Volume 39 January 2018 JAOCD Journal Of The American Osteopathic College Of Dermatology Primary Cutaneous Blastomycosis Masquerading as Pyoderma Also in this issue: OMT as Adjunct Treatment for Pediatric Atopic Dermatitis Radiation-induced Breast Angiosarcoma Zinc Oxide Compression Wrap for Post-Surgical Wound Healing JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY 2017-2018 AOCD OFFICERS PRESIDENT Karthik Krishnamurthy, DO, FAOCD PRESIDENT-ELECT Daniel Ladd, DO, FAOCD FIRST VICE-PRESIDENT John P. Minni, DO, FAOCD SECOND VICE-PRESIDENT Reagan Anderson, DO, FAOCD Co-Editor-in-Chief THIRD VICE-PRESIDENT David Cleaver, DO, FAOCD Karthik Krishnamurthy, DO SECRETARY-TREASURER Steven Grekin, DO, FAOCD Co-Editor-in-Chief Derrick Adams, DO TRUSTEES Danica Alexander, DO, FAOCD (2015-2018) Michael Whitworth, DO, FAOCD (2017-2020) Assistant Editor Jonathan Crane, DO, FAOCD (2017-2020) Julia Layton, MFA Steven Brooks, DO, FAOCD (2017-2018) Amy Spizuoco, DO, FAOCD (2014-2017) Peter Saitta, DO, FAOCD (2015-2018) IMMEDIATE PAST-PRESIDENT Alpesh Desai, DO, FAOCD EEC REPRESENTATIVES James Bernard, DO, FAOCD Michael Scott, DO, FAOCD FINANCE COMMITTEE REPRESENTATIVE Donald Tillman, DO, FAOCD AOBD REPRESENTATIVE Michael J. Scott, DO, FAOCD EXECUTIVE DIRECTOR Marsha A. Wise, BS AOCD • 2902 N. Baltimore St. • Kirksville, MO 63501 800-449-2623 • FAX: 660-627-2623 • www.aocd.org COPYRIGHT AND PERMISSION: Written permission must be obtained from the Journal of the American Osteopathic College of Dermatology for copying or reprinting text of more than half a page, tables or figures. Permissions are normally granted contingent upon similar permission from the author(s), inclusion of acknowledgement of the original source, and a payment of $15 per page, table or figure of reproduced material. Permission fees are waived for authors wishing to reproduce their own articles. Request for permission should be directed to JAOCD c/o AOCD, PO Box 7525, Kirksville, MO 63501. Copyright © 2003 by the Journal of the American Osteopathic College of Dermatology Layout by: John Grogan Copy editing by: Julia Layton, Freelance Writing and Editing JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Page 2 JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Volume 39 Table of Contents January 2018 Review Board..........................................................................................................................................................................................................4 Letter from the Editor.............................................................................................................................................................................................5 Letter from the Executive Director ........................................................................................................................................................................6 FEATURE ARTICLE A Rare Case of Primary Cutaneous Blastomycosis Masquerading as Blastomycosis-Like Pyoderma.....................................................................9 Christopher White, BA, Emily Rubenstein, DO, Ankita Patel, PA-C Pediatric Atopic Dermatitis: Utilizing OMT as an Adjunct Treatment.................................................................................................................11 Alexa R. Leone, DO, Michael P. Rowane, DO, MS, FAAFP, FAAO, Jenifer R. Lloyd, DO Radiation-Induced Breast Angiosarcoma: A Case Report....................................................................................................................................16 Franz Kerdel, DO, Danielle Nicolazzo, DO, Stanley Skopit, DO, MSE, FAOCD, FAAD Advantages of Zinc Oxide Compression Wrap to Enhance Post-Surgical Wound Healing..............................................................................19 Irina Volosko, MS, Paul S. Glassman, DO, Jacqueline A. Thomas, DO, David L. Thomas, MD, JD, EdD Abdominal Cramps as the Earliest Warning Signs of Impending Anaphylactic Shock in a Patient with Indolent Systemic Mastocytosis....................................................................................................................................................................22 Vatche Melkonian, BA, Christopher Mancuso, MHS, BA, Merrick D. Elias, DO, FAOCD, FAAD Blast Off: Treatment of Seborrheic Keratoses with an Alexandrite 755-nm Laser After Color Enhancement......................................................24 Jaclyn Hess, MD, Angela Macri, DO, David George Jackson, PhD, Jonathan S. Crane, DO, FAAD, FAOCD Blastic Plasmacytoid Dendritic Cell Leukemia: A Case Presentationand Discussion.............................................................................................26 Gina Caputo, DO, Brooke Wehausen, DO, Gary Gross, MD, Daniel S. Hurd, DO A Case of Idiopathic Scleredema Adultorum of Buschke.....................................................................................................................................29 Yuri Kim, DO, Alecia Folkes, DO, Stanley Skopit, DO, MSE, FAOCD, FAAD En Coupe de Sabre Morphea Treated with Hyaluronic Acid Filler While Maintained on Systemic Therapy: A Case Presentation and Discussion........................................................................................................................................31 Franz Kerdel, DO, Stanley Skopit, DO, MSE, FAOCD, FAAD Extramammary Paget’s Disease in the Axilla of a Male Patient: A Case Report and Literature Review................................................................34 Lauren Boudreaux, DO, Timothy Nyckowski, BS, Collin Blattner, DO, John Young, MD Generalized Argyria from Oral Ingestion of Silver Supplements: A Case Report and Discussion.........................................................................36 Shiva Kheradmand, BA, Sarah Neumann, MMS, PA-C, Christine Moussa, DO, Richard Bernert, MD, FASDP Laser-Induced Urticaria: A Case Report and Review of Physical Urticaria............................................................................................................38 Natalie Edgar, DO, Molly Buckland, DO, Richard A. Miller, DO Pemphigus Foliaceus in an Otherwise Healthy 35-Year-Old Male.......................................................................................................................41 Tyler Vukmer, DO, John Hassani, DO, Adriana Ros, DO Primary Systemic Anaplastic Large-Cell Lymphoma: A Case Report..................................................................................................................44 Louis Siegel, DO, Suzanne Sirota-Rozenberg, DO, FAOCD Unusual Infiltrative Basal Cell Carcinoma Mimicking Pyoderma Gangrenosum: A Case Presentation and Discussion......................................................................................................................................................................46 Sara G. Afzal-Asr, MS, OMS III, Keith D. Wright, MD, Jonathan S. Weiss, MD Page 3 JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY CO-EDITOR-IN-CHIEF CO-EDITOR-IN-CHIEF FOUNDING EDITOR ASSISTANT EDITOR Karthik Krishnamurthy, DO Derrick Adams, DO Jay Gottlieb, DO Julia Layton, MFA Editorial Review Board Sami Abbasi, DO Merrick Elias, DO Mark Lebwohl, MD Amara Sayed, DO Brownstown, MI Pembroke Pines/Davie, FL New York, NY San Marcos, TX Ali Banki, DO Marcus Goodman, DO Angela Leo, DO Joseph Brant Schneider, DO Glastonbury, CT Roswell, GA New York, NY Shawnee Mission, KS Brett Bender, DO Melinda Greenfield, DO Scott Lim, DO Michael Scott, DO Farmington Hills, MI Albany, GA Erie, PA Seattle, WA Ryan Carlson, DO Andrew Hanly, MD Jere Mammino, DO Sean Stephenson, DO Hilliard, OH Miami, FL Winter Springs, FL Troy, MI Michael P. Conroy, MD Joel Harris, DO John Minni, DO Jacqueline Thomas, DO Columbus, OH Madison Heights, MI Port St. Lucie, FL Fort Lauderdale, FL John Coppola, DO David Horowitz, DO Navid Nami, DO Ormond Beach, FL Torrence, CA Newport Beach, CA Jonathan Crane, DO Francisca Kartono, DO Dimitria Papadopoulos, DO Wilmington, NC Canton, MI Bellmore, NY Matthew Elias, DO Jon Keeling, DO Richard Rudnicki, DO Lighthouse Point, FL Lexington, KY Mesquite, TX EDITORIAL REVIEW BOARD Page 4 LETTER FROM THE EDITOR Derrick Adams, DO, FAOCD Co-Editor-in-Chief, JAOCD Greetings, We at the JAOCD would like to wish everyone a Happy New Year and hope all have a healthy and fulfilling year. Dr. Karthik Krishnamurthy will be reassuming the Editor-in-Chief tasks for the coming issues since his presidential duties will be winding down. This year is going to see some major changes for the JAOCD. As of January 2018, we have stopped accepting new submissions. Our editorial coffers are overflowing with enough quality articles to pack two or three more editions, which should carry us through the end of 2018. When the tank finally runs dry, our beloved journal will undergo a fundamental transformation. You may ask yourself, “What exciting surprises do the dynamic minds on the editorial board have in store for us?” Some great ideas for the next incarnation of the journal are being tossed around, spearheaded by Dr. Krishnamurthy, and one has sparked real interest: a podcast. You may be unfamiliar with podcasting. Podcasts are simply audio files that are available to download and listen to at your own pace. Think of it as having DVR control for the lectures at our conferences — you can skip all the lengthy introductions and bad jokes and get right to the lecture! I have been enjoying podcasts for the last five years now, and I