<p>Flagellate erythema or flagellate dermatitis is characterized by pruritic linear streaks of erythematous or brown patches and plaques, presenting with a whip-like appearance. The lesions are associated with various etiologies like consumption of shiitake mushrooms, rheumatologic disorders, and drugs, among others. Its association with bleomycin as an adverse reaction was first reported in 1970. It is a rare phenomenon with a reported incidence of only 8 to 20%.p><p>
p><p>This is a case of a 29-year-old male with mediastinal seminoma who was started on bleomycin, etoposide, and cisplatin (BEP) regimen. He developed pruritic erythematous papules and linear streaks of erythematous and brown patches and plaques, most prominent on the trunk and extremities ten days after starting the chemotherapy regimen cycle. The initial presentation was subtle, with worsening after continued administration of bleomycin. A skin punch biopsy showed spongiotic interface dermatitis with eosinophils, and the patient was managed symptomatically.p><p>
p><p>Flagellate erythema is a rare form of cutaneous reaction to bleomycin. It may have a subtle presentation initially but it must be suspected in patients on bleomycin presenting with sudden onset linear or whip-like erythematous or brown lesions.p>
Human ; Male ; Adult: 25-44 Yrs Old ; Bleomycin

<p style="text-align: justify;">OBJECTIVE: This study assessed the reliability and validity of a Filipino version of the Cardiff Acne Disability Index.
METHODS: In Phase 1, the Cardiff Acne Disability Index (CADI) was translated into Filipino as the Cardiff Indeks ng Kapansanan ng may Tigyawat (CIKT) following international guidelines on translation and cultural adaptation, and passed a cognitive debriefing test (a form of face validity testing). In Phase 2, the CIKT was administered to 400 public high school students (11-18 years old). Cronbach's ? was used to measure reliability while construct validity was determined by comparing 1) the CIKT scores of adolescents with acne and those without acne and 2) the CIKT scores with the scores of the Taluntunan ng Kalidad ng Buhay na Hinggil sa Dermatolohiya (TKBD), which is a validated Filipino version of the Dermatology Life Quality Index.
RESULTS: Cronbach's ? showed an adequate internal consistency of 0.7. The linear regression coefficient for those with and without acne was 0.98 (CI 0.59, 1.37) (p = 0.00) while the Spearman correlation showed a positive correlation between the CIKT and the TKBD (0.58, p=0.00), both indicating validity.
CONCLUSION: The CIKT is a reliable and valid Filipino translation of the CADI.p>
Acne Vulgaris ; Quality of Life ; Disability Evaluation