Cases reported "Leg Dermatoses"

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1/4. Great cases from the University of pennsylvania.

    New skin diseases are reported yearly. Some well-known conditions may develop unusual manifestations. Other cutaneous findings are simply rare. While patients with such diseases represent only a small fraction of our practice they are an important subset of our experience. Many of these diseases are treatable, pinpoint the discovery of internal disease, or simply allow for a diagnosis and prognosis to be given to a concerned patient who had previously escaped classification. Such cases expand our knowledge and provide excitement to our day. Several patients from whom I have learned the most in the last few years are detailed for your enjoyment.
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2/4. Follicular accentuation of leukocytoclastic vasculitis in an hiv-seropositive man. Report of a case and review of the literature.

    Palpable purpura in a follicular localization developed in association with acute epididymitis in a white man who was seropositive for the human immunodeficiency virus (hiv). biopsy specimens revealed a leukocytoclastic vasculitis with follicular accentuation. With antibiotic therapy the vasculitis resolved, but it recurred during repeated episodes of the epididymitis. Follicular accentuation of skin disease is often seen in hiv-seropositive patients. Leukocytoclastic vasculitis with a follicular localization may be the presenting skin manifestation of hiv infection.
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3/4. Paraproteinaemia in erythema elevatum diutinum.

    Paraproteinaemia (IgGkappa) was observed in a 68 year-old patient with erythema elevatum diutinum. The association of this skin disease with paraproteinaemia as already reported by other authors may indicate a pathogenetic relationship.
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4/4. Autoimmune blistering diseases associated with hiv infection.

    Two cases of autoimmune bullous skin diseases in hiv-positive men are described. One man had bullous pemphigoid limited to his legs and the second man developed pemphigus herpetiformis. The possible association between autoimmune bullous diseases and hiv infection is discussed.
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