The great imitator: A rare presentation of annular and corymbose secondary syphilis

2021 ◽  
pp. 095646242110248
Author(s):  
Shiti Bose
Keyword(s):  
Case Report ◽  
Interesting Case ◽  
Secondary Syphilis ◽  
Rare Presentation ◽  
Cutaneous Manifestations ◽  
Large Plaque ◽  
Peripheral Ring ◽  
The Face

A corymbose (or corymbiform) arrangement in secondary syphilis (derived from the Greek word korymbos) is characterised by a central large plaque or papule surrounded by smaller satellite lesions akin to an explosion, whereas annular plaques consist of a peripheral ring of erythematous papules with central hyperpigmentation. These are very rare cutaneous manifestations of secondary syphilis. This case report focuses on one such interesting case which presented with the annular and corymbose pattern involving the face and genitalia.

scholarly journals Psoriasiform Mycosis Fungoides Involving the Face- A Rare Case Report

2021 ◽  
pp. 94-99
Author(s):  
N. R. Vignesh ◽  
Shreya Srinivasan ◽  
G. Sukanya ◽  
S. Arun Karthikeyan
Keyword(s):  
Case Report ◽  
Mycosis Fungoides ◽  
Rare Case ◽  
Cell Lymphoma ◽  
Punch Biopsy ◽  
Cutaneous T Cell Lymphoma ◽  
Rare Presentation ◽  
Rare Case Report ◽  
Atypical Cells ◽  
The Face

Mycosis fungoides is represented as the most common epidermotropic cutaneous T-cell lymphoma, which is mainly characterized by the proliferation of atypical cells within the epidermis. We report a rare presentation of mycosis fungoides in a 60-year-old male presenting with chronic psoriasiform plaque involving the face. Punch biopsy of the lesion from the forehead was taken for routine histological examination and immunohistochemical stains. Results of biopsy and immunohistochemical findings were consistent with mycosis fungoides and diagnosed as psoriasiform presentation of mycosis fungoides involving the face.

scholarly journals High-Pressure Injection Injury of the Face: A Case Report on Presentation and Management

2020 ◽  
Vol 4 (2) ◽  
pp. 211-213
Author(s):  
Edan Zitelny ◽  
Blake Briggs ◽  
Rachel Little ◽  
David Masneri
Keyword(s):  
High Pressure ◽  
Case Report ◽  
Young Male ◽  
Rare Presentation ◽  
Injection Injury ◽  
Pressure Injection ◽  
Time Sensitivity ◽  
The Face ◽  
Extensive Debridement ◽  
High Pressure Injection

Introduction: High-pressure injection injuries have been chronicled for decades. These injuries often affect distal extremities as they are most commonly involved in workplace accidents. However, we discuss a young male with a paint-gun injection injury to his face. Case Report: We discuss the case of a young man presenting to the emergency department after high-pressure injection injury to the face. He eventually underwent extensive debridement of the face. We discuss differences in caring for an injection wound to an extremity versus the face, including time sensitivity of treatment, initial stabilizing measures, and critical steps. Discussion: This case demonstrates a rare presentation of a high-pressure paint injection injury. This injury presented a unique surgical challenge where, despite compartment syndrome being less common, cosmetic outcome and infectious complication prevention remained critical priorities. Conclusion: While similarities exist in management of an injection injury to a limb, due to the rarity and deceptive appearance of this particular injury to the face, high suspicion along with urgent imaging and surgical consultation is warranted.

scholarly journals Cutaneous manifestations in a patient with temporarily associated pediatric multisystemic inflammatory syndrome with COVID-19: case report

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Alessandra Oliveira ◽  
Kamilla Pádua ◽  
Maria Carolina Alves ◽  
Glaucia Silva ◽  
Fernando Paula ◽  
...  
Keyword(s):  
Case Report ◽  
Reference Value ◽  
Maculopapular Rash ◽  
Cutaneous Manifestations ◽  
The Face ◽  
Hands And Feet ◽  
Inflammatory Syndrome ◽  
Positive Results ◽  
Infectious Condition

OBJECTIVES: To describe the cutaneous manifestations presented by a patient with pediatric multisystemic inflammatory syndrome (MIS-C) temporarily associated with SARS-CoV-2. METHODS: Female patient, 10 years old, presenting arthralgia in the wrists and ankles, edema in hands and feet, persistent fever, appearance of diffuse, and itchy maculopapular rash associated with odynophagia and productive cough. Evolution of the rash to violaceous lesions on the face, trunk and limbs (upper and lower), in addition to the appearance of vesicles on the face, within 48 hours. CBC suggestive of an infectious condition, with CRP 307mg/L (insert reference value) and ESR 61mm. RT-PCR for SARS-CoV-2 positive. RESULTS: Diagnosis of pediatric multisystemic inflammatory syndrome temporarily associated with SARS-CoV2. Transferred to ICU for monitoring and intravenous human immunoglobulin initiated. Good evolution, with the disappearance of injuries and discharge with outpatient follow-up. CONCLUSION: MIS-C has several dermatological manifestations and pediatricians must be attentive to the diagnosis, not limited to a specific presentation. In this case report, the importance of referral to tertiary referral centers for better case management and timely recognition of the syndrome in these patients is emphasized.

scholarly journals Nevus sebaceous of Jadassohn of face with infundibular and keratinous cyst in an adolescent Arab male-a rare case report

2018 ◽  
Vol 6 (3) ◽  
pp. 1033
Author(s):  
Scott Arockia Singh M. ◽  
Paul Raphel ◽  
Sneha Devadas ◽  
Siny Vellukara Sasidharan
Keyword(s):  
Case Report ◽  
Skin Lesion ◽  
Rare Case ◽  
Medical Literature ◽  
Interesting Case ◽  
Malignant Change ◽  
Excision Biopsy ◽  
Rare Case Report ◽  
The Face ◽  
Nevus Sebaceous

Nevus Sebaceous of Jadassohn is rare hamartomatous skin lesion. We report an interesting case of an Adolescent Arab male 18yr old, who presented to us with a velvety plaque of 7cm length in his left preauricular area. Excision biopsy revealed Nevus sebaceous of Jadassohn with infundibular and keratinous cyst. The lesion is present since birth started as a tiny lesion and grown to the current size. No such large sized lesion on the face has ever been reported in the medical literature till date. We advise an early excision as they have strong potential for malignant change.

scholarly journals A different kind of skin presentation in Systemic Lupus Erythematosus (SLE): A case report

2020 ◽  
Vol 4 (1) ◽  
pp. 42-46
Author(s):  
Huzairi Sani ◽  
Nada Syazana ◽  
Malek Faris Riza Feisal
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Case Report ◽  
Lupus Erythematosus ◽  
Erythema Nodosum ◽  
Cutaneous Lupus Erythematosus ◽  
Systemic Lupus ◽  
Cutaneous Manifestations ◽  
Subcutaneous Nodules ◽  
The Face ◽  
Cutaneous Lupus

Erythema nodosum is a septal panniculitis which is a variant of chronic cutaneous lupus erythematosus (CCLE). It is further classified in the group of Lupus Erythematous Panniculitis (LEP).[1] The most frequent cutaneous manifestations include indurated plaques, subcutaneous nodules and sometimes ulcerations. The lesions occur predominantly on the face, upper arms, upper trunk, breasts, buttocks and thighs.[2] They occur most frequently in adult females and do not typically manifest cutaneously in Systemic Lupus Erythematosus (SLE).[3] In this case report, we discuss a young gentleman who presented with erythema nodosum as a cutaneous feature of SLE.         Keywords: Systemic lupus erythematosus, erythema nodosum, panniculitis, cutaneous lupus

scholarly journals Rosai-Dorfman disease: a rare presentation of extranodal involvement of isolated bone. Case report

Case reports ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 22-27
Author(s):  
Camilo Andrés García-Prada ◽  
Tomás Rodríguez-Yanez ◽  
Carlos Alberto Ferrer-Santos
Keyword(s):  
Case Report ◽  
Adult Population ◽  
Tertiary Care ◽  
Poor Response ◽  
Rare Presentation ◽  
Systemic Corticosteroids ◽  
Rosai Dorfman Disease ◽  
The Face ◽  
History Of ◽  
Cartagena De Indias

Introduction: Rosai-Dorfman disease (RDD), also known as sinus histiocytosis, is a rare disorder characterized by histiocyte proliferation. Case presentation: A 33-year-old man consulted the emergency department of a tertiary care institution in Cartagena de Indias, Colombia, due to a 6-month history of progressive deformity in the frontal right side of the face, associated with pain of slow progression, without any other symptoms or dermatological involvement. There were no other major findings on physical examination and laboratory tests performed were negative. Imaging scans obtained showed extensive inflammatory involvement of the frontal bone, which led to suspect osteomyelitis as the first diagnostic possibility. A biopsy of the lesion was performed with negative cultures for bacteria, which allowed establishing a diagnosis of extranodal Rosai-Dorfman disease with isolated bone involvement. Treatment with systemic corticosteroids was indicated with poor response, so methotrexate was added, achieving an evident improvement after 2 months. Conclusions: Little is known about the manifestations of Rosai-Dorfman disease and its treatment in the adult population. The present case report contributes to expanding the literature on this topic, which can present with rare symptoms that may pose challenges for its diagnosis.

Secondary syphilis masquerading as lupus vulgaris in an HIV-infected patient: A diagnosis suggested by histology

2018 ◽  
Vol 29 (14) ◽  
pp. 1454-1456 ◽  
Author(s):  
Giovanni Genovese ◽  
Gianluca Nazzaro ◽  
Antonella Coggi ◽  
Raffaele Gianotti ◽  
Stefano Ramoni ◽  
...  
Keyword(s):  
Infected Patient ◽  
Correct Diagnosis ◽  
Treponema Pallidum ◽  
Secondary Syphilis ◽  
Penicillin G ◽  
Lupus Vulgaris ◽  
Cutaneous Lesions ◽  
Current Case ◽  
Cutaneous Manifestations ◽  
Large Plaque

We report a case of secondary syphilis mimicking lupus vulgaris in an HIV-infected patient. A 21-year-old Brazilian man presented with a two-month history of asymptomatic cutaneous lesions accompanied by fever and fatigue. Dermatological evaluation revealed an erythematous, crusted, large plaque on the neck with the ‘apple jelly’ sign on diascopy and two smaller scaly elements on the trunk and left palm. Bacteriological examinations for bacteria and mycobacteria gave negative results. Histology revealed psoriasiform epidermal hyperplasia and dermal lymphoplasmacytic infiltrate. Serology for syphilis was positive, and immunohistochemistry confirmed the presence of Treponema pallidum in lesional skin. A diagnosis of secondary syphilis was made, and the patient was successfully treated with benzathine penicillin G. Cutaneous manifestations of secondary syphilis are protean and skin tuberculosis may be considered in the differential diagnosis, especially in HIV-infected patients. In the current case, clinical examination, and particularly, ‘apple jelly’ sign positivity, was suggestive of lupus vulgaris, but only typical histopathology and immunohistochemistry led to the correct diagnosis of secondary syphilis.

scholarly journals A rare presentation of rhinosporidiosis on buccal mucosa − a case report

2021 ◽  
Vol 28 (1) ◽  
pp. 5
Author(s):  
B.S. Santosh ◽  
A. Harish Kumar ◽  
Rajdeep Singh ◽  
Jerin Jose ◽  
D.M. Shivamrthy ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Presentation ◽  
Treatment Modalities ◽  
Rare Occurrence ◽  
Zoonotic Infection ◽  
Rare Presentation ◽  
Facial Swelling ◽  
The Face

Introduction: Rhinosporidiosis is a chronic mucocutaneous infection caused by Rhinosporidium seeberi, which mainly affects the mucus membranes of the nose, oropharynx, skin, eyes, and genital mucosa. The purpose of this case report was to illustrate the importance of clinicians in understanding the unusual incidence of this fungal infection, clinical presentation, treatment modalities, and recurrence rate. Observations: A clinical case report showed rare occurrence of rhinosporidiosis in the lower third of the face. The lesion was surgically excised by electrocauterization at its base. Commentaries: The patient showed no signs of recurrence even after 3 years of follow-up. Further research should be carried out to analyze the role of genetic predisposition in causing zoonotic infection. Conclusion: Rhinosporidiosis should also be considered as the differential diagnosis when facial swelling is encountered.

Becker Nevus on the Face: A Rare Presentation: Case Report

2017 ◽  
Vol 27 (2) ◽  
pp. 69-71
Author(s):  
Ece Nur YÜKSEL ◽  
Emek KOCATÜRK ◽  
Hatice DUMAN ◽  
Ayşe Seza KUNTER ◽  
Kübra CÜRE ◽  
...  
Keyword(s):  
Case Report ◽  
Rare Presentation ◽  
The Face
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