Özben Yalçın

Bullous Pyoderma Gangrenosum With Subungual Involvement Associated With Ulcerative Colitis.

Pyoderma gangrenosum (PG) is a rare inflammatory and ulcerative skin disease of unknown etiology characterized by neutrophilic infiltration of the dermis, mainly affecting the lower extremities. Bullous PG is a rare variant of this disease, usually associated with hematologic disorders. Here, we report a case of pathergy-positive bullous PG with subungual involvement associated with ulcerative colitis.

Oyster-shaped hyperkeratotic plaques on the penis.

A 26-year-old man presented with a one-week history of lesions on the glans penis. The patient also stated that he had recurrent episodes of genital warts, which had been electrocauterized on previous occasions. He denied trauma, medication and history of another skin disorder. Physical examination revealed remarkably thick and hard, hyperkeratotic, oyster-shaped scales adherent to multiple erythematous lesions on the glans penis. Hyperpigmented, clustered verrucous papules, which coalesced to form plaques, were also detected on the shaft of his penis (Figure 1). A shave biopsy from a hyperkeratotic lesion on the glans penis was performed; photomicrographs are presented in Figure 2A, B.

Congenital Granular Cell Tumor of the Arm: A Rare Presentation.

Congenital granular cell tumors are uncommon benign tumors of newborns that mainly affect oral mucosa, especially the maxillary alveolar ridge. They are predominantly seen in female newborns, and cutaneous involvement is extremely rare. In this report, we present a case of congenital granular cell tumor on the arm of one of the male monozygotic twins and discuss the differential diagnosis of granular cell phenotype.

SKALPTE ATİPİK FİBROKSANTOM OLGUSU

Atipik fibroksantom nadir gorulen, dusuk dereceli bir neoplazm olup, siklikla gunese maruz kalan yasli hastalarda gorulmektedir. Fibroblastlardan kaynaklanan bu hastaligin tanisinda klinik, histopatolojik ve immunokimyasal ozelliklerinin incelenmesi ve boylece karsinom, melanom, malign fibroz histiyositom gibi malign bazi tanilardan ayrilmasi gerekmektedir. Olgularin buyuk cogunlugu benign olup metastaza nadir olarak rastlanmaktadir. Calismamizda 75 yasinda bir erkek hastada 1,5 ay once parietal alanda ortaya cikan, basvuru sirasinda palpasyonla sert uzeri hafif kanamali agrisiz noduler lezyon ile prezente olan atipik fibroksantom olgusu klinik ve patolojik bulgular esliginde sunulmustur. Olgunun metastatik lezyonu, lenfovaskuler veya derin invazyonu bulunmamaktadir. Tartisma bolumunde vaka ayirici tani acisindan diger bir takim hastaliklarla histopatolojik ve immunokimyasal olarak karsilastirilmistir. Son olarak secilen cerrahi tedavi yontemin yeterliligi degerlendirilmistir.

Annular and Polycyclic Erythematous Lesions in a Child

Subacute cutaneous lupus erythematosus is a subtype of cutaneous lupus erythematosus characterized clinically with papulosquamous and/or annular polycyclic lesions on sunexposed areas, which typically resolve without scarring. Although the fifth decade is the average age of onset, it is occasionally seen in childhood. In the differential diagnosis of the annular lesions, dermatophytosis, granuloma annulare, erythema annulare centrifugum, and other annular lesions are considered, whereas papulosquamous lesions may mostly be confused with eczema and psoriasis.

An extraordinary case of syphilis presenting with a labial ulcer

In the differential diagnosis of patients with ulcers on the lips characteristics like the duration of the ulcer, number, size, depth, shape, base, margins, and distribution are considered. Such ulcers arise from many diseases particularly, viral and bacterial infections, malignancies can also be responsible. Classic syphilitic chancres are painless erosions settled on hard papule; these are evident in the genital area in more than 90% of patients. This study describes a case of a 38-year-old female patient presenting with a painful ulcer covering 3 quarters of the upper lip showing settlement on erythematous, edematous, and indurated plaque covered with hemorrhagic crusts. The aim of this study was to consider differences between the classic syphilitic chancre typically found in the genital region from extragenital chancres and to raise awareness of the possibility of primary syphilis when patients present with painful ulcers on the lip.

Cystic Echinococcosis: One Entity, Two Unusual Locations.

We report two cases of cystic echinococcosis at unexpected locations. Patients were a 64-year-old man and 35-year-old woman. A cystic mass was incidentally found between the prostate and seminal vesicles in the male patient, using ultrasonography during a check-up for ischemic coronary disease. The female patient was admitted to the hospital with symptoms of cardiopulmonary disease, but her detailed radiological examination showed a cystic lesion in the interventricular septum of the heart. Both patients were operated, and examinations of the histologic sections revealed cyst walls consistent with echinococcal infection. Attention should be focused on this entity even in endemic areas, and pathologists should be aware of the histologic characteristics of this lesion, to avoid misdiagnosis as a nonspecific cyst.

[Retrobulbar Hydatid Cyst: A Case Report].

Hydatid cyst is an infectious disease caused by Echinococcus granulosus, transmitted by dogs and encountered mostly in liver and lungs. As the central nervous system involvement is considered, retrobulbar disease is seen pretty rarely. In this subject; a patient complaining from an impaired vision diagnosed as hydatid cyst disease via radiological imagings and histopathological findings.

Pitriyazis Likenoides et Varioliformis Akuta (PLEVA): Olgu sunumu

Pityriasis Lichenoides et Varioliformis Acuta (PLEVA): case report Pityriasis lichenoides et varioliformis acuta (PLEVA), is a sudden onset skin disease characterized by diffuse papulosquamous lesions with unknown etiology. Here, we report a 31-year-old patient with neurofibromatosis who had generalised papulosquamous lesions especially on flexural areas, accompanying fever, malaise and muscle pain.

Pigmented purpuric dermatosis-like sarcoidosis

Sarcoidosis is a chronic multisystem granulomatous disease of unknown origin. Recently, a purpuric variant of cutaneous sarcoidosis resembling pigmented purpuric dermatosis (PPD) has been documented. Herein, we describe another unusual case with clinical features mimicking PPD, characterized by brownish macules and flat‐topped papules with a slightly purpuric component on the legs and dorsum of the feet and histopathological features consistent with sarcoidosis. We designated this unusual clinical presentation as “PPD‐like sarcoidosis”.