malignant transformation; unfortunately, there are no strategies to prevent this possible outcome. Surgical intervention has been reported to be effective in reducing but not eliminating the risk of malignant transformation. Meta-analyses have reported that patients who underwent excision of OL lesions had a significantly lower chance of malignant transformation than those whose lesions were not excised. The present study aimed to report a case of successful management of extensive OL using a high-power laser. The patient has been under periodic monitoring, and we aim to continue...
Source: Case Reports in Dermatology - June 21, 2021 Category: Dermatology Source Type: research