Back issues No.2 - 2003  
  Original Study
  Dermatophyte Isolation from Instruments Used in Hair Salons in Kaohsiung City
Jen-Chyi Chang, Meng-Chun Tsai, Mark Ming-Long Hsu
Dermatol Sinica 21 : 106-112, 2003

It is reported that the incidence of adult tinea capitis is increasing in southern Taiwan in recent years. To understand if it relates to the instruments that hair salons used, we performed fungal cultures from instruments used in 125 hair salons, which were selected by convenient sampling method from all 1310 hair salons under supervision of Municipal Health Department in Kaohsiung city. From each of them, about 10 routinely used instruments were selected and inoculated onto Mycosel agar plates ..................More
  Angiolupoid Sarcoidosis:A Clinicopathological Study of a Distinct Variant of Cutaneous Sarcoidosis
Hsiang-Ju Tsai , Yue-Zon Kuan , Wen-Rou Wong , Yea-Huey Chuang , Wei-Ming Wu
Dermatol Sinica 21 : 113-118, 2003

Sarcoidosis is a multisystem granulomatous disorder with protean manifestations ranging from self-limited skin lesions to intractable organ failure. Angiolupoid sarcoidosis is a rarely reported variant of cutaneous sarcoidosis characterized by erythematous plaques with superficial telangiectasia on the face. Such disfiguring manifestation can cause profound social embarrassment. We reviewed the dermatological files in Chang Gung Memorial Hospital from 1985 to 2001. Eight cases with consistent fe ..................More
  Evaluation of Formaldehyde Allergy in a Patch-test Population
Haw-Yueh Thong, Mei-Ping Tseng, Chee-Ching Sun, Tsu-Liang Chen
Dermatol Sinica 21 : 119-125, 2003

Formaldehyde (FA) in industrial, cosmetics and house-hold products is of importance for the induction of allergic contact dermatitis. Among 3,403 patients(1,006 men, 2,397 women) consecutively patch tested at National Taiwan University Hospital in the past 23 years, 128 patients(23 men, 105 women) showed a positive reaction to FA. The overall prevalence rate of FA sensitivity was 3.8%. The women patch-tested presented with eczema primarily involving the head and neck region, followed by the hand ..................More
  Clinical Manifestations of Eosinophilic Folliculitis:A Review of 23 Patients
Ya-Ming Tsai , J. Yu-Yun Lee , J. Hamm-Ming Sheu, Ki-Kau Lee
Dermatol Sinica 21 : 126-135, 2003

Ofuji’s disease(OD), also named eosinophilic pustular folliculitis(EPF), is characterized by recurrent pruritic folliculopapules and discoid or annular plaques studded with pustules, which occurs mainly on the face. HIV-associated eosinophilic folliculitis(HIV-EF) typically manifests discrete urticarial folliculopapules, mostly on the upper trunk. Both forms of EF are characterized by sterile pustular eosinophilic folliculitis. In the past 13 years, a total of 23 cases of EF were diagnosed in ..................More
  Preliminary Clinical Observations of the "Half-and-half nails" in Chronic Renal Failure with Hemodialysis Patients
Hsiu-Cheng Chang , Hsu-Jung Hsieh , Chang-Long Tai , Chien-Jen Huang, Chao-Hong Liu , Chia-Sheng Chen
Dermatol Sinica 21: 135-140, 2003

204 chronic renal failure(CRF, experiment group) patients versus 213 dermatological clinic patients(control group, age matched with experiment group, exclude hemodialysis and peritoneal dialysis patients) were surveyed for "half-and-half nails". 17 patients in experiment group(17 of 204, 8.3%) showed the "half-and-half nails" phenomenon, but none in control group had this discoloration(p<0.001). Among the experiment group, the "half-and-half nails" were less frequently found in the subgroup(8 of ..................More
  Case Report
  Perianal Streptococcal Dermatitis
Tsung-Jen Huang , Tun-Yuan Liu , Fon-Ling Chen
Dermatol Sinica 21 : 142-145, 2003

Perianal streptococcal dermatitis (PSD) is a superficial bacterial infection of the parianal area. PSD is usually caused by group A b-hemolytic streptococci and rarely, the group G b-hemolytic streptococci or staphylococcus aureus. Symptoms include perianal rash, itching and rectal pain; blood-streaked stools may be also seen in one third of patients. It primarily occurs in children between 7 months and 11 years of age. We report a 6-year-old boy with PSD who developed desquamation of his finger ..................More
  Intradermal Urate Tophi—Report of 6 Case
I-Shu Chen, Hung-Wen Kuo, Ji-Chen Ho
Dermatol Sinica 21 : 146-152, 2003

Intradermal urate tophi are rare skin manifestations of chronic gout. They appear as small, superficial, pustule-like, whitish lesions. Histologic features show multiple, intradermal foci of amorphous deposits surrounded by mononuclear cells and multinucleated giant cells. Renal insufficiency, hypertension, and chronic glucocorticoid use may be associated with the development of intradermal tophi. The occurrence of intradermal tophi appears to correlate with advanced disease. We report on 6 cas ..................More
  Erythema Elevatum Diutinum Associated with Lymphoepithelioma-like Carcinoma of the Lung
I-Shu Chen , J. Yu-Yun Lee
Dermatol Sinica 21 : 153-159, 2003

Erythema elevatum diutinum(EED) is an uncommon form of protracted leukocytoclastic vasculitis, characterized by chronic, violaceous papules, plaques and nodules that are typically distributed over extensor surfaces of the hands and elbows. EED has been associated with rheumatoid arthritis, ulcerative colitis, Crohn’s disease, myeloma, myelodysplastic syndrome, viral hepatitis or streptococcal infection and HIV. We present a case of EED with concurrent lymphoepithelioma-like carcinoma of the lu ..................More
  Cutaneous Mycobacterium kansasii Infection in a Patient with Systemic Iupus Erythematosus: Diagnosed by Genotyping and Phenotyping
Jeng-Wei Tjiu , Yu-Chih Lin Chii-Shyan Wang , Hsien-Ching Chiu
Dermatol Sinica 20 : 160-164, 2003

Mycobacterium kansasii infections of the skin are rarely seen and present variable clinical and histologic features. Most patients with M. kansasii infection have altered immunity, caused either by immunosuppressants or underlying diseases. Laboratory identification of the organism is essential for proper diagnosis and selection of appropriate antimycobacterial medication. We report cutaneous M. kansasii infection in a patient with systemic lupus erythematosus. DNA was extracted from skin biopsy ..................More
  Acrodermatitis Continua of Hallopeau—A Case with Lesions Localized at Bilateral Thumbs Successfully Treated with Dapsone
Hung-Hsu Yang, Hsin-Chi Chen, Hsiu-Chin Chen, Yu-Hung Wu Hsin-Yi Su
Dermatol Sinica 21 : 165-170, 2003

A 66-year-old male suffered from painful pustular eruptions of acrodermatitis continua of Hallopeau on bilateral thumbs for about 2 years, with associated nail dystrophy and markedly disabled manual skills. Initial treatment with topical corticosteroids, tars and calcipotriol failed to improve the acral lesions. Dapsone therapy began at a dose of 200 mg/day, which cleared the acral lesions within two weeks of therapy. However, new lesions relapsed when the dose was tapered to 150 mg/day. Increas ..................More
  Iododerma—Report of a Case
Meng-Yueh Hsieh, Hung-Wen Kuo, Ji-Chen Ho
Dermatol Sinica 21 : 171-174, 2003

Iododerma is an uncommon eruption caused by exposure or ingestion of iodides or related compounds.1 The typical cutaneous lesions are acneiform papulopustules that appear in skin sites rich in sebaceous glands.1-3 We report a case of iododerma in a 63-year-old male patient who took oral potassium iodide (KI) to treat sporotrichosis. One week later discrete acneiform papules and pustules appeared on his nose and nasolabial folds. The skin lesions persisted for several weeks during treatment with ..................More
  Progressive Symmetric Erythrokeratodermia—A Case Report
Shu-Feng Kan, Chung-Hong Hu, Woan-Ruoh Lee
Dermatol Sinica 21 : 175-179, 2003

Progressive symmetric erythrokeratodermia (PSEK) is a rare disorder of cornification characterized by epidermal hyperproliferation and is inherited as an autosomal dominant trait with variable penetrance. However, it has been reported that sporadic mutations comprise of 40 percent of all cases. Patients with PSEK usually respond to oral retinoid or etretinate therapy. We report a case of progressive symmetric erythrokeratodermia that was recalcitrant to oral acitretin and topical steroid, urea a ..................More
  Cutaneous Post-irradiation Angiosarcoma—A Case Report and a Review of the Literature
Chun-Hua Wang, Gwo-Shing Chen, Kun-Bow Tsai
Dermatol Sinica 21 : 180-186, 2003

Cutaneous angiosarcoma(AS) is a rare malignancy arising from vascular endothelium, and occurs extremely rarely on the abdominal wall. Several predisposing factors, including external irradiation for another malignancy have been suggested. Few cases of abdominal-wall AS in patients previously treated with pelvic irradiation for gynecological malignancies have been reported hitherto. Herein, we describe a patient with squamous cell carcinoma of uterine cervix developed a cutaneous AS eight years a ..................More
  Amelanotic Melanoma
Kun-Wei Chiu, Pei-Lin Chung
Dermatol Sinica 21 : 187-191, 2003

Cutaneous amelanotic melanoma is easily confused with some benign or malignant skin lesions in clinical. It can not be diagnosed by physician at first visit. We report a 44-year-old man, who suffered from a non-healing, progressively enlarging ulcer located on right great toe for 3 months. Histopathologically, it shows infiltrating nests or trabecules of pleomorphic cells in dermis and subcutaneous tissue. Immunohistochemical study reveals positive staining for HMB-45. Radionuclear study shows m ..................More
  Menkes’ Kinky Hair Syndrome—Report of One Case Treated with Copper-Histidine
Mei-Ching Lee, Yea-Huei Chuang , Hong-Shang Hone
Dermatol Sinica 21 : 192-197, 2003

Menkes’ kinky hair syndrome(MKHS) is a rare x-linked recessive disorder of copper metabolism. We report an 8-month-old male infant with MKHS. Seizures and growth retardation developed since the first few months of his life. Physical examination showed generalized pale skin, puffy face, and sparse, brittle, light-colored, kinky hairs. Blood tests showed low levels of serum copper and ceruloplasmin. Light microscopic examination of the hairs revealed findings of trichorrhexis nodosa. Excessive w ..................More
  Congenital Cartilaginous Rest of the Cheek with Bilateral Accessory Tragi: A Clinical Evidence Suggesting both Originated from the 1st or 2nd Pharyngeal arch—A Case Report and Literature Review—
Wan-Ting Chiu , Min-Chee Wu , Shu-Ling Hu , Yih-Yiing Wu
Dermatol Sinica 21 : 198-204, 2003

We report a case presented with congenital cartilaginous rest of left cheek and clinically bilateral multiple accessory tragi. The concurrence of these congenital anomalies may originate from the 1st or 2nd pharyngeal arch. A 24-year-old woman was noted to have four asymptomatic skin-colored protruding masses over bilateral preauricular area and left cheek since birth. The histopathology of the tumor at left cheek revealed a central core of elastic cartilage with surrounding collagen bundles and ..................More
  Resident Forum
  Asymptomatic Plaques on the Bilateral Postauricular Areas in a 50-year-old Man
Kai-Kuo Lee, Meng-Ying Hsieh, Chung-Wen Ko
Dermatol Sinica 21: 205-206, 2003

Case report A previously healthy 50-year-old fisherman had asymptomatic erythematous lesions on the bilateral postauricular areas for 18 months. He denied the history of applying any topical agents or taking any systemic drugs. There was no history of photosensitivity, burn, irradiation and local trauma in the areas. None of his family had a similar problem. The skin examination showed multiple white, 1 to 2 mm papules within erythematous plaques on the bilateral postauricular areas (Fig. 1). A ..................More
  Oral Ulcer and Multiple Painful Eruption in a Patient with Chronic Psoriasis
Yu-Liang Hsiao, Sung-Jan Lin, Tsen-Fang Tsai
Dermatol Sinica 21: 207-208, 2003

Case Report A 69-year-old man had chronic plaque psoriasis for ten months. Many new psoriatic plaques and generalized exfoliation developed during a flare 2 months ago after treatment with herbs. MTX, 7.5 mg weekly in three divided doses 12 hours apart, was initiated since three weeks ago. Erythroderma resolved dramatically within one week. Oral ulcers and painful eruptions superimposing on psoriatic plaques developed over the whole body two weeks after the initiation of MTX. After admission, p ..................More
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