Back issues No.2 - 1998  
 
 
  Original Study
 
  The Preliminary Analysis of the Plume Produced by CO2 Laser and the Care of Safety
Kao-Chia Yang, Pai-Tsang Huang
Dermatol Sinica 16: 72-76, 1998

This study is to analyze the concentration of dust, and the composition and concentration of chemicals in the plume produced by CO2 laser. Whether or not the dust and chemicals in the plume were harmful to medical personnel was important. Analysis of the dust by using a smoke evacuation unit showed that the concentrations of both the "total dust" and "respirable dust" were below the national permissible exposure limit of 10mg/m3 and 5mg/m3, respectively. Qualitative and quantitative analysis of ..................More
   
  Analysis of 1022 Skin Biopsies from the Outpatient Clinic of a Regional Hospital
Li-Jye Kuo, Ke-Ming Hung, Jiann-Shang Chou, Chang-Chuan Su
Dermatol Sinica 16: 77-85, 1998

Taipei Municipal Chung Hsiao Hospital is a regional hospital located in the east area of Taipei, in which there are 2 visiting staffs and 4 residents in the department of dermatology. From November 1988 to September 1996, this department treated 180537 patients, of whom 1015 patients (male 56%, female 44%) underwent skin biopsy. All cases with biopsy were classified into 10 categories. The most common diagnoses were nevus (15.3%), cyst (14.8%), tumor of fibrous tissue (11.1%), verruca (7.4%) ..................More
   
  Case Report
 
  Ofuji's Disease—A Case with Dapsone-Induced Sulfone Syndrome and Indomethacin-Induced Clearanc
Jing-Yi Lin, Hsin-Chun Ho, Ming-Jing Chen, Heng-Leong Chan, Tseng-Tong Kuo
Dermatol Sinica 16: 86-92, 1998

We report a case of Ofuji's disease in a 24-year-old woman. She developed sulfone syndrome with fever, skin rash, hemolytic anemia, lymphadenopathy, and acute hepatic injury during dapsone treatment.The complications subsided after discontinuing dapsone medication. Her facial lesions due to Ofuji's disease was later well controlled by indomethacin. The effective treatment of Ofuji's disease with indomethacin could be due to the inhibition of eosinophilic chemotactic factor. ..................More
   
  Congenital Cartilaginous Rests of the Neck
Jung-Tsung Feng, Hsing-Jung Chiang, Hsiu-Chin Chen, Hsin-Yu Su
Dermatol Sinica 16: 93-96, 1998

We report a case of congenital cartilaginous rests of the neck. A one-year-old infant presented with a skin-colored, asymptomatic protruding papule over the right neck which had been noted since birth. The papule was located at the anterior border of the right sternocleidomastoid muscle, approximately 2cm above the clavicle. The lesion was firm and rubbery in consistency. On microscopic examination it revealed some hair follicles and sebaceous glands in the dermis. Fat tissue and a central core ..................More
   
  Extensive Nevus Sebaceus—A Case without Significant Congenital Anomaly
Shih-Hung Lee, I-Hsin Shih, Tseng-Tong Kuo, Shao-Yei-Liu, Heng-Leong Chan, Wu-Shiun Hsieh
Dermatol Sinica 16: 97-101, 1998

A two-month-old male infant was found to have linear orange-yellow flat papuloplaques on the right half of the face and scalp, and linear brown figured verrucous papuloplaques on the left side of the trunk and limbs since birth. The skin lesions corresponded to the Blaschko's lines. No assocated anomalies of the neurological, ocular, and usculoskeletal systems were found. Both skin biopsy specimens taken from the scalp and left thigh showed histologic features of a nevus sebaceus. Extensive nev ..................More
   
  Generalized Morphea
Te-Hsing Chen, Chang-Lin Chen, Chu-Kwan Wong
Dermatol Sinica 16: 102-107, 1998

A 43-year-old male patient noted multiple asymptomatic, variously sized, ivory-colored, indurated plaques over his chest, abdomen, back and four limbs for 3 years. Histopathological examination confirmed the diagnosis of morphea. ..................More
   
  Incontinentia Pigmenti—A Case without Bullous Stage
Tsung-Hsien Shih, Yu-Fu Chen, Chin-Ming Hung
Dermatol Sinica 16: 108-112, 1998

The cutaneous lesions of incontinentia pigmenti (IP) evolve classically in stages beginning with erythematovesicles and bullae followed by verrucous lesions, with eventual macular splashed or whorled hyperpigmentation. We report a 5-year-old case presenting widespread pigmented patches without previous erythematovesicular lesions since birth. This is an uncommon form of IP. ..................More
   
  Congenital Dermal Melanocytosis—A Case Combined with Multiple Blue Nevus-Like Lesions
Tsung-Hsieh Shih, Yu-Fu Chen, Chin-Ming Hung, Tsen-Fang Tsai
Dermatol Sinica 16: 113-118, 1998

Dermal melanocytosis is characterzied by ectopic melanocytes present in the dermis. We report a case of congenital dermal melanocytosis combined with multiple blue nevus-like lesions and vitiligo-like lesions. Such case with complex pigment disorders has not been reported in English literature.A 53-year-old female presented with a brown patch with several darker macules within it on the right wrist since birth, size measured to 10 x 8 cm at present. In addition, many bluish black papules develop ..................More
   
  Sweet's Syndrome Associated with Myelodysplastic Syndrome
Chu-Hui Tu, Kou-Huan Tseng, The-Li Wong, Shih-Lung Chang
Dermatol Sinica 16: 119-123, 1998

A 58-year-old male patient presented with tarry stool passage for many times. Some painful erythematous nodules and plaques were noted on the face and neck during hospitalization. Histological examination of these skin lesions revealed prominent perivascular infiltration of neutrophils but no evidence of vasculitis. Hematological tests showed pancytopenia and an elevated erythrocyte sedimentation rate. A bone marrow aspiration was arranged and refractory anemia was found. Under the impression of ..................More
   
  Porokeratosis of Mibelli on the Penis
Te-Hsing Chen, Chang-Lin Chen, Chu-Kwan Wong
Dermatol Sinica 16: 124-128, 1998

A 80-year-old male patient noted three asymptomatic, 6 to 8 mm in diameter, erythematous or whitish papules on his penis for six years. Histopathological examination showed a typical cornoid lamella and porokeratosis of Mibelli was diagnosed. Because of its indistinctive clinical appearance, the disease is easily overlooked. We herein report this uncommon case and review the literature briefly. ..................More
   
  Primary Cutaneous Adenoid Cystic Carcinoma—A Case Report and Review of the Literatur
Shu-Ching Hu, Tsen-Fang Tsai, Shiou-Haw Jee, Cheng-Hsiang Hsiao
Dermatol Sinica 16: 129-135, 1998

Adenoid cystic carcinoma (ACC) is a neoplasm of the major and minor salivary glands. Primary cutaneous adenoid cystic carcinoma is rare. We report a new case in a 68-year-old woman who presented a recurrent pea-sized intradermal nodule over her right inguinal area. Excisional biopsies were performed five times due to local recurrence. The histopathology of the last biopsy specimen showed uniform basaloid cells arranged in cribriform and tubular pattern. Basement membrane-like hyaline substance ..................More
   
  Nodular fasciitis
Chih-Kang Chen, Wen-Jen Wang, Chang-Lin Chen, Chu-Kwan Wong
Dermatol Sinica 16: 136-140, 1998

Nodular fasciitis was first described by Konwaler et al in 1955. Because of the infiltrative growth pattern, this disease was possibly misdiagnosed as sarcoma. We herein report a typical case of nodular fasciitis that presented with a tender subcutaneous nodule about 1 cm in diameter over the left forearm for 1 week. After surgical excision, no recurrence has been noted so far after follow-up for 4 months. ..................More
   
  Solitary Myofibroma
Tzu-Jen Kuo, Wu-Yen Lee, Chao-Cheng Huang, Ji-Chen Ho
Dermatol Sinica 16: 141-146, 1998

A 50-year-old woman presented with a reddish, asymptomatic lump on her right dorsal hand for more than 20 years. She visited our OPD in April 1997. Clinically the base of the lesion was about 1-2 cm in diameter , firm , and hard but not fixed with deep tissue. Microscopically, it showed biphasic pattern of multiple peripheral nodules which were composed of elongated spindle cells and central vascular structure which was composed of hemangiopericytoma-like cells. Based on the unique histopatholo ..................More
   
  Phakomatosis Pigmentovascularis Type Iib with Right Kidney Agenesis
Ching-Yuang Huang, Yu-Yun Lee, Ching-Yie Wu
Dermatol Sinica 16: 147-152, 1998

We report a rare case of phakomatosis pigmentovascularis (PPV), type Iib, in association with right kidney agenesis. An 8-year-old boy was admitted to our hospital for urinary tract infection. Extensive port-wine stain, aberrant Mongolian spots, leg-length discrepancy, pelvic obliquity, scoliosis and bilateral melanosis oculi bulbi were noted. Further investigation revealed right kidney agenesis which has never been observed in PPV. ..................More
   
 
 
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