Laptop Computer–Induced Erythema Ab Igne: a Case Report
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Reticulate Hyperpigmentation of the Skin After Topical Application Of
Letters to the Editor 301 Reticulate Hyperpigmentation of the Skin After Topical Application of Benzoyl Peroxide Sir, Our two patients appeared to develop an irritant response on Benzoyl peroxide (BP) is an e¡ective and frequently used topical thetrunk afterapplication of 5% benzoyl peroxide. One medication for the treatment of acne vulgaris. It is a strong, patient applied BP to his face withnoirritation,consistentwith broad spectrum bactericidal agent that signi¢cantly decreases the ¢ndings of Hausteinetal.(3). Both patients then developed the number of Propionibacterium acnes in both the follicle and apattern of reticulate hyperpigmentation after their initial der- on surface skin (1). A common side e¡ect after usage is irritation matitis subsided. Biopsy in both cases was consistent with of the skin, usually manifested as a stinging or burning, and postin£ammatory hyperpigmentation. sometimes accompanied by erythema and scaling. Benzoyl per- Postin£ammatory hyperpigmentation develops after acute oxide is a strong irritant, but a weak allergen, rarely causing a or chronic in£ammation and trauma to the skin. The intensity contact dermatitis (2, 3). Tolerance can be achieved by gradually of the hypermelanosistendstobe more pronounced in darker- increasing the frequency of application over time. We describe skinnedindividuals. Other conditions that produce a pattern of two cases in which topical application of benzoyl peroxide reticulate hyperpigmentation include Riehl's melanosis, resulted in an unusual pattern of reticulate hyperpigmentation which is characterized by reticulate brown-black pigmenta- of the skin, most likely as a sequela of an irritant contact derma- tion of the face and neck. This is thought to be a result of a titis. -
Erythema Ab Igne and Use of Laptop Computers
CMAJ Practice Clinical images Academic branding: erythema ab igne and use of laptop computers David Botten MD, Richard G.B. Langley MD, Amanda Webb BSc See related clinical image by Beleznay and colleagues, available at www.cmaj.ca 20-year-old female university student presented with a two-month history A of asymptomatic pigmentation in a net-like distribution, isolated to the front thighs (Figure 1). She was otherwise healthy, apart from having recently completed a six- month course of isotretinoin for acne. She had no history of trauma to the front of the thighs, and her only medication was an oral contra- ceptive. On further questioning, however, she admitted to longstanding daily use of a laptop computer positioned atop her thighs. This appearance is consistent with a diag- nosis of erythema ab igne. The benign, reticu- lar pattern of hyperpigmentation occurs with direct repeated exposure to heat sources, such as heating pads, and has been found in up to 3% of the population.1 Heat is thought to induce epidermal damage along superficial blood vessels, causing deposition of hemo- Figure 1: Front thighs of a 20-year-old woman showing asymptomatic pigmenta- siderin in a net-like distribution. Most instances tion in a net-like distribution. result from repeated exposure (lasting one to several hours) of the skin to heat.2,3 Erythema ab igne can appear as early as two weeks or as late as one With the widespread use of laptop computers, erythema ab year following the onset of heat exposure, depending on the igne may become more common. -
Erythema Ab Igne Erythema Ab Igne
gyöngyösi quark 10/18/13 8:48 Page 1 BÔRGYÓGYÁSZATI ÉS VENEROLÓGIAI SZEMLE • 2013 • 89. ÉVF. 5. 127–131. • DOI 10.7188/bvsz.2013.89.5.3 Erythema ab igne Erythema ab igne GYÖNGYÖSSY ORSOLYA DR., DARÓCZY JUDIT DR. Egyesített Szent István és Szent László Kórház – Rendelôintézet, Bôrgyógyászati Szakrendelô és Lymphoedema Rehabilitációs osztály, Budapest ÖSSZEFOGLALÁS SUMMARY Az erythema ab igne jelentése „bôrpír a tûztôl”. A bôr- Erythema ab igne means „redness from fire”. tünetek az ismétlôdô, 43-47 C fokos hôhatásra alakulnak Symptoms resulting from prolonged or repeated exposure ki. Régebben kályha, sugárzó hô okozta a tüneteket, újab- to moderate heat. The heat source used to be stove, and ban laptop, ágymelegítô hatása is bizonyított. A klinikai other infrared radiation, nowadays the role of laptop tüneteket retikuláris pigmentáció, petechiák, hólyagok, computer, hot blanket and many others are proved. The atypikus sebek jellemzik. Három észlelt esetben lehetôség clinical symptomes are reticular hyperpigmentation, volt az eltérô klinikai megjelenés bemutatására. A bôr petechia, blisters, aypical ulcers. Three different cases mikrocirkulációs zavara lézer-Doppler módszerrel igazol- show the variant clinical manifestation. Pathologic ható. A szerzôk elsôként vetik fel, hogy a bôrtünet kialaku- dermal microcirculation was verified with Laser Doppler lása a bôr kapillárisainak a hôhatásra adott kóros reak- examination. The authors first raised the relationship ciójával függhet össze. A ritkán diagnosztizált kórkép between abnormal capillary respond to heat and the onset felismerése azért fontos, mert az ismétlôdô vagy folyama- of skin symptoms. It is important to be familiar with this tos hám irritáció következtében elszarusodó laphámrák rarely diagnosed disease because the chronic epidermal keletkezhet és Merkel sejtes carcinomát is leírtak. -
In Dermatology Visit with Me to Discuss
From time to time new treatments surface for any medical field, and the last couple of years have seen new treatments emerge, or new applications for familiar treatments. I wanted to summarize some of these New Therapies widely available remedies and encourage you to schedule a in Dermatology visit with me to discuss. Written by Board Certified Dermatologist James W. Young, DO, FAOCD Nicotinamide a significant reduction in melanoma in Antioxidants Nicotinamide (niacinamide) is a form high risk skin cancer patients at doses Green tea, pomegranate, delphinidin of vitamin B3. The deficiency of vitamin more than 600 and less than 4,000 IU and fisetin are all under current study for daily. B3 causes pellagra, a condition marked either oral or topical use in the reduction by 4D’s – (photo) Dermatitis, Dementia, Polypodium Leucotomos of the incidence of skin cancer, psoriasis Diarrhea and (if left untreated) Death. and other inflammatory disorders. I’ll be Polypodium leucotomos is a Central This deficiency is rare in developed sure to keep patients updated. countries, but is occasionally seen America fern that is available in several in alcoholism, dieting restrictions, or forms, most widely as Fernblock What Are My Own Thoughts? malabsorption syndromes. Nicotinamide (Amazon) or Heliocare (Walgreen’s and I take Vitamin D 1,000 IU and Heliocare does not cause the adverse effects of Amazon) and others. It is an antioxidant personally. Based on new research, I Nicotinic acid and is safe at doses up to that reduces free oxygen radicals and have also added Nicotinamide which 3,000mg daily. may reduce inflammation in eczema, dementia, sunburn, psoriasis, and vitiligo. -
Review Cutaneous Patterns Are Often the Only Clue to a a R T I C L E Complex Underlying Vascular Pathology
pp11 - 46 ABstract Review Cutaneous patterns are often the only clue to a A R T I C L E complex underlying vascular pathology. Reticulate pattern is probably one of the most important DERMATOLOGICAL dermatological signs of venous or arterial pathology involving the cutaneous microvasculature and its MANIFESTATIONS OF VENOUS presence may be the only sign of an important underlying pathology. Vascular malformations such DISEASE. PART II: Reticulate as cutis marmorata congenita telangiectasia, benign forms of livedo reticularis, and sinister conditions eruptions such as Sneddon’s syndrome can all present with a reticulate eruption. The literature dealing with this KUROSH PARSI MBBS, MSc (Med), FACP, FACD subject is confusing and full of inaccuracies. Terms Departments of Dermatology, St. Vincent’s Hospital & such as livedo reticularis, livedo racemosa, cutis Sydney Children’s Hospital, Sydney, Australia marmorata and retiform purpura have all been used to describe the same or entirely different conditions. To our knowledge, there are no published systematic reviews of reticulate eruptions in the medical Introduction literature. he reticulate pattern is probably one of the most This article is the second in a series of papers important dermatological signs that signifies the describing the dermatological manifestations of involvement of the underlying vascular networks venous disease. Given the wide scope of phlebology T and its overlap with many other specialties, this review and the cutaneous vasculature. It is seen in benign forms was divided into multiple instalments. We dedicated of livedo reticularis and in more sinister conditions such this instalment to demystifying the reticulate as Sneddon’s syndrome. There is considerable confusion pattern. -
Pattern of Skin Tumours in Kashmir Valley of North India: a Hospital Based Clinicopathological Study
International Journal of Information Research and Review, February 2015 International Journal of Information Research and Review Vol. 2, Issue, 02, pp. 376-381 February, 2015 Research Article PATTERN OF SKIN TUMOURS IN KASHMIR VALLEY OF NORTH INDIA: A HOSPITAL BASED CLINICOPATHOLOGICAL STUDY 1,*Peerzada Sajad, 2Iffat Hassan, 3Ruby Reshi, 4Atif Khan and 5Waseem Qureshi 1MBBS, MD Senior Resident, Postgraduate Department of Dermatology, GMC Srinagar, India 2Associate Professor and Head Postgraduate Department of Dermatology, STD and Leprosy GMC Srinagar, 3Associate professor and Head Postgraduate Department of Pathology GMC Srinagar, 4Scholar, PostgraduateIndia Department of Dermatology, STD and Leprosy GMC Srinagar, 5Chief physician and Registrar Academics, Government Medical College Srinagar, India India India ARTICLE INFO ABSTRACT Article History: Background: Earlier studies have shown that the incidence of all varieties of skin cancers is lower Received 27th November, 2014 among Indians due to the protective effects of melanin.However the pattern of skin cancers in kashmir Received in revised form valley is different from the rest of India due to the presence of Kangri cancer. 20th December, 2014 Objective: Our aim was to assess the distribution pattern of skin tumours among ethnickashmiri Accepted 30th January, 2015 population presenting to a tertiary care hospital in Kashmir and comparison of clinical diagnosis with st Published online 28 February, 2015 histopathological confirmation. Methods: This study was a prospective hospital based which was conducted over a one year period Keywords: on patients’ attending the outpatient department of Dermatology of our hospital and presenting with Non-Melanoma Skin Cancers, clinical features suspicious of benign or malignant skin tumours .All the relevant investigations Benign, including a skin biopsy were done in every individual patient to determine the type of tumour. -
Actinic Keratoses Final Report
Actinic Keratoses Final Report Mark Helfand, MD, MPH Annalisa K. Gorman, MD Susan Mahon, MPH Benjamin K.S. Chan, MS Neil Swanson, MD Submitted to the Agency for Healthcare Research and Quality under contract 290-97-0018, task order no. 6 Oregon Health & Science University Evidence-based Practice Center 3181 SW Sam Jackson Park Road Portland, Oregon 97201 May 19, 2001 Actinic Keratoses Structured Abstract Objective: To examine evidence about the natural history and management of actinic keratoses (AKs). Search Strategy: We searched the MEDLINE database from January 1966 to January 2001, the Cochrane Controlled Trials Registry, and a bibliographic database of articles about skin cancer. We identified additional articles from reference lists and experts. Selection Criteria: We selected 45 articles that contained original data relevant to treatment of actinic keratoses, progression of AKs to squamous cell cancer (SCC ), means of identifying a high-risk group, or surveillance of patients with AKs to detect and treat SCCs early in their course. Data Collection and Analysis: We abstracted information from these studies to construct evidence tables. We also developed a simple mathematical model to examine whether estimates of the rate of progression of AK to SCC were consistent among studies. Finally, we analyzed data from the Medicare Statistical System to estimate the frequency of procedures attributable to AK among elderly beneficiaries. Main Results: The yearly rate of progression of an AK in an average-risk person in Australia is between 8 and 24 per 10,000. High-risk individuals with multiple AKs have progression rates as high as 12-30 percent over 3 years. -
A Synopsis of Cancer
A SYNOPSIS OF CANCER GENESIS AND BIOLOGY BY WILFRED KARK M.B., B.Ch., F.R.C.S. Assistant Surgeon, Johannesburg Hospital; Lecturer in Clinical Surgery and Surgical Pathology, University of Witwatersr and; Lieut.-Col. R. A.M.C. ; Vice-President of the College of Physicians, Surgeons, and Gynaecologists of South Africa, and Chairman of its Examinations and Credentials Committee WITH A FOREWORD BY Sir ARTHUR PORRITT, Bt. K.C.M.G., K.C.V.O. .C.B.E., F.R.C.S. BRISTOL: JOHN WRIGHT & SONS LTD 1966 (§) JOHN WRIGHT & SONS LTD., 1966 Distribution by Sole Agents: United States of America: The Williams ώ Wilkins Company, Baltimore Canada: The Macmillan Company of Canada Ltd., Toronto PRINTED IN GREAT BRITAIN BY JOHN WRIGHT & SONS LTD., AT THE STONEBRIDGE PRESS, BRISTOL PREFACE THE disciplines involved in research into the genesis and biology of cancer are growing ever wider, and the detail of study is becoming increasingly deep. It is not surprising that the practitioner of medicine finds it difficult to maintain an appreciation of advances, and to co ordinate and apply the results of basic research to his own sphere of work. Not only does this imply the possibility of deficiencies in therapy, but it results in a serious and fundamental loss to the sum total of possible avenues of exploration of cancer. The lack of application and correlation of the results of investigation and experiment to the observa tion and management of patients suffering from cancer detracts from the practitioner's understanding of the disease and reduces his potential contribution to knowledge of the subject. -
Environmental Terminology in the Language Of
“Raindrops” describe the pattern of hypopigmented areas ENVIRONMENTAL TERMINOLOGY IN THE LANGUAGE OF DERMATOLOGY within larger areas of hyperpigmentation associated with Patricia Ting, BSc& Benjamin Barankin, MD arsenic -induced pigmentation Division of Dermatology and Cutaneous Sciences, University of Alberta, Edmonton, Alberta, Canada Background: Arsenic exposure often results in pigmentary changes (hyper- and/or hypopigmentation) and multiple punctate keratoses on the palms and soles. The latter may ABSTRACT develop into skin cancers (i.e. Bowen's, squamous cell, basal cell carcinoma). The source of inorganic arsenicals comes Communication in dermatology is based upon the accurate morphological description of cutaneous lesions. To facilitate this goal, dermatologists have adopted Multicentric reticulohistiocytosis (MRH) is a multi-system from agricultural, environmental (well water), industrial (glass interesting and descriptive terminology to portray dermatoses that are difficult to depict and visualize, including frequently e ncountered objects in nature disorder with distinct cutaneous lesions of 2 to 10 cm non- workers, miners), and medicinal (herbal) remedies. and natural phenomena. Many of these descriptions are able to effectively create rich visual imagery, and they are useful aids f or learning and recall. Many tender papules or nodules on the upper trunk and extremities, have stood the test of time. For example, varicella has been described as “dewdrops on a rose petal” and linear palmoplantar lesions of pachydermoperiotosis Pathophysiology : Arsenicals may increase susceptibility to hands and nail base that range in color from shades of yellow have been depicted as a “wind blown desert” of rippling sand. The “Christmas tree” pattern has been classically used to describe pityriasis rosea while the to red. -
What Are Basal and Squamous Cell Skin Cancers?
cancer.org | 1.800.227.2345 About Basal and Squamous Cell Skin Cancer Overview If you have been diagnosed with basal or squamous cell skin cancer or are worried about it, you likely have a lot of questions. Learning some basics is a good place to start. ● What Are Basal and Squamous Cell Skin Cancers? Research and Statistics See the latest estimates for new cases of basal and squamous cell skin cancer and deaths in the US and what research is currently being done. ● Key Statistics for Basal and Squamous Cell Skin Cancers ● What’s New in Basal and Squamous Cell Skin Cancer Research? What Are Basal and Squamous Cell Skin Cancers? Basal and squamous cell skin cancers are the most common types of skin cancer. They start in the top layer of skin (the epidermis), and are often related to sun exposure. 1 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 Cancer starts when cells in the body begin to grow out of control. Cells in nearly any part of the body can become cancer cells. To learn more about cancer and how it starts and spreads, see What Is Cancer?1 Where do skin cancers start? Most skin cancers start in the top layer of skin, called the epidermis. There are 3 main types of cells in this layer: ● Squamous cells: These are flat cells in the upper (outer) part of the epidermis, which are constantly shed as new ones form. When these cells grow out of control, they can develop into squamous cell skin cancer (also called squamous cell carcinoma). -
Prior Authorization Criteria
PRIOR AUTHORIZATION CRITERIA Last Updated 09/01/2021 This is a complete list of drugs that have written coverage determination policies. Drugs on this list do not indicate that this particular drug will be covered under your medical or prescription drug benefit. Please verify drug coverage by checking your formulary and member handbook. Additional restrictions and exclusions may apply. If you have questions, please contact Providence Health Plan Customer Service at 503-574-7500 or 1-800-878-4445 (TTY: 711). Service is available five days a week, Monday through Friday, between 8 a.m. and 6 p.m. ACTINIC KERATOSIS AGENTS MEDICATION(S) CARAC, FLUOROURACIL 0.5% CREAM, IMIQUIMOD 3.75% CREAM, IMIQUIMOD 3.75% CREAM PUMP, KLISYRI, PICATO, TOLAK, ZYCLARA COVERED USES N/A EXCLUSION CRITERIA • Treatment of basal cell carcinoma or other skin cancers REQUIRED MEDICAL INFORMATION 1. For the treatment of Actinic Keratosis (AK): Documentation of trial and failure*, contraindication or intolerance to two of the following formulary, generic topical agents: a. Diclofenac 3% gel b. 5-fluorouracil 2% or 5% cream/solution c. Imiquimod 5% cream *An adequate trial and failure is defined as failure to achieve clearance of AK lesion(s) after adherence to recommended treatment dosing and duration Reauthorization: Requires documentation of a reduction in the number and/or size of lesions of AK and medical rationale for continuing therapy beyond recommended treatment course. 1. For the treatment of external genital and perianal warts/condyloma acuminate (Zyclara® 3.75% only): Documentation of trial and failure*, contraindication, or intolerance to formulary, generic imiquimod 5% cream. -
What to Expect Following Cryosurgery “Freezing”
What to Expect Following CryoSurgery “Freezing” What is Cryosurgery? Cryosurgery is a technique for removing skin lesions that primarily involve the surface of the skin, such as warts, seborrheic keratosis, or actinic keratosis. It is a quick method of removing the lesions with minimal scarring. The liquid nitrogen needs to be applied long enough to freeze the affected skin. By freezing the skin, a blister is created underneath the lesion. Ideally, as the new skin forms underneath the blister, the abnormal skin on the roof of the blister peels off. Occasionally if the lesion is very thick (such as a large wart), only the surface is blistered off. The base or residual lesion may need to be frozen at another visit. What to Expect Over the Next Few Weeks? During Treatment – Area being treated will sting, burn and then possibly itch. Immediately After Treatment – Area will be red sore and swollen. Next Day- Blister or blood blister has formed, tenderness starts to subside. Apply a Band-Aid if necessary. 7 Days- Surface is dark red/brown and scab-like. Apply Vaseline or an antibacterial ointment if necessary. 2 to 4 Weeks- The surface starts to peel off. This may be encouraged gently during bathing, when the scab is softened. No makeup should be applied until area is fully healed. How to Take care of the Skin after Cryosurgery A Band-Aid can be used for larger blisters or blisters in areas that are more likely to be traumatized- such as fingers and toes. If the area becomes dry or crusted, an ointment (Vaseline, Aquaphor) can also be applied.