A 47 year old male seller with 4 year history of taking herb pill containig arsenic was examind on Feb. 13. 1974 because of generalized multiple pinhead to pea sized dark brownish pigmented macules and bean to little finger tip sized dull red crusted papules on right forearm and right knee joint and dull red crusted nodule on abdominal wall. The first symptom was arsenical melanosis on whole body. This pigmentation became discolored gradually. Biopsy specimens were obtained from nodule on abdominal wall and macule on forearm. The findings were charactristic of Bowen's disease. Diagnosis was confirmed by clinicaI appearance and typical histopathological features.
Abdominal Wall ; Arsenic ; Biopsy ; Bowen's Disease* ; Diagnosis ; Fingers ; Forearm ; Humans ; Knee Joint ; Male ; Melanosis ; Middle Aged ; Peas ; Pigmentation

Two cases of inetastatic tumor of the skin were reported with literature review. One case, aged 67 years male, had a seven year history of multiple nolular lesions On the abdorninal wall. Histopathological findings were compatible with adenocarcinoma. Other case, aged 57 years male, who had a episode of subtotal gastrectomy, under dingnosis of stomach cancer four years ago, had a one and half year history of multiple nodular lesions on the face. Histopathological findings were compatible with fibrosis at first biopsy but confirmed with undifferential carcinoma after five months, These metastatic tumors of the skin were considered to be originated from the stomach in view of clinical and histopathological findings.
Adenocarcinoma ; Biopsy ; Fibrosis ; Gastrectomy ; Humans ; Male ; Skin* ; Stomach ; Stomach Neoplasms

30 year-old female patient with acutely ill appearance was admitted to Sacred Heart Hospital because of high fever, nausea and, vomiting and severe headache 4 days duration. On physical examination, slight stiffness of the neck and Kernig's sign was noted. Skin signs showed rice sized erythematous grouped papulovesicular eruption on the right side of the neck and chin. C.S.F. findings were elevated pressure, increased protein and decreased sugar level of C.S.F. On funduscopic examination, revealed slight papilledema and mild blurring of the disc margin. Skin biopsy was performed on the vesicular lesion and showed marked ballooning degeneration of cell in which an inclusion body was present. She was healed completely after treatment with analgesics and corticosteroids.
Adrenal Cortex Hormones ; Adult ; Analgesics ; Biopsy ; Chin ; Female ; Fever ; Headache ; Heart ; Herpes Zoster* ; Humans ; Inclusion Bodies ; Nausea ; Neck ; Papilledema ; Physical Examination ; Skin ; Vomiting

No abstract available.
Child* ; Humans

A new balloon dissector, a modification of a Foley catheter, was devised and it can be used either as a dissector or a tissue expander. Since most operating time was spent in balloon manipulation (inflation/deflation), the duct for saline injection was made to be wider than the Foley catheter. As a result, the balloon could be inflated faster than before. In order to reduce the scar at the donor site, harvest of the sural nerve using endoscopic technique is currently applied, but utilization of this method is technically difficult and requires a long operating time. For these reasons, new our method of using a balloon dissector was devised. The balloon dissector can also be used for immediate intraoperative tissue expansion for the reconstruction of small skin defects without distortion. We have found that the advantages of using the new balloon dissector include a reduction in operating time, preservation of the perforating vessels, and primary closure with less tension. In addition, this simple and inexpensive instrument is cost-beneficial to patients.
Catheters ; Cicatrix ; Humans ; Skin ; Sural Nerve ; Tissue Donors ; Tissue Expansion ; Tissue Expansion Devices

No Abstract Available.
Mucinoses*

Purpura fulminans may be seen in three different clinical settings: (1) in the neonatal period from protein C and S deficiencies, (2) during severe bacterial infections such as “sepsis-associated” purpura fulminans, and (3) during the convalescence of an otherwise benign “preparatory” infectious disease most commonly involving the skin. We report a case of a 20-month-old male child with purpura fulminans as a presenting sign of disseminated intravascular coagulopathy (DIC). He had suffered from fever of unknown origin for a month. Although purpura fulminans is not a common disorder to dermatologists, the awareness of this disorder may be the clue to diagnose and treat underlying diseases.
Bacterial Infections ; Child ; Communicable Diseases ; Convalescence ; Fever of Unknown Origin ; Humans ; Infant ; Male ; Protein C ; Purpura Fulminans* ; Purpura* ; Skin

No Abstract Available.
Leukemia* ; Leukemic Infiltration* ; Skin*

A 31-year-old pregnant woman with pruritus in pregnancy was described; she presented with a one-week history of generalized pruritus at gestational age 6 weeks without primary skin lesion. She had no dermatologic problem before pregnancy. Her pruritic symptom was not con-trolled with conventional emollient and topical corticosteroids. Broadband Ultraviolet B(UVB) phototherapy successfully improved her pruritus. UVB phototherapy also worked well after recurrence of pruritus at pregnancy 23rd week. We report herein a case of pruritus in pregnancy successfully treated with broadband UVB phototherapy.
Adrenal Cortex Hormones ; Adult ; Female ; Gestational Age ; Humans ; Phototherapy* ; Pregnancy* ; Pregnant Women ; Pruritus* ; Recurrence ; Skin

No Abstract Available.
Lupus Erythematosus, Systemic*