Acute generalized exanthematous pustulosis due to dextromethorphan.
We report a case in which a patient developed AGEP after the intake of 3 different antitussive agents containing dextromethorphan as the only ingredient in common. PMID: 24139370 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - October 23, 2013 Category: Dermatology Authors: Otero Rivas MM, Sanchez Sambucety P, Garcia-Ruiz de Morales JM, Perez Paredes G, Rodriguez Prieto MA Tags: Dermatol Online J Source Type: research

Indeterminate cell histiocytosis successfully treated with narrowband UVB.
We present a 47-year-old man with a sudden eruption of more than 100 reddish-brown papules, which histologically exhibited a dense dermal proliferation of large mononuclear cells with vesicular nuclei and abundant pale cytoplasm. Electron microscopy and immunohistochemistry revealed findings consistent with indeterminate cell histiocytosis and the patient responded well to treatment with narrowband UVB therapy. PMID: 24139371 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - October 23, 2013 Category: Dermatology Authors: Logemann N, Thomas B, Yetto T Tags: Dermatol Online J Source Type: research

Vestibular papillomatosis as a normal vulvar anatomical condition.
We present a case of VVP in which there was no histological or molecular evidence of HPV; unnecessary treatment should be avoided. PMID: 24139372 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - October 23, 2013 Category: Dermatology Authors: Diaz Gonzales JM, Martinez Luna E, Pena Romero A, Molina Hernandez A, Dominguez Cherit J Tags: Dermatol Online J Source Type: research

Cutaneous B-Cell Chronic Lymphocytic Leukaemia resembling a Granulomatous Rosacea.
Abstract B-cell chronic lymphocytic leukemia (B-CLL) is a low-grade lymphoproliferative disease. Cutaneous involvement of B-CLL is limited and, in most cases, it represents non-specific manifestations related to an impaired immune system. Leukemic skin infiltrates (leukemia cutis) occur in 4-20% of patients. Herein we report the case of a 65-year-old woman with B-CLL presenting with papular, nodular, and plaque skin infiltrates affecting the nose, mimicking granulomatous rosacea. We discuss several aspects of rare cutaneous manifestations of B-CLL involving the face. PMID: 24139373 [PubMed - in process] (Sour...
Source: Dermatol Online J - October 23, 2013 Category: Dermatology Authors: Di Meo N, Stinco G, Trevisan G Tags: Dermatol Online J Source Type: research

Cutaneous B-Cell Chronic Lymphocytic Leukaemia resembling a Granulomatous Rosacea.
Abstract B-cell chronic lymphocytic leukemia (B-CLL) is a low-grade lymphoproliferative disease. Cutaneous involvement of B-CLL is limited and, in most cases, it represents non-specific manifestations related to an impaired immune system. Leukemic skin infiltrates (leukemia cutis) occur in 4-20% of patients. Herein we report the case of a 65-year-old woman with B-CLL presenting with papular, nodular, and plaque skin infiltrates affecting the nose, mimicking granulomatous rosacea. We discuss several aspects of rare cutaneous manifestations of B-CLL involving the face. PMID: 24139374 [PubMed - in process] (Sour...
Source: Dermatol Online J - October 23, 2013 Category: Dermatology Authors: Di Meo N, Stinco G, Trevisan G Tags: Dermatol Online J Source Type: research

A metastatic cancer to skin in an otherwise asymptomatic young man: an unusual presentation.
We present a very unusual case of a 33 year-old seemingly healthy man with a sudden and rapidly enlarging skin lesion that was diagnosed as a skin metastasis of his visceral malignancy. Abdominopelvic CT scan revealed thickening of the anterior wall of the urinary bladder and the fundus and body of the stomach. Skin biopsy histopathological findings were suggestive of poorly differentiated metastatic carcinoma. The origin of the primary carcinoma was bladder adenocarcinoma or/and gastric adenocarcinoma, but the tumor was so poorly differentiated that the original source of the tumor could not be defined with certainty. ...
Source: Dermatol Online J - October 23, 2013 Category: Dermatology Authors: Salmanpoor R, Saki N, Sepaskhah M, Aslani FS, Kardeh B Tags: Dermatol Online J Source Type: research

Onychomadesis following childhood hand-foot-mouth disease in two pairs of siblings- a familial predisposition?
Abstract Onychomadesis is presented in four patients as a result of hand-foot-mouth disease. PMID: 24139376 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - October 23, 2013 Category: Dermatology Authors: Tay L, Lee SJ Tags: Dermatol Online J Source Type: research

Childhood sarcoidosis: diagnostic issues.
We present a case of late childhood sarcoidosis of the skin, lungs, and bones demonstrating granulomas with fibrinoid necrosis, making distinction from tuberculosis difficult. PMID: 24139377 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - October 23, 2013 Category: Dermatology Authors: El Sayed F, Torbey G, Youssef H, Chababi M Tags: Dermatol Online J Source Type: research

Mycobacterium porferae infection in a psoriasis patient on anti-tnf-a therapy.
Abstract Psoriasis is a chronic, auto-inflammatory disease affecting millions of individuals worldwide. In addition to classic cutaneous manifestations, the condition is linked to significant co-morbidities including cardiovascular disease, metabolic syndrome, melanoma and non-melanoma skin cancer, and psychiatric disease [1,2]. Therefore, more aggressive treatment and multi-disciplinary care is critical. Measures of disease burden (quantified by anatomic location, body surface area (BSA) of involvement, and impact on daily life) assist in determining the severity of disease and have been integral in objective ass...
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Laquer V, Ta T, Nguyen T, Tan B Tags: Dermatol Online J Source Type: research

Malignant combined squamomelanocytic tumor: a clinical case.
We describe herein an 83 year-old man who was discovered to have this combined tumor and recommend the appropriate management for such a lesion. PMID: 24050285 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Wong D, Irimies A, Shkrum M, Joseph MG Tags: Dermatol Online J Source Type: research

Lasers and photodynamic therapy in the treatment of onychomycosis: a review of the literature.
Abstract Onychomycosis is a widespread problem. Oral antifungal medications are currently the gold standard of care, but treatment failure is common and oral therapy is contraindicated in many cases. There is a need for effective treatment without the systemic complications posed by oral therapy. Laser and photodynamic therapy may have the potential to treat onychomycosis locally without adverse systemic effects; some small studies have even reported achieving clinical and mycologic cure. However, there is reason for restraint; these therapies are expensive and time-consuming. Furthermore, they may not be covered ...
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Becker C, Bershow A Tags: Dermatol Online J Source Type: research

A bruise-like patch in a 4-year-old girl.
We describe an interesting case of a 4- year-old girl diagnosed with DFSP. She underwent a modified MMS procedure in which she had two short general anesthetics. The advantage of MMS technique in which the full peripheral and deep margin of the specimen was examined. PMID: 24050287 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Lau YN, Affleck AG, Edwards SL, Hogg F, Laube S Tags: Dermatol Online J Source Type: research

Generalized acanthosis nigricans without systemic disease associated.
Abstract Acanthosis nigricans (OMIM ID % 100600) is a dermatosis characterized by velvety hyperpigmentation, skin thickening, and papillomatosis. It mainly affects flexural areas. In most cases, the generalized form is related to malignancy in adults; it is rarely reported in the absence of systemic disease in children and adolescents. The present report is aimed at describing an unusual case of generalized acanthosis nigricans in a 17 year-old patient, in which, after extensive investigation (clinical, laboratorial and by imaging methods) no association with systemic disease was found. PMID: 24050288 [PubMed...
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Denadai R, Souto RM, Auada-Souto MP Tags: Dermatol Online J Source Type: research

Uncorrectable Ptosis: Primary Cutaneous Signet-ring Cell Carcinoma.
Abstract Primary cutaneous signet-ring cell carcinoma (PCSRCC) is a rare but aggressive tumor. Our case highlights a 60-year-old man who presented with eyelid ptosis, for which he underwent multiple surgical procedures over a 3-year period prior to referral to our clinic. These procedures were complicated by scarring, delayed healing, and poor cosmetic outcome. In addition, the patient was noted to develop progressive enophthalmos. These concerning signs led to a CT scan and subsequent eyelid biopsy, which revealed a diagnosis of PCSRCC. Further management has involved an MRI and orbitotomy with biopsy revealing w...
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Hansen MS, Chi SL, Cummings T, Woodward JA Tags: Dermatol Online J Source Type: research

Calciphylaxis treated with sodium thiosulfate: report of two cases.
Abstract Although traditionally observed in patients with end-stage renal disease and secondary hyperparathyroidism, calciphylaxis has been reported in patients with normal renal and parathyroid function. There is no evidence-based therapy available. The use of sodium thiosulfate (STS) has been increasingly described. Herein we describe two patients who responded well to this treatment. PMID: 24050290 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Garcia CP, Roson E, Peon G, Abalde MT, De La Torre C Tags: Dermatol Online J Source Type: research

Solitary erythematous, tender plaque of the heel in a young infant.
We report a case of calcinosis cutis of the heel in which both the extravasation of a calcium gluconate infusion and renal failure could have promoted the development of calcinosis cutis. PMID: 24050291 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Vaccari S, Ismaili A, Barisani A, Neri I, Patrizi A Tags: Dermatol Online J Source Type: research

Preterm infant with a late presentation of blueberry muffin lesions secondary to recombinant erythropoietin.
Abstract Our patient is a 26-week-old preterm female infant delivered by caesarean section secondary to severe maternal preeclampsia who had been receiving subcutaneous recombinant erythropoietin (r-EPO) for anemia of prematurity. At 8 weeks of age after 8 doses of r-EPO, the infant developed numerous non-blanching erythematous macules and patches located on the back, posterior shoulder, and posterior arms, concerning for late-onset blueberry muffin lesions. Biopsy of the lesions confirmed dermal hematopoiesis. After r-EPO was discontinued all skin lesions gradually resolved over a period of 2 weeks and never recu...
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Rajpara A, Blackmon J, Laarman R, Skaggs R, Liolios A, Lui D, Fraga G Tags: Dermatol Online J Source Type: research

A case of glyburide-induced leukocytoclastic vasculitis.
Conclusions: This case highlights a rarely reported cutaneous adverse reaction to the commonly used diabetic medication, glyburide. Physicians should consider cutaneous vasculitis as a potential side effect of glyburide. Abbreviations: LCV (Leukocytoclastic vasculitis), c-ANCA (centrally accentuated anti-neutrophilic cytoplasmic antibody), p-ANCA (Perinuclear anti-neutrophilic cytoplasmic antibody), anti-TNF-alpha (anti-tumor necrosis factor alpha). PMID: 24050293 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Henley JK, Blackmon JA, Fraga GR, Rajpara A, Maz M Tags: Dermatol Online J Source Type: research

Syringocystadenocarcinoma papilliferum: a rare tumor with a favorable prognosis.
Abstract Syringocystadenocarcinoma papilliferum (SCACP) is a rare adenexal carcinoma with only 21 cases reported in the literature. Most patients describe a long-standing mass with recent change, supporting the idea that SCACP arises from malignant transformation of pre-existing syringocystadenoma papilliferum (SCAP). Syringocystadenocarcinoma papilliferum is generally treated with wide surgical excision of the lesion and patients do exceeding well and require no systemic therapy. PMID: 24050294 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Peterson J, Tefft K, Blackmon J, Rajpara A, Fraga G Tags: Dermatol Online J Source Type: research

Umbilicated nodule over eyebrow.
Abstract Trichofolliculoma is a pilosebaceous follicle hamartoma in which several hairs are formed within single pilosebaceous unit and protrude out of single orifice. Herein we report a 45-year-old woman with a trichofolliculoma of the eyebrow. PMID: 24050295 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Singh N, Kumar N, Chandrashekar L, Thappa DM, Kar R, Srinivas BH Tags: Dermatol Online J Source Type: research

Clinical characteristics and awareness of skin cancer in Hispanic patients.
Abstract Skin cancer in darker skin is associated with considerable morbidity and mortality. We sought to assess the clinical characteristics of cutaneous malignancy amongst Hispanic skin cancer patients and compare them to age-matched non-Hispanic Caucasians. In this retrospective study, 150 Hispanic skin cancer patients were identified from electronic medical records and age-matched to 150 non-Hispanic Caucasian controls with skin cancer. The incidence of actinic keratoses (AKs) in Hispanic skin cancer patients (34.0%) was statistically lower than age-matched non-Hispanic Caucasian skin cancer controls (61.3%, P
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Javed S, Javed SA, Mays RM, Tyring SK Tags: Dermatol Online J Source Type: research

A case of microscopic polyangiitis with skin manifestations in a seven-year-old girl.
Abstract A case of a 7-year-old girl with microscopic polyangiitis (MPA) with a skin eruption characterized by maculopapular, erythematous and purpuric lesions on the face, elbows, and knees is presented. Anti-neutrophil cytoplasmic autoantibodies (ANCA) with myeloperoxidase specificity (MPO-ANCA) were identified. Chest X-ray and computed tomography scan revealed diffuse infiltrates in both lung fields, suggesting alveolar hemorrhage. Microscopic hematuria was detected but a renal biopsy showed no abnormalities. Histological examination of a skin biopsy from a purpuric papule showed leukocytoclastic vasculitis of ...
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Yamada Y, Kitagawa C, Kamioka I, Chen KR, Oka M Tags: Dermatol Online J Source Type: research

Bilateral and symmetrical tinea mammae.
Abstract Tinea corporis has rarely been reported in some locations such as on the breast skin as unilaterally. Herein, we present a case of bilateral tinea mammae, which has not been reported before in English language literature to our knowledge. PMID: 24050298 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Yilmaz M, Kavak A, Yamaner NJ Tags: Dermatol Online J Source Type: research

Congenital agminated segmental nevi of the chest.
We describe a rare case of congenital agminated segmental nevi on the chest. PMID: 24050299 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 26, 2013 Category: Dermatology Authors: Ezra N, Haggstrom A Tags: Dermatol Online J Source Type: research

Hidradenitis suppurativa: A practical review of possible medical treatments based on over 350 hidradenitis patients.
This article centers on medical therapies and will only passingly mention surgical and laser treatments. This article summarizes my treatment experience with over 350 HS patients. PMID: 24021361 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Scheinfeld N Tags: Dermatol Online J Source Type: research

Epidermodysplasia verruciformis associated with HPV 10.
Abstract Epidermodysplasia verruciformis (EV) is a rare, inherited dermatologic condition demonstrating an increased susceptibility to specific HPV genotypes, resulting in both benign and malignant skin lesions. Epidermodysplasia verruciformis lesions are frequently described as pityriasis versicolor-like scaly macules, flat wart-like papules, or verrucous and seborrhic keratosis-like papules and plaques. Acquired EV has been described in patients with HIV and in those who are on immunosuppressive therapy. We discuss a patient with congenital EV who presents with skin lesions associated with HPV 10, a less frequen...
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Zahir A, Craig L, Rady P, Tyring S, Ehrlich A Tags: Dermatol Online J Source Type: research

Perianal and periumbilical dermatitis: Report of a woman with group G streptococcal infection and review of perianal and periumbilical dermatoses.
CONCLUSIONS: Our patient expands on the clinical presentation typical of streptococcal dermatitis. We describe a rare occurrence of an adult woman infected with non-group A Streptococcus. Several conditions can mimic the presentation of perianal streptococcal dermatitis. Although rare, group G Streptococcus should be considered in the setting of virulent infections usually attributed to group A species. Streptococcal dermatitis can be added to the list of conditions affecting the umbilicus. PMID: 24021363 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Kallini JR, Cohen PR Tags: Dermatol Online J Source Type: research

A case of Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) related to rufinamide.
We report the first case of DRESS related to rufinamide in a ten year old boy with a history of a complex seizure disorder. PMID: 24021364 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Shahbaz S, Sivamani R, Konia T, Burrall B Tags: Dermatol Online J Source Type: research

Shiitake mushroom-induced flagellate erythema: A striking case and review of the literature.
We describe a 61-year-old Caucasian man who presented with a pruritic, erythematous eruption of multiple linear streaks on the trunk and extremities starting 1 day after eating raw shiitake mushrooms. His symptoms and skin lesions resolved with minimal hyperpigmentation within approximately 1 week after treating with topical steroids and oral antihistamines. Skin biopsy showed non-specific findings, including a sparse perivascular and interstitial dermatitis as well as focal vacuolar interface changes. Our case illustrates that this condition is a visibly striking dermatitis with a self-limited course. The pathomechanism o...
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Wang AS, Barr KL, Jagdeo J Tags: Dermatol Online J Source Type: research

Síndrome POPP: onicopaquidermoperiostite psoriásica [POPP syndrome: Psoriatic onychopachydermoperiostitis].
Síndrome POPP: onicopaquidermoperiostite psoriásica [POPP syndrome: Psoriatic onychopachydermoperiostitis]. Dermatol Online J. 2013;19(4):18175 Authors: Romiti R, Santos D, Carvalho J, Arnone M, Takahashi MD Abstract Psoriatic onychopachydermoperiostitis (POPP) syndrome characterizes a clinical variant of psoriatic arthritis originally described by Fournie et al in 1989. Both great toes are generally affected presenting with nail changes, painful swelling of the soft tissue close to the distal phalanx as well as specific radiologic changes such as periosteal reaction and bone erosions of the ...
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Romiti R, Santos D, Carvalho J, Arnone M, Takahashi MD Tags: Dermatol Online J Source Type: research

A case of Hansen Disease presenting as tinea versicolor.
We present a case of borderline/lepromatous leprosy in an otherwise healthy young Brazilian man that was initially diagnosed as tinea versicolor, but did not respond to appropriate treatment. This case highlights the importance of having a high index of suspicion for leprosy in patients from endemic areas who present with lesions that could be consistent with this disease. PMID: 24021367 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Yang S, Makredes M, O'Donnell P, Levin NA Tags: Dermatol Online J Source Type: research

Congenital subungual melanocytic nevus with a pseudo-Hutchinson sign.
We describe a 29-year-old woman with congenital melanonychia striata and compound nevus of the right first digit. There was extension of the hyperpigmentation onto the proximal nail fold, even beyond the borders established by the band of melanonychia striata. A dermal plaque with irregular borders and variegated pigmentation was also present over the distal digit extending from the pigmented region of the hyponychium. A limited number of biopsy proven congenital subungual melanocytic nevi have been reported in the literature. Interestingly, we found that the majority of these cases present with longitudinal melanonychia i...
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Goldminz AM, Wolpowitz D, Gottlieb AB, Krathen MS Tags: Dermatol Online J Source Type: research

Preradial myxedema in a euthyroid male: A distinct rarity.
We report a euthyroid man presenting with localized myxedema on the extensor surface of his forearm with clinical and histopathological features consistent with pretibial myxedema. He responded partially to topical clobetasol propionate cream and tacrolimus ointment 0.1 percent for about 7 months. To the best of our knowledge, this is the first case of preradial myxedema in a euthyroid patient in the English international dermatological literature. PMID: 24021369 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Verma S, Rongioletti F, Braun-Falco M, Ruzicka T Tags: Dermatol Online J Source Type: research

A case of nodular cutaneous amyloidosis and review of the literature.
We report a case of nodular cutaneous amyloidosis in an otherwise healthy 62-year-old woman and we review the literature. PMID: 24021370 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Konopinski JC, Seyfer SJ, Robbins KL, Hsu S Tags: Dermatol Online J Source Type: research

The longest faun tail forming dreadlocks with underlying spina bifida occulta.
We report a rare case of a very long faun tail, which was in the form of a 20 inch long tail originating from the lumbosacral area in a rhomboidal pattern, measuring 10 x 8 inches. The case is being reported for its rare presentation of a 20 inch long faun tail with underlying spina bifida occulta. PMID: 24021371 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Brar BK, Mahajan BB, Mittal J Tags: Dermatol Online J Source Type: research

Absceso bacteriano labial en paciente inmunocompetente [Bacterial lip abscess in an immunocompetent patient].
We report a necrotic and cavitated bacterial lip abscess caused by methicillin-sensitive Staphylococcus aureus in an immunocompetent male. PMID: 24021372 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Godoy-Gijón E, Pozo-de Dios JC, Román-Curto C Tags: Dermatol Online J Source Type: research

Cancellations and patient access to physicians: ZocDoc and the evolution of e-medicine.
CONCLUSION: The early returns of online appointment scheduling indicate that appointments made online are more likely to have lower non-attendance rates than appointments made through traditional means. PMID: 24021373 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Siddiqui Z, Rashid R Tags: Dermatol Online J Source Type: research

In vivo antinuclear antibodies of the skin: A rare phenomenon on direct immunofluorescence.
Abstract Detection of immunoglobulins in epidermal cell nuclei or in vivo antinuclear antibodies on direct immunoflorescence microscopy of skin biopsies is an easily detectable immunopathologic feature. It is an unusual, but not totally rare, occurrence in systemic connective tissue disorders. This positive epidermal nuclear reaction is found to be commonly associated with immunoglobulin G. PMID: 24021374 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Chhabra S, Arora SK, Minz RW, Dogra S Tags: Dermatol Online J Source Type: research

Vemurafenib-associated neutrophilic panniculitis: An emergent adverse effect of variable severity.
In this report, we describe a patient who developed asymptomatic nodules on her legs, with complete, spontaneous resolution, while on vemurafenib therapy. A causal relationship was considered likely because of the timing of occurrence and the absence of other potential causes after extensive assessment. Vemurafenib therapy was continued at full dosage and no recurrences were observed. We believe that management of lobular panniculitis associated with selective BRAF inhibitors should vary according to the clinical presentation, degree of systemic involvement, and presence of joint inflammation. Physicians should be aware of...
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Maldonado-Seral C, Berros-Fombella JP, Vivanco-Allende B, Coto-Segura P, Vazquez-Lopez F, Vperez-Oliva N Tags: Dermatol Online J Source Type: research

Blaschkoid lichen planus: Not a Koebner phenomenon.
Abstract Linear lichen planus (LP) is commonly seen as an effect of the koebner phenomenon and can occur in any site. However, LP in a whorl pattern along Blaschko lines is rarely mentioned in the literature. We highlight this rare form in a 32-year-old female with multiple hyperpigmented lesions with various patterns along the lines of Blaschko on the left side of the trunk. The clinical and histological findings were suggestive of LP. PMID: 24021376 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Lade NR, Saoji V, Singh AI Tags: Dermatol Online J Source Type: research

A dramatic case of Behçet disease successfully treated with infliximab.
A dramatic case of Behçet disease successfully treated with infliximab. Dermatol Online J. 2013;19(4):18187 Authors: Pinto-Almeida T, Amorim I, Alves R, Selores M Abstract Behçet disease is a chronic relapsing systemic disease with possible life-threatening presentations. Management of this disease can be challenging and reports of the off-label use of anti-TNFα agents for the treatment of severe manifestations are increasing, with good results. The authors report a case of Behçet disease with a sudden and severe multi-systemic onset successfully treated with infliximab. PMI...
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Pinto-Almeida T, Amorim I, Alves R, Selores M Tags: Dermatol Online J Source Type: research

Transversely sectioned biopsies in the diagnosis of end-stage traction alopecia.
We present a young African American woman with a scarring alopecia. As we describe, a scalp biopsy processed by transverse sections enabled rapid diagnosis and presented advantages over a biopsy processed with vertical sections. PMID: 24021378 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Donovan JC, Mirmirani P Tags: Dermatol Online J Source Type: research

Slip, slop, slap, seek, slide - is the message really getting across?
Abstract Australia has given a high priority to education programs emphasizing the relationship of sun exposure and skin cancer and teaching about sun safety and sun protection. Have these efforts been successful? PMID: 24021437 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Buchanan L Tags: Dermatol Online J Source Type: research

Taxane associated subacute cutaneous lupus erythematosus.
Abstract Numerous medications have been associated with the development of subacute cutaneous lupus erythematosus. A mechanism explaining how unrelated drug classes can lead to subacute cutaneous lupus erythematosus has remained elusive, suggesting that there may be multiple etiologic pathways. Taxanes (docetaxel, paclitaxel, and cabazitaxel) inhibit cell mitosis through microtubule stabilization and their use has uncommonly been associated with subacute cutaneous lupus erythematosus. Recently the antigen recognized by anti-Ro/SS-A antibody (Ro52) has been localized to the cytoplasmic microtubule network. A case r...
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Marchetti MA, Noland MM, Dillon PM, Greer KE Tags: Dermatol Online J Source Type: research

Mycobacteria infection in an immunocompetent patient with no risk factors: evaluation and management of non-healing majocchi granuloma-type nodule.
We describe a case of Mycobacteria chelonae infection in a healthy individual with no risk factors. PMID: 24021439 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Siamas K, Khachemoune A Tags: Dermatol Online J Source Type: research

Clinical and histopathologic findings in cutaneous sting ray wounds: a case report.
Abstract Human injuries related to stingray attacks include deep puncture wounds, envenomation, and foreign body reactions owing to retained tail fragments. Herein we report a patient who sustained a stingray injury that produced a subcutaneous granulomatous dermatitis and panniculitis with necrobiosis and review the topic of stingray injuries. PMID: 24021440 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Tartar D, Limova M, North J Tags: Dermatol Online J Source Type: research

Multiple myeloma diagnosed secondary to analysis of a lytic bone lesion encountered during mohs micrographic surgery.
Abstract An 89-year-old man underwent Mohs micrographic surgery for treatment of a squamous cell carcinoma of the scalp. A lytic bone lesion was found that led to the diagnosis of multiple myeloma. PMID: 24021441 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Showalter K, Maize J, Altomare I, Fisher G Tags: Dermatol Online J Source Type: research

Unilateral purpura annularis telangiectodes of majocchi in an elderly male: an atypical presentation.
We present an atypical case of unilateral PAT in an elderly male. To our knowledge, our patient at 85-years-old is the oldest PAT and first unilateral purpura annularis telangiectodes case described in the literature. PMID: 24021442 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Wang A, Shuja F, Chan A, Wasko C Tags: Dermatol Online J Source Type: research

Trichofolliculoma: a rare variant of hair follicle hamartoma.
We report a 19-year-old woman with typical clinical and histopathological findings of trichofolliculoma. PMID: 24021443 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Gokalp H, Gurer MA, Alan S Tags: Dermatol Online J Source Type: research

Polymorphous low-grade adenocarcinoma in the upper lip: a well-described but infrequently recognized tumor.
We present a case of PLGA in the upper lip. PMID: 24021444 [PubMed - in process] (Source: Dermatol Online J)
Source: Dermatol Online J - September 16, 2013 Category: Dermatology Authors: Andreu-Barasoain M, Vicente-Martin J, Gomez de la Fuente E, Salamanca-Santamaria J, Pampin-Franco A, Lopez-Estebaranz JL Tags: Dermatol Online J Source Type: research