1.An interesting case of lip swelling!
Malaysian Family Physician 2021;16(2):70-72
Melkersson-Rosenthal Syndrome (also termed “Miescher-Melkersson-Rosenthal Syndrome”) or (MRS), is a rare neurocutaneous disorder characterized by the clinical triad of recurring facial nerve paralysis, swelling of one or both lips and fissural tongue. We report a patient with Melkersson-Rosenthal Syndrome initially referred to Dermatology Department as angioedema. The diagnosis and treatment procedures were presented with special emphasis to the clinical features of this rare condition.
2.Not all swellings are lymph nodes! A case of subcutaneous panniculitis-like T-cell lymphoma
Chiaw Ting Tee ; Evelyn Yap Wen Yee
The Medical Journal of Malaysia 2019;74(5):441-442
Subcutaneous Panniculitis-like T-cell Lymphoma (SPTL) is a
rare cutaneous neoplasm of mature cytotoxic T cells, first
described in 1991 by Gonzalez et al.
1 The incidence of SPTL
in Asian countries ranges from 2.3% to 3%. In Malaysia, only
5 cases were reported from 2001 to 2004 in Hospital Kuala
Lumpur, Malaysia.
2 SPTL typically presents as skincoloured or erythematous subcutaneous nodules, most
often on the extremities and trunk, but it can also involve the
face, back and neck. Diagnosis of SPTL is made based on
correlation of clinical findings and subcutaneous tissue
biopsy along with immunohistochemical staining patterns
3.Facial segmental haemangioma with PHACE Syndrome successfully treated with oral propranolol
Lim Tzyy Huei ; Evelyn Yap Wen Yee ; Norhatizah Binti Samsudin
The Medical Journal of Malaysia 2019;74(5):447-449
PHACE syndrome describes the association of large
segmental haemangioma with extracutaneous features
(posterior fossa anomalies, arterial, cardiac, eye and
endocrine anomalies). We report a case of segmental facial
infantile haemangioma with PHACE syndrome treated
successfully with oral propranolol without neurological
sequelae.
4.Validation of the Malay version of Autoimmune Bullous Disease Quality of Life (ABQOL) questionnaire
Evelyn Wen Yee Yap ; Kwee Eng Tey ; Premaa Supramaniam ; Dedee Murrell ; Siew Eng Choon
Malaysian Journal of Dermatology 2020;44(1):2-13
Autoimmune blistering diseases (AIBD) represent a group of rare and chronic disorders with significant
impact on quality of life (QoL). The aim of this study was to assess the validity and reliability of the
Malay translation of the autoimmune bullous disease quality of life (ABQOL) questionnaire.
5.Knowledge, attitude, practice and perception on sunscreen and skin cancer among doctors and pharmacists
Qin Jian Low ; Kuo Zhau Teo ; Tzyy Huei Lim ; Seng Wee Cheo ; Wen Yee Evelyn Yap
The Medical Journal of Malaysia 2021;76(2):212-217
Introduction: Excessive ultraviolet light (UV) can cause
premature skin aging and potentially skin cancer. Currently
there is a lack of awareness among health care
professionals and the public on sun protection. The
objectives of this study were to determine knowledge on
sunscreen and skin cancer among health care
professionals, to evaluate the knowledge, attitude, practice
and perception of doctors and pharmacists toward the
usage of sunscreen as protection against UV radiation.
Materials And Methods: This is a cross-sectional study
conducted among doctors and pharmacists in Hospital
Sultanah Nora Ismail, Batu Pahat, Johor, Malaysia.
Questionnaires were used in this study.
Results: A total of 384 participants completed the
questionnaires. The participants consisted of 323 doctors
(84.1%) and 61 pharmacists (15.9%). The age group of the
participants ranged between 25 till 55 years old. Ninety
doctors (27.9%) and thirty-one pharmacists (51.0%) reported
used sunscreen daily (p<0.001). This finding showed that
there was a deficit in the practice of sun protection.
Pharmacists scored a higher knowledge score of median 12
(IQR=3.0) while the doctors scored 11 (IQR=2.0). This study
showed a significant association between ethnicity and skin
cancer knowledge (p<0.05).
Conclusion: This study demonstrated a lack of knowledge of
sunscreen and skin cancer prevention among health care
practitioners. This finding supports better medical
education program on this topic.
6.An Unusual Presentation of Neurotized Congenital Giant Melanocytic Nevus and Type 1 Neurofibromatosis: A Diagnostic Challenge
Qin Jian Low ; Tzyy Huei Lim ; Ri An Lee ; Seng Wee Cheo ; Noor &lsquo ; Ain Mohd Nasir ; Ikmal Hisyam Bakrin ; Wen Yee Evelyn Yap
Malaysian Journal of Medicine and Health Sciences 2022;18(No.1):372-374
Among the three subtypes of neurofibromatosis are type 1 and 2 neurofibromatosis and schwannomatosis, von
Recklinghausen disease also known as type 1 neurofibromatosis has an autosomal dominant inheritance. It is the
commonest form as and presents with numerous café-au-lait macules and neurofibromas. Giant congenital melanocytic nevus (CGMN) on the other hand is characterized by a melanocytic proliferation that present at birth. CGMN
develops due to a defective embryonic pigment cell (melanocyte) precursors development and are often present at
birth. Giant congenital melanocytic nevus (CGMN) and type 1 neurofibromatosis may occur together rarely. Clinicians should be aware of the rare presentation of both CGMN and type 1 neurofibromatosis in a patient.