In about 20 to 30 percent of cases with organoid nevus (nevus sebaceus), benign and/or ma-al lignant tumors of the epidermis and adnexae may develop. We describe a 71-year-old woman with sebaceous carcinoma and basal cell epithelioma developed in organoid nevus.
Aged ; Carcinoma, Basal Cell* ; Epidermis ; Female ; Humans ; Nevus* ; Organoids*

BACKGROUND: Warts are common virus-induced lesions that are troublesome to treat, especially in children. Recently, some trials have suggested that the pulsed dye laser may also be useful for the treatment of warts. OBJECTIVE: To determine the effectiveness and safety of 585nm flashlamp-pumped pulsed dye laser treatment of warts. METHODS: Fifty patients representing a total of 265 warts were recruited for the study. Patients were treated using the flashlamp-pumped pulsed dye laser with a pulse duration of 450 sec, a spot size of 5mm, and energy fluence ranging between 7 to 9 J/cm2. Patients in whom no visible evidence of warts remained before 5 treatment sessions were classified as 'cured'. RESULTS: The cure rates were 89% for hand warts, 21% for plantar warts, 58% for periungual or subungual warts, 98% for limb warts and 100% for facial warts. Significant difference in the clearance rate of warts was found according to the maximum diameter of warts (≤0.3cm, >0.3cm) (<0.05). CONCLUSION: The 585nm flashlamp-pumped pulsed dye laser had potential effectiveness for the treatment of small warts on the hands, face, and limbs, but it is less effective for plan-tar warts, or larger warts.
Child ; Extremities ; Hand ; Humans ; Lasers, Dye* ; Warts*

Intravascular fasciitis (IVF), a rare distinct variant of nodular fasciitis, possesses the same clinical and histologcal features of nodular fasciitis, but in addition, involves predominantly small to medium- sized veins and/or arteries intraluminally, intramurally and extramurally. Only 3 cases of intraoral IVF have been reported in the English literature. Herein we report a case of IVF developing on the inner lower lip and it was successfully treated with simple excision.
Arteries ; Fasciitis* ; Lip ; Veins

Laugier-Hunziker syndrone is a rare, pigmentary disorder of the lips, oral mucosa, and nails. The absence of intestinal polyposis differentiated it from Peutz-Jeghers syndrome. We describe a 16-year-old boy with multiple, brownish, lenticular macules on the lips, oral mucosa, perianal area and anal mucosa, and on the digits of his fingers and toes, in wham intestinal polyposis was not detectable.
Adolescent ; Fingers ; Humans ; Intestinal Polyposis ; Lip ; Male ; Mouth Mucosa ; Mucous Membrane ; Peutz-Jeghers Syndrome ; Toes

Pityriasis rotunda is an uncommon cutaneous disorder characterized by multiple asymptomatic strikingly circular hyperpigmented or hypopigmented, scaly patches on the trunk and extremities with the similar histologic appearance of ichthyosis vulgaris. The majority of cases have been reported in Japan, South Africa and West India, usually in association with an underlying systemic disease, but there are some familial cases without systemic diseases. We report a case of pityriasis rotunda with liver cirrhosis.
Extremities ; Ichthyosis Vulgaris ; India ; Japan ; Liver Cirrhosis* ; Liver* ; Pityriasis* ; South Africa

Obturator hernia is a rare pelvic hernia, occuring most frequently in elderly, debilitated women. Because of nonspecific symptoms, the diagnosis of obturator hernia is often delayed until laparotomy for bowel obstruction. This leads to high bowel resection and mortality rates, which represents a diagnostic and therapeutic challenge for surgeons today. We experienced an unusual case of right obturator hernia with strangulation in an 81-year-old female patient who presented with intermittent generalized, particularly right lower quadrant, abdominal pain and distension. The hernia was diagnosed by computed tomography (CT) scan and repaired using the lower midline transperitoneal approach. CT scan in the evaluation of patients with nonspecific intermittent gastrointestinal symptoms leads to a diagnosis of occult hernia. We report these findings with a brief review of the literature focusing on finding indicators leading to early diagnosis and treatment.
Abdominal Pain ; Aged ; Aged, 80 and over ; Diagnosis* ; Early Diagnosis ; Female ; Hernia ; Hernia, Obturator* ; Humans ; Ileus ; Laparotomy ; Mortality ; Tomography, X-Ray Computed

Intussusception in an adult is an uncommon condition. In contrast to the condition occuring in infants and children in adults, it is usually secondary to an intraluminal tumor. Hemangioma is a very rare cause of intussusception. The most frequent symptoms of intussuscepting hemangioma of the gastrointestinal tract are cramping abdominal pain, vomiting and melena. The treatment is usually resection. We experienced a case of hemangioma in the ileum with intussusception. After laparotomy and resection of the ileal segment, end to end anastomosis was performed.
Abdominal Pain ; Adult ; Child ; Gastrointestinal Tract ; Hemangioma* ; Humans ; Ileum* ; Infant ; Intussusception ; Laparotomy ; Melena ; Muscle Cramp ; Vomiting

BACKGROUND: The Fitzpatrick skin type has been a simple and useful method to categorize cutaneous sensitivities to ultraviolet radiation. OBJECTIVE: In this study, we intended to know the distribution of Fitzpatrick skin type in Korean by interview method using questionnaire. METHODS: A total of 1296 Koreans from various districts were included in this study. Each subject was interviewed about their skin reactions to ultraviolet radiation and determined their skin type by interview method. To evaluate the statistical significance, we used generalized logit model. RESULTS: 1. The order of frequency of skin type was type III(48.8%), IV(22.2%), V(17.8%) by the interview method, with the sun sensitive categories(type I and type II) reported for 11.2%. 2. The skin type III was the predominant skin type in both men and women. However, skin type IV was found more frequently in men and it was statistically significant. 3. There is a tendency that frequency of skin type IV and V were increasing with advancement of age. 4. The Fitzpatrick skin type has some relationship with each individual`s occupation, the degree of sun exposure and their own skin color in Korean. CONCLUSION: This study included relative large numbers of subjects from various districts in Korea. It can be used as basic data for various studies related to cutaneous reactions to ultraviolet radiation.
Female ; Humans ; Korea ; Logistic Models ; Male ; Occupations ; Skin* ; Solar System ; Surveys and Questionnaires

BACKGROUND: The Fitzpatrick skin type has been a simple and useful method to categorize cutaneous sensitivities to ultraviolet radiation. OBJECTIVE: In this study, we intended to know the distribution of Fitzpatrick skin type in Korean by interview method using questionnaire. METHODS: A total of 1296 Koreans from various districts were included in this study. Each subject was interviewed about their skin reactions to ultraviolet radiation and determined their skin type by interview method. To evaluate the statistical significance, we used generalized logit model. RESULTS: 1. The order of frequency of skin type was type III(48.8%), IV(22.2%), V(17.8%) by the interview method, with the sun sensitive categories(type I and type II) reported for 11.2%. 2. The skin type III was the predominant skin type in both men and women. However, skin type IV was found more frequently in men and it was statistically significant. 3. There is a tendency that frequency of skin type IV and V were increasing with advancement of age. 4. The Fitzpatrick skin type has some relationship with each individual`s occupation, the degree of sun exposure and their own skin color in Korean. CONCLUSION: This study included relative large numbers of subjects from various districts in Korea. It can be used as basic data for various studies related to cutaneous reactions to ultraviolet radiation.
Female ; Humans ; Korea ; Logistic Models ; Male ; Occupations ; Skin* ; Solar System ; Surveys and Questionnaires