Wound myiasis by housefly in a patient with pemphigus vulgaris in Riyadh, Saudi Arabia.

Myiasis is the infestation of live vertebrates by dipterous larvae. Cutaneous myiasis is the most common form, although many organs can be infected by these larvae. Cutaneous myiasis is divided into 3 forms: localized furuncular, migratory, and wound myiasis, which have a worldwide distribution, but tropical and subtropical countries have a heavier burden of the disease.

Graham-Little Piccardi Lassueur syndrome and review of the literature.

Graham-Little Piccardi Lassueur Syndrome (GLPLS) is a rare variant of lichen planopilaris (LPP) which characterized by triad of fibrosing alopecia of the scalp, non-fibrosing alopecia of the axilla and groin, and a follicular spinous papule over the body. LPP is a rare follicular subtype of lichen planus which causes scarring alopecia of scalp, and there are three clinical subtypes of LPP including classic lichen planopilaris, frontal fibrosing alopecia, and GLPLS. Herein, we describe an adult dark-skinned Saudi male with GLPLS who has numerous body follicular papules, complete loss of axillary hair, and partial loss of groin hair in addition to patchy fibrosing alopecia of the scalp.

Scalp roof tiles.: A new diagnostic sign in neonates with Netherton Syndrome.

A 2-month-old baby boy, of full-term spontaneous vaginal delivery, presented to the dermatology outpatient clinic with generalized erythroderma, which had been noted since birth. Family history was positive for similar disease in his eldest sister, who died at 6 months of age without a diagnosis. On examination, the patient looked ill with generalized erythroderma, yet there were no signs of ectropion, eclabium, or deformed ears.

International inter-rater agreement in scoring acne severity utilizing cloud-based image sharing of mobile phone photographs.

Background: Cloud-based image sharing technology allows facilitated sharing of images. Cloud-based image sharing technology has not been well-studied for acne assessments or treatment preferences, among international evaluators. We evaluated inter-rater variability of acne grading and treatment recommendations among an international group of dermatologists that assessed photographs.

A Q-Tip Tip: Use of a Cotton-Tipped Applicator to Desensitize Children to Intralesional Candida Antigen.

We suggest the following technique that uses readily available, inexpensive, nonthreatening cotton-tipped applicators to model Candida antigen injection.

Cutaneous wound closure materials: an overview and update.

Introduction: On a daily basis, dermasurgeons are faced with different kinds of wounds that have to be closed. With a plethora of skin closure materials currently available, choosing a solution that combines excellent and rapid cosmetic results with practicality and cost-effectiveness can be difficult, if not tricky.

Objectives: We aimed to review the available skin closure materials over the past 20 years and the scientific claims behind their effectiveness in repairing various kinds of wounds.

Profile of mycosis fungoides in 43 Saudi patients.

Background And Objectives: Mycosis fungoides (MF) is a rare disease; and to our knowledge, there are no reports on its profile in Arabs. The objective of this study was to preliminarily analyze the clinical characteristics of MF patients seen in our institution.

Design And Setting: Retrospective review of 140 patients with pathologic or clinical diagnosis or differential diagnosis of MF for the period 2000-2006.

A myxoid neurothekeoma of the nose.

Neurothekeoma is a rare neoplasm assigned to the broad category of benign peripheral nerve sheath tumors. Its cell of origin is still unknown, but most ultrastructural and immunohistochemical studies have favoured the Schwann cell perineurium or fibroblast. Neurothekeoma most commonly presents in females, especially in the second and third decades of life.

Quality of life in saudi vitiligo patients.

Background: Vitiligo has a devastating psychosocial effect. The cultural traditions of Saudi society are quite different compared with the western world. Hence, a quality of life study using a different questionnaire suitable to the cultural traditions of the society is necessary to measure qualify of life in vitiligo patients.

A wolf in sheep's disguise: rhabdomyosarcoma misdiagnosed as infantile hemangioma.

Background: Rhabdomyosarcomas are a heterogeneous group of malignant tumors representing the most common soft tissue sarcoma of childhood. A delay in diagnosis is not uncommon.

Objective: To report a boy with paranasal rhabdomyosarcoma who was misdiagnosed and treated for infantile hemangioma.

Cutaneous presentation of kwashiorkor due to infantile Crohn's disease.

Kwashiorkor is one of the severe forms of protein-energy malnutrition. Many characteristic dermatoses can be seen in children suffering from kwashiorkor, and some are pathognomonic. Here, we report an infant who presented with diarrhea and skin signs of kwashiorkor, and duodenal biopsy was consistent with Crohn's disease.

Infantile systemic hyalinosis presenting as intractable infantile diarrhea.

Infantile systemic hyalinosis is an autosomal recessive disease characterized by severe progressive flexion contractures, multiple recurring subcutaneous tumours, and gingival hypertrophy. It is caused by mutations in the gene encoding capillary morphogenesis protein-2 (CMG2). Here we report a Saudi infant with infantile systemic hyalinosis who presented with intractable diarrhea, and we review the literature emphasizing recent developments in the molecular genetics of this disease.

Ulcerative lichen planus of the sole: excellent response to topical tacrolimus.

Ulcerative lichen planus of the sole is a rare variant of lichen planus, characterized by chronic painful disabling ulceration of the soles. Despite many treatment modalities used to treat ulcerative lichen planus, it is still considered a resistant disease. We report a Saudi female patient with ulcerative lichen planus of the soles resistant to many systemic and topical agents.