Archives of Dermatology

1981 Archives of Dermatology

doi: 10.1001/archderm.1981.01650020007012

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Seminar.— The 1981 Advanced Seminars in Dermatology will, in addition to its regular program, offer category 1 and IAE credit for two special seminars: "Cutaneous Viral Disease" and "Dermatopathology and Immunopathology." Special guest speakers include Drs S. Jablonska and A. Ackerman. These seminars will be conducted Sept 16-20, 1981, in Carmel-Monterey, Calif. For a program and registration information, write Advanced Seminars in Dermatology, University of California Medical School, Dermatology Department, San Francisco, CA 94143. Fourth Annual Meeting: Call for Abstracts.— The American College of Cryosurgery wants abstracts for its fourth annual meeting, June 12-14, 1981, at the Marriott Crystal City, Arlington, Va.During the first part of the meeting, experts from various specialties will provide a practical overview of cryosurgery in clinical practice. The session will include in-depth symposia and demonstrations that outline new cryosurgical advances developed in various specialties of medicine. A preview of experimental research and clinical practice

Aronberg, Jerome M.

1981 Archives of Dermatology

doi: 10.1001/archderm.1981.01650020003003

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.— I note with interest, as well as anger, the recent trend in medical journals to include as many names as possible on every article. The aggregation of names at the beginning of articles is mildly irritating; the use of a manuscript typist's name at the end of articles is most aggravating. With journal space at a premium, I believe that this unnecessary usage of possible information space at the end of articles does not disseminate any medical knowledge and its continued practice should be reconsidered by the editors of the medical journals.This letter to the editor has been prepared by Doris Johnston.

Dupré, André;Viraben, Roland;Bonafe, Jean-Louis;Touron, Paul;Lamon, Pierre

1981 Archives of Dermatology

doi: 10.1001/archderm.1981.01650020003006pmid: 7469439

Abstract To the Editor.— Dermatomyositis is characterized by a heliotrope eruption on the face and the upper part of the trunk, with or without edema. Therefore, in typical cases, the diagnosis is clear. However, other kinds of lesions have occasionally been reported in dermatomyositis.1 These include dermatographism, bullous lesions, urticarial lesions, photosensitivity, erythema nodosum, erythema multiforme, follicular keratosis, hypertrichosis, hyperhidrosis, psoriasiform eruptions, pitting of the fingernails, exfoliative dermatitis, hyperpigmentation, erythema of the scalp, livedo reticularis, ulcers, and panniculitis. We are reporting a case with an unusual feature, ie, a generalized erythematous rash that formed parallel zebra-like stripes, so that the patient had the appearance of being flogged. We have found no similar cases in the literature.Fig 1.—Zebra-like dermatomyositis.Fig 2.—Fir-like pattern on back.Fig 3.—Striped erythema in suborbital area. Report of a Case.— A 14-year-old girl was seen for nonpruritic skin lesions of dermatomyositis (Fig 1 through 3). On References 1. Callen JP: Dermatomyositis . Int J Dermatol 1979;18:423-433.Crossref 2. Wong KO: Dermatomyositis: A clinical investigation of 23 cases in Hong Kong . Br J Dermatol 1969;81:544-547.Crossref 3. Dupré A, Floutard M, Christol B, et al: Dermatomyosite avec spinulosisme (dermatomyosite type Wong): Etude histologique. Essai d'interprétation pathogénique . Ann Dermatol Syphil 1976;103:141-149.

Christensen, Ole B.

1981 Archives of Dermatology

doi: 10.1001/archderm.1981.01650020003005

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.— I read with interest the recent reports of unilateral nevoid telangiectasia by Jucas et al in the March 1979 Archives (115:359-360) and by Person et al in the September 1979 Archives (115:1034). In the last three months I have seen a 10-year-old girl and a 26-year-old man with typical clinical signs of unilateral nevoid telangiectasia. The girl had noted skin changes for only two months and she was otherwise healthy. The man had had his eruption for as long as he could remember; he was also healthy and was nonalcoholic. I fully agree with the final remarks of Person et al about the frequency of the disorder. It could be a coincidence, but I have seen the patients described here from a population of about 240,000, which indicates that the disorder is more common than previously recognized.

Fusaro, Ramon M.

1981 Archives of Dermatology

doi: 10.1001/archderm.1981.01650020003002

Abstract To the Editor.— In the April Archives (1980;116:433-444), Trau et al stated their case was the 12th case report of a patient with multiple clear cell acanthomas. Their case was the 11th. In their Table of the summary of previously reported cases, cases 4 and 5 are the same patient. The age in case 4 is not 59 years, as they reported, but 63 years, and he had his skin nodules four years, not five months. This patient was seen and his case was reported by myself and Dr Thorne1 at the University of Minnesota Hospitals. One year later, he was seen at the Mayo Clinic and described by Landry and Winkelmann.2 Dr Trau and co-workers could not have been aware of this information. References 1. Thorne EG, Fusaro RM: Multiple clear cell acanthomas in a patient with lamellar ichthyosis . Dermatologica 1971;143:105-110.Crossref 2. Landry M, Winkelmann RK: Multiple clear cell acanthomas and ichthyosis . Arch Dermatol 1972;105:371-383.Crossref

Malkinson, Frederick D.

1981 Archives of Dermatology

doi: 10.1001/archderm.1981.01650020003004

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply.— The acknowledgment of secretarial help in the preparation of manuscripts accepted for Archives publication was abondoned for articles accepted after May 15, 1980. The above letter is the last of the species!

Kocsard, E.

1981 Archives of Dermatology

doi: 10.1001/archderm.1981.01650020003001

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.— I read with great interest the article entitled "Diminished Immune Response in Sun-Damaged Skin" by O'Dell et al in the May Archives (1980;116:559-561).Seventeen years ago, I did a similar study with my colleague the late Dr F. Ofner, which I presented at the annual meeting of the Dermatological Association of Australia in Melbourne in 1964. This work was published in the Australian Journal of Dermatology (1964;7:203-205) under the title "Contact Eczematous Sensitisation and Sensitivity of the Solar Elastotic Skin." Our experiments were carried out on 75 male volunteers. We also came to the conclusion that the solar elastotic skin seemed to be less responsive when tested for eczematous sensitivity. We also found, however, that the elastotic change increased the resistance to irritants.Letters will be published as space permits and at the discretion of the editor. All components of letters, including references, must be typewritten, double-spaced.

Bremers, Harold H.

1981 Archives of Dermatology

doi: 10.1001/archderm.1981.01650020004007

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract To the Editor.— I read with interest your editorial entitled "The Heat's On" in the August 1980 Archives (116:885-887). Thirty years ago, when I was a dermatology resident at Case Western Reserve, Cleveland, Drs George Binkley and Herbert Johnson used hyperthermia successfully for severe cases of psoriasis.Hospitalized patients were given two intravenous doses of killed typhoid bacilli at half-hour intervals; 10 to 15 million units at first, and then (usually) increasing amounts (depending on the fever obtained) every few days for three or four courses of treatment. A temperature of approximately 39 †C was sought. The psoriasis would often go into remission for several months. This therapy also helped psoriatic arthritis.

Kanwar, Amrinder J.;Majid, Abdul;Garg, Misrilal P.;Singh, Gurmohan

1981 Archives of Dermatology

doi: 10.1001/archderm.1981.01650020005009

Abstract To the Editor.— Cimetidine, a histamine H2-receptor antagonist, is now being widely used in the treatment of peptic ulcer and other conditions where reduction of gastric acid secretion is likely to be beneficial. So far, few side effects have been observed in the recommended dosage of 1 g/day given in divided doses. Muscle pain, fatigue, gynecomastia (when 1.6 g/day was used), and dermatitis have been reported, but occur in less than 5% of the patients.1 The nature of the rash, however, has not been specified. We recently had the opportunity of observing a drug eruption simulating seborrheic dermatitis in a patient who had been receiving cimetidine for treatment of a duodenal ulcer. Report of a Case.— A 45-year-old man with an active duodenal ulcer had been given 200 mg of oral cimetidine three times daily with meals and 400 mg at bedtime. Two days later, itchy, red, References 1. Colin-Jones DG: Cimetidine: A new treatment for peptic ulceration . Med Digest 1978;3:6. 2. Baker H: Drug reactions , in Rook A, Wilkinson DS, Ebling FJG (eds): Textbook of Dermatology . Oxford, England, Blackwell Scientific Publications, 1972, p 1025. 3. Domonkos AN: Andrews' Diseases of the Skin , ed 6. Philadelphia, WB Saunders Co, 1971, p 204.

Kassab, Hannah Jane;Franklin, Edward C.;Prose, Philip;Gorevic, Peter D.

1981 Archives of Dermatology

doi: 10.1001/archderm.1981.01650020005008

Abstract To the Editor.— The following patient was first described in the Archives in March 1953 (67:429-430) as a case of "essential" cryoglobulinemia. Follow-up evaluation was obtained in the course of a retrospective review of 40 patients with this syndrome seen at our medical center during the past 20 years.1 This case illustrates the coexistence of clinical features of systemic vasculitis and lymphoproliferative disease in some patients with serum cryoglobulins. Report of a Case.— A 33-year-old woman had recurrent purpura and arthralgias develop three years earlier during pregnancy. The rash was aggravated by cold exposure and initially involved the legs but later spread to the arms and buttocks. A skin biopsy specimen showed leukocytoclastic angiitis. Eventually, a left lateral malleolar leg ulcer developed, but the condition responded gradually to bed rest. Two years previously, hepatosplenomegaly had been noted. A liver biopsy specimen indicated portal infiltration by lymphocytes and plasma cells, consistent References 1. Gorevic PD, Kassab HJ, Levo Y, et al: Mixed cryoglobulinemia: Clinical aspects and long-term follow-up . Am J Med 1980;69:287-308.Crossref 2. Lospalluto J, Dorward B, Miller W Jr, et al: Cryoglobulinemia based on interaction between a macroglobulin and 7S gamma globulin . Am J Med 1962;32:142-152.Crossref 3. Meltzer M, Elias K, McCluskdy RT, et al: Cryoglobulinemia: A clinical and laboratory study . Am J Med 1966;40:837-856.Crossref 4. Levo Y, Gorevic PD, Kassab HJ, et al: The association between hepatitis B virus and essential mixed cryoglobulinemia . N Engl J Med 1977;296:1501-1504.Crossref