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   2015| December  | Volume 6 | Issue 7  
    Online since December 4, 2015

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Malignant Mediterranean spotted fever
Snehal Balvant Lunge, Vaibhav Patil, Sameer Ambar, Vishwas Naik
December 2015, 6(7):1-4
DOI:10.4103/2229-5178.171050  PMID:26904440
Fever with rash is one of the most common causes of referral to a dermatologist. A plethora of conditions need to be considered in the differential diagnosis. They may be broadly classified into infectious causes, drug reactions, and autoimmune disorders. Here we present a rare case of rickettsial fever with cardiac involvement in an elderly male patient with no comorbidities.
  2,028 9,555 1
Tinea faciei caused by Trichophyton mentagrophytes in a 20-day-old neonate
Sita Malhotra, Suresh Kumar Malhotra, Yukti Aggarwal
December 2015, 6(7):43-46
DOI:10.4103/2229-5178.171045  PMID:26904450
Although candidiasis in newborns is not uncommon, superficial dermatophyte infections of infants is quite rare. The causative agents of neonatal tinea reported in various case studies have been Trichophyton rubrum, Microsporum canis, Microsporum gypseum, and Trichophyton violaceum. To the best of our knowledge, no case report of neonatal tinea faciei caused by Trichophyton mentagrophytes has been reported earlier.
  6,051 424 -
Annular elastolytic giant cell granuloma: A report of 10 cases
Sandeep Arora, Ajay Malik, Chetan Patil, Anil Balki
December 2015, 6(7):17-20
DOI:10.4103/2229-5178.171055  PMID:26904442
Annular elastolytic giant cell granuloma initially described by O'Brien in 1975 is a disorder of uncertain etiopathogenesis presenting with annular erythematous plaques predominantly on the sun-exposed areas. Hisptopathologically, it is characterized by elastin degenration, multinucleate giant cells, and elastophagocytosis. The authors came across 10 such cases, which were managed with hydroxychloroquine resulting in complete resolution in 4–6 months.
  5,612 512 1
Squamous cell carcinoma developing in a long-standing case of tuberous xanthoma: An incident unreported hitherto
Karan Sancheti, Anupam Das, Indrashis Podder, Swosti Mohanty, Ramesh C Gharami, Prabir K Jash
December 2015, 6(7):5-8
DOI:10.4103/2229-5178.171053  PMID:26904452
Cutaneous squamous cell carcinoma, characterized by malignant transformation of normal epidermal keratinocyte is the second most common nonmelanoma skin cancer that has many predisposing factors. Tuberous xanthomas have not yet been reported as a predisposing factor. We report here the case of long-standing tuberous xanthoma in a middle-aged gentleman complicated by cutaneous squamous cell carcinoma, probably the first such report in the Indian literature.
  1,452 2,229 -
Rowell's syndrome in an Indian male and review of the literature
Bhushan Madke, Uday Khopkar
December 2015, 6(7):12-16
DOI:10.4103/2229-5178.171058  PMID:26904441
Lupus erythematosus (LE) with erythema multiforme-like lesions with its characteristic serological picture had been described in 1963. We report a 33-year-old married male who presented with skin lesions of various morphology on different body parts since four months. The skin lesions ranged from lupus-specific tumid LE to Rowell's syndrome and discoid LE. Histopathology of skin biopsy from all representative sites showed different forms of lupus erythematosus. Antinuclear and anti-double-stranded DNA was positive; however, serology for anti-SSA and anti-SSB was negative. There were no symptoms specific for organ involvement. It is unusual to document various morphological types in a single patient of lupus erythematosus. We document this case as all forms of cutaneous LE including Rowell's syndrome were evident in a single male patient.
  2,822 506 1
"Pink glow": A new sign for the diagnosis of glomus tumor on ultraviolet light dermoscopy
Sarvesh S Thatte, Siddhi B Chikhalkar, Uday S Khopkar
December 2015, 6(7):21-23
DOI:10.4103/2229-5178.171041  PMID:26904443
Glomus tumors are usually benign hamartomas, which are painful, small, and uncommon. They are usually subungal in location but may occur at other sites. A female patient presented to the outpatient department with painful swelling over the nail matrix of her right index finger. Here, we describe the use of a videodermosope having white light, polarized light, and ultraviolet (UV) light in the localization of glomus tumors that revealed a pinkish glow on UV light examination suggesting the vascular nature of the tumor. Thus, videodermoscopy can be used as an outpatient department procedure to confirm the diagnosis of glomus tumors.
  2,787 325 4
Sebaceous carcinoma on the abdomen in an African-American male patient
Talitha C Moon, Nicole M Cassler, Jeffrey N Lackey
December 2015, 6(7):27-29
DOI:10.4103/2229-5178.171044  PMID:26904445
Sebaceous carcinoma is a rare, aggressive cutaneous tumor most commonly involving the head and neck, especially the periorbital area. It has been associated with Muir–Torre syndrome, human papillomavirus infection, and radiotherapy. This case report describes an unusual clinical presentation of a large sebaceous carcinoma on the abdomen of an African-American male patient who was successfully treated with Mohs micrographic surgery. The case is reported due to the unusual location of the lesion on the abdomen and the rare occurrence of this tumor type in an African-American male.
  2,386 154 -
Calcinosis cutis secondary to facial acne vulgaris: A rare complication
Srimanta Kumar Sahu, Nikhil Gupta, Suruchi Vohra
December 2015, 6(7):37-39
DOI:10.4103/2229-5178.171040  PMID:26904448
Acne vulgaris is a common dermatological disease commonly affecting the adolescent and young adults. It is characterized by the presence of pleomorphic skin lesions such as comadones, papules, pustules, and nodules. The common complications are postacne hyperpigmentation and scarring causing psychological impact. Calcinosis cutis is the pathologic deposition of insoluble calcium salt in the skin and subcutaneous tissue. Calcinosis cutis following acne vulgaris is rarely reported in the literature. We report a case of calcinosis cutis in acne vulgaris in a 55-year-old man.
  1,790 286 1
Etoricoxib-induced pretibial erythema and edema
Pramod Kumar
December 2015, 6(7):47-49
DOI:10.4103/2229-5178.171046  PMID:26904451
Cyclooxygenase inhibitors were developed in the quest of enhanced analgesic efficacy devoid of gastric side effects. Etoricoxib is a second-generation cox-2 inhibitor and as its use increases so do the reports of side effects. We report a case of extoricoxib-induced pretibial erythema and edema; and review the literature.
  1,777 211 1
Dermatopathology quiz: A dome-shaped papule on the cheek
Amira Elbendary, Erick Jacobson, Klaus Busam, Dirk Elston
December 2015, 6(7):53-55
DOI:10.4103/2229-5178.171039  PMID:26904454
  1,593 193 -
Diffuse scalp hair loss due to levothyroxine overdose
K Jagadish Kumar, Malebennur Santhosh Kumar, Tummala Sujith Kumar, Abhishek Chavan
December 2015, 6(7):58-60
DOI:10.4103/2229-5178.171054  PMID:26904456
  1,465 245 -
A case of verrucous hemangioma and its dermoscopic features
Vivek Prabhakar, Feroze Kaliyadan
December 2015, 6(7):56-58
DOI:10.4103/2229-5178.171047  PMID:26904455
  1,448 217 1
Zosteriform spiradenoma with spiradenocarcinoma: A rare entity
Satish A Adulkar, Atul M Dongre, Uday S Khopkar, Raghuram Maddala, Prachi V Gole, Siddhi Chikhalkar
December 2015, 6(7):30-32
DOI:10.4103/2229-5178.171057  PMID:26904446
Eccrine spiradenoma (ES) is an uncommon well-differentiated benign tumor originating from the sweat glands. It usually occurs as a single lesion in adults. Multiple ES in a linear or zosteriform distribution are rare. Spiradenomacarcinoma is an extremely rare tumor, which develops in an existing benign spiradenoma of several years of duration. We report a case of a 23-year-old- female patient with multiple spiradenomas arranged in zosteriform pattern and malignant transformation occurred in one of the lesions over a period of 10 years.
  1,415 202 -
Histopathologic features in a case of hyperimmunoglobulinemia D syndrome
Sarah Pace, Jonathan Bingham, Michael Royer
December 2015, 6(7):33-36
DOI:10.4103/2229-5178.171059  PMID:26904447
We describe a case of Mevalonate Kinase Deficiency (MKD) also known as Hyperimmunoglobulinemia D Syndrome (HIDS) presenting as a Sweet-like syndrome in a 5-week-old with multiple erythematous plaques, fever, aseptic meningitis, and bronchiolitis. The locations of the predominant plaques were periumbilical and periocular, which originally prompted concern for omphalitis and preseptal cellulitis. Histopathology demonstrated a neutrophilic and histiocytic dermatitis with prominent squamous syringometaplasia and leukocytoclasis in the absence of a vasculitis. This case is reported here due to the unique findings of a prominent histiocytic component in addition to the typically described neutrophilic infiltrate.
  1,328 208 2
Dermpath quiz: An irregularly colored papule on the back of an adolescent female
Alexandra Price, Dennis C Polley, Michael E Sabol, Dirk M Elston
December 2015, 6(7):50-52
DOI:10.4103/2229-5178.171043  PMID:26904453
This learning exercise challenges clinicians and dermatopathologists to consider the differential diagnosis of an unevenly colored solitary papule over the upper back of an adolescent female.
  1,329 159 -
Spina ventosa with lupus vulgaris and lymphadenopathy: Multifocal tuberculosis
Sanjeev Sharma, Shikha Sood, Mudita Gupta
December 2015, 6(7):40-42
DOI:10.4103/2229-5178.171042  PMID:26904449
Tuberculous dactylitis is a rare yet well-recognized disease of small bones of the hands and feet. It occurs in young children below five years of age. Tubercular dactylitis with lupus vulgaris and lymphadenopathy was suspected clinically and radiologically in an 8-year-old girl who had multiple soft tissue swelling of hands and feet with ulceration, encrustations, and an atrophic scar with lytic expansile lesions of the small bones of the hands and feet. Tubercular lymph node involvement was confirmed histopathologically.
  1,244 178 -
Giant pigmented Bowen's disease: A rare variant at a rare site
Arjun Ajay Shankar, Malcolm Pinto, Manjunath M Shenoy, Sowmyashree Krishna
December 2015, 6(7):63-64
DOI:10.4103/2229-5178.171048  PMID:26904458
  1,163 159 -
Dermatophyte infection encircling vitiligo
Angoori Gnaneshwar Rao
December 2015, 6(7):60-63
DOI:10.4103/2229-5178.171056  PMID:26904457
  1,101 217 -
Asymptomatic esophageal varices in a case of pseudoxanthoma elasticum
Karishma Hemmady, Swagata Tambe, Hemangi Rajiv Jerajani
December 2015, 6(7):65-66
DOI:10.4103/2229-5178.171049  PMID:26904459
  940 159 -
Lymphomatoid contact dermatitis associated with textile dye at an unusual location
Tuğba Kevser Uzunšakmak, Necmettin Akdeniz, Seyma Özkanlı, Zafer Türkoğlu, Ebru Itır Zemheri, Ayşe Serap Ka Radağ
December 2015, 6(7):24-26
DOI:10.4103/2229-5178.171051  PMID:26904444
Lymphomatoid contact dermatitis (LCD) is a rare variant of noneczematous allergic contact dermatitis, which can mimick parapsoriasis or early-stage mycosis fungoides with its atypical clinical and histopathological manifestation. Many different haptens have been reported to be associated with this reaction. Histopathological examination, immunhistochemistry, clonality tests, and patch tests are mandatory for diagnosis and differential diagnosis. We present a 48-year-old male with a four years history of a relapsing erythematous plaque on the glans penis. Topical corticosteroids had been prescribed but he complained of relapse upon withdrawal. Histopathological examination was consistent with LCD. Thin layer rapid use epicutaneous patch test result was (++) for disperse blue and nickel sulfate. We present this case because of its rarity and unusual localization. This kind of allergic contact dermatitis should be remembered in differential diagnosis of nonspesific pruritic plaques over the genital region.
  1,023 66 1
Pyodermatitis vegetans after total colectomy
Tuğba Kevser Uzunšakmak, Necmettin Akdeniz, Ayşe Serap Karadağ, Bengü Çobanoğlu
December 2015, 6(7):9-11
DOI:10.4103/2229-5178.171052  PMID:26904460
Pyostomatitis–pyodermatitis vegetans (PPV) is a rare dermatological manifestation of inflammatory bowel disease, characterized by erythematous, vesiculopustular, exudative, annular, and/or vegetating plaques over the intertriginous regions that may precede or appear at the same time as the mucosal lesions. Systemic corticosteroids, dapsone, sulfasalazine, azathioprine, cyclosporine, and subtotal/total colectomy are the most common treatment options. A 16-year-old male patient presented to our outpatient clinic with a four months history of thickly crusted erosions on his trunk, back, and lower extremity. He had ulcerative colitis for four years and total colectomy was done seven months ago. Clinical and histopathological examination of his lesions were consistent with pyostomatitis vegetans. Although subtotal/total colectomy has been reported as a treatment option for PPV, lesions reappeared three months after total colectomy in our patient.
  838 67 -
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