scholarly journals Clinical and Dermoscopic Features of Melanocytic Lesions on the Face Versus the External Ear

2021 ◽  
pp. e2021124
Author(s):  
Teresa Deinlein ◽  
Andreas Blum ◽  
Günter Schulter ◽  
Holger A. Haenssle ◽  
Ralph Braun ◽  
...  

Introduction: Melanoma of the external ear is a rare condition accounting for 7-20% of all melanomas of the head and neck region. They present classical features of extra-facial melanomas clinically and dermoscopically. In contrast, facial melanomas show peculiar patterns in dermoscopy. Objectives:  We evaluate whether there are clinical and/or dermoscopic differences in melanocytic lesions located either at the external ear or on the face. Methods: In this retrospective study we reviewed an image database for clinical and dermoscopic images of melanomas and nevi located either on the face or at the level of the external ear. Results: 65 patients (37 men; 63.8%) with 65 lesions were included. We found no significant differences in comparing face melanomas with melanomas at the level of the external ear, neither clinically nor dermoscopically. However, we provided evidence for differences in some clinical and dermoscopic features of melanomas and nevi of the external ear. Conclusions: In this study, we reported no significant differences in comparing melanomas on the face with melanomas of the external ear, both clinically and dermoscopically. Furthermore, we provided data on clinical and dermoscopic differences comparing nevi and melanoma of the external ear.

Author(s):  
Lauren E. Miller ◽  
David A. Shaye

AbstractNecrotizing fasciitis (NF) is part of the class of necrotizing soft tissue infections characterized by rapid fascial spread and necrosis of the skin, subcutaneous tissue, and superficial fascia. If left untreated, NF can rapidly deteriorate into multiorgan shock and systemic failure. NF most commonly infects the trunk and lower extremities, although it can sometimes present in the head and neck region. This review provides an overview of NF as it relates specifically to the head and neck region, including its associated clinical features and options for treatment. Noma, a related but relatively unknown disease, is then described along with its relationship with severe poverty.


2020 ◽  
Vol 28 (2) ◽  
pp. 144-150
Author(s):  
Vandana P Thorawade ◽  
S A Jaiswal ◽  
Seema Ramlakhan Gupta

Introduction  Tuberculosis can involve any organ or site. Otorhinolaryngologist may encounter tuberculosis affecting lymph nodes, ear, larynx, deep neck spaces, salivary glands etc. which can mimic other chronic granulomatous conditions or malignancy. To ensure early diagnosis, it is important to recognize its cardinal signs and symptoms and to be aware of potential pitfalls in diagnosis. This study was done to learn the clinical presentation of tuberculosis in ear, nose, throat and head and neck region, and to assess the effectiveness of various investigations and treatment done for the same. Materials and Methods  A retrospective study done in our institution involving 120 patients suffering from tuberculosis in ear, nose, throat and head and neck region who attended pulmonary medicine or ENT OPD or ward between January 2008 to December 2017 that is, 10 years. Study period for data collection and analysis was 1 month. Results Total 120 patients-69 males and 51 females. Most common site was cervical lymph nodes(77.5% patients), followed by larynx(8.3%),middle ear(7.5%),deep neck spaces(2.5%) and salivary glands and nose(1.7% each). Histopathology was highly sensitive(99. 1%).All except one patient responded to first-line antitubercular drugs, the other patient was given treatment for MDR-TB to which he responded. Conclusion Tuberculosis can involve any site in the head and neck region, most common being cervical lymph nodes mainly presenting as neck swelling. Variable nature of manifestations of tuberculosis makes it essential to have high degree of suspicion for early diagnosis.


1990 ◽  
Vol 104 (12) ◽  
pp. 977-979 ◽  
Author(s):  
J. F. Sharp ◽  
M. J. C. Rodgers ◽  
F. B. Macgregor ◽  
C. J. Meehan ◽  
K. McLaren

AbstractAngiolymphoid hyperplasia with eosinophilia is a rare condition and is poorly recognized in the otolaryngological literature. The condition is characterized by the appearance of cutaneous nodules within the head and neck region especially around the external ear. Variable lymphadenopathy and peripheral eosinophilia can occur and the condition can mimic neoplasia. It is important to be aware of this disease entity in order to avoid overtreatment. Surgical removal is the treatment of choice; however, this often multilobulated and poorly delineated lesion often precludes initial wide excision and local recurrence is common.We present three cases of this unusual condition and a brief resumé of the literature.


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Hesam Jahandideh ◽  
Yasser Nasoori ◽  
Sara Rostami ◽  
Mahdi Safdarian

Langerhans cell histiocytosis (LCH) is a very rare condition that commonly affects the head and neck region. There are very few cases of isolated laryngeal involvement by LCH, mostly reported in pediatric patients. Here, we report a case of laryngeal LCH in a 62-year-old woman presenting with a neck mass several weeks ago. The clinical and histopathological findings are reported with a brief discussion about the disease.


2016 ◽  
Vol 44 (9) ◽  
pp. 1292-1298 ◽  
Author(s):  
Thomas Mücke ◽  
Lucas M. Ritschl ◽  
Maximilian Roth ◽  
Florian D. Güll ◽  
Andrea Rau ◽  
...  

1996 ◽  
Vol 110 (11) ◽  
pp. 1084-1087 ◽  
Author(s):  
Nalinikanth Pamaraju ◽  
S. A. Khalifa ◽  
Abdulla Darwish ◽  
K. O. Paulose ◽  
Nissar Ahmed ◽  
...  

AbstractKimura's disease is a rare condition of unknown aetiology. It usually presents as a mass in the head and neck region. The diagnosis is confirmed by biopsy and usually treated by excision even though recurrence is common. This condition can be mistaken for a malignant tumour. In this case report Kimura's disease presented as a nonspecific lymphadenitis in an Arab patient.


2016 ◽  
Vol 2016 ◽  
pp. 1-4
Author(s):  
Adem Binnetoglu ◽  
Tekin Baglam ◽  
Gulnur Tokuc ◽  
Kiymet Kecelioglu Binnetoglu ◽  
Fatma Gerin ◽  
...  

Background.Ewing sarcoma (ES) is a high-grade malignant tumor that has skeletal and extraskeletal forms and consists of small round cells. In the head and neck region, reported localization of extraskeletal ES includes the larynx, thyroid gland, submandibular gland, nasal fossa, pharynx, skin, and parotid gland, but not the external ear canal.Methods.We present the unique case of a 2-year-old boy with extraskeletal ES arising from the external ear canal, mimicking auricular hematoma.Results.Surgery was performed and a VAC/IE (vincristine, adriamycin, cyclophosphamide alternating with ifosfamide, and etoposide) regimen was used for adjuvant chemotherapy for 12 months.Conclusion.The clinician should consider extraskeletal ES when diagnosing tumors localized in the head and neck region because it may be manifested by a nonspecific clinical picture mimicking common otorhinolaryngologic disorders.


2018 ◽  
Vol 26 (2) ◽  
pp. 141-143
Author(s):  
Riya Kaur Kalra ◽  
Phulwinder Singh

Melanocytic nevi of the head and neck region are common among all ages with no predilection for males or females. These moles can appear as small, dark brown spots on the skin anywhere on the face including the eyelids, which may not be cosmetically acceptable. Case Report Here we report a case where a toilet cleaner (tezaab) was used to remove the facial mole leading to scar formation, which otherwise could have been removed with various latest modalities with no residual scar. Discussion Melanocytic nevi can be removed safely by the latest modalities available by the trained professionals but at times people try  home remedies or take internet suggestions before consulting a doctor which can lead to ugly scars.


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