Back issues No.1 - 2006  
 
 
  Review
 
  Understanding Psoriatic Arthritis
Tsen-Fang Tsai
Dermatol Sinica 24:15-26,2006

乾癬可以說是皮膚科最具特色的皮膚病,特別是照光療法,更是皮膚科治療上的特色。然而乾癬性關節炎,卻相對的在台灣的皮膚科界,未受到足夠的正視。不過其實乾癬性關節炎被確認是一種特殊的關節炎,也是近年的事。 什麼是乾癬性關節炎?傳統上把類風濕性關節炎因子呈陰性者,同時有乾癬的皮膚症狀及關節炎的患者稱為乾癬性的關節炎,目前則把乾癬性關節炎定義 ..................More
   
  Original Study
 
  Comparison of the Differences among Oral Verrucous Hyperplasia, Verrucous Carcinoma, and Squamous Cell Carcinoma by Silver-binding Nuclear Organizer Regions Stain and Immunohistochemical Staining of Proliferating Cell Nuclear Antigen, Type IV Collagen, and Laminin
Feng-Jie Lai , Maw-Chang Sheen , Hamm-Ming Sheu , Chee-Yin Chai
Dermatol Sinica 24:1-8,2006

There were clinical and histological similarities among verrucous hyperplasia (VH), verrucous carcinoma (VC) and squamous cell carcinoma (SCC) of the oral cavity, especially, in those cases with borderline morphology. The aim of this study was to evaluate the differences among oral VH, VC and SCC by silver-binding nuclear organizer regions stain (AgNORs) and immunohistochemical staining for proliferating cell nuclear antigen (PCNA), type IV collagen and laminin. Thirty-one cases of ..................More
   
  Acne Prevalence in Elementary School Students – A Comparative Epidemiological Study Between Kaohsiung County and Magong Township
Min-Chien Tsai , Chih-Sheng Lai , Cheng-Yu Wang , Yu-Wen Cheng , Guan-Yu Chen , WenChieh Chen , Tsung-Jen Hsu
Dermatol Sinica 24:9-14,2006

Abstract  Acne is a common skin disease usually beginning in adolescence. The epidemiology of acne in Taiwan has been less intensively investigated. A total of 4,067 and 3,274 children (aged 6-12 years) in Kaohsiung county and Magong township were examined by board-certified dermatologists, respectively. The point prevalence of acne did not differ between the two populations (17.6 % vs. 17.3%). The female to male ratio was 2.1 in Kaohsiung and 1.5 in Magong. More inflammatory lesions (12.6%) ..................More
   
  Case Report
 
  Linear IgA disease complicated by erythema multiforme
Ching Yin Neoh, Malcolm W Greaves, M Priyanthi Kumarasinghe
Dermatol Sinica 24:27-31,2006

ABSTRACT A 55-year-old Chinese man presented with acute onset of a vesicobullous rash on his face, axillae, genitalia and trunk. The skin biopsy showed a subepidermal bulla. The diagnosis was made by direct immunofluorescence of the perilesional skin which revealed characteristic linear deposition of IgA along the dermoepidermal junction. He was successfully treated with dapsone initially but subsequently developed erythema multiforme, possibly due to dapsone. Linear IgA dermatosis should be ..................More
   
  Disseminated Lupus Vulgaris with Clinical Manifestations of Classical plaque, Cicatricial Alopecia and Chronic Ulcer
Po-Han Wang, Wan-Ting Chiu, Shu-Ling Hu
Dermatol Sinica 24:32-37,2006

Lupus vulgaris (LV) is a chronic and progressive form of cutaneous tuberculosis occurring in individual with a moderate to high degree of immunity. It generally arises from endogenous spread of tuberculosis of other organs. The lesions are usually solitary and affect the head and neck. We report a 65-year-old woman with a history of metastatic breast cancer who showed multiple lesions on different skin areas. There was an ulcerated lesion on the right thigh for about two years. Tw ..................More
   
  Granulomatous Periorificial Dermatitis in a Young Woman
Yu-Wen Li , Ming-Tuo Chuan , Shu-Ling Hu
Dermatol Sinica 24:38-41,2006

Granulomatous periorificial dermatitis is a skin disease presenting predominantly in prepubertal black-skinned children. It is characterized by tiny, monomorphous, papular eruptions around the mouth, nose and eyes. Extra-facial lesions in children had also been reported. These lesions are self-limited and resolved without scarring in most cases. We report a 28-year-old woman presented with pink to normal skin colored, discrete and coalescing papules ranging from 1 to 3 mm in diameter o ..................More
   
  Tyrosinemia, Type II- A Case Report
Cheng-Hung Huang, Ming-Tzen Liu
Dermatol Sinica 24:42-46,2006

Tyrosinemia type II (also known as Richner-Hanhart syndrome) is a rare disease caused by a deficiency of hepatic tyrosine aminotransferase (TAT) with an autosomal recessive mode of inheritance, resulting in elevated plasma and urinary tyrosine concentrations. The main cutaneous manifestation is hyperkeratosis over the hands and feet. Herein, we report a 27-month-old girl with frequent tearing and photophobia since several months after birth and hyperkeratosis over fingers and bilateral ..................More
   
  Multicentric Infantile Myofibromatosis Report of a Case
Chien-Chun, Chiou I-Hsin Shih, Tseng-tong Kuo, Hong-Shang Hong
Dermatol Sinica 24:47-51,2006

ABSTRACT We present a case of multicentric infantile myofibromatosis in a 3-month-old male infant who had multiple papular lesions on his extremities and trunk and a slowly growing and bulging mass on his left occipital area since birth. His general physical condition was good and psychomotor development was normal. The diagnosis was established by histopathological and immunohistochemical studies along with clinical manifestations and imaging findings. The patient underwent left occi ..................More
   
  Cutaneous Hyalohyphomycosis Caused by Paecilomyces marquandii— A Case Report
Che-Hao Hsu, Ming-Tuo Chuan* , Wan-Ting Chiu Shu-Ling Hu
Dermatol Sinica 24:52-57,2006

Paecilomyces species are ubiquitous saprophytic fungi that rarely cause human infections. We report herein a case of an immunocompromised patient with cutaneous hyalohyphomycosis caused by P. marquandii. The 68-year-old male suffered from diabetes mellitus, chronic obstructive lung disease, and iatrogenic Cushing syndrome due to a prolonged use of a systemic steroid for asthma. He fell down in the farm while gardening and many pustules and fluctuating ulcerative nodules with pus disc ..................More
   
  Cutaneous Leishmaniasis: A Case Confirmed by Both Histopathologic Examination and Polymerase Chain Reaction
Ming-Hsiung Yeh , Mei-Chin Ho , Yu-Hung Wu , Shu-Ling Hu
Dermatol Sinica 24:58-62,2006

Leishmaniasis is caused by intracellular protozoa of the genus Leishmania and transmitted by the bite of female sandflies. Clinically, it is classified into cutaneous, diffuse cutaneous, mucocutaneous, and visceral forms. We report an imported case of cutaneous leishmaniasis. A 50-year-old male international constructor who had worked in Burkina Faso developed two red papules on right upper arm one month after he left Burkina Faso. The cutaneous lesions gradually progressed into erythe ..................More
   
  Cutaneous Intravascular Large B-cell Lymphoma–A Case Report
Cheng-Sheng Chiu Hua-en Lee Hong-Shang Hong Tseng-tong Kuo
Dermatol Sinica 24:63-66,2006

ABSTRACT Intravascular large B-cell lymphoma (LBCL), a subtype of extranodal diffuse large B-cell lymphoma, is a rare and usually fatal disease characterized by the presence of lymphoma cells in the lumina of small vessels. Obstruction of blood flow by tumor cells in different organs can cause a variety of clinical manifestations, including the nervous and respiratory systems and skin. Biopsy of the involved organs for pathologic study is needed for establishing the diagnosis. We repo ..................More
   
  Pigmented Epithelioid Melanocytoma-A Case Report
Po-Hsuan Lu , Yu-Hung Wu , Nan-Lin Wu , Kuo-Ming Chuan
Dermatol Sinica 24:67-71,2006

Abstract Heavily pigmented epithelioid melanocytic tumors are rare. They include epithelioid blue nevus with or without Carney complex, epithelioid combined nevus, and the recently described pigmented epithelioid melanocytoma. Despite histologic similarities, these lesions have varying clinical courses, ranging from benign indolent lesions to tumors that metastasize. We report a case of pigmented epithelioid melanocytoma in a six-year-old girl who had no symptoms or signs of Carney ..................More
   
  Resident Forum
 
  An Asymptomatic Zosterifrom Skin-Colored Plaque On The Right Upper Back In A 25-Year-Old Women
Wu-Ching Chen , Tsen-Fang Tsai* , Yu-Fu Chen , Chih-Ming Hung
Dermatol Sinica 24:72-73,2006

CASE REPORT A 25-year-old female presented with a zosteriform plaque on the right side of the upper back since birth. The skin lesion was asymptomatic. Her general health was well and her delivery was without complications. There was no history of similar lesions in family members and no family history of tuberous sclerosis or consanguinity. On physical examination, the plaque was soft to elastic, well-defined, skin-colored, cobblestone-like along the right T3 – T4 dermatomes. The ..................More
   
  Erythematous, Verrucous Plaques on the Dorsum of Left Hand of a 73-year-old Man
Yu-Ju Tsai , Shu-Ling Hu , Chung-Chin Cheng
Dermatol Sinica 24:74-75,2006

CASE REPORT The 73-year-old man had diabetes mellitus and hypertension with medical control. He noticed an asymptomatic red lesion on the dorsal aspect of his left hand 3 years ago. New lesions extended to his left wrist later. He had received skin biopsy at other hospitals and deep fungal infection was suspected histologically, but the culture results were all negative. At our department, 3 variable-sized, irregular-shaped, erythematous, verrucous plaques with pustules on the left ha ..................More
   
  Multiple Keratotic Papules on the Left Sole of a 35-year-old Woman
Che-Hao Hsu , Tzu-Ling Hsu , Shu-Ling Hu
Dermatol Sinica 24:76-77,2006

CASE REPORT A 35-year-old female presented with multiple asymptomatic spiny protrusions on her left sole, which gradually accumulated for 2 years. Clinical examination revealed hundreds of asymmetrically distributed, minute, flesh-colored, keratotic papules on the patient’s left sole (Fig. 1). On close-up inspection, the lesions, which measured 0.5 to 2 mm in height, were firmly attached. The papules appeared like crystals emerging from the skin (Fig. 2). The surrounding skin of the ..................More
   
  Exophytic Masses on the Scrotum with Multiple Draining Sinuses
Che-Hao Hsu , Jung-Yi Chan , Hung-Chi Yang , Shu-Ling Hu
Dermatol Sinica 24:78-79,2006

CASE REPORT A 58-year-old male suffered from multiple draining sinuses involving the buttocks and the scrotum for more than 30 years. His skin condition had deteriorated over the past 12 months and three exophytic tumors had rapidly arisen from the scrotum. His medical history was significant for a peptic ulcer and alcoholic liver disease. The physical examination revealed widespread scarring and induration of the gluteal region and the scrotum, with dense networks of sinus tracts tha ..................More
   
 
 
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