Infant Mastocytosis: Urticaria Pigmentosa an Entity to know

Patient M., 23 years old, consulted a dermatologist with complaints of rashes on the face, which had bothered since childhood. On objective examination, skin lesions were widespread. A visual examination revealed spots of hypopigmentation, angiofibromas of the face, shagreen fate of the skin, periungual fibromas. She was diagnosed with tuberous sclerosis. Further examination revealed a neoplasm in the brain and right kidney, damage to the lungs, tubular bones, lymphadenopathy. The patient continues to be monitored by a neurologist and therapist. Based on the results of CT scan of the chest organs, an oncologist's consultation was scheduled to conduct an oncology search. Thus, with skin manifestations characteristic of this disease, it is necessary to conduct a comprehensive examination to identify concomitant pathology and early diagnosis of complications.

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Erythema marginatum: an uncommon presentation of acute rheumatic fever in a Nigerian adolescent girl—a case report

Egyptian Pediatric Association Gazette ◽

10.1186/s43054-021-00068-w ◽

2021 ◽

Vol 69 (1) ◽

Author(s):

Barakat Adeola Animasahun ◽

Faith O. Lawani ◽

Moriam Omolola Lamina

Keyword(s):

Case Report ◽

Rheumatic Fever ◽

Acute Rheumatic Fever ◽

Skin Lesions ◽

Secondary Prophylaxis ◽

Pulmonary Artery Hypertension ◽

Mitral Valves ◽

Reticular Pattern ◽

Uncommon Presentation ◽

The Face

Abstract Background Erythema marginatum is an uncommon presentation in children with acute rheumatic fever and it is one of the major criteria needed to make a diagnosis. It is seen in less than 10% of cases. It is also reported to be difficult to detect in black-skinned children. This is the first and only patient to present with the above since the inception of the unit about 14 years ago and also the first to be reported in Nigeria as far as the authors are aware, after a careful literature search; hence, we report this case based on the rarity of this symptom of acute rheumatic fever. Case presentation This is a case report of O.E, a 12-year-old Nigerian girl who presented with features of acute rheumatic fever, and these features included the rare manifestation of erythema marginatum. She presented with generalized skin eruptions on the trunk and extremities, sparing the face, migratory polyarthritis, features of congestive heart failure and high grade continuous fever. The skin lesions consisted of papules, patches, plaques and polycycles with a reticular pattern having serpiginous and raised borders. Diagnostic investigations revealed elevated erythrocyte sedimentation rate of 83mm/h, anti-streptolysin O titer of 2020IU/L and echocardiography which showed thickened mitral valves with grade II mitral regurgitation and a mild pulmonary artery hypertension. The patient was treated with anti-inflammatory and anti-failure drugs and commenced secondary prophylaxis with benzathine penicillin. Skin eruptions resolved within 3 weeks of management and are currently on follow up. Conclusions We present the above to increase awareness on the possibility of acute rheumatic fever presenting with erythema marginatum in our region, to encourage early diagnosis of acute rheumatic fever to reduce morbidity and mortality from its sequel, rheumatic heart disease.

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Dermatological Aspects of Infections Caused By Endotoxins In Teeth With Necrotic Pulps and Apical Periodontitis

Dermatology and Dermatitis ◽

10.31579/2578-8949/076 ◽

2021 ◽

Vol 6 (1) ◽

pp. 01-05

Author(s):

Daniel Jiménez Zaragoza ◽

Jorge Paredes Vieyra ◽

Francisco Javier Jiménez Enríquez

Keyword(s):

Case Report ◽

Skin Lesions ◽

Sinus Tract ◽

Purulent Discharge ◽

Radiographic Examination ◽

Odontogenic Infections ◽

Facial Region ◽

Dental Origin ◽

The Face ◽

Uncommon Case

Aim: To report an uncommon case of an extraoral sinus tract of the facial region caused by a tooth with an acute apical abscess in the mandible. Case report: Established on oral examination and radiographic examination, an Acute Apical Abscess (cellulitis/phlegmon) of tooth 47 was diagnosed, which had resulted in a cutaneous sinus tract. The continuous purulent discharge of the sinus tract in the facial right region ceased after drainage and extraction of tooth 47. Conclusion: It is challenging to diagnose and identify a cutaneous draining sinus tract of dental origin. Thus, treatment of skin lesions of the face (impetigo), and neck odontogenic infections should always be considered. Clinical and radiographic dental examinations can identify the tooth involved.

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Juvenile sterile granulomatous dermatitis (puppy strangle) in Pekingese and German shepherd puppies

Veterinary Science Development ◽

10.4081/vsd.2015.6037 ◽

2015 ◽

Vol 5 (1) ◽

Author(s):

Mohammad Abbaszadeh Hasiri ◽

Efat Baghaei Moghaddam

Keyword(s):

Case Report ◽

Antibiotic Therapy ◽

Bacterial Culture ◽

Skin Lesions ◽

Response To Therapy ◽

Skin Scraping ◽

German Shepherd ◽

Present Case Report ◽

The Face ◽

Granulomatous Dermatitis

Juvenile sterile granulomatous dermatitis is an uncommon granulomatous and pustular disorder of the face, pinnae, and submandibular lymph nodes of puppies. A 10-week-old male Pekingese and a 8-week-old female German shepherd presented with submandibular lymphadenomegaly, skin lesions on muzzle and periocular area (Papules, crusts and pustules). The case did not respond to antibiotic therapy. Results of a hemogram, biochemical panel, and urinalysis were normal. Due to skin scraping, cytology examination (impression smear), fungal and bacterial culture and response to therapy puppy strangle (juvenile cellulitis) was diagnosed. The puppies made a full recovery on glucocorticoid therapy. The present case report describes the first report of juvenile sterile granulomatous dermatitis in Iran.

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Dermatomyositis from cutaneous changes to chronicity, a case report

10.5327/1516-3180.696 ◽

2021 ◽

Author(s):

Beatriz Cassarotti ◽

Lucas de Oliveira Pointo Bertoldi ◽

Alana Strucker Barbosa ◽

Isabela Silva Souza ◽

Eduardo Silveira Marques Branco ◽

...

Keyword(s):

Case Report ◽

Skin Pigmentation ◽

Inflammatory Myopathy ◽

Bimodal Distribution ◽

Skin Lesions ◽

Rapid Progression ◽

Select Group ◽

Important Relationship ◽

The Face ◽

History Of

Context: Dermatomyositis is an inflammatory myopathy, which results from loss of tolerance to a select group of autoantigens, with an incidence of approximately 0.8 to 1.2 per 100,000, of bimodal distribution, more frequent in women, with important relationship with paraneoplasia, usually responsive to treatment. Case report: female, 65 years old, black, rural worker, with history of increased skin pigmentation in early 2019. After two months, she was bedridden, with dysphagia. Physical examination revealed paresis, poikiloderma on the face, alopecia, remnants of uper back shawl sign, Heliotrope and Gotron sign. Complementary investigation showed: aldolase 20.4 / 31; CPK: 521/220/207. Anatomopathological examination of skin biopsy reveald superficial and discrete lymphocytic dermatitis with focal pigmentary incontinence; electroneuromyography presented myopathic pattern in the four limbs. Paraneoplastic investigation was negative. There was a response to corticosteroids and metotrexato. Conclusions: The case shows a rapid progression from cutaneous symptoms to chronic symptoms and highlights the importance of recognizing skin lesions in view of the possible differential diagnoses in the neurology specialty, prior to the onset of the classic clinical picture and the appearance of chronic symptoms.

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Erythromelanosis Follicularis Faciei: A Case Report and Review of the Literature

Case Reports in Dermatology ◽

10.1159/000442343 ◽

2015 ◽

Vol 7 (3) ◽

pp. 335-339 ◽

Cited By ~ 4

Author(s):

Khalid Al Hawsawi ◽

Ohood Aljuhani ◽

Ghassan Niaz ◽

Haneen Fallatah ◽

Abrar Alhawsawi

Keyword(s):

Early Childhood ◽

Case Report ◽

Family History ◽

Similar Case ◽

Skin Lesions ◽

Unknown Etiology ◽

Facial Skin ◽

Review Of The Literature ◽

Skin Examination ◽

The Face

Erythromelanosis follicularis faciei is a rare sporadic condition of unknown etiology characterized by reddish-brownish patches and follicular papules that appear commonly on the face and rarely on the neck. Herein, we report a 16-year-old male who had asymptomatic facial skin lesions since early childhood. His family history revealed a similar case in his younger brother. His parents are not consanguineous. Skin examination revealed diffuse nonscaly brownish patches with erythematous background and multiple skin-colored, hypopigmented follicular papules on both cheeks. A summary of previous reports of erythromelanosis follicularis faciei in the literature is presented in this report.

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The effects ofcombined diamond microdermabrasion and a mixture of cosmetic acids on the condition of acne prone skin: a case report

HIGHER SCHOOL’S PULSE ◽

10.5604/01.3001.0015.5924 ◽

2021 ◽

Vol 15 (SUPPLEMENT 2) ◽

pp. 1-11

Author(s):

Karolina Chilicka

Keyword(s):

Case Report ◽

Effective Treatment ◽

Acne Vulgaris ◽

Skin Lesions ◽

Severity Scale ◽

Entire Surface ◽

The Face

Background: Exfoliating treatments are widely used in cosmetology and dermatology forthe treatment of skin lesions and, above all, toreduce the number of skin eruptions that occur with acne vulgaris. An effective treatment that can be offered to people suffering from this disease is diamond microdermabrasion. The addition of acid peeling to this treatment may lead to even better results than in the case of monotherapy. Aim of the study: To assess the effectiveness of a combination of microdermabrasion and acid peeling on a 21-year-old woman suffering from acne vulgaris. Case report: The patient suffered from acne vulgaris, too high a level of sebum on the entire surface of the face, and, over the course of the disease, developed open and closed blackheads and inflammatory pustules. The sebum level was measured with a DermaUnitSCC3 device and the number of skin eruptions was determined using the global acne severity scale (GAGS). Conclusion: The series of cosmetological treatments led to a reduction in the sebum on the surface of the epidermis and the number of skin eruptions.

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Disseminated cutaneous sporotrichosis in a patient with AIDS: report of a case

Revista da Sociedade Brasileira de Medicina Tropical ◽

10.1590/s0037-86822002000600018 ◽

2002 ◽

Vol 35 (6) ◽

pp. 655-659 ◽

Cited By ~ 43

Author(s):

Miriam Tomoko Mitsuno Carvalho ◽

Adriana Pinheiro de Castro ◽

Cristiane Baby ◽

Betina Werner ◽

José Filus Neto ◽

...

Keyword(s):

Case Report ◽

Male Patient ◽

Sporothrix Schenckii ◽

Skin Lesions ◽

Response To Therapy ◽

Initial Presentation ◽

Hiv Positive ◽

Cutaneous Lesions ◽

The Face

We describe a case report of disseminated cutaneous sporotrichosis as the initial presentation of AIDS in a 24-year-old HIV-positive male patient. He presented multiple ulcerated skin lesions distributed over the face, thorax, legs and arms. Biopsy of one of the cutaneous lesions was suggestive of sporotrichosis and culture isolated Sporothrix schenckii. Itraconazole was started and the lesions progressively resolved after 15 days of medication. The patient was discharged with this medication but he did not return for follow-up. He died three months later in another hospital. Therapy of sporotrichosis in HIV-infected patients remains unclear and the response to therapy is variable. Itraconazole is highly concentrated in the skin and is one of the options for treatment of disseminated sporotrichosis.

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Atypical maculopapular rash as the initial sign of COVID-19: A case report from a COVID hospital

Journal of Skin and Sexually Transmitted Diseases ◽

10.25259/jsstd_46_2020 ◽

2020 ◽

Vol 0 ◽

pp. 1-4

Author(s):

Olasseri Kalathingal Reena Mariyath ◽

Koyakutty Abdul Samad ◽

Keerankulangara Devi ◽

Vandipurackal Sukumaran Surya ◽

Merin David Effeena ◽

...

Keyword(s):

Case Report ◽

Skin Rash ◽

Erythema Multiforme ◽

Maculopapular Rash ◽

Skin Lesions ◽

Cutaneous Manifestation ◽

Drug Intake ◽

Initial Manifestation ◽

The Face ◽

Initial Sign

Maculopapular rash mainly distributed over the trunk, is reported as the most common cutaneous manifestation in COVID-19 patients. The palms, soles, and face are usually spared. The rash is associated with itching in 56% of patients and is observed along with COVID-19 symptoms. Maculopapular rash is considered as a feature of severe COVID-19 and the lesions usually resolve in 10 days. We report a COVID-19 patient whose initial manifestation was an atypical maculopapular rash with urticarial wheals and erythema multiforme-like lesions. The patient denied drug intake before the onset of skin lesions. The rash was distributed over the face, palms, and soles in addition to the trunk and limbs. The patient had only mild symptoms of COVID-19. The rash lasted for 3 weeks and resolved with post-inflammatory hyperpigmentation and peeling of the skin of the fingertips. We report this case to highlight the possibility of skin rash being the initial sign of COVID-19.

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