Verrucous tumor mimicking squamous cell carcinoma in immunocompetent patient.
Abstract Mycobacteria cause a range of diseases in both immunocompetent and immunosuppressed individuals. An increase in non-tuberculous mycobacterial (NTM) infections targeting skin has been described. Many hypotheses have been developed in order to explain it: the increasing burden of immunocompromised individuals, immigration from endemic countries, improved laboratory identification techniques, and changes inhuman behavior that expose individuals to this NTM. Mycobacterium mucogenicum group comprises M. mucogenicum, Mycobacterium aubagnense, and Mycobacterium phocaicum. This group of organisms was first named ...
Source: Dermatol Online J - June 10, 2016 Category: Dermatology Authors: Ruiz-Villaverde R, Sanchez-Cano D, Martinez-Peinado CM, Galan-Gutierrez M Tags: Dermatol Online J Source Type: research

Dapsone for treatment of erythema nodosum.
Abstract Erythema Nodosum (EN) is the most common form of septal panniculitis, with over 100 reported infectious, malignant, inflammatory, idiopathic, and autoimmune causes. PMID: 27267197 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - June 10, 2016 Category: Dermatology Authors: Song JS, Halim K, Vleugels RA, Merola JF Tags: Dermatol Online J Source Type: research

Multiple cutaneous lipomatous neurofibromas.
Abstract Cutaneous lipomatous neurofibroma is a rare variant of neurofibroma with a little known pathogenesis; its presence has never been described in Brazil. A 61- year-old woman complaining scalp papules for one year, presented with skin colored to yellowish papules on the scalp. She noted that they were sometimes itchy and occasionally bled. Dermoscopy showed amorphous material, milky white, with a small poorly delimited yellowish area. Histopathological examination revealed spindle cell proliferation associated with mature adipocytes. Cutaneous lipomatous neurofibroma appears to be an underdiagnosed condition...
Source: Dermatol Online J - June 10, 2016 Category: Dermatology Authors: Texeira MS, Duraes S, Pereira LA, Pantaleao L Tags: Dermatol Online J Source Type: research

Atypical rosacea in a male patient: case study.
We report the case of a 37-year-old man who presented with papulopustules, predominantly localized to his nose. Histopathological features were consistent with rosacea fulminans. The patient was managed with treatments including oral prednisolone, isotretinoin, and trimethioprim. PMID: 27267199 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - June 10, 2016 Category: Dermatology Authors: Debroy Kidambi A, Tiffin NJ, Ramsay HM Tags: Dermatol Online J Source Type: research

Antifungal agents for onychomycosis: new treatment strategies to improve safety.
This article provides the treating physician and pharmacist with information on the safety and effectiveness of current oral (allylamine, azole) and topical (ciclopirox, efinaconazole, tavaborole) treatment to aid in making informed treatment decisions based on the unique characteristics (medication history, comorbidities, nature of onychomycosis) of each patient. PMID: 27136621 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Zane LT, Chanda S, Coronado D, Del Rosso J Tags: Dermatol Online J Source Type: research

Reduction in pain scores and improvement in depressive symptoms in patients with hidradenitis suppurativa treated with adalimumab in a phase 2, randomized, placebo-controlled trial.
CONCLUSION: Patients with moderate to severe HS had a high degree of pain and depressive symptoms at baseline. Adalimumabtherapy was associated with decreased pain and depressive symptoms compared to baseline. PMID: 27136622 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Scheinfeld N, Sundaram M, Teixeira H, Gu Y, Okun M Tags: Dermatol Online J Source Type: research

Pemphigus foliaceus exacerbated by radiation, in association with myasthenia gravis.
We present a case of a woman with a recent diagnosis of myasthenia gravis (MG), who was also recently treated with radiation therapy for breast cancer. The clinical exam, supported by biopsy and direct immunofluorescence, were consistent with PF. We present this case to increase the awareness of the potential exacerbation or induction of PF with radiation, and of the association of PF and myasthenia gravis. Only five prior cases of radiation-exacerbated or radiation-induced PF have been reported in the literature to date. Furthermore, the co-existence of the autoimmune entities of myasthenia gravis and PF has been reported...
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Liebman TN, Lieberman MR, Burris K Tags: Dermatol Online J Source Type: research

Tinea capitis in adults.
CONCLUSION: Because of a low index of suspicion for tinea capitis in adults with scaling and alopecia, diagnosis and appropriate treatment are often delayed. Resistance to treatment for seborrheic dermatitis or psoriasis should prompt a KOH, fungal culture orbiopsy to confirm the diagnosis of tinea capitis and initiate systemic antifungal agents. PMID: 27136624 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Auchus IC, Ward KM, Brodell RT, Brents MJ, Jackson JD Tags: Dermatol Online J Source Type: research

Molluscum contagiosum of the eyelid: case report in a man receiving methotrexate and literature review of molluscum contagiosum in patients who are immunosuppressed secondary to methotrexate or HIV infection.
CONCLUSION: Molluscum contagiosum is a benign viral papular eruption that frequently affects children and immunocompromised adults. Patients treated with immunosuppressive agents, such as methotrexate, have a heightened risk of developing molluscum contagiosum lesions. It remains to be determined whether adjunct therapy with a tumor necrosis factor alpha inhibitor increasesthe risk of this viral infection. Diagnosis can usually be established by clinical presentation, although a biopsy is sometimesrequired to exclude other conditions. Molluscum contagiosum is generally self-limiting and often resol...
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Beutler BD, Cohen PR Tags: Dermatol Online J Source Type: research

Severe pediculosis capitus: a case of "crusted lice" with autoeczematization.
We present a case of treatment-resistant pediculosis capitus resulting in diffuse autoeczematization of the torso and extremities and severe crusting and scaling of the scalp, which we called "crusted lice." This eruption differs from the well-described id reaction known as "pediculid" and represents a more dramatic manifestation of rampant infestation. This paper provides an up-to-date review of treatment options available for pediculosis humanus capitus, including newer medications like the ones that eventually led to resolution of our patient's extreme infestation. PMID: 27136626 [PubMed - as su...
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Connor CJ, Selby JC, Wanat KA Tags: Dermatol Online J Source Type: research

Mercury toxicity presenting as acrodynia and a papulovesicular eruption in a 5-year-old girl.
We present a case of acrodynia caused by mercury exposure in a previously healthy 5-year-old girl who developed hypertension, palmoplantar pruritus, and a papulovesicular eruption. PMID: 27136627 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Lai O, Parsi KK, Wu D, Konia TH, Younts A, Sinha N, McNelis A, Sharon VR Tags: Dermatol Online J Source Type: research

Evaluating Dermatology Residency Program Websites.
CONCLUSIONS: A majority of dermatology residency websites contained adequate information on many of the factors we evaluated. However, many were lacking in areas that matter to applicants. We hope this report will encourage dermatology residencyprograms to improve their websites and provide adequate content to attract the top residents for their respective programs. PMID: 27136628 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Ashack KA, Burton KA, Soh JM, Lanoue J, Boyd AH, Milford EE, Dunnick C, Dellavalle RP Tags: Dermatol Online J Source Type: research

Vestibular papillomatosis: An important differential diagnosis of vulvar papillomas.
We present a patient with VP. Dermoscopy and reflectance confocal microscopy (RCM) were performed to differentiate VP from other papilomatous diseases of the vulva. PMID: 27136629 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Ozkur E, Falay T, Turgut Erdemir AV, Gurel MS, Leblebici C Tags: Dermatol Online J Source Type: research

Generalized acquired cutis laxa type 1: a case report and brief review of literature.
We report a case of generalized acquired cutis laxa type 1 in a young man following pruritic urticarial plaques. We have done a brief review of literature. PMID: 27136630 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Kumar P, Savant SS, Das A Tags: Dermatol Online J Source Type: research

Two small yellowish papules in a 1 year-old boy: cutaneous leishmaniasis.
CONCLUSION: Cutaneous leishmaniasis treatment is difficult to standardize; treatment options in children include wound careand watchful waiting,  intralesional pentavalent antimonials, topical paramomycin, or oral miltefosine. PMID: 27136631 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Noguera-Morel L, Azorin D, Xirotagaros G Tags: Dermatol Online J Source Type: research

Isotretinoin therapy for the treatment of acne in patients with cystic fibrosis: a case series and review of the literature.
We describe two patients with CF treated with isotretinoin from our clinic and also provide a literature review of 11 similar cases. We describe patient outcomes, common complications, and the risks for severe adverse effects. MATERIALS AND METHODS: The clinical courses of two patients with CF who were treated with isotretinoin for moderate-severe acne are presented. Using PubMed, we analyzed previous case reports of patients with CF who were prescribed isotretinoin and review complications associated with systemic retinoids. RESULTS: Based on a synthesis of the literature and our own exp...
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Bari O, Paravar T Tags: Dermatol Online J Source Type: research

Correspondence: The association between morphea profunda and monoclonal gammopathy: A case series.
In conclusion, the association of monoclonal gammopathy is not unique to eosinophilic fasciitis and scleromyxedema. Further studies are necessary to characterize further the relationship between the two conditions. PMID: 27136633 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Endo J, Strickland N, Grewal S, Vandergriff T, Keenan T, Longley BJ, Jacobe H Tags: Dermatol Online J Source Type: research

Lichen planus-like drug reaction associated with recombinant human growth hormone therapy in a child patient with Turner syndrome.
We describe the first case of a TS patient who presented with a clinical picture compatible with oral and palmoplantar lichen planus-like reaction during RHGH therapy; spontaneous remission occurred after therapy suspension. PMID: 27136634 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Soares MQ, Mendonca EF Tags: Dermatol Online J Source Type: research

Innovative use of chemodenervation in the treatment of postoperative genital hyperhidrosis-like symptoms.
We present a unique but similar case of aberrant nerve regeneration and resulting hypersecretion that emerged 6-7 months following perineoplasty and labial reduction for lichen sclerosus in a 53-year-old woman. An exhaustive investigation ruled out genitourinary causes of her symptoms. Pads, tampons, and surgical procedures provided no relief. We propose that the mechanism of her excessive watery secretions is similar to that which causes Frey syndrome: iatrogenic damage to nerves that aberrantly regenerate to innervate local structures involved in secretory control. The parallels between our patient's condition and Frey s...
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Stiegel KR, Bahrani E, Markus RF Tags: Dermatol Online J Source Type: research

Adult with morbilliform rash and tattoo bullae.
Abstract A 34-year-old woman was diagnosed with Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS), most likelyrelated to a reaction to allopurinol.The patient presented with a 2-week history of a painful pruritic rash that started on her back and progressed to the rest of her body over a five-day period. The eruption started after several new drugs were started, including allopurinol for hyperuricemia. On physical examination, the patient had a diffuse morbilliform eruption and geometric intact bullae limited to the boundaries of tattoos.Most presentations of DRESS include a mo...
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Borok J, Hau J, Worswick S Tags: Dermatol Online J Source Type: research

Cutaneous metastatic pigmented breast carcinoma.
Abstract A 66-year-old woman presented with a 3 cm black, ulcerated nodule located on the skin of the upper abdomen, just below the breast. The lesion was painful to the touch, but the patient reported no other associated symptoms and was otherwise healthy. A 4-mm punch biopsy of the affected skin was obtained and the histological diagnosis was cutaneous metastatic pigmented breast carcinoma. PMID: 27136637 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Gaitan-Gaona F, Said MC, Valdes-Rodriguez R Tags: Dermatol Online J Source Type: research

Localized bullous eruption in a patient with anasarca.
Abstract The diagnosis of bullae can be a challenge. The proper diagnosis and prompt treatment is mandatory because most of these diseases are associated with a significant degree of morbidity. The authors present the case of a 76-year-old woman admitted for treatment of anasarca. She also exhibited a bullous eruption localized to the right upper limb. PMID: 27136638 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Bernardes Filho F, Kac BK Tags: Dermatol Online J Source Type: research

Triangular temporal alopecia: a rare case in adulthood.
Abstract Triangular temporal alopecia (TTA) is an asymptomatic, circumscribed, non-scarring form of alopecia that affects the temporal scalp. Although TTA is most often seen between ages two and nine, the condition has rarely been described in adults. If unrecognized, adulthood TTA can be misdiagnosed, leading to unnecessary steroid treatment. This case report describes TTA in an adult woman who had no prior history of alopecia. It also reviews the existing TTA literature, describing the diagnosis and management of this condition. PMID: 27136639 [PubMed - as supplied by publisher] (Source: Dermatol Online J)
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Jutla S, Patel V, Rajpara A Tags: Dermatol Online J Source Type: research

Pressure to publish for residency applicants in dermatology.
Abstract As it grows increasingly difficult to match into a dermatology residency program each year, there is a widening gap in research accomplishments between those who have and have not matched successfully. Applicants should be aware of the current trends in order to maximize their chances of matching. Such research inequality may subsequently lead to increases in the pressure to publish and the incidence of academic misrepresentation. Academic dermatology programs should be aware of these issues in order to help their students successfully match and exercise caution when reviewing the curricula vitae of appli...
Source: Dermatol Online J - May 4, 2016 Category: Dermatology Authors: Wang JV, Keller M Tags: Dermatol Online J Source Type: research

A 10-year review of outpatient skin biopsy results and skin cancer subtypes.
Abstract The results of skin biopsies over a 10 year period were reviewed from the outpatient dermatology clinic at the Brody School of Medicine in Greenville, North Carolina. This research was conducted because there are very few studies that characterize this information over a long-term horizon. The biopsy rate per patient encounter, the clinical reason for the biopsy, the biopsy outcomes, the distribution of cutaneous malignancies per encounter, and the distribution of the subtypes of basal cell carcinoma, squamous cell carcinoma, and melanoma were analyzed. Biopsy logs from January 1, 2001 to December 31, 201...
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: DeMarco SS, Vos P, Green H, Defazio J, Davis N, Fiz L, Phillips C Tags: Dermatol Online J Source Type: research

Prevalence of osteoma cutis in the maxillofacial region and classification of its radiographic pattern in cone beam CT.
CONCLUSION: According to the radiographic views, osteoma cutis may be categorized into single nodular, single or multiple plate- like, deep, and multiple disseminated forms. Of the mentioned radiogarphic patterns, the multiple disseminated form (miliary) hada higher prevalence in our study. CBCT images enable accurate evaluation of the nature and frequency of osteoma cutis. PMID: 26990467 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Safi Y, Valizadeh S, Vasegh S, Aghdasi MM, Shamloo N, Azizi Z Tags: Dermatol Online J Source Type: research

Poikiloderma-like cutaneous amyloidosis - a rare presentation of primary localized cutaneous amyloidosis.
We present a case of a 62-year-old man who presented with the features of poikiloderma-like cutaneous amyloidosis. Diagnosis of this unique condition is a challenge and a skin biopsy is necessary in such instances. A discussion of the differential diagnosis of this condition is also included. PMID: 26990468 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Heng JK, Ho SA, Tan KB Tags: Dermatol Online J Source Type: research

Cyclosporine-induced sebaceous hyperplasia in a hematopoetic stem cell transplant patient: delayed onset of a common adverse event.
Abstract Cyclosporine-induced sebaceous hyperplasia (SH) is a well-documented entity, occurring in up to 30% of renal transplant patients treated with cyclosporine and has also been reported to occur following heart or hematopoetic stem cell transplantation (HCST). Cyclosporine has a stimulatory effect on undifferentiated sebocytes, resulting in the clinical and histologic findings in these patients. Sebaceous hyperplasia most commonly presents as asymptomatic papules over the face, chest, or groin. Herein we describe a case of a 27-year-old man who developed facial sebaceous hyperplasia five months after completi...
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Wilken R, Fung MA, Shi VY, Cheng MY, Patel F, Sultani H, Maverakis E Tags: Dermatol Online J Source Type: research

Cutaneous Rosai-Dorfman Disease in a Patient with Human Immunodeficiency Virus.
We report an interesting case of cutaneous Rosai Dorfman disease in a patient with human immunodeficiency virus (HIV). PMID: 26990470 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Elbuluk N, Egbers R, Taube JM, Wang TS Tags: Dermatol Online J Source Type: research

Concomitant pemphigus vulgaris and pemphigoid gestationis: a case report and review of the literature.
Abstract Pemphigus and pemphigoid are two unique acquired immunobullous diseases with distinct clinical presentations, histological findings, and characteristic serology; they are rarely reported to coexist in the same patient. Herein we present a 29-year-old woman with a history of pemphigus vulgaris, diagnosed by histology and positive desmoglein-3 antibodies on ELISA. She presented to our clinic shortly after the delivery of her first child with tense vesicles and bullae on an erythematous base on her abdomen. Biopsy was consistent with pemphigoid gestationis and direct immunofluorescence confirmed the diagnosi...
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Vin H, Seyfer SJ, McClain CM, Hsu S Tags: Dermatol Online J Source Type: research

Disseminated Candida tropicalis presenting with Ecthyma-Gangrenosum-like Lesions.
We present a patient who developed disseminated Candida tropicalis that presented with hemorrhagic bullae that progressed to large necrotic ulcers. PMID: 26990472 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Beasley K, Panach K, Dominguez AR Tags: Dermatol Online J Source Type: research

Isolated benign primary cutaneous plasmacytosis in an adult Indian male.
We present a case of isolated benign PCP in a 45-year-old man, who clinically manifested with a localized ulcerated nodule overlying a hyperpigmented plaque on the upper back. To the best of our knowledge, PCP from India has not been described before. PMID: 26990473 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Khullar G, Narang T, De D, Chougule A, Handa S Tags: Dermatol Online J Source Type: research

Multifocal extramammary Paget's disease-associated adenocarcinoma: a rare condition of flexoral skin of multiple sites.
We present a case of triple extramammary Paget disease of the groin and bilateral axillae in a diabetic patient whose axillary lesions appeared consistent with acanthosis nigricans. This case demonstrates the need to consider EMPD in the evaluation of acanthosis of the axilla given its ability to mimic more common conditions. PMID: 26990474 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Wolf K, Stewart L, Rapini R, Mutyambizi K Tags: Dermatol Online J Source Type: research

Scurvy in the present times: vitamin c allergy leading to strict fast food diet.
Abstract Scurvy results from a deficiency of vitamin C, a nutrient otherwise known as ascorbic acid. Today, scurvy is rare yet emerges inselect patients. The patient reported herein developed scurvy secondary to deliberate avoidance of vitamin C-rich foods. Classic cutaneous manifestations of scurvy include follicular hyperkeratosis and perifollicular hemorrhage encompassing coiled "corkscrew" hairs and hairs bent into "swan-neck" deformities. Ecchymoses, purpura, and petechiae are also characteristically prominent. Classic oral abnormalities include erythematous, swoll...
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Shaath T, Fischer R, Goeser M, Rajpara A, Aires D Tags: Dermatol Online J Source Type: research

Adenocarcinoma of the colon presenting with scrotal metastasis: case report and review of the literature.
CONCLUSION: Scrotal metastases from carcinoma of the colon or rectum may be the initial presentation of malignancy or herald the discovery of recurrent disease. The morphology of the metastatic tumor is variable: papules, nodules and/or sclerosis. The development of scrotal metastases from colon or rectal carcinoma portends a poor prognosis. Most of the patients succumb to theirmetastatic disease within a year. PMID: 26990476 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Udkoff J, Cohen PR Tags: Dermatol Online J Source Type: research

Follicularly-based papules on the thigh of a young woman.
We present a case of a 29-year-old woman who presented with an atypical follicularly-based eruption localized to her inner thigh with an associated pain in her lower back and inner thigh prior to the papular eruption. She was successfully treated with valacyclovir 1,000 mg three times daily with no complications. PMID: 26990477 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Brahmbhatt S, Wu PA, Zimarowski MJ, Burgin S Tags: Dermatol Online J Source Type: research

A unexpected growth arising within nevus sebaceous of Jadassohn.
We present an interesting case of a hidradenoma and sebaceoma arising within a nevus sebaceous and present a literature review of the 2 conditions. Even though hidradenoma is a benign tumor, we would advocate complete excision given the potential for malignant transformation. PMID: 26990478 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Chan SA, Hejmadi R, Webster K, Kaur MR Tags: Dermatol Online J Source Type: research

Giant molluscum contagiosum presenting as lid neoplasm in an immunocompetent child.
Abstract A three-year-old boy presented to our oculoplastic clinic with complaints of painless gradually increasing right upper lid mass for the last 6 months. On examination a firm mass measuring roughly 1x1 cm was present on the upper lid. The mass was non tender with fine superficial vessels running over it. A differential diagnosis of epidermoid cyst, vascular malformation, pilomatrixoma, and juvenile xanthogranuloma was considered. The patient underwent excisional biopsy of the mass. On gross examination the mass had a brain like appearance. Histopathological examination confirmed the diagnosis of molluscum c...
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Alam MS, Shrirao N Tags: Dermatol Online J Source Type: research

Radiation-induced localized bullous pemphigoid in a patient with breast carcinoma.
We present a patient with an unusual presentation of localized BP after receiving partial accelerated breast irradiation (a type of brachytherapy that has a decreased amount of radiation to the skin as compared to the more common external beam radiation therapy). PMID: 26990480 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Campa M, Mansouri B, Wilcox B, Griffin JR Tags: Dermatol Online J Source Type: research

Methotrexate-induced necrolysis in tumoral-stage mycosis fungoides: a challenging diagnosis.
We report an additional patient with erythrodermic mycosis fungoides who developed cutaneous ulcerations as a sole manifestation of methotrexate toxicity. PMID: 26990481 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Mna AB, Souissi A, Halouani S, El Euch D, Zahani A, Kchir N, Zaraa I, Mokni M Tags: Dermatol Online J Source Type: research

C-Kit non-mutated metastatic melanoma showing positive response to Nilotinib.
We report a case of non-kit mutated metastatic vaginal melanoma showing impressive response to nilotinib. PMID: 26990482 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - March 20, 2016 Category: Dermatology Authors: Alkeraye S, Dadban A, Lok C, Arnault JP, Chaby G Tags: Dermatol Online J Source Type: research

Review of digital image security in Dermatology.
We present a review of the use of smartphones in dermatology and address the potential lack of security and accompanying ethical dilemmas. PMID: 26632792 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - December 5, 2015 Category: Dermatology Authors: Nielson C, West C, Shimizu I Tags: Dermatol Online J Source Type: research

Increased severity of itching, pain, and scaling in psoriasis patients is associated with increased disease severity, reduced quality of life, and reduced work productivity.
CONCLUSIONS: Among the patients studied, increased severity of psoriasis-related itching, pain, and scaling was associated with reduced health-related QoL and work productivity. PMID: 26632793 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - December 5, 2015 Category: Dermatology Authors: Korman NJ, Zhao Y, Pike J, Roberts J, Sullivan E Tags: Dermatol Online J Source Type: research

A national survey of residents in combined Internal Medicine and Dermatology residency programs: educational experience and future plans.
CONCLUSIONS AND RELEVANCE: Med/derm residents have stronger interests in serving medically complex patients. Categorical residents are more likely to have a positive experience during residency. Future work will be needed to ascertain career choices among graduates once data are available. PMID: 26632794 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - December 5, 2015 Category: Dermatology Authors: Mostaghimi A, Wanat K, Crotty BH, Rosenbach M Tags: Dermatol Online J Source Type: research

IgM ocular cicatricial pemphigoid: a unique insight into the immune system.
Abstract A 42-year-old man with ocular erythema and scarring had a conjunctival biopsy revealing depostion of IgM and C3 without IgG at the epithelial basement membrane zone.  Treatment with doxycyline, dapsone, and mycophenolate mofetil was unsuccessful and treatment with rituximab has led to partial remission of the conjunctival inflammation. He has undergone 4 cycles of rituximab treatment at intervals of 12 to 18 months. PMID: 26632795 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - December 5, 2015 Category: Dermatology Authors: Tazudeen N, Au S, Pewitt J, Tu E, Aronson IK Tags: Dermatol Online J Source Type: research

Scalp necrosis overlying a ventriculoperitoneal shunt: a case report and literature review.
CONCLUSION: VP shunts are devices that are frequently used for reducing intracranial pressure associated with hydrocephalus. The insertion of the shunt beneath the scalp sets the stage for potential pressure-induced scalp necrosis. The early recognition and diagnosis of VP shunt-induced scalp necrosis is essential to prevent infections and future complications. PMID: 26632796 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - December 5, 2015 Category: Dermatology Authors: Nguyen TA, Cohen PR Tags: Dermatol Online J Source Type: research

A case of Kaposi sarcoma in an immunocompetent, heterosexual Irish man: a discussion of etiology and viral transmission.
We report a case of an HIV-negative, immunocompetent heterosexual man who acquired KS via blood transfusion. A 77-year-old immunocompetent, monogamously heterosexual, HIV-negative Irish man presented with a biopsy-proven KS lesion on the right thigh. Past surgical history included a coronary artery bypass graft, during which he received a blood transfusion from an unknown donor source.  His ecchymotic KS lesions progressed while on doxycycline, intralesional vinblastine, and topical anti-angiogenic medications.  The patient eventually achieved stabilization of KS lesions with acitretin. Our case report emphasizes...
Source: Dermatol Online J - December 5, 2015 Category: Dermatology Authors: Florek AG, Eilers D, Armstrong AW Tags: Dermatol Online J Source Type: research

Infantile myofibroma: a firm, round plaque in an infant.
We describe a 14-month-old male who presented with multiple, enlarging, firm lesions on the shoulder. Biopsy revealed a proliferation of small spindle cells with myxoid and hyalinized stroma infiltrating into the superficial adipose tissue. We provide a brief review of the clinical presentation, histopathologic features, management and recent advances in our understanding of this rare condition. PMID: 26632798 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - December 5, 2015 Category: Dermatology Authors: Amano S, Halsey M, Yasuda M, O'Donnell P, Csikesz C Tags: Dermatol Online J Source Type: research

C-MYC positive angiosarcoma of skin and breast following MammoSite® treatment.
We report a 68-year-old woman who presented with a 2.5 cm violaceous plaque on the skin of the right breast and a 3 cm mixed mass of the same breast by ultrasound 9 years after MammoSite® balloon brachytherapy.  Biopsy of the skin lesion and the breast mass showed an infiltrating high grade angiosarcoma.  The tumor cells in the skin and breast showed immunohistochemical reactivity for C-MYC.  A total mastectomy confirmed the presence of high grade angiosarcoma in the skin and parenchyma of the breast and radiation changes in the breast parenchyma.  Surgical margins were considered negative.  Th...
Source: Dermatol Online J - December 5, 2015 Category: Dermatology Authors: Tidwell WJ, Haq J, Kozlowski KF, Googe PB Tags: Dermatol Online J Source Type: research

Graphite oral tattoo: case report.
We report a rare case of a graphite tattoo on the palate of a 62-year-old patient with a history of pencil injury, compare it with amalgam tattoos, and determine the prevalence of oral tattoos in our Oral Pathology Service. We also compare the clinical and histological findings of grafite and amalgam tattoos. Oral tattoos affect women more frequently in the region of the alveolar ridge. Graphite tattoos occur in younger patients when compared with the amalgam type. Histologically, amalgam lesions represent impregnation of the reticular fibers of vessels and nerves with silver, whereas in cases of graphite tattoos, this imp...
Source: Dermatol Online J - December 5, 2015 Category: Dermatology Authors: Moraes RM, Gouvêa Lima Gde M, Guilhermino M, Vieira MS, Carvalho YR, Anbinder AL Tags: Dermatol Online J Source Type: research