The Nishinihon Journal of Dermatology
Online ISSN : 1880-4047
Print ISSN : 0386-9784
ISSN-L : 0386-9784
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Volume 65, Issue 6
Displaying 1-20 of 20 articles from this issue
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Color Atlas
Clinical Case Reports
  • A Case of Cutis Marmorata Telangiectatica Congenita with Macrocephaly
    Mitsutaka NAKAMURA, Junji NAKANO
    2003 Volume 65 Issue 6 Pages 543-545
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.543
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    A three-day-old baby girl presented with extensive telangiectasia; in particular, cutis marmorata was noted over the trunk and legs. Nevus flammeus was seen on the upper philtrum and the lower lip. Neither atrophy nor loose skin were seen. A histopathological study showed an increased number of dilated capillaries in the upper to middle layer of the dermis. She also had additional anomalies including macrocephaly and frontal bossing. Sudden infant death due to severe postnatal growth failure or intractable cardiac arrhythmia has been reported in patients with cutis marmorata telangiectatica congenita with macrocephaly. It is therefore important to follow up such patients carefully.
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  • A Case of Reflex Sympathetic Dystrophy (RSD)
    Eiji MUROI, Hiroyuki MUROTA, Youichiro HAMASAKI, Ichiro KATAYAM, Yasuh ...
    2003 Volume 65 Issue 6 Pages 546-549
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.546
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    We herein described a 33-year-old woman who presented with an injury in her right wrist that had been caused by a chopstick. After the wound healed, she developed slight but diffuse erythema, swelling and thermalgia of her right hand. The symptoms were associated with sclerosis of skin and a contracture in her right hand. X-rays showed bone atrophy. In addition, thermography demonstrated an increased skin temperature. A biopsied specimen obtained from her right forearm revealed a proliferation and thickening of collagen fiber. A final diagnosis of reflex sympathetic dystrophy (RSD) was made. RSD is a painful neuropathic disorder that develops after trauma affecting the limbs without meaning unclear nerve injury. We treated the patient with a stellate ganglion block, rehabilitation and Neurotropin® administration.
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  • A Case of Systemic Sclerosis Associated with Buerger’s Disease
    Ikuyo NAKAMURA, Tomokazu YONEZAWA, Yuko HIGASHI, Noriko YOSHII, Kazuna ...
    2003 Volume 65 Issue 6 Pages 550-553
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.550
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    We report a case of systemic sclerosis associated with Buerger’s disease in a 43-year-old man. His clinical symptoms included proximal scleroderma, sclerodactylia, gangrene, pitting scar, cyanosis and petechiae. He also demonstrated antinuclear and anti-Scl-70 antibodies. A biopsy specimen from the right third finger and forearm showed a proliferation of collagen fibers. He was diagnosed to have systemic sclerosis. The peripheral artery was suspected of being affected due to the rapid progression of gangrene in one finger. Angiography revealed a closing of the right ulnar artery. A diagnosis of Buerger’s disease was thus made. This is the third report of systemic sclerosis associated with Buerger’s disease in Japan.
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  • A Case of Hailey-Hailey Disease with “Giant” Condyloma Acuminatum
    Takeshi OKAWA, Toru MORI, Junji NAKAFUSA, Noriyuki MISAGO
    2003 Volume 65 Issue 6 Pages 554-557
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.554
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    A 47-year-old male patient, who had suffered from Hailey-Hailey disease since 1985, noticed small, soft nodules within the lesions of Hailey-Hailey disease on the axillary, groin and perianal regions in 2001. The small nodules increased in number and those on the base of penis had become confluent and formed a large tumor, measuring 3.0×3.0cm in size, with a mulberry-like appearance over the past one year. Histologically, the tumor was found to be a condyloma acuminatum and no malignant features were observed.
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  • Acquired Reactive Perforating Collagenosis Successfully Treated with Minocycline
    —Two Cases with Diabetes Mellitus Undergoing Hemodyalysis—
    Momoko TAKAKURA, Tetsuo SASAKI, Natsue KAKEMIZU, Yuko YAMAKAWA, Tetsuo ...
    2003 Volume 65 Issue 6 Pages 558-562
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.558
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    A 66-year-old man and a 69-year-old woman, who had diabetes mellitus and were also undergoing hemodyalysis for 7 and 4 years, respectively, presented demonstrating multiple pruritic erythematous plaques with central necrotic crusts on their back. Histological examinations showed a cup-shaped invagination of the epidermis, the transepidermal elimination of degenerated collagen, and neutrophil infiltration in the underlying dermis. Both cases were diagnosed to have acquired reactive perforating collagenosis(ARPC). After 3 weeks of oral minocycline 200 mg/day, both the lesions and the itching symptoms improved. Minocycline therefore seems to be an effective treatment option for ARPC.
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  • A Case of Subcutaneous and Mediastinal Emphysema Caused by Dental Treatment
    Takeshi ISHIGAMI, Yoshio URANO, Koji YAMANOUCHI, Toshikazu TAMURA
    2003 Volume 65 Issue 6 Pages 563-566
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.563
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    A 29-year-old woman was referred to our clinic becasuse of swelling in her left cheek and neck. Her left lower wisdom tooth had recently been extracted by means of an air syringe. Physical examination revealed a marked swelling in her left cheek and neck. Neither any color change nor local hot feeling was observed on the overlying skin. On palpation, there was a crepitation in the region of swelling. A computed tomogram showed air bubbles distributed in many compartments of the pharynx, neck, and mediastinum. A diagnosis of subcutaneous and mediastinal emphysema caused by the air syringe was made. An antibiotic was given, and the swelling resolved within 6 days. Dermatologists should keep in mind that dental treatment may sometimes cause subcutaneous emphysema in the face and neck.
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  • A Case of Burn Injury with Pulmonary Aspergillosis
    Shuko MISUMI, Tamano MATSUI, Tomomichi ONO, Keizo SATO, Moritaka SUGA
    2003 Volume 65 Issue 6 Pages 567-569
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.567
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    A 43-year-old male was admitted with 44% BSA due to second and third degree burns. He developed pulmonary aspergillosis secondary to bacterical pneumonia associated with inhalation injury. Pulmonary aspergillosis was diagnosed dased on a positive test for aspergillus antigen in the sputum and an eleveted serum level of β-D glucan. Pulmonary aspergillosis was successfully treated with the continuous intravenous infusion of Amphotericin B (15mg/day).
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  • A Case of Hypercalcemia which Occurred During Treatment of Infant Generalized Pustular Psoriasis with Maxacalcitol
    Satoshi FUKUSHIMA, Taiga MIYAKE, Toshiro KAGESHITA, Tomomichi ONO, Mic ...
    2003 Volume 65 Issue 6 Pages 570-573
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.570
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    We report a case of a 10 month-old infant with generalized pustular psoriasis. She was treated with a topical application of Maxacalcitol. The skin lesions showed a dramatic improvement, but the serum calcium level increased at 10 days after the start of treatment. After discontinuing the topical application of Maxacalcitol, the serum calcium level returned to normal. Although Maxacalcitol is a useful treatment for infants demonstrating generalized pustular psoriasis, the calcium serum level should be monitored very closely.
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  • Primary Systemic Amyloidosis with Cutis Verticis Gyrata and Purpura
    Zuiei OYAMA, Makiko ODA, Makiko SEISHIMA, Tatsuya SUZUKI, Toshi SASSA
    2003 Volume 65 Issue 6 Pages 574-577
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.574
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    A 44-year-old woman with primary systemic amyloidosis is reported. Purpuric lesions have occurred incontinuously on her face and neck for one year. Cutis verticis gyrata was noticed on her scalp 8 months before presentation. The histological findings of a skin biopsy specimen from the scalp showed amyloid depositions and edema in the dermis. Amyloid depositions were also seen around the blood vessel walls in the lower dermis of the purpura on the face and in the gastric submucosal tissue. These depositions were positive for Congo red and Dylon stain and also positive for antibody to the immunoglobulin λ light chain. Immunoelectrophoresis showed the presence of M-protein in the serum and Bence-Jones protein in the urine. However, the clinical findings and data including bone marrow examinations did not fulfil the criteria for a diagnosis of multiple myeloma. Based on these findings, a diagnosis of primary systemic amyloidosis was made. Cutis verticis gyrata in this patient seems to be a rare clinical feature in primary systemic amyloidosis.
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  • A Case of a Fibrous Papule of the Nose
    Yuko OGUSU, Noriyuki MISAGO, Yutaka NARISAWA
    2003 Volume 65 Issue 6 Pages 578-582
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.578
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    We report a 53-year old female patient presenting with a slightly reddish and dome-shaped nodule on her nose. The lesion histopathologicaly showed a proliferation of collagen fiber, a dilatation of the capillary vessels and stellate cells within dermis. As a result, it was diagnosed to be a fibrous papule of the nose. The lesion also showed an abnormality of the follicles and exaggerated perifollicular sheaths, thus suggesting the nature of the fibrous papule of the nose to be a “follicular hamartoma”. We furthermore observed lesions in 2 other cases of tuberous sclerosis, and the features of “follicular hamartoma” was seen in one of them.
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  • A Case of Trichoblastoma Located on the Head
    Kaori KOGA, Yumiko KUBOTA, Juichiro NAKAYAMA, Takahiro YAMAGUCHI, Hiro ...
    2003 Volume 65 Issue 6 Pages 583-585
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.583
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    We herein report a 58-year-old man who presented with a fresh colored nodule on his parietal region which had been gradually developing for 4 years. The tumor measured 0.7×0.7×0.5cm in size and was well demarcated. Histopathologically, there were many foci comprising aggregations of cells resembling follicular germinative cells composed mainly of basaloid cells. Immunohistochemical studies using antibodies to cytokeratin 8, 19, 20 did not definitively indicate this tumor to be either a trichoblastoma or basal cell carcinoma. Based on the histopathological features, we finally diagnosed this tumor to be a large nodular type trichoblastoma.
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  • A Case of Pleomorphic Adenoma in an Accessory Parotid Gland
    Yumiko ARAO, Akihiko SHIMIZU, Yumiko KUBOTA, Juichiro NAKAYAMA, Hiroma ...
    2003 Volume 65 Issue 6 Pages 586-588
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.586
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    We herein report a very rare case of pleomorphic adenoma in an accessory parotid gland. A 79-year-old woman noticed a subcutaneous nodule on her right cheek about 2 weeks before visiting our hospital. A neurogenic tumor was initially suspected by ultrasonography. However it was histopathologically proven to be pleomorphic adenoma of the accessory parotid gland. The tumor did not adher to the buccal branches of the facial nerve, and it could be easily excised. Neither tumor recurrence nor facial nerve palsy occurred after the surgery. We should therefore consider the possibility of tumors of the accessory parotid gland when encountering subcutaneous nodules of the cheek.
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  • Pyoderma Chronica Occurring on Both Lower Legs
    Makiko KAGAYA, Kenji SAGA, Asako KAMADA, Rie KANEKO, Fusayuki OMORI, K ...
    2003 Volume 65 Issue 6 Pages 589-591
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.589
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    We herein report the case of a 53-year-old Japanese male who demonstrated pyoderma chronica on the frontal aspects of both lower legs. He had first noticed this disease on his left leg in 1999 and later a similar lesion appeared on his right leg in 2002. A physical examination revealed rough-surfaced brown granulomatous hard plaques. Many fistulae were draining on the surface of the plaques. Histopathology showed epidermal acanthosis with elongated rete ridges and chronic inflammatory change in the dermis and subcutaneous tissue. Epidermal cysts containing keratinous substances were observed in the dermis. We diagnosed this disease to be pyoderma chronica based on the clinical and histopathological findings. Interestingly, he did not have any lesions on either the groin, axillae, nape, or scalp, which are all sites where pyoderma chronica normally occurs.
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  • A Case of Chromoblastomycosis Caused by Fonsecaea pedrosoi
    Taro SHINOGI, Junji NAKAFUSA, Noriyuki MISAGO, Yutaka NARISAWA
    2003 Volume 65 Issue 6 Pages 592-594
    Published: December 01, 2003
    Released on J-STAGE: May 23, 2008
    DOIhttps://doi.org/10.2336/nishinihonhifu.65.592
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    A 60-year-old man visited our department in December 2001, with a red nodule on his left upper arm. He had been treated with topical corticosteroids for about three months. The histopathologic findings showed a fungal granuloma with sclerotic cells in the dermis. A tissue culture produced colonies of Fonsecaea pedrosoi. Based on these findings, we diagnosed the nodule to be chromoblastomycosis. The cutaneous lesion was surgically excised in January 2002. After the operation, there has been no recurrence of the disease.
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