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A 59-year-old man presented with a five-month history of widespread, salmon-colored, scaly plaques. Skin examination revealed salmon-colored plaques with "islands of sparing" on the trunk and waxy keratoderma on the palms and soles. Histopathology of the lesion showed alternating orthokeratosis and parakeratosis in vertical and horizontal directions, consistent with a diagnosis of pityriasis rubra pilaris (PRP).

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Article Synopsis
  • Subcorneal pustular dermatosis (SPD) and annular pustular psoriasis (APP) are rare skin conditions in children that are challenging to tell apart.
  • A 10-year-old boy had a long history of red, scaly, ring-shaped patches with pustules, initially diagnosed as SPD, but his treatment and biopsy results pointed to APP.
  • After starting treatment with adalimumab, the boy completely recovered, highlighting the similarities between SPD and APP and suggesting they might be variations of the same disease.
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Article Synopsis
  • A 73-year-old male with metastatic renal cell carcinoma developed both bullous pemphigoid (BP) and Grover disease (GD) while being treated with nivolumab, a type of immune checkpoint inhibitor (ICI).
  • His skin condition included scaly papules and widespread lesions, with biopsies confirming both GD and BP through specific histopathological and immunofluorescence findings.
  • The relationship between these ICI-induced conditions is complex, with T-cell activation potentially linking them, and the patient was effectively treated with dupilumab.
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Hemorrhagic Bullous Lichen Sclerosus: A Case Report.

Am J Case Rep

October 2020

Department of Pharmacology and Toxicology, Boonshoft School of Medicine, Wright State University, Dayton, OH, USA.

BACKGROUND Lichen sclerosus (LS) is a chronic autoimmune dermatosis characterized by white, sclerotic, atrophic plaques. Classic LS commonly occurs in the anogenital region, while extragenital lichen sclerosis typically occurs on the trunk and proximal extremities. Bullous lichen sclerosus is a rare variant that can occur in both genital and extragenital LS.

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[Mycosis fungoides bullosa: A rare clinical presentation].

Ann Dermatol Venereol

November 2020

CIC 1413, CRCINA, service de dermatologie, CHU de Nantes, université de Nantes, Nantes, France.

Introduction: Mycosis fungoides (MF) is the most common form of cutaneous lymphoma and usually manifests as erythematous and scaly patches or plaques. Its phenotypic or histologic presentation can be heterogeneous. Herein we report a very rare form of MF bullosa.

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