Journal of Dermatology & Dermatologic Surgery-JDDS最新文献

Objectives: To estimate the prevalence, knowledge and lifestyle association with acne among medical students at King Saud University, Riyadh, Kingdom of Saudi Arabia. Methods: This quantitative, observational and cross-sectional study was conducted among medical students in March 2015 by using self-administered questionnaire survey. Statistical analysis was performed using p-value. Results: A total of three hundred and seventy-five medical students were recruited, and more than half of them had acne vulgaris (n: 208; 55.5%) with less than one third of them being diagnosed by a physician. Most of the female students (n: 75; 61%) dealt with acne as a significant medical condition when compared with only third (n: 87; 34%) of the male students (P < 0.05). Eighty-nine female students (72%) believed more than male students (n: 104; 41%) that stressful environment played a significant role in acne vulgaris (p > 0.05). One hundred and twelve male students (44.8%) believed more than females (n: 39; 31%) that acne affects their marriage prospectus p < 0.05. Conclusion: Interestingly, more than half of our sample population was affected by acne vulgaris with two thirds of them not seeking for medical advice. Knowledge misconceptions were widespread among medical students, which necessitate further education in this regards.

Epidermolysis bullosa pruriginosa, a rare variant of dominant inheritance pattern, characterized by itchy, papules and/or nodules coalescing to form plaque(s), studded by blisters, is describe in a young man an index case. In all 12 afflicted individuals of the 27 family members was interesting, the diagnosis of which was made by its morphology and inflammatory changes in the epidermis, comprising hyperkeratosis, moderate acanthosis, presence of inflammatory cells, and above all inflammatory cell containing sub-epidermal cleavage or cleft.

Background: Cold urticaria is often resistant to first line treatment with second-generation H1-antihistamines. Case summary: We report a case of a fifty year-old woman with a history of cold urticaria showing no response to classic treatments, treated successfully with hydroxychloroquine initially prescribed to treat her frontal fibrosing alopecia. Conclusion: Hydroxychloroquine may be a successful treatment option for recalcitrant cold urticaria.

Objective

To know the most common types of skin diseases in Hail region and compare it with similar studies in other previous study in Hail region.

Methods

A 10 month retrospective study of the common skin diseases, which was recorded in King Khalid Hospital, Hail, Saudi Arabia, within the period started from 1–1–2008 to 31–12–2014 with missing two years during this period 2010–2011 for totally 5 years, from registration record of outpatient clinic.

Results

We recorded manually from registration record 13778 patients, comprising 5473 (40%) male and 8305 (60%) female within the study period. Eczema is the most common dermatological disease (37%) with atopic dermatitis forming (12%) among all eczema patients, followed by acne (20%), alopecia (8%),other pigmentary (7%) with vitiligo comprising (7%) which is the most common pigmentary lesion of the total, viral wart (7%), psoriasis (4%), leishmania (4%),Tinea (2%), other pilosebaceous (1%) and the other (3%).

Conclusion

Dermatitis, acne, vitiligo, alopecia, viral wart and psoriasis are the most common top six skin diseases in hail region compared to other previous study in Hail region. The prevalence of skin disease in any community depends upon various factors, namely the genetic, racial constitution, the social and hygienic standards, customs and occupations, the nutritional status, age structure of the community, climatic factors and state of industrialization.

Food hypersensitivity can present in myriad forms leaving the physician baffled. Here we present a case of flagellate dermatitis in an elderly female with bronchial asthma on omalizumab injections, after ingestion of canned shiitake mushrooms. Knowledge about shiitake mushroom dermatitis is important due to increasing prevalence worldwide because of changing culinary preferences.

Background: Hair transplantation in the current context has emerged as one of the most sought after treatments for andro-genetic alopecia. In conventional FUE technique of hair transplantation graft damage may occur due to various factors which can be eliminated by Instant Follicular Hair Unit Transplant (IFHUT), an innovative technique which involves extraction of hair follicle one by one from the safe donor area and implanting them immediately after extraction. Methods: 10 patients of andro-genetic alopecia were inducted to the study. One half of the donor area was utilized for IFHUT, while the other for conventional FUE and the implantation results were compared pictographically as well as with trichoscopy and documented at each follow up. Results: Significantly, better growth was seen by the naked eyes, pictographic comparison and hair scope examination in the IFHUT site in 9 patients. Conclusion: Although this technique presents a steeper learning curve for the surgeon, need for clear protocols and proper execution, the efficacy and superiority of results presented by the IFHUT method show the potential of this technique to reshape the future of the hair transplant industry.

Chromoblastomycosis is a rare, chronic fungal infection of skin and subcutaneous tissue. It is caused by several pigmented fungi commonly seen in tropical and sub-tropical regions. Here, we report a case of chronic cutaneous chromoblastomycosis in a middle aged man from the southern part of Jizan, Saudi Arabia, who presented to our derma clinic with verrucous cauliflower like growth on the right hand. Later on, histopathological study showed pathognomonic characteristic brown colored spores (copper pennies or medlar bodies) of the fungus within dermal abscess. The patient was cured after a 6 month combination use of itraconazole and cryotherapy. Review of literature showed this is the first cutaneous chromoblastomycosis reported from Saudi Arabia.

Intravenous immunoglobulin (IVIG) is an immune modulating treatment used in a variety of immune mediated diseases. We report, two patients of different demographics, treated with IVIG for different neurological diagnoses who reported significant hair growth after starting IVIG treatments. To date, there have been no reports of using IVIG as a treatment for hair loss due to androgenic alopecia (AGA).

Neonatal purpura fulminans (PF) is a rare, life-threatening condition, caused by congenital or acquired deficiencies of protein C or S. PF describes a clinico-pathological entity of dermal microvascular thrombosis associated with disseminated intravascular coagulation (DIC) and perivascular hemorrhage occurring in the newborn period. Here we describe a newborn with PF due to severe congenital protein C deficiency. The lesions started 5 h after birth but the infant was brought to our emergency department 20 h later. The infant was admitted in neonatal intensive care unit (NICU) and treated with fresh frozen plasma (FFP), enoxaparin along with other supportive cares. In spite of impressive improvement of skin lesions, coordination with numerous subspecialties and aggressive NICU support, the infant died one month after admission due to multiorgan failure and septicaemia.

The interest in various cosmetic procedures is becoming a spreading concern to population of different age groups and genders. As a result of the popularity of cosmetic tattooing, drawbacks started to appear more often than before. We present a 48-year old Saudi lady, who developed a herpes infection of the lips following a cosmetic lip tattoo. The article describes the historical aspects of lip tattooing and reviews the reported complications.