1.Oral sirolimus in the treatment of adult eruptive cherry angiomas
Christine Lyka R. Sayson, MD ; Aira Monica R. Abella, MD ; Danielle Marlo R. Senador, MD ; Leilani R. Senador, MD, FPDS ; Gisella U. Adasa, MD, FPDS
Journal of the Philippine Dermatological Society 2023;32(1):35-38
Introduction:
Cherry angiomas are a common type of acquired vascular proliferation of the skin which manifest as single or multiple
bright red spots that usually appear on the trunk and arms. They are generally asymptomatic; patients may opt to remove the lesions for
cosmetic reasons and prevention of bleeding. Conventionally, most cherry angiomas are treated with curettage, laser, and electrosurgery. Herein, we report a case of multiple cherry angiomas managed alternatively with oral sirolimus.
Case:
A 47-year-old Filipino female presented with a 10-month history of gradually enlarging multiple bright-red papules and
pedunculated nodules with a propensity to spontaneously bleed on gentle manipulation involving the scalp and forehead. Clinicopathological correlation suggests a diagnosis of eruptive cherry angiomas. The patient was started on oral sirolimus, a mammalian target of
rapamycin (mTOR) inhibitor.
Conclusion
We present a case of a patient with eruptive cherry angiomas who experienced significant decrease in size and bleeding
with treatment of oral sirolimus with minimal adverse effects. For patients with eruptive cherry angiomas, especially with contraindicated
comorbidities, first-line therapeutic option treatments with oral sirolimus can be beneficial.
sirolimus
;
vascular malformation
2.Dermoscopic features and management strategy of a 10-year history acral lentiginous melanoma in a 55-year-old Filipino
Alexis G. De las Alas, MD ; Aira Monica R. Abella, MD ; Kristy Elleza R. Evangelista, MD, FPDS ; Gisella U. Adasa, MD, FPDS
Journal of the Philippine Dermatological Society 2023;32(1):39-42
Introduction:
Acral lentiginous melanoma (ALM) is the most common type of cutaneous melanoma in Asians that is not associated
with ultraviolet radiation (UV) exposure. Dermoscopy enables clinicians to distinguish between benign and malignant acral melanocytic
lesions, with some dermoscopic characteristics playing a role in staging and have prognostic implications, which allows for appropriate
surgical intervention. The difficulty of making an early diagnosis of ALM is highlighted by this case. ALM’s destructive nature, alongside
the patient’s lack of awareness and vigilance, and healthcare access inequality, influences its prognosis.
Case Report
This is a case of a long-standing acral lentiginous melanoma with no palpable lymphadenopathies in which it was not immediately detected through biopsy. Upon detection, wide excision with 2 cm margins and disarticulation of the 5th digit of the right foot
reconstructed with a fasciocutaneous advancement flap with split thickness skin graft, grafted from the right anterior thigh was done.
dermoscopy