Noelia Hernández

Pediatric Dermatology Consultations: A Retrospective Analysis of Inpatient Consultations Referred to the Dermatology Service

Abstract:  To analyze the care provided by consultant dermatologists to hospitalized pediatric patients, we retrospectively studied the records of inpatient pediatric consultation requests received by a hospital dermatology department between 2000 and 2009. The diagnoses were recorded according to the International Classification of Diseases, Ninth Revision (ICD‐9). In a high percentage of cases, the problem was addressed in a single visit, and few additional tests were ordered. The most common diagnostic groups were diseases of the skin and subcutaneous tissue (ICD‐9: 680–709). The most frequent specific diagnosis was atopic dermatitis (ICD‐9: 691.8). Our series shows that the role of dermatologists as consultants for pediatric inpatients is similar to their role in outpatient consultations.

Povidone‐iodine induced post‐surgical irritant contact dermatitis localized outside of the surgical incision area. Report of 27 cases and a literature review

Povidone–iodine solution is an antiseptic that is used worldwide as surgical paint and is considered to have a low irritant potential. Post‐surgical severe irritant dermatitis has been described after the misuse of this antiseptic in the surgical setting.

Generalized erythematous–violaceous plaques in a patient with a history of dyslipidemia

What is your diagnosis?

Generalized erythematous-violaceous plaques in a patient with a history of dyslipidemia. Interstitial granulomatous drug reaction (IGDR).

What is your diagnosis?

Clinicopathological characteristics of cutaneous malignant melanoma in patients at a tertiary hospital in Macaronesia. Survival as a function of locoregional prognostic factors per the American Joint Committee on Cancer

Despite suffering high ultraviolet radiation levels, few data on malignant melanoma (MM) in Macaronesia are available.

Intolerance to cosmetics as key to the diagnosis in a patient with allergic contact dermatitis caused by propylene glycol contained in a topical medication

A 28-year-old woman had a 1-week history of herpes zoster on the chest, treated for the last 4 days with oral famciclovir and Zovirax® cream (GlaxoSmithkline, Madrid, Spain). She attended the dermatology service because of apparently worsening symptoms of the herpes zoster (Fig. 1). The patient had a past history of intolerance to several cosmetic products that prevented her from using these. After symptomatic treatment, patch tests were carried out according to ESCD criteria (1) with the Spanish baseline series (GEIDAC), the cosmetic and fragrance series from Chemotechnique Diagnostics (Vellinge, Sweden), and the individual components of Zovirax® supplied by the manufacturer (acyclovir 0.05%, acyclovir 1%, acyclovir 5%, propylene glycol 5%, cetostearyl alcohol 20%, all in pet.), applied in Finn Chambers® and read on day (D) 2 and D4. Positive reaction were observed to Zovirax® ‘as is’ (++ on D2 and +++ on D4), propylene glycol 5% pet. (Chemotechnique) (+ on D2 and ++ on D4), propylene glycol supplied by the manufacturer, 5% pet. (+ on D4), triethanolamine 2% pet. (Chemotechnique) (+ on D2 and D4), amerchol L 50% pet. (Chemotechnique)

Generalized erythematous-violaceous plaques in a patient with a history of dyslipidemia: Generalized plaques and dislypidemia

What is your diagnosis?

Turpentine sensitization in a nonsteroidal anti-inflammatory solution user.

1. Ghosh S, Mukhopadhyay S. Chemical leucoderma: a clinico-aetiological study of 864 cases in the perspective of a developing country. Br J Dermatol 2009;160:40Y47. 2. Taylor JS, Maibach HJ, Fisher AA, et al. Contact leukoderma associated with the use of hair colors. Cutis 1993;52:273Y280. 3. Bajaj AK, Gupta SC, Chatterjee AK, et al. Hair dye depigmentation.Contact Dermatitis 1996;35:56Y57. 4. Malakar S, Dhar S. Leucoderma associated with the use of topical minoxidil: a report of two cases. Dermatology 2000;201:183Y184.