The Japanese Journal of Dermatology
Online ISSN : 1346-8146
Print ISSN : 0021-499X
ISSN-L : 0021-499X
Volume 126 , Issue 6
Showing 1-6 articles out of 6 articles from the selected issue
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  • Kana Masuda, Mikiko Tohyama, Saori Miyawaki, Koji Sayama
    2016 Volume 126 Issue 6 Pages 1103-1107
    Published: May 20, 2016
    Released: May 21, 2016
    JOURNALS RESTRICTED ACCESS
    A 77-year-old man presented with tense blisters on both legs and petechiae on his toe. He had a 14 year history of rheumatoid arthritis resistant to systemic steroids and bucillamine. The histopathological findings revealed a dense, dermal, mainly neutrophilic infiltrate without any features of vasculitis. Treatment with 75 mg/day dapsone was enough to improve his eruptions. Bullous rheumatoid neutrophilic dermatosis (RND) is one type of RND that often needs to be ruled out from bullous pemphigoid. Most cases of bullous RND have been reported in Japan. Thus, it is suspected that bullous RND may have a genetic component.
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  • Shintaro Takeoka, Yayoi Tada, Takamitsu Ohnishi, Shinichi Watanabe
    2016 Volume 126 Issue 6 Pages 1109-1117
    Published: May 20, 2016
    Released: May 21, 2016
    JOURNALS RESTRICTED ACCESS
    Many atopic dermatitis patients are treated with topical steroid of inadequate strength or with mixtures of two or more topical product such approaches can result in chronic severe inflammation with lichenificated plaque. We treated 46 such refractory atopic dermatitis patients, who visited our outpatient clinic from 2012 to 2014, with only way strong or strangest topical steroids, and examined the period of time till remission. All the patients were successfully induced into remission, within an average of 9±4 days. In order to induce remission atopic dermatitis patients, we concludethat treatment utilizing topical steroid of adequate strength appears to be the most important.
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