Back issues No.2 - 2000  
  Original Study
  Epidemiology of Wart Infections Among Primary School Students in Changbin and Dawu Districts,Taitung County
Ya-Ju Hsieh, Yu-Hung Wu, Hsin-Yi Su
Dermatol Sinica 18: 80-87, 2000

Warts are common skin infections caused by human papilloma virus . Many school children were found to have warts at the out-patient department of dermatology or the charity clinics of our hospital. There are only a few reports about the prevalence of warts among school children in Taiwan. From March through May 1998, a total of 1054 students among 13 primary schools in Changbin and Dawu District, Taitung County were examined by one dermatologist. The overall prevalence of warts was 8.0%, and the ..................More
  Case Report
  Nasal T/NK Cell Lymphoma Associated with Virus Infection in Two Cases of Lethal Midline Granuloma
Hui-Hsien Chiu, Po-Han Huang, Hsiu-Yu Huang, Shui-Nin Li, Ji-Chen Ho
Dermatol Sinica 18: 88-94, 2000

Nasal or nasal-type T/NK cell lymphoma often follows an aggressive course and has a poor prognosis. Radiation therapy may provide good local control of the disease in an early stage, while the disease is always resistant to chemotherapy. Failure to recognize this disease often leads to inappropriate management. We report two cases of nasal T/NK cell lymphoma with the unique feature of a crusted necrotic ulcer surrounded by erythematous infiltrative rim at midfacial region, clinically presented a ..................More
  Primary Mucinous Carcinoma of the Skin -A Case Report-
Meng-Yun Hsieh, Fon-Yi Sung, Kai-Yam Ng, Kou-Chang Chou, Li-Sun Shih
Dermatol Sinica 18: 95-99, 2000

Primary mucinous carcinoma of the skin is a rare adnexal neoplasm differentiating toward sweat gland, most of which is the eccrine type. This neoplasm shows a high local recurrence rate and a low incidence of metastasis. Diagnosis depends on clinical, histological, histochemical features, and exclusion of metastasis from other sites of mucinous carcinoma. We present a case of primary mucinous carcinoma of the skin, treated with conventional excision. There were no signs of recurrence after 21 mo ..................More
  Congenital Curved Nail of the Fourth Toe -A Case Report-
Hsin-Chi Chen, Yang-Chih Lin, Hsin-Yi Su
Dermatol Sinica 18: 100-104, 2000

A 16-year-old boy visited our hospital complaining of asymptomatic whitish discoloration of the proximal nails of his bilateral fourth toes. He had no apparent trauma to the toes, except playing soccer in recent weeks. Physical examination showed onycholysis and leukonychia around the lunula unguis of his bilateral fourth toes. In addition, we found that those two affected toenails covered not only the dorsal but also some of the plantar aspect of the distal phalanx. Radiologic examination revea ..................More
  Primary Cutaneous T-Cell Lymphoma with CD8 Immunophenotype and Angiocentric and Angiodestructive Features -A Case Report-
Hung-Wen Kuo, Yao-Kun Chiu, Ji-Chen Ho, Hong-Cheng Wu
Dermatol Sinica 18: 105-113, 2000

We herein report a case of primary cutaneous T-cell lymphoma (CTCL) with CD8 immunophenotype and angiocentric and angiodestructive features. This patient was a 49-year-old Taiwanese man, who had gradually developed widespread dark red to purpuric papules and plaques, ulcerated or crusted noduloplaques and a few blisters 4 months prior to admission. Skin biopsy from one blister on admission was initially diagnosed as atypical erythema multiforme; however, the skin lesions progressed despite intra ..................More
  Discrete Papular Form of Lichen Myxedematosus-A Case Report-
Chuen-Lin Liu, Shu-Ling Hu, Ming-Tuo Chuan
Dermatol Sinica 18: 114-119, 2000

Lichen myxedematosus is a chronic cutaneous mucinous disorder and is classified into four clinical variants. We report a 40-year-old male patient who was found to have dozens of discrete small waxy white papules on his back incidentally. Histopathological examination revealed mucin deposition in the upper dermis. This case has the typical presentation of discrete papular form, a rare variant. ..................More
  Cutaneous Langerhans Cell Histiocytosis
Liang-Yuan Wu, Tsen-Fang Tsai, Yu-Fu Chen, Chih-Ming Hung
Dermatol Sinica 18: 120-126, 2000

We report a 4-year-old boy with localized Langerhans cell histiocytosis. The lesions were restricted to the skin of his back, eyelids, glans penis and prepuce for 2 years. Histopathological and electron microscopic examinations showed typical features of Langerhans cell histiocytosis. Extensive examination revealed no other organ involvement. ..................More
  Cutaneous Cytomegalovirus Infection in a Patient with T-cell Lymphoma -A Case Report and Literature Review-
Yi-Jeng Tsai, Hon-Ru Yu, Tzu-Ling Hsu, Ming-Tuo Chuan, Chieh-Jen Wu
Dermatol Sinica 18: 127-135, 2000

A 78-year-old woman with underlying malignant T-cell lymphoma, urinary tract infection, and bilateral pneumonia complicated with acute respiratory failure developed 2 purpuric macules over the right chest, and one purpuric papule and one purpuric plaque around the umbilicus. Skin biopsy from the macule revealed malignant T-cell lymphoma with skin involvement and concurrent cytomegalovirus infection. The clinical status deteriorated so rapidly that she died of adult respiratory distress syndrom ..................More
  Porokeratotic Eccrine Ostial and Dermal Duct Nevus -A Case Report-
Yi-Chun Lin, Hsien-Ching Chiu, Ming-Tuo Chuan, Chieh-Jen Wu
Dermatol Sinica 18: 136-139, 2000

A 34-year-old woman presented with a hyperkeratotic plaque on her right big toe for more than 20 years. Physical examination revealed a hyperkeratotic plaque surmounted with pinhead-sized hyperkeratotic dells on the medial aspect of the right big toe. Histopathology revealed a picture of porokeratotic eccrine ostial and dermal duct nevus. ..................More
  Transient Neonatal Pustular Melanosis
Tzong-Len Sheu, Po-Han Huang, Ji-Chen Ho
Dermatol Sinica 18: 140-144, 2000

Transient neonatal pustular melanosis (TNPM) is a relatively rare dermatosis characterized by a short duration of pustular lesions, which then evolve into macular hyperpigmentation. Its prevalence is unknown in Taiwan. We report a newborn baby boy with skin manifestations that showed several flaccid pustules on face and trunk at birth. All laboratory studies, including bacterial and fungal culture, revealed negative results. Histopathologically, an intraepidermal vesicle containing predominantly ..................More
  Epithelioid Hemangioendothelioma with Multiple Organ Involvement
Teng-Fu Hsu, Kao-Chia Yang
Dermatol Sinica 18: 145-150, 2000

Epithelioid hemangioendothelioma (EHE) is an uncommon, intermediate-grade vascular tumor. It most often presents in soft tissue and internal organs and is known to be occasionally multicentric or metastatic. Herein we report a case of a 61-year-old man with multiple red-violet plaques over his right palm for more than two years. A tumor in left ventricle of heart was found and open heart surgery and skin biopsy were performed. Pathologic findings in both of the cardiac mass and skin lesion were ..................More
  Eyelid Metastasis of Parotid Carcinoma -A Case Report-
Teng-Wei Huang, Yuh-Chiau Chiang, Yo-Hwa Yang, Yu-Chang Chan
Dermatol Sinica 18: 151-155, 2000

A 58-year-old patient was found of a metastatic carcinoma in the skin of the left postauricular area in February 1997, which was possibly derived from the left parotid cancer. He received radiotherapy thereafter. However, progressive erythematous change with swelling and induration began to be noted on the left eyelids in January 1998. The right eyelids were soon involved. Eyelid skin biopsy revealed a metastatic cancer. The incidence of the metastatic cancer of the eyelids is quite low. The rel ..................More
  Pachydermoperiostosis -A Case Report-
Yi-Jeng Tsai, Ming-Tuo Chuan, Yih-Yiing Wu
Dermatol Sinica 18: 156-162, 2000

Pachydermoperiostosis (PDP) is a rare disease that may mimic secondary hypertrophic osteoarthropathy or acromegaly. A 22-year-old man has been developing clubbing of fingers and toes, pachydermia, and enlargement of extremities since he was 13 years old. Roentgenograms of the long bones revealed a periosteal reaction. Histopathology of the skin from the forehead revealed hypertrophic pilosebaceous units and thickening collagen bundles in the dermis and subcutis. After extensive investigation ..................More
  Pedunculated Malignant Melanoma -A Case Report-
Han-Chieh Lee, Gwo-Shing Chen, Jey-Chaur Chung, Hsin-Su Yu, Hsiang-Ju Lin
Dermatol Sinica 18: 163-168, 2000

The pedunculated malignant melanoma is very rare and has not been reported previously in Taiwan. It often presents with most virulent clinical course than other forms of melanoma. A 49-year-old female had a rapidly growing erythematous tumor on the lower back for one year. Examination revealed a dark red, coarse surface, soft tumor with focal serum crust, 2.5 x 1.5 x 1.5 cm in size attached to the underlying depigmented patch of skin by a narrow-based pedicle of 1.5 cm in width. Regional inguina ..................More
  Sebaceoma (Sebaceous Epithelioma) -A Case Report-
Chia-Yu Chu, Pi-Fen Lai, Cheng-Hsiang Hsiao, Tsen-Fang Tsai
Dermatol Sinica 18: 169-174, 2000

Sebaceoma (sebaceous epithelioma) is an uncommon cutaneous adnexal tumor with differentiation toward sebaceous unit. We describe a 75-year-old male patient with one pea-sized, skin-colored, round papule with central erosion over his right cheek for more than 10 years. Excisional biopsy of the lesion was performed under the impression of basal cell carcinoma. The histopathologic study revealed a basaloid tumor composed of lobules of basaloid cells as well as sebaceous differentiation, which led t ..................More
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