eng
Iranian Society of Dermatology
Iranian Journal of Dermatology
2717-0721
2018-12-01
21
4
35
123
10.22034/ijd.2018.98318
98318
Original Article
Management of urticaria: update of Iranian Society of Dermatology clinical practice guideline
Firooz Alireza
1
Handjani Farhad
2
Lajevardi Vahideh
3
Mansouri Parvin
4
Nassiri-Kashani Mansour
5
Norouzi Yasaman
6
Urticaria is a common and challenging skin disorder. Diagnosis and treatment of urticaria is not limited to the field of dermatology. General physicians, allergologists and clinical immunologists are also commonly involved in the management of patients with urticaria. Iranian Society of Dermatology developed a clinical practice guideline concerning diagnosis and treatment of urticaria that was published in 2015. The current guideline is an update to the previous one and includes findings related to this subject which has been published in the medical literature from 2015 to August 2018.
https://www.iranjd.ir/article_98318_b64e21a20505c03253b9ef4214526fed.pdf
Urticaria
Diagnosis
treatment
antihistamines
Clinical guideline
eng
Iranian Society of Dermatology
Iranian Journal of Dermatology
2717-0721
2018-12-01
21
4
124
127
10.22034/ijd.2018.98320
98320
Original Article
Frictional melanosis and its clinical and histopathological features
Mysore Venkataram
1
Malkud Shashikant
2
Anitha B
3
Background: A rippled type of pigmentation is observed on the arms, forearms, and bony prominences, more commonly in women with a history of chronic rubbing. The terminology (commonly referred to as frictional melanosis) and its relation with cutaneous amyloidosis has been debated. Materials and Methods: Twenty one patients with pigmented skin lesions with manifestations suggestive of frictional melanosis were included in the study. Detailed history, clinical and histopathological examination were conducted on all patients. Results: Brownish black macules without rippling were the most prevalent type of presentation. Arm was the most common site of involvement followed by forearm. Histopathology showed basal layer pigmentation, acanthotic epidermis, condensation of collagen and pigmentary incontinence in the dermis. Only six patients showed amyloid deposition on Congo red stain. Conclusion: Amyloid can be demonstrated by Congo red stain in certain cases only, called frictional amyloidosis. Other cases, in whom amyloid cannot be observed may be termed frictional melanosis.
https://www.iranjd.ir/article_98320_353a392c8de0be1e86e5fdd33ac0ee58.pdf
friction
Melanosis
AMYLOIDOSIS
Congo red
eng
Iranian Society of Dermatology
Iranian Journal of Dermatology
2717-0721
2018-12-01
21
4
128
131
10.22034/ijd.2018.98321
98321
Original Article
Serum vitamin D level in patients with newly diagnosed pemphigus vulgaris
Banihashemi Mahnaz
1
Nahidi Yalda
2
Meibodi Naser Tayyebi
3
Jarrahi Lida
4
Livani Fatemeh
5
Seifnia Sahar
6
Background: Pemphigus vulgaris (PV) is a rare autoimmune blistering disease of the skin and mucous membranes. Because vitamin D deficiency is associated with many immune disorders, we compared the levels of vitamin D between PV patients and healthy controls. Methods: Vitamin D level of 20 patients with PV was compared with 20 healthy individuals matched for age, gender, hours spent in the sun, body mass index (BMI) and daily vitamin D intake at the same time interval. The severity of the disease was estimated according to ABSIS score. The serum level of 25-hydroxyvitamin D (25OHD) was measured by a commercial ELISA test. Results: Vitamin D deficiency in the pemphigus vulgaris group (75%) was higher than healthy controls (45%) (P = 0.053). Mean level of vitamin D in PV patients was significantly lower than healthy controls, and was in the range of vitamin deficiency (P ? 0.05). No significant relationship was observed between the severity of the PV disease and vitamin D levels (P > 0.05). Conclusions: Based on the results of the present study, the mean level of vitamin D in patients with PV was significantly lower than healthy people. Based on our findings and given the important role of vitamin D in preventing inflammatory and autoimmune diseases, vitamin D deficiency can be considered as a factor triggering the onset of PV.
https://www.iranjd.ir/article_98321_c7d6416d61d91e91b789c719f1d5dea8.pdf
Pemphigus vulgaris
Vitamin D
Autoimmune Disease
eng
Iranian Society of Dermatology
Iranian Journal of Dermatology
2717-0721
2018-12-01
21
4
132
137
10.22034/ijd.2018.99225
99225
Original Article
Alterations of serum lipids in patients with classic cutaneous lichen planus
Yalda Nahidi
1
Naser Tayyebi Meibodi
2
Pooran Layegh
3
Sara Sharifi
4
Background: Lichen planus (LP) is a chronic inflammatory disease involving the skin, mucous membranes and appendages. Like other chronic inflammatory diseases, it may be associated with metabolic disorders and dyslipidemia. Due to the discrepancies in the results of previous studies and lack of a similar study on an Iranian population, we decided to investigate and compare the serum lipid levels of LP patients and normal healthy subjects.Methods: In this case-control study, 71 patients with lichen planus confirmed by clinical and pathological examination who referred to dermatology clinic were recruited; further included were 71 subjects selected from attendants without any skin diseases matched for age, gender and BMI.with patients; the well-being of the healthy subjects was confirmed by laboratory tests, physical examination and medical history..After filling the questionnaire, triglyceride, cholesterol, HDL and LDL levels were measured for patients and healthy subjects..The collected data were then analyzed.Results: Mean age of patients in the case group was 40.63 ± 11.41 years, 50.6% of whom were men, while 49.4% were women. Cholesterol, triglyceride and LDL levels in patients were significantly higher than the control group; it was only regarding HDL levels that no significant difference was observed between the two groups. HDL and triglyceride levels were significantly higher in patients with generalized disease. There was a recognizable correlation between elevated levels of LDL and cholesterol and disease duration.Conclusions: In this study, a disrupted lipid profile was observed in LP patients, which can be associated with disease severity. This study proposes measuring lipid serum levels prior to commencing the treatment in all known cases of lichen planus so as to preclude cardiovascular diseases if there is a problem with the lipid profile.
https://www.iranjd.ir/article_99225_377ed5c9a86da98c5b6800984cca28bd.pdf
Lichen Planus
Dyslipidemia
Cholesterol
Triglyceride
HDL
LDL
eng
Iranian Society of Dermatology
Iranian Journal of Dermatology
2717-0721
2018-12-01
21
4
138
141
10.22034/ijd.2018.98322
98322
Original Article
Alexithymia in vitiligo patients: a case-control study
Maghami Zohreh
1
Mozhdeh Sepaskhah
2
Sarani Ebrahim Moghimi
3
Bagheri Zahra
4
Maghami Mohamad
5
Background: Vitiligo is a common pigmentary disorder affecting mental health, and alexithymia is a trait associated with multiple cutaneous disorders. This study was conducted to compare vitiligo patients and controls as concerns alexithymia. Methods: Fifty-two patients with vitiligo and 61 non-vitiligo individuals were recruited. They completed Toronto alexithymia score-20 questionnaire. Independent sample t-test and Chi-square tests were used for comparing numerical and categorical variables, respectively. P value ? 0.05 was considered statistically significant. Results: Twenty vitiligo patients were alexithymic, while 14 were borderline alexithymic. Thirteen, 16, and 32 control people were alexithymic, borderline alexithymic and non-alexithymic, respectively (p value: 0.096). Although alexithymia and borderline alexithymia were not significantly more prevalent in vitiligo patients (p value: 0.57), they were more likely to be high alexithymic (TAS ? 61) compared with the control group (p value: 0.02). Comparisons with the controls, patients obtained significantly higher scores associated with subscales of difficulty in identifying feelings (DIF) and difficulty in describing feelings (DDF) (p value: 0.002 and 0.02 respectively). Patients with lower education obtained higher alexithymia scores (p value: 0.009). Conclusion: High alexithymia and higher DIF and DDF subscales are more prevalent in vitiligo patients in comparison with control population. Patients with lower levels of education are more alexithymic.
https://www.iranjd.ir/article_98322_ae0d8e58bd7f550d5535922d07e782cd.pdf
alexithymia
Vitiligo
psychology
comorbidity
eng
Iranian Society of Dermatology
Iranian Journal of Dermatology
2717-0721
2018-12-01
21
4
142
146
10.22034/ijd.2018.98323
98323
Plasmacytoid dendritic cells in angiolymphoid hyperplasia with eosinophilia
Abbas Ossama
1
Kurban Mazen
2
Background: Angiolymphoid hyperplasia with eosinophilia (ALHE) is characterized by irregularly-shaped blood vessels with an inflammatory infiltrate. While absent from normal skin, plasmacytoid dendritic cells (pDCs) infiltrate the skin upon injury and during several infectious, inflammatory, and neoplastic entities. In addition to providing anti-viral resistance, pDCs link the innate and adaptive immune responses. In Kimura’s disease (KD), pDCs have been reported to occur. Here, we investigate pDCs in ALHE. Methods: Five ALHE and comparable 4 KD cases were immunohistochemically tested for pDC occurrence and type I IFN production using anti-BDCA-2 and anti- myxovirus protein A (MxA) antibodies, respectively. A semiquantitative scoring system was used. Results: Plasmacytoid dendritic cells were present in all ALHE and KD cases with no statistically significant differences, while MxA expression was weak and patchy in most ALHE and KD cases. Conclusions: pDCs are recruited into the lesions of ALHE. Despite the diminished ability to produce type I IFNs, the consistent presence of pDCs in all ALHE cases is in favor of some role of these cells in ALHE pathogenesis.
https://www.iranjd.ir/article_98323_27a73a10d8e8367c07141f824e491f5e.pdf
angiolymphoid hyperplasia with eosinophilia
plasmacytoid dendritic cells
Kimura’s disease
Interferon
eng
Iranian Society of Dermatology
Iranian Journal of Dermatology
2717-0721
2018-12-01
21
4
147
148
10.22034/ijd.2018.98319
98319
A teenage girl with bilateral hyperpigmentation of cheeks and sclera and a vascular stain on her cheek: What is your diagnosis?
Saki Nasrin
1
Rahmanian Fatemeh
2
Saki Soraya
3
CLINICAL PRESENTATION A 16 year old girl was referred to dermatology clinic with bilateral blue gray hyperpigmented patches on her cheeks since birth. Upon close physical examination, scleral blue-gray hyperpigmentation was observed in both her eyes (Figure 1). She also had a blanchable red patch with poorly defined borders on her right cheek (Figure 2). Ophthalmology consultation further revealed an increased intraocular pressure with optic nerve damage. She had neither systemic problems nor a history of a similar condition in her family.
https://www.iranjd.ir/article_98319_5f18fa7b19f44c0dd28ade2ab1787f4a.pdf