Back issues No.1 - 2002  
 
 
  Original Study
 
  Serum Level of Squamous Cell Carcinoma Antigen as a Marker of Disease Activity in Patients with Psoriasis
Chia-Chi Shih, Gwo-Shing Chen, Roger Chin-Che Hsu, Chih-Hung Lee, Shiang-Bin Jong
Dermatol Sinica 20: 1-6, 2002

Squamous cell carcinoma antigen (SCC Ag) is a tumor marker for SCC of the uterine cervix. Recently, serum levels of SCC Ag were noticed to be elevated in patients with benign dermatoses. In this study, we investigated SCC Ag levels in 47 patients with psoriasis to determine whether this Ag is a useful marker of disease activity. Our results demonstrated that patients with pustules, erythroderma and poor control status showed higher serum levels of SCC Ag. A positive correlation of SCC Ag with th ..................More
   
  Case Report
 
  Angiomatoid Malignant Fibrous Histiocytoma—A Case Report—
Jeng-Hsien Lin Kong-Chao Chang Wen-Chieh Chen Jui-Chin Yu
Dermatol Sinica 20: 7-12, 2002

Angiomatoid malignant fibrous histiocytoma (AMFH) is a rare, low-to-intermediate-grade malignant tumor that occurs primarily in the extremities of young individuals. A 23-year-old woman had a slow-growing violaceous tender firm papule at left palm for 1 year. Histopathology showed characteristic findings of AMFH, namely (1) irregular solid masses and nodules of fibroblast-and histiocyte-like cells, (2) focal areas of hemorrhagic cysts and (3) chronic inflammatory infiltrate consisted mainly of ..................More
   
  Follicular Hybrid Cyst-like Hamartoma:Cystic Follicular Hamartoma with Sebaceous and Inferior Segment Differentiation
Hung-Jen Chang Yu-Hong Wu Hsiu-Chin Chen Hsin-Yi Su Tao-Yeuan Wang
Dermatol Sinica 20: 13-18, 2002

Currently it is well established that each of the three parts of the hair follicle (infundibulum, isthmus, and the inferior portion) originates different types of cutaneous cysts1 Thus, we can see several types of follicular cysts include infundibular cysts, trichilemmal cysts, and pilomatricoma. Some hybrid cysts with differentiation toward two different follicular parts also have been reported in previous articles.2-11. We herein report a rare cystic follicular hamartoma. Histopa ..................More
   
  Epithelioid Sarcoma—A Case Report and Review of the Literature—
Yu-Ying Chen Hsin-Yi Su Hsiu-Chin Chen
Dermatol Sinica 20: 19-26, 2002

Epithelioid sarcoma is a rare malignant soft tissue tumor of uncertain origin that occurs most commonly in the distal extremities of young males. Herein, we report a case of epithelioid sarcoma over right thigh of a 19-year-old man with regional lymph node metastasis. Pathologically, the tumor was composed of nodular proliferation of epithelioid cells and spindle cells with necrosis. Mitosis and cellular atypia were also noted. The patient underwent radical resection and remained free of disease ..................More
   
  Becker's Melanosis: Associated with Ipsilateral Lower Limb Hyperplasia and pectus excavatum—A Case Report and Review of the Literature—
Hung-Ming Chung Yun-Ting Chang Chang-Lin Chen Wen-Jen Wang Chu-Kwan Wong
Dermatol Sinica 20: 27-32, 2002

Becker's melanosis is a fairly common disorder found in all races. Rarely, Becker's melanosis may be associated with hypoplasia or hyperplasia of underlying structures.1 With the exception of one patient with foot enlargement,2 most reported associated features have been hypoplastic. We report one case with extensive Becker's melanosis accompanied by ipsilateral lower limb hyperplasia and pectus excavatum. In the literature, this is the second case associated with hyperplasia of underlying struc ..................More
   
  Multiple Cutaneous Plexiform Schwannomas—A Case Report and Review of the Literature—
Wu-Hui Chang Yung-Tsai Li Kao-Chia Yang Tsen-Fang Tsai
Dermatol Sinica 20: 33-37, 2002

Plexiform schwannoma is a rare variant of the typical schwannoma. In contrast to plexiform neurofibromas, plexiform schwannoma is only weakly associated with neurofibromatosis type 1 (von Recklinghausen's disease), and has little malignant potential. Most plexiform schwannomas are solitary, and only a minority of reported cases are multiple. The latter may be associated with central nervous system tumors and show overlapping clinical features with neurofibromatosis type 2. We herein report a cas ..................More
   
  Disseminated Cryptococcosis with Cutaneous Manifestations—Report of Two Cases—
Chia-Chen Wang Chien-Hsun Chen I-Hsin Shih Heng-Leong Chan
Dermatol Sinica 20: 38-45, 2002

Disseminated cryptococcosis occurs mainly in immunocompromised hosts and has cutaneous involvement occuring in 10-20 % of cases. However, cryptococcal skin lesions have no unique or identifying features that alert one to the correct diagnosis. The mortality rate of disseminated cryptococ-cosis is 70-80 % and it can be reduced to 10-20 % with prompt diagnosis and treatment. We report two cases of disseminated cryptococcosis with cutaneous manifestations. One was a recipient of renal trans-plant w ..................More
   
  Heterotopic Salivary Glands in the Lower Neck
Yau-Li Huang Yuan-Li Liao Hong-Shang Hong Tseng-Tong Kuo
Dermatol Sinica 20: 46-50, 2002

Heterotopic salivary glands (HSG) in the lower neck are unusual developmental anomalies rarely encountered by dermatologists. Because HSG is associated with sinus tract, the embryologic origin of HSG in the lower neck may be from the branchial apparatus. Surgical treatment is recommended due to the possible development of various malignancies. We report a rare case of HSG with fistula in the lower third region of the neck. We suggest taking this entity into consideration for differential diagnos ..................More
   
  Livedoid Vasculopathy—Report of One Case Treated with Warfarin—
Yi-Ming Huang Chun-Hong Hu Woan-Ruoh Lee
Dermatol Sinica 20: 51-56, 2002

Livedoid vasculopathy is a chronic disorder characterized clinically by recurrent painful ulcers of the feet, ankles and legs that heal with residual white atrophic scars and histologically by intravascular deposition of fibrin. We report a 42-year-old man who has had recurrent multiple painful, deep-crusted ulcerations with erythematous bases over bilateral lower legs for one and a half years. Therapeutic response to dipyridamole, pentoxyphylline and aspirin was very poor. Oral anticoagulant, w ..................More
   
  Linear Basal Cell Carcinoma of the Scrotum—A Case Report—
Chung-Chu Ning Sheau-Chiou Chao
Dermatol Sinica 20: 57-62, 2002

Although basal cell carcinoma (BCC) is the most common human malignancy, only 34 cases involving the scrotum have been previously reported. The linear type BCC is also an uncommon morphologic variant and was never reported over the scrotum. We describe a very rare case of linear BCC of the scrotum. A 70-year-old man noted an asymptomatic linear pigmented lesion over the scrotum for 4-5 years. As a resident of the blackfoot endemic area (Township Peimen), he reported to have been drinking hig ..................More
   
  Intralesional Methotrexate as Effective Treatment in Solitary Keratoacanthoma of Nose—A Case Report—
Chung-Yee Hui Chieh-Hsun Chen Heng-Leong Chan
Dermatol Sinica 20: 63-67, 2002

There are many methods to treat keratoacanthoma. Surgical excision is the treatment of choice for majority of keratoacanthoma. However, significant cosmetic defects can result if large or cosmetically important location are involved. Intralesional therapy with 5-fluorouracil, bleomycin, methotrexate or interferon-α has been shown to be effective in treatment in these cases. We report a case of keratoac-anthoma on nasal ala with extension to nasal cavity resolved in 3 weeks after treated with in ..................More
   
  Multiple Speckled Lentiginous Nevi—Report of a Case and Review of the Literature—
Hung-Chieh Tsai Woan-Ruoh Lee
Dermatol Sinica 20: 68-73, 2002

Speckled lentiginous nevus is characterized by a tan or light brown background patch on which more darkly pigmented macules or papules are randomly distributed. Histologic examination of the tan patch reveals features of lentigo simplex, whereas the speckled macules and papules disclose melanocytic nevi. We report a case of a 6-year-old boy with multiple large congenital lesions on the head and neck. It is an unusual clinical presentation of speckled lentiginous nevus which must be differentiate ..................More
   
  Cutaneous manifestations in a patient withWerner syndrome —Case Report and Literature Review—
Yi-Ju Chen Chih-Chao Yang Chia-Yu Chu Yang-Shia Dai Chee-Ching Sun
Dermatol Sinica 20: 74-83, 2002

Werner syndrome is a rare autosomal recessive disorder that manifests as genetic instability as well as early onset of aging-related diseases. Patients with Werner syndrome develop aged appearance and graying of hair at young age. Other characteristic features include bilateral congenital cataracts, scle-rodermoid skin changes, short stature, diabetes mellitus, hypogonadism, osteoporosis, atherosclerosis and various types of cancer. There are also florid cutaneous manifestations in WS. We herei ..................More
   
  Resident Forum
 
  A non-tender subcutaneous nodule of the finger web
Haw-Yueh Thong Tsen-Fang Tsai
Dermatol Sinica 20: 84-85, 2002

A 67-year-old Chinese veteran, consulted his physician because of a small, mildly pruritic, slowly progressing skin lesion on the right first finger web. (Fig. 1). The lesion was present for one week before the patient sought medical attention. On examination, the papule was well-defined, non-tender, elastic, slightly erythematous and measured approximately 0.5cm in diameter. There were no respiratory symptoms noted. He denied a travel history. Complete physical examination of the patient reveal ..................More
   
  Papules on the Auricular Concha in a 55-year-old Female
Li-Na Tung Mei-Eng Tu Hsiu-Chin Chen Hsin-Yi Su
Dermatol Sinica 20: 86-87, 2002

病例報告 一位五十五歲女性由朋友無意中發現在左側耳殼上有成群丘疹,無疼痛感或癢感。之前在耳殼上並無任何病灶,病患也無搔抓耳殼的習慣。身體一向健康,無任何系統性疾病 。理學檢查可見患者左側耳殼上有黃至膚色成群丘疹,表面呈光滑臘狀(Fig. 1),他處皮膚並無其他病灶。於病患耳殼病灶處做切片檢查,以H-E stain(Fig. 2)及剛果紅(Fig. 3)染色,並送電子顯微鏡檢查( ..................More
   
  A Painless Swelling on the Anterior Surface of the Auricle in a 73-year-old Man
Sung-Jan Lin Tsen-Fang Tsai
Dermatol Sinica 20: 88-89, 2002

CASE REPORT A 73-year-old Taiwanese man had a painless swelling on the anterior surface of his left auricle of 2 weeks' duration. He reported no trauma to his left auricle prior to the development of the swelling. No pertinent family history was noted. Physical examination revealed a non-tender, soft, cystic swelling on the left upper anterior auricle (Fig. 1). An incisional biopsy was taken for pathological examination (Fig. 2, 3) ..................More
   
 
 
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