JAOCDJournal Of The American Osteopathic College Of

The Osteopathic Principles Incarnate

Also in this issue: Proteus Syndrome in a 14-year-old Male Painful, Pruritic Exacerbated by Heat and Sweating Marijuana: An Unusual Cause of Fixed last modified on April 27, 2015 8:12 AM

JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Page 1 Journal of the American Osteopathic College of Dermatology

2014-2015 AOCD OFFICERS

PRESIDENT Rick Lin, DO, FAOCD

PRESIDENT-ELECT Alpesh Desai, DO, FAOCD

FIRST VICE-PRESIDENT Karthik Krishnamurthy, DO, FAOCD

SECOND VICE-PRESIDENT Daniel Ladd, DO, FAOCD

THIRD VICE-PRESIDENT John P. Minni, DO, FAOC

Editor-in-Chief SECRETARY-TREASURER Karthik Krishnamurthy, DO Jere J. Mammino, DO, FAOCD TRUSTEES Danica Alexander, DO, FAOCD (2012-2015) Reagan Anderson, DO, FAOCD (2012-2015) Michael Whitworth, DO, FAOCD (2013-2016) Tracy Favreau, DO, FAOCD (2013-2016) Sponsors: David Cleaver, DO, FAOCD (2014-2017) Amy Spizuoco, DO, FAOCD (2014-2017)

AuroraDx Immediate Past-President Ranbaxy Suzanne Sirota Rozenberg, DO, FAOCD EEC Representatives Valeant James Bernard, DO, FAOCD Michael Scott, DO, FAOCD

Finance Committee Representative Steven K. Grekin, DO, FAOCD

AOBD Representative Stephen Purcell, 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 acknowledgment 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 Print and layout by: S&S Printing and Graphics LLC, 701 N. Marion St., Kirksville, MO 63501 Copy editing by: Julia Layton, Freelance Writing and Editing

Page 2 JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Journal of the American Osteopathic College of Dermatology

Table of Contents Volume 32

JAOCD Editors...... 4 Letter from the President...... 5 Letter from the Executive Director...... 6 Letter form the Editor-in-Chief...... 7 FEATURE ARTICLE: The scar as a representation of the osteopathic principles...... 11 Sarah Belden, DO, Jenifer Lloyd, DO, Michael Rowane, DO EDITOR’S PICKS: Marijuana: An Unusual Cause of Fixed Drug Eruption...... 16 Christina Steinmetz-Rodriguez, DO, Brent Schillinger, MD Painful, Pruritic Blisters Exacerbated by Heat and Sweating...... 19 Collin M. Blattner, BS, Dustin V. Wilkes, DO, Dongkun Chang, MD Proteus Syndrome: Case Report and Review...... 21 Holly Kanavy, DO, Cindy Hoffman, DO ORIGINAL ARTICLES AND CASE REPORTS: Reactive Responding to Excision and by Secondary Intention...... 24 G. Trey Haunson, DO, Mariana A. Phillips, MD, FAAD, FACMS, Douglas J. Grider, MD, FCAP, Daniel S. Hurd, DO, FAOCD A Case of Cutaneous Rosai-Dorfman ...... 27 Donna Tran, DO, Gabriel Guerrero, DO, Paul Shitabata, MD, Navid Nami, DO Pathogenesis of Pruritic Disorders and Mechanisms of Phototherapy...... 29 Soham Chaudhari, BA, Argentina Leon, MD, Ethan Levin, MD, Om Chaudhari, John Koo, MD The Cutaneous Manifestations of Metastatic Lung : Case Report and Review...... 34 Sarah Ferrer-Bruker, DO in a 2-year-old Female: A Case Report and Review of the Literature...... 37 Mathew Koehler, DO, Anne Nguyen, MS, Navid Nami, DO Secondary to Mid-dermal Elastolysis...... 40 Gabriela A. Maloney, BS, Jane James, MD, PhD, Michael Welsch, MD, Marylee Braniecki, MD Generalized Linear : A Case Report and Discussion...... 42 Stephanie Blackburn, DO, Zaina Rashid, DO, John Moad, MD, Michelle Duff, DO, Jason Barr, DO Permanent Imiquimod-induced ...... 45 Anne Donato, MD, J. Kate Jackson, PA-C, Laura Sandoval, DO, Jonathan S. Crane, DO, FAOCD Macularis Eruptiva Perstans: A Case Presentation and Discussion...... 47 Sergey Petrosian, BS, Shane Meehan, MD, Anna Slobodskya, DO, Peter Saitta, DO Hypomelanosis of Ito in Two Infants: A Case Series with Literature Review...... 49 Mathew Koehler, DO, Nicole Rouse, BS, Tarin Molly Koehler, DO, Navid Nami, DO Phacomatosis Cesioflammea: A Case Report of a Newborn with an Unusual and Port Wine Stain...... 52 Joy Ishii Zarandy, DO, Sara Clark, MD, Katherine Shew, MD PERSPECTIVES: While Serving Abroad, Remembering the “Why” Behind Dermatology...... 56 Leela Athalye, DO Letter to the Editor: Wegener’s Granulomatosis Eponym...... 58 David Thomas, MD, JD, EdD, Jacqueline Thomas, DO

JOURNAL OF THE AMERICAN OSTEOPATHIC COLLEGE OF DERMATOLOGY Page 3 Editor-In-Chief Founding Editor Assistant Editor Karthik Krishnamurthy, DO Jay Gottleib, DO Julia Layton, MFA

Associate Editors

Derrick Adams, DO Aaron Bruce, DO Jonathan Crane, DO Michael Scott, DO Scott Wickless, DO Red Bluff, CA Bozeman, MT Wilmington, NC Seattle, WA Dallas, Texas Editorial Board Sami Abbasi, DO Mohamad Goldust, MD Angela Leo, DO John Perrotto, DO Brownstown, MI Tabriz, Eastern New York, NY West Palm Beach, FL Azerbaijan, Iran

Brett Bender, DO Marcus Goodman, DO Scott Lim, DO Andrew Racette, DO Farmington Hills, MI Roswell, GA Erie, PA Phoenix, AZ

Ryan Carlson, DO Melinda Greenfield, DO Chava Lustig, DO Richard Rudnicki, DO Hilliard, OH Albany. GA Weston, FL Mesquite, TX

Igor Chaplik, DO Denise Guevara, DO Jere Mammino, DO Amara Sayed, DO Aventura, FL Weston, FL Winter Springs, FL San Marcos, TX

Michael P. Conroy, MD Andrew Hanly, MD John Minni, DO Joseph Brant Schneider, DO Columbus, OH Miami, FL Port St. Lucie, FL Shawnee Mission, KS

John Coppola Joel Harris, DO Tony Nakhla, DO Gregg Severs, DO Ormond Beach, FL Madison Heights, MI Orange County, CA Scranton, PA

David Dorton, DO Heather Higgins, DO Navid Nami, DO Sean Stephenson, DO Spring Hill, FL Troy, MI Newport Beach, CA Troy, MI

Matthew Elias, DO David Horowitz, DO Jon Keeling, DO Jacqueline Thomas, DO Lighthouse Point, FL Torrence, CA Lexington, KY Fort Lauderdale, FL

Merrick Elias, DO Mark Lebwohl, MD Dimitria Papadopoulos, DO Jim Towry, DO Delray Beach, FL New York, NY Bellmore, NY Ocala, FL

Michelle Foley, DO Ormond Beach, FL

Page 4 JAOCD EDITORS Letter from the President

Rick Lin, DO, MPH, FAOCD President, AOCD Dear Members of the AOCD, Welcome to another issue of our journal! Under the leadership of Dr. Karthik Krishnamurthy and his dedicated board of editors, we are seeing another issue of the Journal of the American Osteopathic College of Dermatology come to fruition. Speaking of issues coming together, this past February, I was invited to represent the AOCD at a meeting hosted by AAD President Dr. Brett Coldiron. The topic of discussion was the proposition to create Board certification for “micrographic and dermatologic oncology.” This proposal was favored by many of the organizations represented there. The discussion focused on the potential outcome of