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International Journal of Dermatology and Venereolo
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International Journal of Dermatology and Venereolo
 
2018 Vol.1 Issue.4
Published 2018-12-30

Editorial
Original Articles
Review Articles
Case Reports
Original Articles
195 In vivo assessment and prediction of topical bioavailability of iodiconazole, a new triazole antifungal agent
Li-Li Wu1, Ke Zhou2, Wen-Kai Zong1, Yun Chen1*, Chun-Quan Sheng3*
Objective To assess the in vivo cutaneous bioavailability of iodiconazole in a topical formulation. Methods Iodiconazole cream was topically administrated to the ventral forearms of 10 healthy volunteers for 1 hour, and the excess formulation was removed. The stratum corneum (SC) at the application sites was tape-stripped immediately or at different time points, quantified gravimetrically, and extracted for analysis. Together with concomitant transepidermal water loss (TEWL) measurement, SC drug concentration-depth profiles were reproducibly determined and fitted mathematically to obtain the SC-vehicle partition coefficient (K) and a first-order rate constant (D/L2) related to iodiconazole diffusivity. The main pharmacokinetic parameters were calculated by Drug and Statistics software. With these parameters, the uptake of iodiconazole of time into SC was assessed. The variation of iodiconazole concentrations in stratum corneum post-removal of the formulation was also investigated. Results The mean values of K and D/L2 of 10 healthy volunteers were (0.13 ± 0.07) and (0.15 ± 0.08) /hour, respectively. The classic lag-time for diffusion (Tlag) across the SC varied from 0.52 hours to 2.28 hours. The mean value of time to reach steady-state transport (Tss) was (3.74 ± 1.69) hours. The mean values of the elimination half-life (t1/2) and the elimination rate constant (Kel) of 10 healthy volunteers were (8.47 ± 5.36) hours and (0.11 ± 0.05) /hour, respectively. Conclusions After topical application, iodiconaole penetrated into the SC rapidly and maintained a high concentration at the target site. The results of this study can provide reliable evidences for the clinical medication and the design of following phaseⅡ study for iodiconazole.
2018 Vol. 1 (4): 195-201 [Abstract] ( 87 ) [HTML 1KB] [ PDF 815KB] ( 546 )
Review Articles
202 Update of genome-wide association study in atopic dermatitis
Li Meng, Yi-Chen Tang, Lian-Juan Yang*
Atopic dermatitis is a common inflammatory disease caused by multiple factors including genetic predisposition, immune dysregulation, and external environmental factors. Genome-wide association study is a relatively comprehensive and unbiased approach to identify the genetic components of polygenic inheritance diseases and is helpful to discover the cellular pathways underlying them. To date, a total of 33 associated loci with a genome-wide level of significance (P < 5x10-8) have been identified in atopic dermatitis by genome-wide association studies, Meta-analysis of genome-wide association studies and immuno-chip analysis study. Atopic dermatitis is often accompanied by asthma,allergic rhinitis or hay fever. Genome-wide association studies have identified nearly 100 common genetic susceptibility loci for atopic dermatitis and these allergic diseases, which indicated that atopic dermatitis and these allergic diseases partly coexist might because they share many?genetic risk variants which dysregulate?the??of?immune-related?genes. In addition, 12 new loci of atopic dermatitis were identified by research based on existing genome-wide association data. All these associated loci have implied a large number of susceptibility genes of atopic dermatitis. However, little is known about their function in atopic dermatitis development except the FLG gene, which is most strongly associated with atopic dermatitis. But not all individuals with FLG variants occur atopic dermatitis. Genome-wide association studies have improved our understanding of disease mechanisms of atopic dermatitis and will generate potential therapeutic opportunities. However, further replication, fine mapping and functional studies are needed.
2018 Vol. 1 (4): 202-207 [Abstract] ( 79 ) [HTML 1KB] [ PDF 516KB] ( 137 )
208 Dowling-Degos disease: current research progress
Ying-DaWu,Wen-Rui Li,Wan-Lu Zhang, Ping Cheng, Cheng-Rang Li*

Introduction
Dowling-Degos disease (DDD) was first described as a benign form of acanthosis nigricans by Dowling and Freudenthal in 1938, then referred to as“dermatose reticulée des plis”by Degos and Ossipowski in 1954, and was first named DDD by Wilson-Jones and Grice in 1978[1]. The disease has been reported worldwide and affects both genders equally. As an autosomal dominant pigment disorder, it usually occurs in postpubertal individuals, and is seldom seen in children[2]. However, a Chinese newborn with DDD was reported in 2008[3]. In this review, we summarize features of DDD, emphasizing advances in genetics research and looking to the future for further understanding of its etiology and the development of therapeutic methods.

2018 Vol. 1 (4): 208-211 [Abstract] ( 79 ) [HTML 1KB] [ PDF 410KB] ( 129 )
212 Advances in postoperative radiotherapy for keloids
Rong Li, Jia-An Zhang, Kun Chen*

Introduction
Keloids, a type of skin lesion that presents as pathologically excessive dermal fibrosis and aberrant wound healing, are caused by cell proliferation and hyaline degeneration of connective tissues. The specific pathogenesis of keloids is still unknown[1- 2]. There are multiple therapeutic strategies for keloids, including surgery, cryotherapy, laser or light-based therapy, and intralesional corticosteroid injection. However, none of these is optimal. Surgical excision combined with adjuvant radiation is considered to be a safer and more efficacious method[3]. From publicly available data, the recurrence rate of keloids after simple surgical excision amounts to 45% - 100%[4]. Based on published reports, postoperative adiotherapy results in a control rate of 67% - 81% , and the recurrence rate decreases to 24.5% - 35%[4-12]. This article reviews papers related to postoperative radiotherapy treatment for keloids, and also discusses radiation types, parameters, safety and effectiveness.

2018 Vol. 1 (4): 212-216 [Abstract] ( 76 ) [HTML 1KB] [ PDF 428KB] ( 89 )
217 Pathogenic genes of nevus sebaceous and its associated diseases
Chun Pan, Xiao-Wei Zhou, YanWang*, Fang Fang

Nevus sebaceous (NS), also known as nevus sebaceous of Jadassohn, is a congenital sebaceous hyperplasia or organoid nevus. This benign congenital hamartoma is composed of abnormal epidermal and dermal components. The hamartomatous lesions, usually clinically present at birth, are most frequently distributed on areas with sebaceous glands, especially the scalp and face[1]. NS originates from pluripotent primordial epithelial germ tissue and occurs in approximately 0.1% of newborns.

2018 Vol. 1 (4): 217-222 [Abstract] ( 83 ) [HTML 1KB] [ PDF 423KB] ( 105 )
Case Reports
223 Coexistence of chronic actinic dermatitis with bullous pemphigoid: a rare case report
Jian-Bo Tong1, Rong Zeng2, Hao-Xiang Xu3, Min Li1*
Introduction
Chronic actinic dermatitis (CAD) is an immuno-logically mediated photodermatosis characterized by pruritic eczematous lesions in light-exposed areas. Chronic and disabling photodermatosis is more fre-quent in men. The most common action spectrum for CAD is ultraviolet B (UVB) combined with ultraviolet A (UVA)[1]; UVB or UVA alone may also induce CAD. Bullous pemphigoid (BP) is an autoimmune skin disease characterized by subepidermal blister for-mation, typically characterized by the formation of bullae and widespread vesicles together with urticarial plaques and eczematous lesions, and predominantly affects patients of advanced age[2]. The co-occurrence of BP with CAD has never been reported in English literature, herein we describe a case of coexistence of CAD with BP.
2018 Vol. 1 (4): 223-225 [Abstract] ( 84 ) [HTML 1KB] [ PDF 1918KB] ( 116 )
226 Folliculitis decalvans with keloid and tufted hair: a case report 
Lv-Ya Zhang1, Yong-Xi Li2, Yong Hang2, Juan-Juan Xiong1, Yan-Ju Wang1, Qi Deng1,
Introduction
Folliculitis decalvans (FD) was first described by Quinquaud in 1888, and its clinical features consist of follicular pustules and papules with hemorrhagic crusting and resultant alopecic scarring patches[1]. The early histopathologic findings of this disease show that dense perifollicular inflammatory infiltrates are mostly consisted of neutrophils, and in later stages with follicular rupture, lymphocytes, histiocytes, and plasma cells are seen, as well as perifollicular and interstitial dermal fibrosis[1]. In 1978, Smith and Sanderson first described a rare folliculitis on scalp that patches of scarring alopecia with multiple hair tufts emerging from dilated follicular orifices[2]. Tufting of hair was caused by clustering of adjacent follicular units due to a fibrosing process and to retention of telogen hairs within a dilated follicular orifice[3]. Here, we descripe this rare FD case with keloid and tufted hair, which may demonstrate the effects of keloid in the process of FD with tufted hair.
2018 Vol. 1 (4): 226-229 [Abstract] ( 80 ) [HTML 1KB] [ PDF 3355KB] ( 79 )
230 Late-onset microcystic lymphatic malformation: a case report
Yu-Ping Huo1*, Yu Cheng2, Zhi-Yang Zhang1, Jia-Jia Xu1, Shang-Zheng Yang1
Introduction
Lymphatic malformations (LMs) are composed of dilated, abnormal lymphatic channels of varying size that can result in significant physical and esthetic impairment due to relentless growth[1]. LMs represent a group of heterogeneous diseases, and are classi?ed into three types: microcystic/superficial LM, which was named as lymphangioma circumscriptum[2], macro-cystic LM, and mixed LMs[2-4]. In clinical practice, it is dif?cult to classify LMs because some cases have been found to differ from the well-characterized entities. Cutaneous LMs are uncommon, and usually present as microcystic/superficial LM. This condition represents congenitally determined or developmental malformations of the superficial lymphatics rather than true neoplasms. Although developmental dys-plasia, these lesions do not appear genetic, as familial cases do not seem to occur. Typically, LM in infancy usually has the highest incidence of onset, but the lesions can spontaneously appear in adolescence or adulthood, and mostly by the age of 30 years[1-2,4]. Herein we report a case of late-onset superficial LM, which is relatively infrequent.
2018 Vol. 1 (4): 230-231 [Abstract] ( 79 ) [HTML 1KB] [ PDF 826KB] ( 75 )
232 Erythrokeratoderma variabilis in a 3-year-old child: a satisfactory response to treatment with oral acitretin and topical 0.025% tretinoin cream
Yan Teng1, Jian-Fang Sun2, Yi Liu1*
2018 Vol. 1 (4): 232-234 [Abstract] ( 81 ) [HTML 1KB] [ PDF 2358KB] ( 113 )
235 Successful treatment of giant condyloma acuminatum with 5-aminolevulinic acid-photodynamic therapy
Li-Li Zhang1 and Chen Huang2*

Introduction
Giant condyloma acuminatum, which is also known as Buschke-Loewenstein tumor (BLT), is a uncommon sexually-transmitted disease affecting the genitals and characterized by a slow and locally-invasive growth pattern. It was first reported in 1925[1], and was defined as “carcinoma-like condylomata acuminate of the penis” by Loewenstein in 1938[2]. The typical clinical manifestations included exophytic, fungating masses, sometimes with a cauliflower-like morpho-logy. Therapies including surgical excision are effec-tive to the lesions of giant condyloma acuminatum, but the high recurrence rate brings troubles and pain to patients. In this report, we used electrosurgery and carbon dioxide (CO2) laser as the primary treatment followed by 5-aminolevulinic acid-photodynamic therapy (5-ALA PDT), and achieved 100% clinical efficacy on a case of giant condyloma acuminatum.

2018 Vol. 1 (4): 235-236 [Abstract] ( 77 ) [HTML 1KB] [ PDF 841KB] ( 159 )
237 Surgical treatment of hyperkeratosis of giant nipples and areola: a case report
Yu-Wei Pan1, Jing Li2, Xin-Feng Wu2*, Yi Zhang2

Introduction
Hyperkeratosis of nipples and areola (HNA) is a benign skin disease with unknown etiology, and is sporadic and clinically rare. It was first described by Tauber in 1923, and characterized by verrucous hyper-keratosis and dark brown pigmentation of nipples and/or areola[1]. Currently, the classification proposed by Levy-Franckel in 1938 is widely used[2], which divides HNA into three types accoding to its clinical mani-festations: TypeⅠ is characterized by the extension of epidermis nevus, involving only unilateral nipple and/or areola. TypeⅡ is mostly bilateral, involving nipples and areolae, and usually accompanied by other skin diseases, for example ichthyosis, acanthosis nigricans, Darier’s disease, chronic eczema, allergic dermatitis, and skin T cell lymphoma. TypeⅢ is congenital or nevus-shaped, and mostly occurrs among 20 to 30 years old females, with involvement of bilateral nipples and/or areolae. Herein, we reported a female patient with hyper-keratosis of bilateral giant nipples and areolae, who was successfully treated by surgery in the Hospital for Dermatology.

2018 Vol. 1 (4): 237-239 [Abstract] ( 68 ) [HTML 1KB] [ PDF 2122KB] ( 95 )
240 Trichorrhexis nodosa examined by scanning electron microscopy
Guan-Zhao Liang1, Wen-Qi Xu1, Xiao-Li Zheng, Jia Liu, Gui-Xia Lv1, Yong-Nian She
Introduction
Trichorrhexis nodosa (TN), one of the most common hair shaft anomalies, was first identified by Samuel Wilks in 1852[1]. As either a congenital or acquired hair shaft disorder, TN is characterized by fragile and easily broken hair accompanied by frayed cortical fibers and loss of the cuticle[2]. Complete fracture of the hair shaft subsequently occurs. Moreover, hair shaft fragility may increase the risk of developing TN. Congenital TN, including trichothiodystrophy[3], argininosuccinic aciduria[4], Menkes syndrome[5] and trichohepatoenteric syndrome[6], is rare in the clinical setting. Acquired TN, which is provoked by hair injury secondary to physical or chemical trauma (usually physical trauma), is often overlooked in daily life. We herein reported a case of TN in a woman with androgenetic alopecia.
2018 Vol. 1 (4): 240-242 [Abstract] ( 77 ) [HTML 1KB] [ PDF 2407KB] ( 85 )
243 Gonococcal urethritis accompanied by foreskin abscess: a case report
Xiao-Min Zhang1, Hong-Quan Pi2, De-Hua Li2, Wen-Jun Zeng1*
Introduction
Urethritis, a common presentation of several sexually transmitted infections, results from infectious and noninfectious conditions. Urethritis accounts for a significant burden of disease in young individuals over 2.8 million cases in the United States each year[1], and is associated with complications including acute epididymitis, orchitic, and prostatitis. Symptoms of urethritis include discharge of mucopurulent or purulent material, dysuria, or urethral frequency, pruritus. The most common infectious etiologies of urethritis are gonorrhea and chlamydia[2].
Culture, nucleic acid hybridization tests, and nucleic acid amplification testing are available for the detec-tion of both Neisseria gonorrhoeae and Chlamydia trachomatis. If clinic-based diagnostic tools are not available, patients should be treated with drug regimens effective against both gonorrhea and chlamydia[3]. Further testing to determine the specific etiology is recommended because a specific diagnosis can improve partner notification and treatment.
2018 Vol. 1 (4): 243-245 [Abstract] ( 73 ) [HTML 1KB] [ PDF 1395KB] ( 103 )
246 Disseminated pyoderma gangrenosum with oral involvement: successful treatment with systemic steroids and cyclosporine
Wen-Rui Li1, Bao-Shu Sun2, Nan Sheng1, Si-Jia Zhao1, Wan-Lu Zhang1, Lin Lin1*, Cheng-Rang Li1

Introduction
Pyoderma gangrenosum (PG) is a chronic skin disease characterized by progressive lesions that present as painful suppurative ulcers and tend to recur. The pathogenesis of the disease is incompletely under-stood; however, 50% to 70% of affected persons have an associated concomitant systemic disease such as inflammatory bowel disease (IBD)[1]. Any site of the body can be affected; however, involvement of the oropharynx is rare. Here, we present a patient with disseminated PG with oropharyngeal involvement.

2018 Vol. 1 (4): 246-248 [Abstract] ( 88 ) [HTML 1KB] [ PDF 2113KB] ( 82 )
249 A case of infantile hemangioma treated by various methods
Yuan-Yuan Qu, Xiu-Juan Wu, Xiao-Jing Kang*

Introduction
Infantile hemangiomas (IHs) are the most common benign tumors of infancy[1], and the incidence ranges from 4% to 5%. They are more common in females and Caucasians, and are associated with low birth weight and prematurity of infants. Although IHs are benign and regress spontaneously[2], significant morbidity and mortality can occur during any phase, in particular during the proliferative phase of tumors. Intervention is indicated if the IHs are expected to cause morbidities.

2018 Vol. 1 (4): 249-250 [Abstract] ( 74 ) [HTML 1KB] [ PDF 649KB] ( 105 )
251 Dermoscopic signs of subcorneal hematoma on the extremities
Jian-Jun Liu, Meng-Meng Yin, Ze-Kun Wang, Shi-Chao Lu*

Introduction
Subcorneal hematoma is most commonly seen on palms and soles. Its patterns seen on dermoscopy have been previously described[1-2], but dermoscopic signs
of subcorneal hematoma on other sites were few reported. Here, we present two cases of subcorneal hematoma on the extremities with characteristic findings observed by dermoscopy.

2018 Vol. 1 (4): 251-252 [Abstract] ( 74 ) [HTML 1KB] [ PDF 1085KB] ( 245 )
253 Appearance of prominent milia as secondary lesions during recovery of refractory bullous pemphigoid: a case report
Li-Wen Zhang1, Lin Li1, Tao Chen1*, Wen-Ju Wang1, Li-Xin Fu1, Lin He2

Introduction
Bullous pemphigoid (BP) is an autoimmune blistering disease that affects patients of advanced age. BP is characterized clinically by tense bullae on the extremities and trunk, histopathologically by subepi-dermal blisters with eosinophilic infiltration, and immunologically by autoantibodies to BP180 and BP230. Direct immunofluorescence of perilesional skin shows depositions of IgG and C3 in the basement membrane zone[1]. BP rarely shows prominent milia formation, which is a hallmark of epidermolysis bullosa acquisita. We herein describe a 53-year-old man with refractory BP showing numerous milia during recovery.

2018 Vol. 1 (4): 253-255 [Abstract] ( 76 ) [HTML 1KB] [ PDF 2230KB] ( 98 )
Editorial
256 Chronic erythematous condition of legs
Zi-Yuan Li and Jian-Min Chang*

Histopathology
A histopathological examination of skin lesions in mild cases of erythrocyanosis only show lymphocytic infiltration in the upper dermis. In severe cases, dilation of shallow capillaries, endothelial swelling, extravasation of erythrocytes, and occasionally throm-bosis in capillaries can also be found. In this case we described here, the epidermis did not show any abnormal features. The dermis showed dilatation of capillaries and perivascular lymphocytic infiltration (Figure 1).

2018 Vol. 1 (4): 256-258 [Abstract] ( 83 ) [HTML 1KB] [ PDF 4052KB] ( 123 )
International Journal of Dermatology and Venereolo

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