A Rare Case of Secondary Cutis Verticis Gyrata on the Forehead

Joo Sung Jung; Nam Kyu Lim

doi:10.22467/jwmr.2020.01046

A Rare Case of Secondary Cutis Verticis Gyrata on the Forehead

Journal of Wound Management and Research ◽

10.22467/jwmr.2020.01046 ◽

2020 ◽

Vol 16 (2) ◽

pp. 113-116

Author(s):

Joo Sung Jung ◽

Nam Kyu Lim

Keyword(s):

Rare Case ◽

Advancement Flap ◽

Large Area ◽

Upper Eyelid ◽

Cutis Verticis Gyrata ◽

Eyelid Skin ◽

Microvascular Proliferation ◽

Patient Reported ◽

Nodular Lesions ◽

Underlying Diseases

Cutis verticis gyrata (CVG) is an unusual morphological condition of the scalp characterized by ridges and furrows resembling the surface of the brain. Most patients have lesions on the scalp, and only a few cases with forehead lesions have been described in literature. We report an extremely rare case of secondary CVG on the forehead. A 61-year-old female patient was referred to our outpatient clinic with a large area of hypertrophic skin on the forehead. A lesion measuring 12×3 cm extended across both eyebrows, the glabella, and the forehead. The patient reported that a pruritic erythematous lesion in that region had occurred 10 years ago after she performed acupuncture on herself on the forehead several times. She had no underlying diseases and no relevant family history. We removed the entire lesion and covered the defect with a forehead advancement flap. This solved the initial aesthetic problem. Her forehead skin became flattened, and the sagging upper eyelid skin was aesthetically corrected. Pathological findings showed nodular lesions with dense collagen fibers and microvascular proliferation, supporting the diagnosis of CVG. We achieved good results through surgical treatment for the extremely rare case of CVG on the forehead.

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A Rare Case of Palpebral Cellulitis, a Variation of Pott’s Puffy Tumor

Case Reports in Ophthalmology ◽

10.1159/000506225 ◽

2020 ◽

Vol 11 (1) ◽

pp. 106-111

Author(s):

Marina Yamamoto ◽

Nozomu Wakayama ◽

Yuki Hamajima ◽

Kohei Miyata ◽

Hiroshi Takahashi ◽

...

Keyword(s):

Frontal Sinus ◽

Rare Case ◽

Maxillary Sinusitis ◽

Skin Incision ◽

Sinus Surgery ◽

Inferior Wall ◽

Upper Eyelid ◽

Eyelid Skin ◽

Pott’S Puffy Tumor ◽

Eyelid Swelling

A rare case of palpebral cellulitis with simultaneous frontal sinusitis and osteomyelitis is reported. A healthy 45-year-old man presented with left upper eyelid swelling. He was given intravenous meropenem at the local hospital, but he failed to improve. Magnetic resonance imaging showed left frontal and maxillary sinusitis and upper palpebral cellulitis with an abscess. His temperature was 37.6°C, C-reactive protein was 1.36 mg/dL, thyroid hormone was elevated, left best-corrected visual activity was 1.2, and intraocular pressure was 25 mm Hg. He was then given cefazolin intravenously for 3 days but with no improvement. Therefore, the eyelid skin was incised. Postoperatively, the swelling improved significantly. Computed tomography demonstrated osteomyelitis of the left frontal sinus and osteolysis of the inferior wall. This case was considered a variation of Pott’s puffy tumor. Bacterial cultures from the cellulitis abscess and sinusitis were negative. As for sinusitis, endoscopic sinusitis surgery (frontal sinus single sinus surgery [Draf III] and Kilian surgery) was performed. During 10 months of follow-up after the skin incision, no signs of recurrent eyelid swelling were observed.

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Denonvilliers' advancement flap in congenital alar rim defects correction

Vojnosanitetski pregled ◽

10.2298/vsp0905403n ◽

2009 ◽

Vol 66 (5) ◽

pp. 403-406 ◽

Cited By ~ 7

Author(s):

Marijan Novakovic ◽

Ivanka Baralic ◽

Nenad Stepic ◽

Milica Rajovic ◽

Vladimir Stojiljkovic

Keyword(s):

Case Report ◽

Skin Color ◽

Rare Case ◽

Advancement Flap ◽

Tumor Excision ◽

Rare Case Report ◽

Alar Rim

Background. Alar rim defects are mostly acquired, resulting from burns, traumas or tumor excision. Sometimes they can accompany craniofacial clefts. However, isolated congenital alar defects are extremely rare. Case report. We presented two cases of congenital isolated alar cleft. The defect was closed by the use of an advancement flap, the technique described by Denonvilliers. We achieved both symmetry and appropriate thickness of the nostrils. Skin color and texture of the alar rim were excellent, with scars not excessively visible. Conclusion. Denonvilliers' z-plasty technique by using advancement flap provides both functionally and aesthetically satisfying outcome in patients with congenital alar rim defects.

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Extensive erythema elevatum diutinum associated with IgA monoclonal gammopathy: a rare case report

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20212562 ◽

2021 ◽

Vol 7 (4) ◽

pp. 593

Author(s):

Manish Rijhwani ◽

Divya Yadav ◽

Manisha Nijhawan ◽

Arvind Verma

Keyword(s):

Monoclonal Gammopathy ◽

Rare Case ◽

Leukocytoclastic Vasculitis ◽

Burning Sensation ◽

Rare Form ◽

Rare Presentation ◽

Rare Case Report ◽

Nodular Lesions ◽

Erythema Elevatum Diutinum ◽

Characteristic Features

<p class="abstract">Erythema elevatum diutinum (EED) is a rare form of leukocytoclastic vasculitis with an unclear pathogenesis. Almost 250 cases of EED have been reported in the literature, associated with several diseases and presented with various clinical features. Term 'diutinum' means chronic, describes one of the main characteristic features. The duration is very long, varying between one to more than 39 years. We report a rare presentation of EED in a 58-years-old man who presented with extensive and symmetrical, persistent, erythematous to violaceous plaques over trunk and limbs and popular-nodular lesions present over pinna and dorsum of hands with burning sensation and itching over few lesions, in association with IgA monoclonal gammopathy.</p>

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PLEOMORPHIC RHABDOMYOSARCOMA IN THE HEAD AND NECK REGION: A RARE CASE REPORT

10.36106/gjra/9809218 ◽

2021 ◽

pp. 38-40

Author(s):

S. Kanimozhi ◽

P. Pooja sri ◽

P. Karthika ◽

M. Sathish Kumar ◽

A. Mathan Mohan

Keyword(s):

Head And Neck ◽

Rare Case ◽

Neck Region ◽

Undifferentiated Carcinoma ◽

Biological Behavior ◽

Patient Reported ◽

Rare Case Report ◽

Malignant Mesenchymal Tumor ◽

Histological Variant ◽

Pleomorphic Rhabdomyosarcoma

Rhabdomyosarcoma (RMS) is a rare, aggressive, malignant mesenchymal tumor of skeletal muscle cells. The pleomorphic histological variant of RMS occurs in adults beyond 45years of age and represents the most aggressive subtype with an incidence of approximately 0.44/100,000. The diagnosis of RMS is difcult with the 5year overall survival rate less than 50%. It presents varied clinical and biological behavior and requires individualized management. The common region of metastasis includes lymph nodes, lungs and bone marrow. Here we report a case of pleomorphic rhabdomyosarcoma in 58year old female. The patient reported with a swelling in the neck region and had a history of surgical treatment for ovarian tumor. Histopathology ndings revealed metastatic undifferentiated carcinoma. The case was positive for immunohistochemistry markers and their ndings are diagnosed as pleomorphic rhabdomyosarcoma. This is a rare case of RMS which had metastasized to head and neck and this article emphasizes the importance of IHC in accurate and clear diagnosis of RMS.

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Triglyceride Levels Greater Than 10,000 mg/dL in a 49-Year-Old Female without Evidence of Pancreatitis

Case Reports in Endocrinology ◽

10.1155/2019/6273196 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Anika Toor ◽

Amit Toor ◽

Koroush Khalighi ◽

Mahesh Krishnamurthy

Keyword(s):

Clinical Practice ◽

Literature Review ◽

Rare Case ◽

Common Occurrence ◽

Severe Pancreatitis ◽

Severe Hypertriglyceridemia ◽

Life Threatening ◽

Underlying Diseases ◽

Total Triglyceride

We present a rare case of a 49-year-old female with very severe hypertriglyceridemia (HTG) having a total triglyceride (TG) count of > 10,000 mg/dL in the absence of pancreatitis. Based on literature review, this is one of the highest recorded TG counts in an adult without evidence of pancreatitis. HTG is a common occurrence in clinical practice, but rarely do numbers exceed 2000 mg/dl. It is crucial to evaluate and rapidly lower TG levels to prevent potentially life-threatening complications such as severe pancreatitis. Removal of potential predisposing medications, control of underlying diseases known to cause HTG, and maintenance therapies are essential to prevent reoccurrence.

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Orbicularis Oculi Myocutaneous Advancement Flap for Upper Eyelid Reconstruction

Plastic & Reconstructive Surgery ◽

10.1097/01.prs.0000297649.71049.ae ◽

2008 ◽

Vol 121 (2) ◽

pp. 443-450 ◽

Cited By ~ 27

Author(s):

Zühtü Demir ◽

Serdar Yüce ◽

Sebat Karamürsel ◽

Selim Çelebioğlu

Keyword(s):

Advancement Flap ◽

Upper Eyelid ◽

Orbicularis Oculi ◽

Eyelid Reconstruction

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Multi-lobed mesiodens with a palatal talon cusp: a rare case report

Brazilian Dental Journal ◽

10.1590/s0103-64402010000400016 ◽

2010 ◽

Vol 21 (4) ◽

pp. 375-378 ◽

Cited By ~ 6

Author(s):

Nayaka Basavanthappa Nagaveni ◽

Kagathur Veerbadrappa Umashankara ◽

Sreedevi ◽

Bokka Praveen Reddy ◽

Nayaka Basavanthappa Radhika ◽

...

Keyword(s):

Orthodontic Treatment ◽

Rare Case ◽

Clinical Case ◽

Treatment Plan ◽

Radiographic Examination ◽

Supernumerary Tooth ◽

Anterior Teeth ◽

Patient Reported ◽

Rare Case Report ◽

Maxillary Arch

Mesiodens is a midline supernumerary tooth commonly seen in the maxillary arch and the talon cusp is a rare dental developmental anomaly seen on the lingual surface of anterior teeth. This paper presents a rare clinical case of development of talon cusp in a mesiodens with multiple lobes, which interfered with both occlusion and appearance of an 11-year-old patient. During clinical interview, the patient reported difficulty on mastication. Clinical and radiographic examination revealed that a supernumerary tooth with completely formed root was causing an occlusal interference. The supernumerary tooth was diagnosed as multi-lobed mesiodens associated with a palatal talon cusp. The treatment plan consisted in the extraction of the supernumerary tooth followed by orthodontic treatment for diastema closure and tooth alignment.

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Cutaneous Polyarteritis Nodosa Presenting Atypically with Severe Pharyngeal Ulceration

Case Reports in Rheumatology ◽

10.1155/2019/2631948 ◽

2019 ◽

Vol 2019 ◽

pp. 1-4

Author(s):

Bayanne Olabi ◽

Justin C. Mason ◽

Ziad Farah

Keyword(s):

Weight Loss ◽

Differential Diagnosis ◽

Magnetic Resonance Angiography ◽

Polyarteritis Nodosa ◽

Rare Case ◽

Significant Weight Loss ◽

Histological Assessment ◽

Cutaneous Polyarteritis Nodosa ◽

Nodular Lesions ◽

Appropriate Therapy

Polyarteritis nodosa (PAN) is a multisystem, necrotising vasculitis of small- and medium-sized arteries with a predilection for the visceral vessels. Cutaneous PAN is a rare variant with symptomatic vasculitis limited to the skin, typically presenting as nodular lesions on the extremities with a propensity to ulcerate. We describe a rare case of histologically confirmed cutaneous PAN presenting in a 55-year-old Ghanaian woman with severe oropharyngeal ulceration. This was associated with dysphagia and significant weight loss. Oesophagoduodenoscopy showed that the ulceration extended throughout the oropharynx. Systemic polyarteritis nodosa was ruled out with magnetic resonance angiography. Our patient was treated successfully with corticosteroids and methotrexate. This case suggests that cutaneous PAN should be considered in the differential diagnosis of patients with oropharyngeal ulceration and that histological assessment is pivotal in establishing the diagnosis early in order to instigate appropriate therapy.

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