Back issues No.1 - 2008  
  MOHS SURGERY -The Myth and the Truth-
Tsu-Yi Chuang
Dermatol Sinica 26: 1-9, 2008

ChuangSince Dr. Frederic E. Mohs invented the Mohs Surgery in 1936, Mohs Micrographic Surgery (MMS) has been utilized by many to remove ill-defined basal (BCC) and squamous cell carcinomas (SCC) at difficult anatomic sites like nose, ears and so-called H-zone of the face. However, more and more Mohs surgeons began to claim that Mohs technique should be applied to all skin cancers and be the standard of care because: (1) MMS has the highest cure rate for skin cancer: the recurrence of BCC after M ..................More
  Original Study
  Lifetime Course of Acne: A Retrospective Questionnaire Study in School Teachers
Yi-Sheng Yu Yu-Wen Cheng WenChieh Chen
Dermatol Sinica 26: 10-15, 2008

Acne is primarily a disorder of adolescence, but its occurrence in adult women is not unusual. There have been few studies addressing the longitudinal lifetime course of acne in general population, especially in men. A total of 250 school teachers aged over 40 years were recruited in this self-administered questionnaire study, in which 159 subjects (105 female and 54 male) completed the questionnaire (response rate 63.6%). The lifetime prevalence of acne was recorded in 83% of men and 87% of wo ..................More
  Case Report
  Familial Amyloidosis Cutis Dyschromica-A Case Report and Review of the Literature
Chou-Yueh Wu Cheng-Ping Yu Chien-Ping Chiang
Dermatol Sinica 26: 16-21, 2008

Amyloidosis cutis dyschromica is a rare distinct type of primary cutaneous amyloidosis characterized by the presence of widespread hypopigmented as well as hyperpigmented macules. We herein report a 25-year-old male showing diffuse hyperpigmentation with hypopigmented spots over his whole body but sparing his face, hands and feet from the age of 8 years. His elder sister had also developed a similar skin pigmentary defect since about the same age. Histopathology of the hyperpigmented lesion reve ..................More
  Secondary Cutis Verticis Gyrata Due to Pilar Smooth Muscle Proliferation: Multiple Leiomyomas or Pilar Muscle Hyperplasia?
Chi-Ling Lin Ching-Ying Wu Shih-Tsung Cheng
Dermatol Sinica 26: 22-27, 2008

We report a 66-year-old man with two closely neighbored, asymptomatic, markedly elevated noduloplaques over each eyebrow symmetrically for about 1 to 2 years. The convoluted folds and deepening furrows formed from thickened skin of and between the eyebrows resembled the pattern of cutis verticis gyrata which typically affected the scalp. Histologically, it presented as smooth muscle proliferation. However, it is unlikely for an acquired tumor, whether leiomyoma or smooth muscle hamartoma, develo ..................More
  Frontal Fibrosing Alopecia-A Case Report
Jin-Bon Hong Sung-Jan Lin
Dermatol Sinica 26: 28-33, 2008

Clinically, frontal fibrosing alopecia (FFA) is characterized by band-like scarring alopecia anterior to the recessed frontotemporal hairline in a progressive course and often accompanied by eyebrow loss. The unique feature of follicular keratosis is often observed at the active margin. Histologically, it resembles lichen planopilaris (LPP). To date, more than 80 cases of FFA have been described in the literature. The majority of FFA was observed in postmenopausal women although this disease has ..................More
  Frontal Fibrosing Alopecia-A Case Report
Chia-Mao Kao Cheng-Hsiang Hsiao Lin-Hui Su Yu-Ling Hsu Tsung-Hua Tsai
Dermatol Sinica 26: 34-38, 2008

A 52 year-old female presented with a 2-year history of progressive hairline recession over fronto-tempro-parietal area (1 to 3.5 cm variably). Shiny affected area, mild pruritus, incomplete hair loss, and subtle loss of follicular openings were also noted. Follicular hyperkeratosis and focal minimal perifollicular erythema were found at the hairline. Nearly total absence of eyebrow hairs was observed, but all other parts of body hair appeared normal. Laboratory tests, including routine biochemi ..................More
  Muir-Torre Syndrome: A Case Report With Collision Sebaceous Carcinoma and Basal Cell Carcinoma
Sheng-Shan Lin Kuo-Hsien Wang Yun-Ho Lin Woan-Ruoh Lee
Dermatol Sinica 26: 39-42, 2008

68-year-old female patient presented herself at the dermatology clinic with a soft, friable mass on the vertex of scalp. The mass which had been grown for one year, had a tendency of bleeding easily (Fig. 1). She did not complain of any itching or tenderness. No regional lymph node could be palpated in the neck or the supraclavicular area. The result of the remaining systemic examination showed her being pale in facial appearance and having some blood-tinged fecal materials in a digital rectal e ..................More
  Resident Forum
  Erythematous Painful Nodules on the Scalp and UlcerartiveNodules on the Back of a 49-year-old Woman
Chou-Yueh Wu Chin-Cheng Chang Hung-Chia Chang
Dermatol Sinica 26: 43-44, 2008

49-year-old woman had noticed multiple asymptomatic nodular lesions growing slowly on the distal part of her right forearm for about 18 months. She went to a medical cancer center 6 months ago, a biopsy was taken from one of these nodules and the diagnosis of epithelioid sarcoma was made. The patient had undergone aggressive radical excision as amputation of the right upper arm and post-operative adjuvant radiation. Unfortunately, lung metastasis was noted during her regular follow-up.Four month ..................More
  Chronic Ulceration on the Sole of an 81-year-old Man
Ming-Ya Mao Hsu-Jung Hsieh Tze-Yi Lin Meng-Tse Wu
Dermatol Sinica 26: 45-46, 2008

An 81-year-old male presented with ulcerative lesion and crust overlying an inflammatory base on his right sole, which had been noted for about 1 year without healing. He had been in good health and, except for mild tenderness, barely any discomfort was noted on the lesion site. Previous focal trauma, irritation, and exposure to possible offending agents were all denied. No palpable lymph node was noted. Tentative clinical diagnosis was chronic ulcer with suspected skin malignancy (basal cell ca ..................More
  A Violaceous Subungual Papule in a 49-year-old Man
Yi-Shan Tsai Yu-Hung Wu Yang-Chih Lin
Dermatol Sinica 26: 47-48, 2008

49-year-old man presented with an exquisitely tender, violaceous papule under his right 4th toenail (Fig. 1). He also had a dark red papule in the right 1st interdigital web, present for one week. The patient denied having AIDS or using systemic steroids. The subungual lesion was excised by carbon dioxide laser. Microscopically under low power, there was a hemorrhagic lesion underneath the nail plate (Fig. 2). On higher magnification, there was a nodular arrangement of intersecting fascicles of ..................More
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