1/13. Atopic dermatitis as a risk factor for acute native valve endocarditis.Colonization of Staphylococcus aureus is commonly observed in skin lesions of atopic dermatitis (AD) patients, and scratching of the pruritic lesions may lead to reiterative bacteremia. It is possible that acute native valve endocarditis may develop in a patient with uncontrolled AD; the latter condition may be a risk factor for the former. We report two cases of acute aortic and/or mitral valve endocarditis complicated with recurrent cutaneous infections caused by severe AD. The patients underwent successful surgical treatment of the heart lesions, plus intensive postoperative antibiotics and skin treatment for AD.- - - - - - - - - - ranking = 1keywords = dermatitis (Clic here for more details about this article) |
2/13. Transient CD30 nodal transformation of cutaneous T-cell lymphoma associated with cyclosporine treatment.BACKGROUND: mycosis fungoides (MF) may evolve from pre-existing chronic atopic or psoriasiform dermatitis and the histology can be equivocal. Early patch and plaque lesions of MF may evolve into tumors, disseminate to lymph nodes, bone marrow, and internal organs, and/or undergo transformation to a large cell size. methods: A patient with a history of "atopic dermatitis" followed by "psoriasis" rapidly developed exfoliative erythroderma and axillary lymphadenopathy following treatment with cyclosporine. At presentation, biopsy specimens of skin lesions and lymph nodes and staging were obtained. We present the treatment and follow-up of this patient and review the medical literature for similar cases. RESULTS: Multiple skin biopsy specimens from lesions revealed changes consistent with low-grade, cutaneous, T-cell lymphoma (MF) without evidence of large cell transformation and psoriasiform epidermal hyperplasia. CD30 large cell transformation was present in the lymph node. Adenopathy and erythroderma resolved without systemic therapy following discontinuation of cyclosporine and treatment with psoralen/ultraviolet A (PUVA), isotretinoin, interferon-alpha, and antimicrobials. CONCLUSIONS: This case documents a close relationship between atopy, psoriasis, and the development of cutaneous T-cell lymphoma, and illustrates that an immunosuppressive agent, cyclosporine, can dramatically alter the course of the disease.- - - - - - - - - - ranking = 0.4keywords = dermatitis (Clic here for more details about this article) |
3/13. Irritant contact dermatitis complicated by deep-seated staphylococcal infection caused by a hair relaxer.Chemical hair relaxers are used by many women to straighten their hair. We describe a case of a deep soft tissue staphylococcal abscess that complicated an irritant contact dermatitis from a hair relaxer treatment.- - - - - - - - - - ranking = 1keywords = dermatitis (Clic here for more details about this article) |
4/13. The importance of disinfection therapy using povidone-iodine solution in atopic dermatitis.The combination of the local disinfection therapy against Staphylococcus aureus with the conventional therapy for atopic dermatitis has been widely used, and the improvement in skin lesions has been reported to be associated with a remarkable decrease in IgE levels and reagin antibody titers. We have already reported that affected organs were not only the skin but also the gastrointestinal tract in a case with atopic dermatitis. In the present study, the duodenal tissues were examined by biopsy in 32 patients with atopic dermatitis, and mild or chronic duodenitis was observed in all samples. Toxins were examined by PCR from 180 Staphylococcus aureus strains obtained from our patients. The detection rate of toxins was 82.8%. In many patients, antitoxin IgE antibody titers corresponding to their types of toxin and IgE levels were decreased in a parallel manner as time passed. We found 1 patient who complained of paresthesia in all four limbs, and her neurological and radiological examinations showed moderate cervical spondylosis. Neurological examinations revealed some abnormalities in 43 out of 50 patients with atopic dermatitis, such as hyperreflexia of the legs. Cervical MRI was carried out randomly and showed abnormal findings in 21 of 25 patients, in whom 18 duodenal tissues were examined by biopsies.- - - - - - - - - - ranking = 1.6keywords = dermatitis (Clic here for more details about this article) |
5/13. methicillin-resistant staphylococcus aureus skin abscesses in a pediatric patient with atopic dermatitis: a case report.Recent trends indicate an increasing incidence of community-acquired methicillin-resistant staphylococcus aureus (CAMRSA) in the general population, which is especially worrisome for clinicians caring for patients with atopic dermatitis (AD). patients with AD are heavily colonized with S aureus and have impaired skin integrity and abnormal immune responses, which predisposes them to more invasive cutaneous infections (eg, cellulitis, furuncles, abscesses). In this report, we describe a child with severe AD who presented with CAMRSA skin abscesses. The presence of an atypical skin infection in patients with AD, particularly those unresponsive to conventional penicillinase-resistant penicillins and cephalosporins, should alert the clinician to the possibility of MRSA as the underlying etiology, and intervention should be directed accordingly.- - - - - - - - - - ranking = 1keywords = dermatitis (Clic here for more details about this article) |
6/13. Variant of hyper-IgE syndrome: the differentiation from atopic dermatitis is important because of treatment and prognosis.The hyper-IgE syndrome is characterized clinically by recurrent staphylococcal abscesses of the skin, lungs and other sites from infancy. Affected patients also have a pruritic dermatitis that differs in character and distribution from lesions of atopic dermatitis. Most lack other signs of atopic disease, develop persistent pneumatoceles and have osteopenia. Laboratory abnormalities include the consistent presence of marked hyperimmunoglobulinemia E and eosinophilia of blood, sputum and tissues. They may have other inconsistent abnormalities of humoral and cellular immune responses and sometimes of phagocytic cell chemotactic responsiveness. Other clinical problems reported in such patients have included lymphomas, cryptococcal meningitis and cutaneous fungal disease. An 18-year-old male patient with a variant of the hyper-IgE syndrome, which he had acquired after a measles attack at the age of 5 years, suffered from recurrent ulcerative dermatitis and lymph node abscesses. Immunological investigation revealed an excessively elevated total serum IgE level (46,850 IU/ml), the presence of specific IgE to staphylococci, and quantitative and functional deficiency of IgG2. Skin and serological (radioallergosorbent) tests to inhalant and nutritive allergens were negative. Differentiation from atopic dermatitis should be made, because a long-term antistaphylococcal regime not only improves skin lesions but hinders the occurrence of lung abscesses and pneumatoceles.- - - - - - - - - - ranking = 1.6keywords = dermatitis (Clic here for more details about this article) |
7/13. Toxic shock syndrome associated with poison oak dermatitis.Toxic shock syndrome commonly occurs in menstruating women, but it is known to be associated with a variety of staphylococcal infections. We report a case of nonmenstrual toxic shock syndrome in an 11-year-old male who presented with altered consciousness and infected poison oak dermatitis of the feet. This is the first reported case of toxic shock syndrome associated with poison oak dermatitis. The signs and symptoms, laboratory findings, and treatment of toxic shock syndrome are reviewed.- - - - - - - - - - ranking = 1.2keywords = dermatitis (Clic here for more details about this article) |
8/13. Staphylococcus aureus induction of inflammatory plaques of nipples and areolae.A 30-year-old atopic lactating woman developed a peculiar plaquelike dermatitis of nipples and areolae after infection with Staphylococcus aureus. Histologic examination showed an eosinophilic and plasma cellular edematous psoriasiform dermatitis. This constellation of findings seems distinct from other clinicopathologic states induced by staphylococci.- - - - - - - - - - ranking = 0.4keywords = dermatitis (Clic here for more details about this article) |
9/13. Atopic dermatitis complicated by acute bacterial endocarditis.We describe a child in whom severe atopic dermatitis (AD) and a neutrophil chemotactic defect were complicated by acute bacterial endocarditis following recurrent staphylococcal skin infections.- - - - - - - - - - ranking = 1keywords = dermatitis (Clic here for more details about this article) |
10/13. Recalcitrant contact shoe dermatitis.Contact shoe dermatitis is a common dermatologic problem. Misdiagnosis of this condition can lead to significant disability. An organized and detailed evaluation of the patient with foot lesions leads to proper diagnosis and treatment. review of the literature and a case study of contact shoe dermatitis, along with a discussion of its complications and resolution, are presented in this report.- - - - - - - - - - ranking = 1.2keywords = dermatitis (Clic here for more details about this article) |
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