Cutis marmorata telangiectatic congenita (CMTC) is a very rare congenital disorder that is characterized by vascular reticulated and fixed patterns on the skin along with discrepancies in limb length. It was first described by Van Louhizen in 1922 and is also called the Lohuizen syndrome. Approximately only 300 cases have been reported till date. It can mimic several congenital disorders, such as Adams–Oliver syndrome (AOS), Bockenheimer’s syndrome, Divry van Bogeart syndrome, Klippel– Trinaunay syndrome, livedo recemosa, M-CMTC syndrome, and reticular haemangioma syndrome. Furthermore, recognizing it is critical since it can affect several organ systems, although rarely. While histopathological and genetic abnormalities have been reported, CMTC is predominantly a clinical diagnosis due to its unclear pathogenesis. Herein, we present the case of a 6-month-old child who was diagnosed with CMTC.
先天性毛细血管扩张性皮肤(CMTC)是一种非常罕见的先天性疾病，其特征是皮肤上的血管网状和固定模式以及肢体长度差异。Van Louhizen于1922年首次描述了它，也被称为Lohuizen综合征。迄今为止，大约只报告了300例病例。它可以模拟几种先天性疾病，如Adams-Oliver综合征(AOS)、Bockenheimer综合征、Divry van Bogeart综合征、Klippel - Trinaunay综合征、livedo recemosa、M-CMTC综合征和网状血管瘤综合征。此外，认识到它是至关重要的，因为它可以影响几个器官系统，尽管很少。虽然有组织病理学和遗传异常的报道，但由于其发病机制尚不清楚，CMTC主要是临床诊断。在此，我们提出一个6个月大的孩子谁被诊断为CMTC的情况。
{"title":"Cutis Marmarota Telangiectatic Congenita: A Case Report and Review of Literature","authors":"Naveen Manohar","doi":"10.23880/cdoaj-16000288","DOIUrl":"https://doi.org/10.23880/cdoaj-16000288","url":null,"abstract":"Cutis marmorata telangiectatic congenita (CMTC) is a very rare congenital disorder that is characterized by vascular reticulated and fixed patterns on the skin along with discrepancies in limb length. It was first described by Van Louhizen in 1922 and is also called the Lohuizen syndrome. Approximately only 300 cases have been reported till date. It can mimic several congenital disorders, such as Adams–Oliver syndrome (AOS), Bockenheimer’s syndrome, Divry van Bogeart syndrome, Klippel– Trinaunay syndrome, livedo recemosa, M-CMTC syndrome, and reticular haemangioma syndrome. Furthermore, recognizing it is critical since it can affect several organ systems, although rarely. While histopathological and genetic abnormalities have been reported, CMTC is predominantly a clinical diagnosis due to its unclear pathogenesis. Herein, we present the case of a 6-month-old child who was diagnosed with CMTC.","PeriodicalId":164845,"journal":{"name":"Clinical Dermatology Open Access Journal","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122220924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 43-year-old woman presented with a two-week history of progressive peripheral sensory neuropathy. Despite extensive investigations no cause had been identified. She has a background history of hepatitis C (treated successfully in 2018) and prior intravenous drug use. She was commenced on intravenous immunoglobulin (IVIg) at a dose of 400mg/kg daily for 5 days as a trial of treatment for her sensory peripheral neuropathy under the guidance of neurology. After receiving her third dose of IVIg she developed a discrete intensely pruritic vesicular rash on her palms and fingers bilaterally consistent with pompholyx. No other areas were affected. She was started on clobetasol proprionate 0.05% ointment once daily and advised to wash with soap substitutes and use non-fragranced emollients daily.
{"title":"Pompholyx as a Side Effect of Intravenous Immunoglobulin (IVIg)","authors":"D. C.","doi":"10.23880/cdoaj-16000255","DOIUrl":"https://doi.org/10.23880/cdoaj-16000255","url":null,"abstract":"A 43-year-old woman presented with a two-week history of progressive peripheral sensory neuropathy. Despite extensive investigations no cause had been identified. She has a background history of hepatitis C (treated successfully in 2018) and prior intravenous drug use. She was commenced on intravenous immunoglobulin (IVIg) at a dose of 400mg/kg daily for 5 days as a trial of treatment for her sensory peripheral neuropathy under the guidance of neurology. After receiving her third dose of IVIg she developed a discrete intensely pruritic vesicular rash on her palms and fingers bilaterally consistent with pompholyx. No other areas were affected. She was started on clobetasol proprionate 0.05% ointment once daily and advised to wash with soap substitutes and use non-fragranced emollients daily.","PeriodicalId":164845,"journal":{"name":"Clinical Dermatology Open Access Journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126008320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Educational Cases Easily Confused by New Medical Staff: Acne and Pityrosporum Folliculitis","authors":"Yen Hsiang Wang","doi":"10.23880/cdoaj-16000263","DOIUrl":"https://doi.org/10.23880/cdoaj-16000263","url":null,"abstract":"","PeriodicalId":164845,"journal":{"name":"Clinical Dermatology Open Access Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128816073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Non-Healing Hematomas and Easy Bruising: A Case Report on the Ehlers-Danlos Syndrome of the Hypermobility Type","authors":"M. V. van Praag","doi":"10.23880/cdoaj-16000188","DOIUrl":"https://doi.org/10.23880/cdoaj-16000188","url":null,"abstract":"","PeriodicalId":164845,"journal":{"name":"Clinical Dermatology Open Access Journal","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129541378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The southern region of Brazil leads the statistics of skin cancer in Brazil, and multiple factors are related to this predisposition, such as low phototypes and excessive sun exposure. Ultraviolet radiation is the main modifiable risk factor for melanoma and non-melanoma skin cancer, and the regular use of sunscreens has been shown to be effective in reducing the risk of developing these diseases, as well as other photomediated dermatoses. Despite this, the prevalence of non-regular use of sunscreens in cities in Paraná and Rio Grande do Sul proved to be above the desired level. In Santa Catarina cities, this prevalence was still undetermined. Objective: To identify the prevalence of non-use of sunscreen regularly and relate it to demographic, socioeconomic, behavioral and health variables. Method: A population-based cross-sectional study carried out in 2019 with individuals aged 18 years or older residing in the urban area of a large municipality in southern Brazil. Crude and adjusted analyzes were performed, using Poisson regression with a significance level of 5%, to assess the association between non-regular use of sunscreen and sociodemographic, behavioral and health variables. Results: 820 individuals were studied. The prevalence of not using sunscreen regularly was 52.8%. Factors associated with increased risk were: male sex (PR 1.57; 95%CI 1.39-1.77); smoking (PR 1.19; 95%CI 1.03-1.37); age, showing a direct linear trend; and schooling, showing an inverse linear trend. Having a supplementary health plan (PR 0.84; 95%CI 0.71-0.99) and walking during leisure time (PR 0.76; 95%CI 0.64-0.90) proved to be protective factors. Conclusion: This study allowed us to identify the profile of individuals at greater risk of not using sunscreen regularly and who, consequently, are at greater risk of developing photo-related skin diseases. It represents a potential benefit to public health insofar as it allows better targeting of prevention strategies.
{"title":"Factors Associated with Non-Regular Use of Sunscreens in Southern Brazil","authors":"S. Sasso","doi":"10.23880/cdoaj-16000287","DOIUrl":"https://doi.org/10.23880/cdoaj-16000287","url":null,"abstract":"Introduction: The southern region of Brazil leads the statistics of skin cancer in Brazil, and multiple factors are related to this predisposition, such as low phototypes and excessive sun exposure. Ultraviolet radiation is the main modifiable risk factor for melanoma and non-melanoma skin cancer, and the regular use of sunscreens has been shown to be effective in reducing the risk of developing these diseases, as well as other photomediated dermatoses. Despite this, the prevalence of non-regular use of sunscreens in cities in Paraná and Rio Grande do Sul proved to be above the desired level. In Santa Catarina cities, this prevalence was still undetermined. Objective: To identify the prevalence of non-use of sunscreen regularly and relate it to demographic, socioeconomic, behavioral and health variables. Method: A population-based cross-sectional study carried out in 2019 with individuals aged 18 years or older residing in the urban area of a large municipality in southern Brazil. Crude and adjusted analyzes were performed, using Poisson regression with a significance level of 5%, to assess the association between non-regular use of sunscreen and sociodemographic, behavioral and health variables. Results: 820 individuals were studied. The prevalence of not using sunscreen regularly was 52.8%. Factors associated with increased risk were: male sex (PR 1.57; 95%CI 1.39-1.77); smoking (PR 1.19; 95%CI 1.03-1.37); age, showing a direct linear trend; and schooling, showing an inverse linear trend. Having a supplementary health plan (PR 0.84; 95%CI 0.71-0.99) and walking during leisure time (PR 0.76; 95%CI 0.64-0.90) proved to be protective factors. Conclusion: This study allowed us to identify the profile of individuals at greater risk of not using sunscreen regularly and who, consequently, are at greater risk of developing photo-related skin diseases. It represents a potential benefit to public health insofar as it allows better targeting of prevention strategies.","PeriodicalId":164845,"journal":{"name":"Clinical Dermatology Open Access Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129421976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 22 year old male patient with a combination of three dermatoses: perioral dermatitis, atopic dermatitis and acne vulgaris constitutes an interesting clinical case, which we would like to present in this article. Having observed the patient for more than two years, we gained a set of data, noteworthy for the field of dermatology. In case of perioral dermatitis, the use of cosmetics and detergents, toothpaste containing fluoride, ointments containing glucocorticoids should be avoided. Topical corticosteroids have proven effective against atopic dermatitis. Should topical corticosteroids, such as hydrocortisone fail to take effect, a short-term treatment with topical calcineurin inhibitors like tacrolimus or pimecrolimus might be considered. In the case at hand, a treatment with retinoids proved to be remedy of choice against
{"title":"Therapeutic Approach for the Treatment of Three Dermatoses in a Young Patient: A Case Report","authors":"F. I.","doi":"10.23880/cdoaj-16000195","DOIUrl":"https://doi.org/10.23880/cdoaj-16000195","url":null,"abstract":"A 22 year old male patient with a combination of three dermatoses: perioral dermatitis, atopic dermatitis and acne vulgaris constitutes an interesting clinical case, which we would like to present in this article. Having observed the patient for more than two years, we gained a set of data, noteworthy for the field of dermatology. In case of perioral dermatitis, the use of cosmetics and detergents, toothpaste containing fluoride, ointments containing glucocorticoids should be avoided. Topical corticosteroids have proven effective against atopic dermatitis. Should topical corticosteroids, such as hydrocortisone fail to take effect, a short-term treatment with topical calcineurin inhibitors like tacrolimus or pimecrolimus might be considered. In the case at hand, a treatment with retinoids proved to be remedy of choice against","PeriodicalId":164845,"journal":{"name":"Clinical Dermatology Open Access Journal","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121019474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case with Photodistributed Erythema Multiforme","authors":"Suzan Demir Pektaş","doi":"10.23880/cdoaj-16000271","DOIUrl":"https://doi.org/10.23880/cdoaj-16000271","url":null,"abstract":"","PeriodicalId":164845,"journal":{"name":"Clinical Dermatology Open Access Journal","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114178678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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