Back issues No.4 - 2000  
  Original Study
  Cutaneous Angiosarcoma of the Face and Scalp Clinical Observation of Thirteen Cases and Literature Review
Chia-Yi Liu, Jau-Shiuh Chen, Chung-Ren Tseng
Dermatol Sinica 18: 267-272, 2000

Between 1977 and 1998, there were thirteen consecutive patients (nine men and four women) diagnosed with cutaneous angiosarcoma (AS) of the face and scalp at the National Taiwan University Hospital (NTUH), Taipei, Taiwan. Most of the characteristics of these patients are similar to those described in the literature, except the following aspects: 1. Younger age of onset: one fourth of our patients are below 45 years old; 2. Lesions on the lower face are not as rare as the description in the previ ..................More
  Case Report
  Atrophoderma of Pasini and Pierini-A Variant of Morphea -Report of A Case and Review of the Literature-
Chia-Yu Chu, Guang-Hsiang Hsiao, Cheng-Hsiang Hsiao
Dermatol Sinica 18: 273-279, 2000

Atrophoderma of Pasini and Pierini (APP) is a rare but clinically distinct skin disease characterized by sharply demarcated, slightly depressed patches with a slate-gray or brown color. The lesions are usually asymptomatic, bilateral and symmetrical. We report a 15-year-old girl who had a 3-year history of unilateral band-form, brownish, slightly depressed patches over the left arm and back. A skin biopsy from the left flank lesion including clinically normal skin and a depressed area was perfor ..................More
  Hodgkin' s Lymphoma with Specific Skin Involvement -A Case Report-
Chii-Shyan Wang, Yi-Hua Liao, Hsien-Ching Chiu, Cheng-Hsiang Hsiao
Dermatol Sinica 18: 280-285, 2000

Specific cutaneous involvement by Hodgkin' s lymphoma is rare, although it is frequently found in other types of malignant lymphomas. This is a case report of a female patient with systemic Hodgkin' s lymphoma of nodular sclerosis type who developed specific cutaneous involvement along with the flare-up of her nodal lymphoma. The skin and nodal lesions disappeared after multiple combination chemotherapy, allogenic bone marrow transplantation and electron beam radiation therapy. ..................More
  Herpes Zoster with Unusual Presentations-Report of 2 Cases-
Shih-Wei Chu, Hao-Chiung Lin, Chieh-Chen Huang, Beng-Huat Lau
Dermatol Sinica 18: 286-290, 2000

We report two cases of herpes zoster with unusual clinical presentations. Case 1 was a 62 years old healthy male who had herpes zoster over different dermatomes of opposite side, right T11 and left T5-6. Case 2 was a well developed 31/2 years old boy who was admitted to our hospital due to diffuse varicella combined with herpes zoster over left T10 dermatome simultaneously. The above two patients were treated either with oral or intravenous anti-viral acyclovir with good response. No residual ..................More
  Papuloerythroderma of Ofuji-Report of Two Cases-
Tsu-Liang Chen, Hsien-Ching Chiu
Dermatol Sinica 18: 291-297, 2000

Papuloerythroderma of Ofuji (PEO) is a rare inflammatory dermatosis with characteristic clinical features including numerous itching confluent papules, sparing of major body folds (the deck-chair sign), and peripheral blood eosinophilia in many patients. It may sometimes be associated with an internal malignancy. We report two old male patients with typical skin rashes of PEO which were transiently controlled with oral antihistamines and topical corticosteroids with and without combining UVB pho ..................More
  Lichen Striatus with Onychodystrophy - A Case Report -
Wen-Wei Feng, Ji-Chen Ho
Dermatol Sinica 18: 298-304, 2000

We herein present a 16-year-old boy who had multiple mildly itchy, erythematous papules with confluence in a linear arrangement on his left thumb for 6 months. Preceding longitudinal ridges and splitting of the left thumbnail were also noted on the ipsilateral side of skin lesions 6 months earlier. Biopsy of the thumb skin lesions revealed a band-like lymphohistiocytic infiltrate in papillary dermis and perivascular and periappendage inflammatory infiltrate in the dermis. No growth of fungus was ..................More
  Rupioid Psoriasis with Arthropathy
Yu-Lin Chang, Tzu-Ling Hsu, Ming-Tuo Chuan, Yih-Yiing Wu
Dermatol Sinica 18: 305-310, 2000

We report a rare case of rupioid psoriasis associated with arthropathy. A 35-year-old male had suffered from severe left knee arthritis for 3 months and had limpet-like, cone-shaped rupioid skin lesions on the trunk and lower extremities for 2 months. Histopathology examination revealed prominent parakeratosis, Munro' s and Kogoj microabscesses in the hyperplastic epidermis, moderate inflammatory cell infiltration and dilated capillaries in the markedly edematous papillary dermis. The skin lesio ..................More
  Prurigo Pigmentosa-A Report of Four Cases-
Chia-Jung Hsiao, J. Yu-Yun Lee, Hamm-Ming Sheu
Dermatol Sinica 18: 311-315, 2000

Prurigo pigmentosa (PP) is an uncommon skin disease characterized by a pruritic reticulated erythematous papular eruption that leaves a mottled hyperpigmentation after resolution. To date, only 2 cases were reported from Taiwan. In this report, we describe four cases of PP with typical clinical features and dramatic therapeutic response to minocycline. Histopathologically, characteristic findings of PP, namely vacuolar alteration of the basal cells, spongiosis, necrosis of keratinocytes, exocyto ..................More
  Odontogenic Sinus
Shang-Yen Tu, Chin-Yuan Chen
Dermatol Sinica 18: 316-321, 2000

We report a case of odontogenic sinus presenting as a pyogenic granuloma-like nodule. A 76 year-old male suffered from an erythematous, firm, crusted nodule with skin retraction on the chin right above the jaw border for more than one year. Radiology and pathology confirmed the diagnosis of odontogenic sinus. The lesion completely healed after teeth extraction. ..................More
  Sclerosing Perineurioma
Chia-Yu Chu, Tsen-Fang Tsai, Guang-Hsiang Hsiao, Cheng-Hsiang Hsiao
Dermatol Sinica 18: 322-328, 2000

Perineurioma is a rare tumor originated from perineurium. In electron microscope, the perineurial cell is characterized by the presence of external lamina, occasional pinocytotic vesicles, scattered intermediate filaments and electron-dense cell membrane plaques. Immunohistochemically, the perineurial tumor cells are reactive for vimentin and epithelial membrane antigen (EMA) but negative for S-100 protein. Sclerosing perineurioma is a recently described variant of perineurioma with distinctive ..................More
  Anetoderma with granulomatous inflammation and review of pathologic findings of cases reports
Shao-Ping Chang, Tsen-Fang Tsai, Yu-Fu Chen, Chih-Ming Hung, Hsin-Ho Chen
Dermatol Sinica 18: 329-334, 2000

Anetoderma, or macular atrophy, is characterized by atrophic patches located on the upper trunk. According to Lever' s histopathology of the skin, histologic findings comprise moderately pronounced perivascular infiltrate of mononuclear cells, loss of elastic tissue in papillary or reticular dermis, and in a few instances, a picture of leukocytoclastic vasculitis, including a perivascular infiltrate in which neutrophils and eosinophils predominate and nuclear dust, sometimes. We herein present a ..................More
  Kasabach-Merritt Syndrome
Kai-Ping Cheng, Hsiu-Chin Chen, Der-Cherng Liang, Hsin-Yi Su, His-Che Liu
Dermatol Sinica 18: 335-340, 2000

Kasabach-Merritt syndrome is characterized by hemangioma, consumptive coagulopathy, thrombocytopenia, and hemolytic anemia. Herein we present a case of Kasabach-Merritt syndrome successfully treated with interferon. The course and treatment of this disease will be discussed. ..................More
  Folliculosebaceous Cystic Hamartoma-Report of a Case-
Yu-Chih Lin, Tsen-Fang Tsai
Dermatol Sinica 18: 341-345, 2000

Folliculosebaceous cystic hamartoma (FSCH) is an uncommon cutaneous hamartoma with rather distinct histopathologic features than typifying clinical features. We herein present a case of FSCH with classic histopathological features, namely, the infundibulocystic structure surrounded by mature sebaceous lobules and characteristic stroma. The extracephalic location of FSCH in our case is rather distinct. ..................More
  Solitary Trichodiscoma-Report of a Case and Review of the Literature-
Yu-Chih Lin, Tsen-Fang Tsai, Cheng-Hsiang Hsiao
Dermatol Sinica 18: 346-349, 2000

A 45-year old man with one solitary trichodiscoma below the left nostril was reported. Histopathological examination of this lesion revealed typical features with centrally located fibromucinous stroma and surrounding sebaceous lobules. There has been no recurrence three years after total excision of this papule. ..................More
  Churg-Strauss Syndrome-A Case Report-
Hon-Ru Yu, Ming-Tao Chuan, Chih-Yu Hsu
Dermatol Sinica 18: 350-355, 2000

Churg-Strauss syndrome is an unuasual disease. We report a 23-year-old female with recent onset of asthma, peripheral eosinophilia, and cutaneous hemorrhagic papules. Chest X-ray film showed pulmonary infiltration. Nerve conduction velocity study showed mononeuritis multiplex. Histopathologic examination of lesional skin showed granulomatous vasculitis with eosinophilic infiltration. The clinicopathological features were typical for Churg-Strauss syndrome. ..................More
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