Pityriasis lichenoids et varioliformis acuta(Mucha-Habermann disease) is a distinctive eruption of unknown cause. A case of pityriasis lichenoides et varioliformis acuta, 24-year old male, was seen at dermatology department, St. Mary's hospital, Catholic Medical College. The eruption was ;olymorphic, consisting of pink papules, Some of the papules had a fine brown scale, while others became hemorrhagic and vesicular, leading to varioliform scarring on tumk and extremities except palms and soles without subjective symptoms. Histopathological geatures were hyperkeratosis, parakeratosis focal obliteration of the dermoepidermal junction by lymphocytes extending from the dermal papillac and invading the lower dermis, heaby perivascular lymphocytic infiltration diaperdesis of red blood cells into the corium and opidermis, and necrotic crust. The lesion was completely cleared with 10 mg of methotrexate by mouth twic a week for 4 weeks.
Cicatrix ; Dermatology ; Dermis ; Erythrocytes ; Extremities ; Humans ; Lymphocytes ; Male ; Methotrexate ; Mouth ; Parakeratosis ; Pityriasis Lichenoides* ; Pityriasis* ; Young Adult

Keratoacanthoma is a benign, self limited epithelial tumor which is resemble to squamous cell carcinoma clinically and histopathologically. We have experienced a case of solitary Keratoacanthoma 48-year old female which involved left upper cheek, Diagnosis was made by characteristic clinical symptom, and. histopathologic finding.
Carcinoma, Squamous Cell ; Cheek ; Diagnosis ; Female ; Humans ; Keratoacanthoma ; Middle Aged

Multiple glomus tumors, although rare, have usually been unassociated with pain. A case of multiple nontender glomus tumor is reported in 16-year old male. The tumor was 15 soft, slightly bluish purple pea sized subcutaneous nodules on right forearm. Diagnosis was confirmed by the clinical and histological features.
Adolescent ; Diagnosis ; Forearm ; Glomus Tumor* ; Humans ; Male ; Peas

No abstract available.
Sarcoma, Ewing* ; Thoracic Wall* ; Thorax*

Irritant or allergic contact dermatitis presents usually eczematous process or occasionally noneczematous lesions like in this case. We report a case of erythema rnultiforme-like eruptions in a 40-year-old female who presented multiple iris or annular shaped maculopapular eruptions on both hands and forearms after contact of lacquer tree. Being performed with standard patch test screening series, lacquer tree extracts and urushiol, she showed significant reactions to the lacquer tree and urushiol. Histopathologic findings showed both features of erythema multiforme and suh acute contact dermatitis.
Adult ; Dermatitis, Allergic Contact ; Dermatitis, Contact ; Erythema Multiforme* ; Erythema* ; Female ; Forearm ; Hand ; Humans ; Iris ; Lacquer* ; Mass Screening ; Patch Tests ; Trees*

We present a case of multiple trichoepithelioma associated with milia. A 12-year-old girl developed symmetrically distributed, numerous, skin-colored papules on her face, some of which were studded with milia-like whitish materials. Histopathological findings of these lesions revealed the typical findings of trichoepitheliomas with overlying milia in the upper dermis.
Child ; Dermis ; Female ; Humans

No abstract available.
Asthma*

We report herein a case of bowenoid papulosis, which developed on the groin, the shaft of the penis and left parietal area, of scalp in a 31-year-old male. Clinical features present as brown to brown-black papules and verrucous plaques ranging from 2 cm to 12 cm in diameter. Electron microscopic examination of the specimen obtained from our patient fail to reveal viral particles.
Adult ; Genitalia* ; Groin ; Humans ; Male ; Penis ; Rabeprazole ; Scalp ; Virion

No abstract available.
Antibodies*

BACKGROUND: In 1996, our emergency department(ED) had 148.4 patients per day and an average time for managing simple and uncomplicated patients was 248 minutes. To relieve congestion, delay and conflict in ED, we have developed Fast Track to treat patients with minor illness rapidly and effectively. The Fast Track area is located in a separate area in front to the main department. The efficiency and effectiveness of new system and patients satisfaction were investigated. METHODS: All ambulatory patients(> 15 years of age) were triaged and treated at Fast Track by emergency physicians. Patients, triaged as severe illness, were moved directly to main ED and the other patients with minor illness were managed in Fast Track. We analysed the patients who were managed at Fast Track from Jan. 1st 1997 through Nov. 30th 1997. The total time staying in Fast Track from beginning of trige to final decision such as discharge or admission was recorded retrospectively. A questionnaire was obtained from random patients in the same period to evaluate the patient's satisfaction. RESULTS: The number of patients who were managed in Fast Track was 13,378, and it was 55.8% of all adult patients who visited ED during the period. The average staying time was decreased significantly with time, (140.9+/-2.9 minutes in June, 125.4+/-2.8 minutes in July, and 97.7+/-1.0 minutes after July). The 75 percentile weighted average time was also decreased significantly; 196 minutes in June, 107 minutes in July, 135 minutes from August to November(p<0.01). The questionnaire were obtained from 107 patients. The results were revealed that 90 of 107 patients(84.1%) were satisfied with emergency care at Fast Track, and the remaining patients expressed unsatisfied comments such as long waiting time(4.7%), overcrowding(1.9%), unsatisfactory care(1.9%). CONCLUSION: The Fast Track system could decrease patient's staying time and improve patient's satisfaction. In addition, the efficiency and effectiveness of the acute care in ED would be enhanced by managing minor illness in Fast Track rapidly and effectively.
Adult ; Emergencies* ; Emergency Medical Services ; Emergency Service, Hospital* ; Estrogens, Conjugated (USP) ; Humans ; Surveys and Questionnaires ; Retrospective Studies ; Tertiary Care Centers*