With the recent increase in reported cases of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), fears of breast implants have increased. In particular, some patients now desire expander removal without implant insertion. In the case described herein, a 41-year-old female patient who had undergone a skin-sparing mastectomy with expander insertion due to breast cancer requested expander removal due to fear of BIA-ALCL during expansion. The authors modified the Goldilocks technique to prevent a chest wall deformity due to expansion. The expanded skin was sufficiently thick, as it was engrafted with acellular dermal matrix, and some of it was de-epithelized and rolled in. The patient’s chest wall depression was completely corrected and an acceptable breast mound was created. To summarize, this technique was used to correct a chest wall deformity and to form a breast mound in a patient who underwent expander removal without implant insertion.

BACKGROUND: Dermatophytoses in children are commonly seen but relatively infrequent than adults. Dermatophytoses in children can be different clinically and mycologically from those in adults in that children experience rapid physical changes and they have different skin features and environments from those of adults. OBJECTIVE: The goal of this research is to understand the clinical and mycological characteristics of dermatophytoses in children. METHODS: This clinical and mycological investigation was made with 15,684 patients under age 18 who were diagnosed with dermatophytoses from April, 1976 to March, 2005. RESULTS: The results can be summarized as follows: 1. The incidence of dermatophytoses in children to total number of pediatric outpatients was 6.4%. Male patients were 9,475 and female patients were 6,209 leaving male to female ratio of 1.5:1. Dermatophytoses showed high incidence in the age group between 13 and 18 (7,009). 2. Tinea pedis was 4,020 cases and the most common, followed by tinea cruris, tinea capitis, tinea corporis, tinea unguium, tinea faciale. Tinea capitis largely increased in 1980s and is falling off through 1990s, tinea pedis tends to increase since 1990s. The onsets in summer were the most eminent. 3. Among 15,684 cases, 9,395 cases (59.9%) yielded isolated strains on fungal culture. Trichophyton (T.) rubrum was 5,049 strains (53.7%) and the most common among the total isolated 9,395 strains followed by Microsporum (M.) canis, and T. mentagrophytes. M. canis was the most commonly isolated organism in tinea capitis and tinea manus but in other cases T. rubrum was. CONCLUSIONS: Dermatophytoses in children are different clinically and mycologically from those in adults and vary with the change of the times.
Adult ; Child ; Female ; Humans ; Incidence ; Male ; Microsporum ; Onychomycosis ; Outpatients ; Skin ; Tinea ; Tinea Capitis ; Tinea Pedis ; Trichophyton

Steatocystoma is a benign adnexal tumor originating from the pilosebaceous duct junction which can be classified into two groups (steatocystoma simplex and steatocystoma multiplex). Steatocystoma simplex, which presents as a solitary lesion, is very rare. Steatocystoma simplex occurs most commonly on the face and the case reported herein involving the scalp is extremely rare. A 49-year-old man presented for evaluation and treatment of a solitary papule on the right parietal scalp which had persisted for a period of 1 year. The histopathologic examination revealed a thin-walled cyst consisting of stratified squamous epithelium with hyaline cuticle that lacked a stratum granulosum. Based on clinical and histologic findings, we diagnosed this case as steatocystoma simplex of the scalp and report this rare case.
Epithelium ; Humans ; Hyalin ; Methylmethacrylates ; Middle Aged ; Polystyrenes ; Scalp

BACKGROUND: Although venous lake is asymptomatic, treatment is usually performed for cosmetic purposes or to prevent bleeding after trauma. The treatment is diverse and includes surgical excision, compression and cryotherapy. Above all, sclerotherapy is a useful and effective procedure for the treatment of venous lake on the lip. OBJECTIVE: This study was undertaken to assess the effectiveness and complications of the sclerotherapy of venous lake on the lip. METHODS: Fifteen lesions from eleven patients with venous lake on the lip were treated with sclerotherapy using sodium tetradecyl sulfate, detergent sclerosant. According to the size of lesions, the volume of infused solution was varied and the effectiveness of treatment was evaluated after four weeks. RESULTS: After a single treatment, fourteen of the fifteen lesions(93.3%) were cleared completely. The remaining lesion was treated one additional time. There were no reported complications during treatment. CONCLUSION: Sclerotherapy is highly effective and safe for the treatment of venous lake on the lip and may be a promising treatment option.
Cryotherapy ; Detergents ; Hemorrhage ; Humans ; Lakes* ; Lip* ; Sclerotherapy* ; Sodium Tetradecyl Sulfate

Papuloerythroderma of Ofuji is an uncommon dermatological disorder of unknown etiology and is characterized by a pruritic eruption of widespread confluent papules in vast sheets over the skin, but spares the skin folds (the so-called 'deck-chair' effect). We present a case of a patient with papuloerythroderma of Ofuji of unknown cause. Treatment with oral and topical corticosteroids, antihistamines, and narrow-band UVB phototherapy proved to be ineffective in helping the condition but considerable clinical improvement was obtained with cyclosporine.
Adrenal Cortex Hormones ; Cyclosporine* ; Histamine Antagonists ; Humans ; Phototherapy ; Skin

Pthiriasis is a sexually transmitted disease, and in most cases this is caused by Pthirus pubis (pubic or crab lice) that mainly infest the pubic hair of adults. Eyebrows, eyelashes and axillary hair are also relatively common sites of infestation, but the scalp is an uncommon site of manifestation, and especially in adults. We report here on a case of pthiriasis that was confined to the scalp, without involving any other parts of the body of a 55-year-old woman.
Adult ; Eyebrows ; Eyelashes ; Female ; Hair ; Humans ; Middle Aged ; Scalp ; Sexually Transmitted Diseases

Pthiriasis is a sexually transmitted disease, and in most cases this is caused by Pthirus pubis (pubic or crab lice) that mainly infest the pubic hair of adults. Eyebrows, eyelashes and axillary hair are also relatively common sites of infestation, but the scalp is an uncommon site of manifestation, and especially in adults. We report here on a case of pthiriasis that was confined to the scalp, without involving any other parts of the body of a 55-year-old woman.
Adult ; Eyebrows ; Eyelashes ; Female ; Hair ; Humans ; Middle Aged ; Scalp ; Sexually Transmitted Diseases

A 36 year-old man and his 6 month-old daughter presented with multiple, slightly depressed, skin-colored, hard nodules and plaques on the abdomen, back, and both extremities. They also showed abnormal physical appearance, including short stature and neck, round face, and short digits, which suggested Albright's hereditary osteodystrophy (AHO). Histopathologically, various sized bony spicules were present in the dermis. The laboratory results showed normal serum calcium, phosphorus and parathyroid hormone levels. On the basis of clinical, laboratory and histologic findings, we diagnosed these cases as Albright's hereditary osteodystrophy with cutaneous ossification occurring in pseudopseudohypoparathyroidism.
Abdomen ; Calcium ; Dermis ; Extremities ; Fibrous Dysplasia, Polyostotic ; Neck ; Nuclear Family ; Parathyroid Hormone ; Phosphorus ; Pseudopseudohypoparathyroidism

A 36 year-old man and his 6 month-old daughter presented with multiple, slightly depressed, skin-colored, hard nodules and plaques on the abdomen, back, and both extremities. They also showed abnormal physical appearance, including short stature and neck, round face, and short digits, which suggested Albright's hereditary osteodystrophy (AHO). Histopathologically, various sized bony spicules were present in the dermis. The laboratory results showed normal serum calcium, phosphorus and parathyroid hormone levels. On the basis of clinical, laboratory and histologic findings, we diagnosed these cases as Albright's hereditary osteodystrophy with cutaneous ossification occurring in pseudopseudohypoparathyroidism.
Abdomen ; Calcium ; Dermis ; Extremities ; Fibrous Dysplasia, Polyostotic ; Neck ; Nuclear Family ; Parathyroid Hormone ; Phosphorus ; Pseudopseudohypoparathyroidism

Palisaded neutrophilic and granulomatous dermatitis is a newly described disease associated with connective tissue disorders, such as rheumatoid arthritis or lupus erythematousus. Cases associated with rheumatoid arthritis are also termed rheumatoid papules. We report a 27-year-old woman who presented with two erythematous, tender papules on her left elbow. She had rheumatoid arthritis and was being treated with an oral steroid, methotrexate and nonsteroidal antiinflammatory drugs. Histopathologic examination showed degenerative collagen with basophilic fibrinoid materials and neutrophils surrounded by palisaded epithelioid cells in the upper dermis.
Adult ; Arthritis, Rheumatoid ; Basophils ; Collagen ; Connective Tissue ; Dermatitis* ; Dermis ; Elbow ; Epithelioid Cells ; Female ; Humans ; Methotrexate ; Neutrophils*