Back issues No.2 - 1993  
  Case Report
Inacio R. Faver, W. P. Daniel Su
Dermatol Sinica 11: 67-74, 1993

Lobomycosis is a deep fungal disease characterized by skin lesions that resemble keloid. Most cases are reported from South and Central America, especially from the Amazon region in Brazil. The causative agent is the fungus Paracoccidioides loboi, which is abundant in skin lesions but is difficult to culture. The clinical manifestions are characteristic and the histopathologic changes are diagnostic. Lobomycosis is usually resistant to therapy, but in some cases surgical excision is successful. ..................More
  Cryofibrinogenemia - A Case Report and Dynamic Analysis of Cutaneous Microcirculation
Tzu-Man Wu, Gwo-Shing Chen, Chao-Hsing Kao, Sen-An Yang, Jin-Wha Kang, Ching-Jer Hsu, Hsin-Su Yu
Dermatol Sinica 11: 75-84, 1993

A 52-year-old man with palmoplantar purpura and chronic dermatitis affecting face, trunk and extremities was evaluated. Laboratory abnormalities included cryofibrinogenemia, elevated serum IgE level, borderline eosinophilia and polyclonal gammopathy. After the cold provocation test, dynamic capillaroscopy revealed retardation of capillary blood cell velocity. The patient responded well to a combined therapy of corticosteroid and hydroxychloroquine sulfate. ..................More
  Adult Colloid Milium - A Case Report with Special Stains and Electron Microscopic Studies
Ching-Yuan Huang, Jauh-Jyh Hurng, Tsu-Chyang Chen, Hui-Hwa Tseng
Dermatol Sinica 11: 85-94, 1993

A 67-year-old vitiligo vulgaris male developed multiple asymptomatic, semi-translucent papules about 1-3 mm on hypopigmented region over dorsum of left hand since one year ago. Histologically, there were accumulation of amorphous, fissured, eosinophilic masses occupying upper dermis. These masses were PAS positive; Congo red negative under polarized light; VVG & GMS revealed no propensity of collagen or elastic fibers. Electron microscopically, these collagen or elastic fibers. Electron microsco ..................More
  Poikilodermatous Mycosis Fungoides - A Case Report
Shu-Hui Wu, Wen-Jen Wang, Guan Chou, Lin Ho, Hsien-Chi Chang
Dermatol Sinica 11: 95-104, 1993

Poikilodermatous Mycosis Fungoides is a rare type of cutaneous T-cell lymphoma. We herein report a 37-year-old male affected by extensive area of poikiloderma with intense pruritus on face, trunk and limbs. Enlargement of bilateral inguinal lymph nodes were also noted.The poikilodermatous patch showed Pautrier microabscesses & epidermotropism in epidermis and dense band-like atypical lymphoid cells infiltration in dermis. The right side inguinal lymph node showed atypical lymphoid cells replacin ..................More
  Metastatic Neuroblastoma Presenting as cutaneous Nodules - A Case Report
Chien-Ju Chen, Shu-Hui Hwang, I-Chung Hung, Yi-Huei Wang, Wan-Der Chen, Ko-Kaung Liao
Dermatol Sinica 11: 105-111, 1993

A 47-day-old male infant was noted to have many cutaneous nodules two weeks after birth. Those firm, flesh-colored to bluishred nodules, 6-15mm in diameter, were present on the scalp, axillae, trunk, scrotum and right thigh. The liver was palpable 4cm below the right costal margin. Laboratory data revealed elevation of the serum LDH and 24-hour urine vanillylmandelic acid. Sonogram and computerized axial tomographic scan of the abdomen disclosed many nodules in the liver and a 3×5 cm-sized righ ..................More
  Spindle Cell Hemangioendothelioma - A Case Report and Literature Review
Chich-Kung Hsu, Tsen-Fang Tsai, Jau-Shiuh Chen, Ming-Tuo Chuan
Dermatol Sinica 11: 113-120, 1993

One case of spindle cell hemangioendothelioma, a recently described vascular neoplasm by Weiss and Enzinger in 1986, is reported. A 17-year-old boy presented multiple painless nodules on the left foot which had developed for 2 years. Histologically, the nodules, which were located in the deep dermis and subcutis, were well circumscribed and characterized by cavernous vascular spaces and interstitial spindle cells. Among these spindle cells, there were occasional epithelioid endothelial cells wit ..................More
  Clinical and Histological Features of Dilated Pore - Report of Six Cases and Review of Literature
Shih-Tsung Chen, J. Yu-Yun Lee
Dermatol Sinica 11: 121-128, 1993

Dilated pore is a cystic follicular hamartoma with differentiation toward follicular infundibulum. Clinically it tends to occur in the face and neck and has the appearance of giant comedo with a central pore. The clinical and histological features of 6 cases of dilated pore are presented. The lesions were located in the head and neck regions in 4 patients but on the trunk in two. Histologically each biopsy showed a keratinous cyst lined by a hyperplastic squamous epithelium exhibiting digitate o ..................More
  Breast Carcinoma En Cuirasse - A Case Report and Literature Review
Sheng-Hwa Lee, Huey-Maan Cheng, Sai-Foo Cheng, Jen-Hung Yang, Kang-C Chu
Dermatol Sinica 11: 129-135, 1993

Breast carcinoma en cuirasse is a rare type of cutaneous metastasis of breast carcinoma. Clinically, the skin metastasis shows a hard leathery character, even a wooden-like sensation by palpation. The dermatopathology demonstrates severe desmoplasia surrounding the tumor cell clusters and the characteristic"lndian filing."picture.We reported a typical case of breast carcinoma en cuirasse. The clinical manifestations presented as brownish indurated plaques with leathery character and wooden-like ..................More
  Median raphe Cyst of the Penis - A Case Report
Pei-Ing Chang, Julia Yu-Yun Lee
Dermatol Sinica 11: 137-143, 1993

Median raphe cyst of the penis (MRCP), a cyst derived from the endoderm, is a rare disorder. Herein we report a typical case of MRCP in a 30-year-old male who presented with an asymptomatic translucent cystic lesion, measuring 8 mm in diameter, on the median raphe near the glans penis for 2 years. The lesion was treated with extirpation. Histopathological examination showed that the cyst wall was lined by a pseudostratified columnar epithelium with mucous cells and tubuloalveolar mucous glands. ..................More
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