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Figure 1. Tumor of the nasal columella Figure 2. A “V” incision and open rhinoplasty approach to excise the tumor Magnetic resonance imaging (MRI) is especially useful for the diagnosis and can helps also to evaluate the local effect of the tumor on the surrounding structures. The open rhinoplasty approach is ideal for excision of the tumour in the nasal tip [6-8]. Schwannomas have a true capsule composed of epineurium, which allows their successful surgical resection [9]. The increased exposure makes it easier to perform certain technical manoeuvres for resection, and gives the surgeon the ability to diagnose the deformity of the osseocartilaginous framework. Recurring tumors are rare (2%) when removal is complete, and are particularly associated with neurofibromatosis [10]. Figure 3. Tumor of the nasal columella in 4 months baby. Schwannomas are slightly less common than neurofibromas, but, like the latter, constitute about 5% of all benign soft-tissue tumors. Nasal tip location of schwannoma was first described by Bingham et al [3]. Seven cases of nasal tip Schwannoma have been reported in the literature and none of involving the only columella. Schwannoma is a common tumor that can develop at any age. It grows slowly, expanding and applying pressure to the surronding tissues, causing aesthtic and sensory problems [4]. Even if nasal tip schwannoma is a benign tumor it should be removed as soon as possible to avoid cartilage deformities. Radiologic examinations can assist in its diagnosis [5]. REFERENCES 1. Skouras A, Skouras G, Diab A, Asimakopoulou FA, Dimitriadi K, Divritsioti M: Schwannoma of the nasal tip: diagnosis and treatment. Aesthetic Plast Surg. 2011;35:657-61. 2. Lowe LH, Booth TN, Joglar JM, Rollins NK: Midface anomalies in children. Radio Graphics. 2000;20:907–22. 3. Bingham BJ, Robertson AJ, Morris AM: Tip of nose: an unusual site for a neurilemmoma. Br J Plast Surg. 1986;39:522-3. 4. Wada A, Matsuda H, Matsuoka K, Kawano T, Furukawa S, Tsukuda M: A case of schwannoma on the nasal septum. Auris Nasus Larynx. 2001;28:173-5. 5. Lemmerling M, Moerman M, Govaere F, Praet M, Kunnen M, Vermeersch H: Schwannoma of the tip of the nose: MRI. Neuroradiology. 1998;40:264-6. 6. Fujita K, Yuzuriha S, Noguchi M. ‚Cyrano de Bergerac’ nose deformity caused by the schwannoma of the nasal tip. J Plast Reconstr Aesthet Surg. 2006;59:1252-4. 7. Daele JJ, Leruth E, Goffart Y: Consensus in rhinoplasty. B-ENT. 2010;15:109-13. 8. Claeys S, Van Zele T, Vermeersch H: Why do we prefer the external approach? B-ENT. 2010;Suppl 15:35-9. 9. Beaman FD, Kransdorf MJ, Menke DM: Schwannoma: radiologicpathologic correlation. Radio-Graphics. 2004;24:1477–81. 10. Rameh C, Husseini S, Tawil A, Fuleihan N, Hadi U: Solitary plexiform neurofibroma of the nasal tip: Case report and review of the literature. Int J Pediatr Otorhinolaryngol Extra. 2007;2:116-9. Copyright by Mohamed El Bouihi, 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 225
Case Report DOI: 10.7241/ourd.20132.56 HAND, FOOT AND MOUTH DISEASE IN NORTHEASTERN PART OF ROMANIA IN 2012 Anca Chiriac 1 , Cristina Birsan 1 , Anca E. Chiriac 2 , Tudor Pinteala 3 , Liliana Foia 2 Source of Support: Nil Competing Interests: None 1 Nicolina Medical Center, Department of Dermatology, Iasi-Romania 2 University of Medicine Gr T Popa, Iasi-Romania 3 Imperial College, London, UK Corresponding author: Anca Chiriac, MD PhD ancachiriac@yahoo.com Our Dermatol Online. 2013; 4(2): 226-229 Date of submission: 24.10.2012 / acceptance: 28.01.2013 Abstract Hand-foot-mouth disease (HFMD) is an acute viral infection that occurs usually among children in summer. This paper reports a high incidence of HFMD in children and adults, occurred in summer-autumn 2012 in the northeastern part of Romania. We present a few cases with some atypical clinical manifestations. Key words: Enteroviruses; Hand, Foot and Mouth disease; Romania Cite this article: Anca Chiriac, Cristina Birsan, Anca E. Chiriac, Tudor Pinteala, Liliana Foia: Hand, Foot and Mouth disease in northeastern part of Romania in 2012. Our Dermatol Online. 2013; 4(2): 226-229. Introduction Hand-foot-mouth disease (HFMD) is an acute viral infection that occurs usually among children in summer [1]. The diagnosis is based on clinical manifestations of oval vesicles on the hands and feet and painful oral mucosa ulcerations. It is a self-healing disease in great majority of cases, but sometimes with severe evolution and neurological complications [2]. Pediatricians and dermatologists should be aware of atypical manifestations. Case Report Case 1. We were asked to see a 3 year-old boy hospitalised in Pediatric Department, with very high fever, nausea, diarhhea, abdominal pains, malaise, who was diagnosed with acute pharyngitis, with no good clinical evolution under antibiotics Claritromicin orally). It was the first days of June 2012 and among the first cases of HFMD (Fig. 1, 2). Case 2. A female student of 23 years old, was incapable of walking for many days, by a lof of small vesicles and erythema on the feet; she has also high fever, malaise, diarhhea and headache. In the fifth day she developed also a few vesicles on the palms, no oro-pharyngeal involvment (Fig. 3). Figure 1. Vesicles on the feet 226 © Our Dermatol Online 2.2013 www.odermatol.com
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Volume 4, Number 2, April 2013 ISSN
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Editorial Board: Abdel-Naser Mohame
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CONTENTS E d i t o r i a l O r i g
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Original Article DOI: 10.7241/ourd.
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Figure 1. Survival time of HIV/TB-
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Figure 3. A. melanocytic naevus on
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82% of the children belonged to the
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Comment to the article DOI: 10.7241
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The skin around body openings such
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Figure 1. Finger nail dystrophy in
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Comment to the article DOI: 10.7241
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Similar type of rash was also prese
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13. Mastaglia FL, Ojeda VJ: Inflamm
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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
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Page 40 and 41: Figure 4a, b. Skin biopsy shows hyp
Page 46 and 47: Discussion Poikiloderma of Civatte
Page 50 and 51: Comment to the article DOI: 10.7241
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 82 and 83: Discussion SCACP is one of the cuta
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
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Page 94 and 95: Caso Nº 3: · Niña, edad desconoc
Page 96 and 97: Clinical Images DOI: 10.7241/ourd.2
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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 108 and 109: Figure 5. Alfred Guido Miescher (18
Page 112 and 113: Names of ''Lines'', in dermatology
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Page 116 and 117: THOMAS INMAN English physician, 182
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