Congenital cutaneous lymphadenoma.

Cutaneous lymphadenoma is an uncommon benign neoplasm often considered to be an adamantinoid variant of trichoblastoma. Lesions present in both sexes, between 14 and 87 years of age, and are mainly located on the head and neck. Cases in children are rare and there is only 1 previous case of a congenital lymphadenoma.

Multiple eruptive milia in a 9-year-old boy.

We report a 9-year-old boy with a gradual onset of multilobulated cysts on his nose and cheeks and histology in keeping with milia. His presentation was compatible with a diagnosis of multiple eruptive milia. As far as we are aware, this is only the second patient reported.

Transient bullous dermolysis of the newborn in three generations.

Transient bullous dermolysis of the newborn (TBDN) is a rare form of dystrophic epidermolysis bullosa (DEB) that presents with neonatal skin blistering but which usually improves markedly during early life or even remits completely. Skin biopsies reveal abnormal intraepidermal accumulation of type VII collagen which results in poorly constructed anchoring fibrils and a sublamina densa plane of blister formation. The reason for the spontaneous clinical improvement is not known, but there is a gradual recovery in type VII collagen secretion from basal keratinocytes to the dermal-epidermal junction, with subsequent improvement or correction of anchoring fibril morphology.

A case of eruptive milia.

A 68-year-old woman presented with a 10-year history of multiple milia on her scalp. Spontaneous eruptive milia are uncommon and the term describes cases that are more extensive in number and distribution than would be expected in primary milia.

What is the point of databases of reviews for dermatology if all they compile is "insufficient evidence"?

Background: The use of review databases for dermatology has been questioned because of the impression that these reviews frequently report finding insufficient evidence to guide therapeutic recommendations.

Objective: We sought to determine the number of review database entries most relevant to dermatology (addressing diseases with skin manifestations whereby a dermatologist may be the primary caregiver) and the percentage of these entries that report sufficient evidence to guide clinical decision making.

Methods: We conducted computerized searches and analysis of reviews in the Cochrane Database of Systematic Reviews and the Database of Abstracts of Reviews of Effectiveness.

Dermatology Life Quality Index: influence of an illustrated version.

Background: An illustrated version of the Dermatology Life Quality Index (DLQI) was developed in order to improve the ease with which this standard questionnaire is answered.

Objectives: To compare the illustrated version with the text-only version of the DLQI.

Methods: The two versions were administered to 206 patients attending Dermatology outpatient clinics.