1/4. Four cases of sebopsoriasis or seborrheic dermatitis of the face and scalp successfully treated with 1a-24 (R)-dihydroxycholecalciferol (tacalcitol) cream.A 71-year-old woman visited our clinic due to the presence of widespread scaly erythema on her face, scalp, and lower extremities. She was tentatively diagnosed as having seborrheic dermatitis but the symptoms were difficult to distinguish from psoriasis vulgaris. As a result, she was diagnosed as having sebopsoriasis. She was treated topically with an active vitamin D3 compound, 1a-24 (R)-dihydroxycholecalciferol D3 (tacalcitol) cream. She applied tacalcitol cream twice daily for 4 weeks, and her facial eruptions thus cleared up completely. No recurrence was observed for 2 months thereafter, even though the use of tacalcitol cream was stopped. To investigate whether or not tacalcitol cream is generally effective for the treatment of such seborrheic dermatitis-like eruptions, three more patients were treated with tacalcitol cream. All patients exhibited scaly erythematous macules on the face and/or scalp, and their eruptions improved rapidly with tacalcitol cream. Tacalcitol cream was thus found to be effective and useful for the treatment of both sebopsoriasis and even seborrheic dermatitis of the face and scalp.- - - - - - - - - - ranking = 1keywords = vulgaris (Clic here for more details about this article) |
2/4. pemphigus vulgaris--the potential for error: a case report.The importance of correlation, referral, and collaboration between dermatology, or any other medical department, and the oral health profession is reported through a case presentation. A case of pemphigus vulgaris diagnosed from a tongue biopsy and confirmed by immunofluorescence is reported. The patient was treated for actinic keratosis of the scalp for 16 months due to inadequate biopsy material. The diagnostic value of proper biopsy material is stressed. The clinical manifestations leading to a misdiagnosis between actinic keratosis and pemphigus vulgaris are discussed.- - - - - - - - - - ranking = 6keywords = vulgaris (Clic here for more details about this article) |
3/4. Tufted hair folliculitis developing in a recalcitrant lesion of pemphigus vulgaris.We describe tufted hair folliculitis that developed in a chronically erosive plaque on the scalp of a Japanese man patient with pemphigus vulgaris. After repeated intralesional corticosteroid injections, the erosive lesion improved, leaving multiple hairs emerging from single follicular openings. The current case suggests that localized exudative inflammatory lesions in the scalp regardless of cause can result in tufted hair formation.- - - - - - - - - - ranking = 5keywords = vulgaris (Clic here for more details about this article) |
4/4. Verruca vulgaris developing during cyclosporin therapy for psoriasis vulgaris.Several kinds of side effects have recently been reported with cyclosporin (CsA) therapy. We describe two patients with psoriasis vulgaris who developed verrucae vulgaris during systemic CsA therapy. In one case, a verrucous nodule appeared on the scalp and grew rapidly in a 54-year-old male with psoriasis vulgaris 29 months after starting CsA therapy. The total dose of CsA was 87.5 g, and average dose of CsA was 2 mg/kg/day. In the other case, multiple verrucae vulgaris developed on the scalp, face, knee, and inguinal region in a 54-year-old male. He had been given CsA for 10 months, the total dose was 45.5 g, and the average dose was 3 mg/kg/day. He also had sjogren's syndrome. Most of the verrucae vulgaris lesions spontaneously disappeared after stopping the CsA.- - - - - - - - - - ranking = 13keywords = vulgaris (Clic here for more details about this article) |