Subcutaneous pedicle transposition flap for nasal ala defect reconstruction: a forgotten technique.

As a central and prominent structure of the face, the nose has particular aesthetic and functional importance and constitutes a true reconstructive challenge. Subcutaneous transposition flaps are rarely used in this region, but the surgical technique can be modified for the use of a simple flap with good aesthetic results, thereby gaining a prominent place in the range of options available for nasal ala reconstruction. We present a unique case report of a modified subcutaneous pedicle transposition flap for nasal ala defect reconstruction, showing that this flap can be applied on this area with good aesthetic results and a simple technique.

Daylight photodynamic therapy in 25 patients with actinic keratosis and evaluation of efficacy by confocal microscopy.

Background: Daylight photodynamic therapy (PDT) has been reported as having similar efficacy to conventional photodynamic therapy in actinic keratosis treatment.

Methods: 25 patients with actinic keratosis of the scalp and/or face were submitted to a daylight photodynamic therapy session. Adverse reactions were evaluated after one week and efficacy after 3 months.

Bullous lupus erythematosus with an erythema gyratum repens-like pattern.

Bullous lupus erythematosus is a rare clinical form of lupus. The diagnosis is challenging and involves the exclusion of other subepidermal bullous dermatoses. We present a 21-year-old woman with erythematosus, polycyclic plaques with vesiculobullae along the periphery, creating an erythema gyratum repens-like pattern on acral regions.

Neutrophilic eccrine hidradenitis in a patient with FOLFOX chemotherapy.

This case study describes a 37-year-old Caucasian male with pruritic papules and plaques-some with central erosion-on the arms, neck, and trunk that appeared after chemotherapy with FOLFOX (folinic acid, fluorouacil, and oxiliplatin) for colon cancer. A histological examination showed features of neutrophilic eccrine hidradenitis. To the best of our knowledge, this is the first reported case of neutrophilic eccrine hidradenitis due to FOLFOX.