download full issue - Our Dermatology Online Journal

More documents

Recommendations

Info

13. Mastaglia FL, Ojeda VJ: Inflammatory myopathies: Part 2. Ann Neurol. 1985;17:317-23. 14. Mastaglia FL, Ojeda VJ: Inflammatory myopathies: Part 1. Ann Neurol. 1985;17:215-27. 15. Airio A, Pukkala E, Isomäki H: Elevated cancer incidence in patients with dermatomyositis: a population based study. J Rheumatol. 1995;22:1300-3. 16. Chow WH, Gridley G, Mellemkjaer L, McLaughlin JK, Olsen JH, Fraumeni JF Jr: Cancer risk following polymyositis and dermatomyositis: a nationwide cohort study in Denmark. Cancer Causes Control. 1995;6:9-13. 17. Hill CL, Zhang Y, Sigurgeirsson B, Pukkala E, Mellemkjaer L, Airio A, et al: Frequency of specific cancer types in dermatomyositis and polymyositis: a population-based study. Lancet. 2001;357:96- 100. 18. Antiochos BB, Brown LA, Li Z, Tosteson TD, Wortmann RL, Rigby WF: Malignancy is associated with dermatomyositis but not polymyositis in Northern New England, USA. J Rheumatol. 2009;36:2704-10. 19. Fardet L, Dupuy A, Gain M, Kettaneh A, Chérin P, Bachelez H, et al: Factors associated with underlying malignancy in a retrospective cohort of 121 patients with dermatomyositis. Medicine (Baltimore). 2009;88:91-7. Copyright by Ganesh Dhavalshankh, et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. © Our Dermatol Online 2.2013 171
Case Report DOI: 10.7241/ourd.20132.39 ATROPHIC TYPE OF MORPHEA PROFUNDUS - AN INDIAN EXPERIENCE Leena Raveendra, Belliappa Pemmanda Raju, Umashankar Nagaraju, Vivekananda, Priya Kootelu Sundar, Lokanatha Keshavalu Source of Support: Nil Competing Interests: None Department of Dermatology, Rajarajeswari Medical College and Hospital Kambipura, Kengeri Hobli, Mysore Road, Bangalore, India Corresponding author: Dr Leena Raveendra cbleena@gmail.com Our Dermatol Online. 2013; 4(2): 172-175 Date of submission: 18.01.2013 / acceptance: 20.02.2013 Abstract Localized scleroderma (also called morphea) is a term encompassing a spectrum of sclerotic autoimmune diseases that primarily affect the skin, but might also involve underlying structures such as the fat, fascia, muscle, and bones. Morphea profundus presenting with atrophic lesions has rarely been reported in the literature. Here we report two cases of morphea profundus presenting with noninflammatory depressed plaques, without any significant skin induration, pigmentation or textural change. Histopathology was confirmatory for morphea profundus. Key words: morphea profundus; atrophic; multiple Cite this article: Leena Raveendra, Belliappa Pemmanda Raju, Umashankar Nagaraju, Vivekananda, Priya Kootelu Sundar, Lokanatha Keshavalu: Atrophic type of morphea profundus - an Indian experience. Our Dermatol Online. 2013; 4(2): 172-175 Introduction The term „morphea” includes a wide spectrum of clinical entities, varying from localized plaques of only cosmetic importance to deep lesions resulting in considerable morbidity for the patient. Four different types of deep morphea have been distinguished: Subcutaneous Morphea, Eosinophilic Fasciitis, Disabling pansclerotic morphea and Morphea Profundus [1]. Morphea profundus is a rare disease and it often has a progressive course with physical and psychological sequelae [2]. Morphea profundus usually presents with early induration followed by atrophy of subcutaneous tissue and on occasion that of muscle [3]. Here we report two cases of atrophic morphea profundus presenting without any significant skin induration, pigmentation or textural change, the published literature on this type of presentation is sparse. Case Report Two female patients presented to us with asymptomatic atrophy of skin on multiple sites of the body. Case-1: Our first patient was 24 years old and first noticed circumscribed swelling on left arm 2 years back. It was small to begin with and later gradually increased in size and further, after 4-5 months she noticed atrophy of the skin in the same region. She noticed similar lesions adjacent to the old lesion on left arm and also on right arm and on left side of face at inner margin of eye. On examination, there were atrophic areas on her left upper arm (Fig. 1) and right upper arm (Fig. 2) with ill-defined margins. The skin overlying the lesions showed no obvious induration or tenderness. Multiple nodules were present varying in size from 2cm × 1cm to 5cm ×3 cm, hard in consistency, mobile, with skin pinchable over them, distal to the atrophic areas. Swelling of the face involving left lower eyelid and maxillary region measuring about 6 cm × 8 cm was present (Fig. 3). Examination of the surrounding skin, hair, nails and other systems did not reveal any abnormality. Case-2: Our second patient was 16 years old and presented with asymptomatic atrophy of the skin of both upper arms and right side of face since seven months. It was first noticed on her right arm followed in a few months by similar lesions gradually appearing on her left arm and her face. On examination, atrophic areas on right side of face (Fig. 4), with ill-defined margins and patchy loss of hair was present in temporal, maxillary and mandibular region. Atrophic areas were also present on right upper arm (Fig. 5) and left upper arm (Fig. 6).The skin overlying the lesions showed no induration or tenderness. Both patients did not complain of pain, redness or itching on these areas. 172 © Our Dermatol Online 2.2013 www.odermatol.com
Page 1 and 2: Volume 4, Number 2, April 2013 ISSN
Page 3: Editorial Board: Abdel-Naser Mohame
Page 6 and 7: CONTENTS E d i t o r i a l O r i g
Page 8 and 9: Original Article DOI: 10.7241/ourd.
Page 10 and 11: Figure 1. Survival time of HIV/TB-
Page 14 and 15: Figure 3. A. melanocytic naevus on
Page 18 and 19: 82% of the children belonged to the
Page 20 and 21: Comment to the article DOI: 10.7241
Page 22 and 23: The skin around body openings such
Page 24 and 25: Figure 1. Finger nail dystrophy in
Page 28 and 29: Similar type of rash was also prese
Page 32 and 33: Figure 1. Atrophic areas on left up
Page 34 and 35: 5. Brocard A, Quereux G, Moyse D, D
Page 36 and 37: Figure 1. Macroglossia Figure 2. Ma
Page 38 and 39: Case Report DOI: 10.7241/ourd.20132
Page 40 and 41: Figure 4a, b. Skin biopsy shows hyp
Page 46 and 47: Discussion Poikiloderma of Civatte
Page 52 and 53: Case Report A 56 year old Caucasian
Page 54 and 55: Using a battery of neurotoxic agent
Page 56 and 57: Figure 1. Multiple lesions on the u
Page 60 and 61: Figure 1. a PAS positive accentuati
Page 62 and 63: The patient was put on melanocyl 0.
Page 66 and 67: The type of treatment prescribed by
Page 68 and 69: On the basis of these clinical find
Page 70 and 71: Surgery has been reported to be the
Page 72 and 73: Figure 1. Histological section show
Page 76 and 77: Discussion The breast location of t
Page 78 and 79: Figure 2. The epithelial nests show
Page 80 and 81:
Case Report DOI: 10.7241/ourd.20132
Page 82 and 83:
Discussion SCACP is one of the cuta
Page 84 and 85:
Figure 1. Tumor of the nasal colume
Page 86 and 87:
Figure 2. Vesicles and crusts aroun
Page 88 and 89:
Outbreaks have occurred recently in
Page 90 and 91:
Clasificación En base al epitelio
Page 92 and 93:
- Microcefalia, hipoplasia mediofac
Page 94 and 95:
Caso Nº 3: · Niña, edad desconoc
Page 96 and 97:
Clinical Images DOI: 10.7241/ourd.2
Page 98 and 99:
Figure 7. Fixed cutaneous sporotric
Page 100 and 101:
Letter to the Editor DOI: 10.7241/o
Page 102 and 103:
Historical Article DOI: 10.7241/our
Page 104 and 105:
Figure 6. Henri Mondor (1885-1962).
Page 106 and 107:
Page 108 and 109:
Figure 5. Alfred Guido Miescher (18
Page 110 and 111:
Page 112 and 113:
Names of ''Lines'', in dermatology
Page 114 and 115:
Figure 1. Erik Adolf von Willebrand
Page 116 and 117:
THOMAS INMAN English physician, 182
Page 118 and 119:
There are three type of tinea capit
Page 120:
Our Dermatology Online www.odermato
show all

download full issue - Our Dermatology Online Journal

Create successful ePaper yourself

Delete template?

Save as template?