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Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
Pachyonychia congenita type II: report of a case
Amir Hooshang
Ehsani
Katrin
Kiavash
Pachyonychia congenital (PC) is a rare genodermatosis affecting the nails, skin, oral mucosae, larynx, hair, and teeth. General clinical presentation includes thickening of finger and toenails, painful plantar keratoderma, hyperhidrosis, oral leukokeratosis, follicular keratosis, palmar keratoderma, cutaneous cysts, hoarseness, twisted hair and prenatal or natal teeth. Clinically, PC is divided into 4 distinct subtypes. Here, we present a three-year-old girl with PC type II.
pachyonychia congenita
Keratoderma
leukokeratosis
2007
12
01
1
1
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
Piloleiomya associated with pruritus: report of a case
Guiti
Sadeghian
Hengameh
Ziai
A 30-year-old woman was referred to us with red and firm nodules on upper lateral aspect of left arm. These nodules were present for 15 years without pain but with intense pruritus.She reported uterine leiomyoma in the past, but family history for similar lesions was negative. Blood tests were normal, but pelvis ultrasound showed a large uterine leiomyoma.Histologic examination of cutaneous lesions showed proliferation of smooth muscle cells with fascicular pattern in dermis. Pruritus was controlled with oral anti-histamine (loratadine). Plastic surgeons refused to remove the skin lesions due to their location and widespread distribution.
leiomyoma
Pruritus
2007
12
01
2
2
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
Ichthyosiform Parapsoriasis: report of a case
Hayedeh
Ghani-Nejad
Mansour
Nasiri-Kashani
Reza Mahmoud
Robati
Pedram
Mehryan
Alireza
Alavi-nia
Soheil
Fateh
Acquired ichthyosis is a known paraneoplastic sign of lymphoproliferative malignancies with nonspecific histopathologic findings revealing no implication of the underlying neoplasm. However, ichthyosiform eruption is considered as a specific manifestation of mycosis fungoides (MF), i.e., ichthyosiform MF. There are a few reports of ichthyotic manifestation of MF, but only one report of this presentation in Parapsoriasis. We present a case of ichthyosiform Parapsoriasis in a 22-year-old woman with hyperpigmented ichthyosiform scaly patches on her trunk and extremities. The histopathologic findings were hyperkeratosis, parakeratosis and acanthosis with scattered lymphocyte infiltration, also could be seen in Parapsoriasis. The patient responded well to oral photochemotherapy.
Ichthyosis
mycosis fungoides
Parapsoriasis
2007
12
01
3
3
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
Becker's nevus and breast hypoplasia: report of a case
Akram
Ansar
Banafsheh
Hashemi
Becker's nevus is a unilateral hyperpigmented area of skin with geographical borders. It is usually located on shoulders, anterior chest, scapular region and upper arms. Sometimes it shows evidence of androgen hypersensitivity and co-localizing with other developmental anomalies. We report a 12-year-old girl with clinical and histopathological findings compatible with Becker's nevus on her left chest accompanied with ipsilateral breast hypoplasia.
Becker's nevus
Breast hypoplasia
hypertrichosis
2007
12
01
4
4
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
Congenital naevoid psoriasis
Reza
Yaghoobi
Seyyed Arash
Abtahian
Psoriasis is quite common in childhood, although congenital psoriasis is very rare. Here, we report a 2-year-old girl with typical linear psoriasis associated with bilateral hypopigmentation of breasts which has been present since birth.
Congenital
nevoid
Psoriasis
2007
12
01
5
5
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
Nodular colloid milium of the ears
Reza
Yaghoobi
Niloofar
Sina
Colliod milium is a degenerative change, which is characterized clinically by development of multiple yellowish, translucent papules and nodules on the light exposed skin and histologically by the presence of colloid in the dermal papillae. This is a rare condition and has some variants. We report a case of colloid millium with nodular and plaque lesions on his ears. Our patient was a farmer with a history of more than 47 years chronic sun exposure and showed photoaging.
colloid milium
EAR
2007
12
01
6
6
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
A family with Bart-Pumphrey syndrome
Kamran
Balighi
Fatemeh
Moeineddin
Ahmadreza
Rajaee
All member of family referred to our clinic complaining of white nails. Physical examination revealed clinical features of leukonychia totalis and also the presence of sensor ineural hearing loss (SNHL), palmoplantar keratoderma (PPK) and knuckle pads, the four essential criteria for the diagnosis of Bart Pumphrey syndrome. Three generations were affected with variable presentations in male and female and autosomal dominant pattern of inheritance.
leukonychia totalis
Bart-Pumphrey syndrome
Palmoplantar keratoderma
2007
12
01
7
7
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
An uncommon presentation of pachyonychia congenital
Amirhushang
Ehsani
Fatemeh
Moeineddin
Ahmadreza
Rajaee
A 10-month-old female presented with severe progressive wedge-shaped thickening and discoloration of all twenty nails. Further evaluations revealed palmoplantar keratoderma along with recurrent acral blisters causing residual crusted ulcers which were present during the past six months. Other findings include scalp kinky hair and dental caries. Patient history was remarkable for natal teeth and similar skin blisters in her older brother since his infancy.The patient's clinical presentation and history are consistent with pachyonychia congenita syndrome showing concomitant features of both subtypes 1 and 2, probably due to a new mutation in the responsible gene.
pachyonychia congenital
syndrome
Palmoplantar keratoderma
2007
12
01
8
8
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
Nicolau syndrome: report of a case
Akram
Beheshti-rooy
Yunis
Shafigh
Behzad
Bijani
Nicolausyndrome or embolia cutis medicamentosa is a rare complication of intramuscular injection of some drugs. This syndrome has been reported after injection of NSAIDS, corticosteroids and antibiotics.Here we report a 16-year-old boy who developed this syndrome after intramuscular injection of benzathine penicillin.
Nicolau syndrome
embolia cutis medicamentosa
benzatine penicillin
2007
12
01
9
9
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
Bullous mycosis fungoides: report of a case
Pouran
Layegh
Mohammad Reza
Kalantari
Amir
Omidvar-Borna
Yalda
Nahidi
Mycosis fungoides is a common form of cutaneous T-cell lymphoma, with characteristic histopathology and chronic clinical course. Vesiculobullous mycosis fungoides is a rare occurrence. Here we present a 55-year-old man with multiple bullous plaques of one year duration who was finally diagnosed as a case of mycosis fungoides.
bullous pemphigoid
mycosis fungoides
bullous mycosis fungoides
2007
12
01
10
10
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
Hereditary leiomyomatosis and renal cell carcinoma (HLRCC syndrome): a case report
Hayedeh
Ghaninejad
Fatemeh
Moeineddin
Ahmadreza
Rajaee
Ahmad
Salimzadeh
Masoud
Asgari
Recently multiple cutaneous leiomyomas, uterine leiomyoimatosis and renal cancer have been described as a cancer syndrome with autosomal dominant pattern of inheritance.We report a 79-year-old man who presented with multiple hyperkertotic erythematous nodules on his right leg with histological diagnosis of pilar leiomyoma. In his past medical history several systemic complaints such as gross hematuria, weight loss and bone pain were noted and further investigation confirmed histological diagnosis of metastatic papillary renal cell carcinoma. History of uterine leiomyomas and hysterectomy was peresent in his sister.All these findings in this case can be attributed to hereditary leiomyomatosis and renal cell carcinoma syndrome (HLRCC Syndrome).
Multiple cutaneous leiomyomas
papillary renal cell carcinoma
HLRCC syndrome
2007
12
01
11
11
Iranian Journal of Dermatology
Iran J Dermatol
2007
10
Suppl.2
Report of a rare case of bullous mycosis fungoides
Kamran
Balighi
Fatemeh
Moeineddin
Ahmadreza
Rajaee
Azita
Nikoo
Mostafa
Mahdavi-nia
Mycosis fungicides (MF), on extremely rare occasions, can be associated with vesiculobullous eruptions. We describe a 74-year-old man with previous documented histopathologic diagnosis of poikilodermic type of MF who recently developed some flaccid acral bullae on erythemoatous MF plaque and normal skin. Histopathology and direct immunoflourscence studies revealed extensive lichenoid changes with intraepidermal bulla. Atypical lymphocyte infiltration was presented in dermoepidermal junction and bulla fluid and peripheral blood smear, but absent in lymph node and bone narrow tissue specimens. The plausible cause of blister formation in cutaneous lymphoma bullosa may be due to excessive epidermotropism or toxic effects of cytokines secrected by the tumoral infiltrate.
mycosis fungoides
bullous
2007
12
01
12
12