Back issues No.3 - 2005  
 
 
  Review
 
  Rosacea: Clinical aspects, pathogenesis and treatment
J Yu-Yun Lee
Dermatol Sinica 23:121-130,2005

酒渣(roscea)為一種慢性反覆發作,病因不明的發炎性反應,主要犯及臉部皮膚及眼1-6。典型的臨床表現為臉部雙頰瀰漫性熱潮?,反覆發作後呈持續性?斑,合併微細血管擴張,痤瘡狀丘疹,膿?及眼睛乾澀、癢、?或灼熱感。酒渣因為外觀上像痤瘡或青春痘7,故早先被命名為acne rosacea。Rosacea的原意為"rosy" 8,酒渣的發生與個人體質(臉部血管遇熱易持續性擴張),賀爾蒙或長期日曬 ..................More
   
  Original Study
 
  Treatment for Psoriasis with Modified Goeckerman Regimen-One Year Experience in Southern Taiwan-
Chih-Sheng Lai, Po-Han Huang, Ji-Chen Ho
Dermatol Sinica 23:113-120,2005

Despite the recent advances in treatment for psoriasis, it is still challenging in treating patients with moderate to severe psoriasis. The Goeckerman regimen, which was introduced by Goeckerman in 1925, is still considered to be one of the most effective and relatively safe therapies for patients. We started the modified Goeckerman regimen for treating moderate to severe psoriatic patients in Taiwan in March, 2002. 89 patients had been treated from March, 2002 to May 2003. Among them thirty-two ..................More
   
  Case Report
 
  Subcorneal Pustular Dermatosis:A Case Report
Shih-Ming Tseng, Jen-Hung Yang
Dermatol Sinica 23:131-135,2005

Subcorneal pustular dermatosis(SPD)is a rare skin disorder characterized by a chronically relapsing vesicopustular eruptions affecting the trunk and extremities. The pathogenesis of SPD remains obscure despite the fact that it is characterized by subcorneal accumulation of neutrophils. We reported a 72-year-old male patient who was previously treated as psoriasis with phototherapy, neotigason, and topical steroids; however, all these treatments were ineffective in controlling the disease. ..................More
   
  Red Imported Fire Ant stings
Ming-Hsiu Lin, Tsen-Fang Tsai, Ying-Chang Chen, Li-Chen Cheng , Ren-Fong Lee
Dermatol Sinica 23:136-143,2005

The populations of red imported fire ant (Solenopsis invicta ) were first discovered in Tao-Yuan , Chia-Yi, and Taipei county in Taiwan in 2003. We describe five patients stung by red imported fire ants in Tao-Yuan county from December 2003 to April 2004. All the five patients experienced localized sterile pustules. The histopathological examination of lesions demonstrated intraepidermal pustules mixed with neutrophils, lymphocytes, and some eosinophils. Two of the patients suffered from systemi ..................More
   
  Demodex Abscess: Clinical and Therapeutic Challenges
Chao-Hwei Wang, Chung-Hsing Chang
Dermatol Sinica 23:144-147,2005

A 52-year-old man suffered from recurrent erythematous papules, plaques, pustules and abscesses over the anterior chest, abdomen and back with severe pruritus for four years. He was under long term systemic steroid treatment for more than 4 years due to arthralgia. Steroid-induced folliculitis or Pityrosporum folliculitis was impressed at first, but treatment with systemic, minocyclin and topical benzoyl peroxide for 4 weeks and systemic itraconazole for another 4 weeks showed no improvement. A ..................More
   
  Concurrent Parry-Romberg Syndrome and Systemic Lupus Erythematosus— A Case with 6 Year Follow-Up —
Yun-Hsuan Ouyang , Ming-Tuo Chuan , Hon-Ru Yu , Shu-Ling Hu
Dermatol Sinica 23:144-147,2005

Parry-Romberg syndrome is a rare disorder characterized by progressive hemifacial atrophy of the skin, adipose tissue, muscle, cartilage, and underlying bony structures. Although various autoantibodies such as antinuclear antibodies (ANA), rheumatoid factor (RF), and anti-single-stranded DNA antibodies are found in patients with Parry-Romberg syndrome, coexistence with systemic lupus erythematosus is rare. We report a Parry-Romberg syndrome patient with positive ANA and presence of anti-double-s ..................More
   
  Multinucleate Cell Angiohistiocytoma-A Case Report
Ching-Po Wang, Hsin-Yi Su, Yu-Hung Wu, Yang-Chih Lin
Dermatol Sinica 23:154-157,2005

Multinucleate cell angiohistiocytoma (MCAH) is a rare skin lesion characterized by multiple papules, usually found on the extremities of middle-aged women. We report such a case in a 42-year-old woman who for one year had noticed a gradually enlarging purpuric plaque and several brown-to-violet papules on her forehead. A biopsy specimen of the plaque showed dermal vascular proliferation embedded in connective tissue containing a number of bizarre, multinucleated giant cells. Immunohistochemical ..................More
   
  Kikuchi’s Disease (Histiocytic Necrotizing Lymphadenitis) Associated with Cutaneous Lupus Erythematosus
Yi-Chen Liao, Sheau-Chiou Chao, Julia Yu-Yun Lee
Dermatol Sinica 23:158-161,2005

Abstract Histiocytic necrotizing lymphadenopathy (Kikuchi’s disease) is a rarely observed clinical entity characterized by fever and solitary or multiple lymphadenopathy predominantly in the posterior cervical region. Kikuchi’s disease has been reported to precede, coexist with or follow the diagnosis of systemic lupus erythematosus. In only rare instances has its association with cutaneous lupus erythematosus without systemic involvement been reported. We report two cases who presented wit ..................More
   
  Neurocutaneous Melanosis with Malignant Leptomeningeal Melanoma
Hung-Chia Chnag, Wei-Ming Wang
Dermatol Sinica 23:162-167,2005

Neurocutaneous melanosis (NCM) is a rare congenital syndrome characterized by the presence of large or multiple congenital melanocytic nevi with either benign or malignant pigmented cell tumors of the leptomeninges. We report a case of NCM in a patient with previously robust heath. No neurological deficit was noted in the patient. At the age of 21 years old, blurred vision initially appeared. We were consulted to evaluate cutaneous lesions in the patient. We found an unduly large, hairy, congeni ..................More
   
  Resident Forum
 
  Brownish Reticulated Papules and Plaques on the Trunk of a 20-year-old Man
Yu-Ju Tsai, Shu-Ling Hu, Wan-Ting Chiu, Yih-Yiing Wu
Dermatol Sinica 23:168-167,2005

Case report A 20-year-old male visited our out-patient-clinic in July 2003 for the asymptomatic brownish skin lesions on his trunk for about 3 years. He ever received topical and oral antifungal agents intermittently under the impression of pityriasis versicolor but in vain. Physical examination revealed brownish reticulated papules and plaques on his neck, intermammary region, abdomen, axillae, and back.(Fig. 1a). No spore or hyphae was noted by potassium hydroxide smear. Skin biopsy of abdomi ..................More
   
  Small Round-oval Keratotic Papules on the Margins between the Junction of the Plantar Skin of a 64-year-old Female
Ming-Yi Tseng, Kuo-Chia Yang, Julia Hui-Mei Chang
Dermatol Sinica 23:170-171,2005

CASE REPORT A 64-year-old female patient visited our outpatient clinic due to smooth, shiny, flesh-colored keratotic papules coalescing to form plaques over the soles and transgredience lines (Fig.1). Those lesions appeared since her childhood and have persisted for more than 50 years. She denied family histories, itching, or tenderness. There was no history of systemic diseases, chronic trauma or friction, hyperhidrosis, or excessive sun exposure, either. We arranged a punch biopsy and th ..................More
   
  Multiple erythematous nodular eruptions in a 32-year-old man
Po-Hsuan Lu, Yang-Chih Lin, Yu-Hung Wu
Dermatol Sinica 23:172-173,2005

Case report A 32-year-old single male came to us with asymptomatic nodular skin lesions on his trunk, inner arms, and legs. He lived near a pet store. The lesions had been present for two months. They initially appeared on the trunk and gradually spread to involve the limbs. Cutaneous examination revealed discrete erythematous papules and nodules on the abdomen (Fig.1A), lower back (Fig. 1B), and limbs bilaterally but asymmetrically. The lesions were not tender, and they spared the mucous membr ..................More
   
  A 27-year-old Man with Symmetrical, Hyperkeratotic, Brownish Patches and Lentigines on Bilateral Wrists, Dorsal Hands, Knees and Ankles
Yu-Ting Chen, Chieh-Chen Huang
Dermatol Sinica 23:174-175,2005

CASE REPORT    A 27 year-old man visited our out-patient clinic and complained of many asymptomatic pigmented patches on the wrists, dorsal hands, knees and ankles since he was a 10 year-old boy. The lesions got exacerbated with darker colors and more hyperkeratosis in summer. After swimming or socking in water, they became white. There is no symptom about the lesions. No family history is found.    Dermatological examination showed symmetrical, well-circrumscribed, hyperkeratotic ..................More
   
 
 
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