Back issues No.4 - 1992  
  Case Report
  pilonidal Sinus of Subclavicula - A Case Report
Kuen-Shing Chiou, Gwo-Shing Chen, Hsin-Su Yu
Dermatol Sinica 10: 189-196, 1992

A 32-year-old female presented with a three weeks history of recurrent episodes of tenderness and purulent discharge from a 3×0.3cm, cord-like, granulomatous, dark-red plaque on her left subclavicular area. Histopathology revealed a tract lined by squamous stratified epithelium. It's surrounding tissue shows chronic inflammatory infiltrates, containing large amount of pasma cells. Hair is surrounded by granulation tissue and foreign body giant cells. According to clinical findings and histopath ..................More
  Familial Dysplastic Nevus Syndrome Associated with Malignant Melanoma - A Case Report
I-Ching Chu, Ruey-Yi Lin, Shyh-Chen Shaw, Tsong-Liang Lee
Dermatol Sinica 10: 197-206, 1992

A 40-year-old woman, who had developed many irregularily shaped brownish to dark brown macules and papules with a tendency of enlargement in some, was diagnosed to have dysplastic nevus syndrome on account of both clinical and histopathologic findings. Her two daughters had carried similar stypical moles, too. About two years ago, the patient had noted a growing brownish to black plaque on her abdomen, which was histologically proved to be a superficial spreading melanoma. To the melanoma, we fo ..................More
  Metastatic Calcinosis Cutis in Uremia - A Case Report
Chien-Chung Lai, Yang-Jyh Lin, Hsiu-Chin Chen, Hsu-Po Yeh
Dermatol Sinica 10: 207-215, 1992

A 50-year-old male uremic patient developed brownish sclerotic plaques on his back and perianal area, and normal skin colored hard nodules on his left hip and both elbows 2 months ago. Histopathologically, the Von Kossa stain demonstrated irregular masses of calcium deposits surrounded by foreign body reaction. Laboratory data revealed severely impaired renal function, hyperphosphatemia and secondary hyper-parathyroidism. Besides, calcification of an arteriole near the right wrist and both conju ..................More
  Purpura Fulminans in a Patient with E. coli Sepsis - A Case Report and Differential Diagnosis
Purpura fulminans, Disseminated intravascular coagulation, E. coli sepsis
Dermatol Sinica 10: 217-224, 1992

A 19-year-old male patient, suspected to have protein-losing enteropathy, presented at emergency room with 2 days' duration of tender swelling of left thigh, and then tender erythema spreading to abdomen and forechest. Within 40 hours, sharp-demarcated, extensive purpura, hemorrhagic blisters and epidermal necrosis developed, accompanied by E. coli septic shock and disseminated intravascular coagulation. Though aggressive hydration, vasopressor and antibiotics were given, irreversible shock with ..................More
  Hydroa vacciniforme - Case Report
Tzung-Wern Wu, Jauh-Jyh Hurng, Tsu-Chyang Chen, Hui-Hwa Tseng
Dermatol Sinica 10: 225-232, 1992

Hydroa vacciniforme is a rare photodermatosis manifested in early childhood by recurrent vesicles that heal with scarring. We report a 12-year-old boy who suffered from recurrent itching erythematous papules, vesicles, crusts and depressed scars on sun-exposed area for eight years. Each episode occurred several hours after sun exposure, especially in the summer season. The family history was non-contributory.Histopathological examination showed intraepidermal vesiculation, reticular degeneration ..................More
  Desmoplastic Trichoepithelioma
Yun-Ting Chang, Han-Nan Liu, Chu-Kwan Wong
Dermatol Sinica 10: 233-237, 1992

A 58-year-old male patient has suffered from an asymptomatic yellowish-brownish nodule with a raised annular border and a central non-ulcerated depressed center on right nasolabial fold for 40 years. Histopathological findings showed narrow strands of basaloid cells, horn cysts, and fibrous stroma. These findings confirmed the diagnosis of desmoplastic trichoepithelioma. ..................More
  Pityriasis Rubra Pilaris - A Case Report and Literature Review
Ming-Tzen Liu, Jen-Kan Hwang, Chu-Kwan Wong
Dermatol Sinica 10: 239-246, 1992

Pityriasis rubra pilaris (PRP) is a rare dermatosis of unknown etiology characterized by perifollicular erythema, follicular plugging, palmoplantar hyperkeratosis and cephlic rash. The dissease presenting its classical clinical featrues is pathognomonic. The characteristic histopathological findings, including alternating parakeratosis, follicular plugging, hyperkeratosis, psoriasiform acanthosis, confirm the clinical diagnosis. Peak age of onset is bimodal, first peak is first decade, the other ..................More
  Infantile Acropustulosis Associated with scabies
Shi-Tai Liu, Shih-Yueh Chen, Ji-Chen Ho
Dermatol Sinica 10: 247-253, 1992

We report four cases of acral pustular eruption with antecedent scabies occurring in infants and young children. Recurrent crops of pruritic vesicles or pustules occurred on the hands and feet. Eosinophilia in the blood was a common laboratory feature. Histopathologically, all showed subcorneal vesicles containing mainly neutrophils. The rashes were responsive to topical steroids, but recurrences were a rule. Spontaneous resolution took place gradually several months later. The eruptions and the ..................More
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