Category: November 2017 Case Reports

A case of Lentigo Maligna in an elderly Filipino man

Lentigo maligna (LM) is a form of melanoma in situ (MIS) occurring as a melanocytic lesion mostly on the head and neck of the elderly. It mainly affects Caucasians and is associated with light skin color. The occurrence of LM in Asians is rare. This report highlights the occurrence of lentigo maligna in an elderly Filipino male with Fitzpatrick skin phototype IV.

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Eosinophilic pustular folliculitis in a 31-year-old Filipino male treated with narrowband ultraviolet B radiation: A case report

Eosinophilic Pustular Folliculitis (EPF) is a chronic cutaneous manifestation of Human Immunodeficiency Virus (HIV), which manifests as folliculo-papular lesions commonly appearing on the chest, arms, head, and neck. The associated pruritus is so intense that it has been described to be akin to scabies. Various treatment options include Antiretroviral Therapy (ART), oral antihistamines, topical corticosteroids, prednisone, isotretinoin, itraconazole, metronidazole, narrowband ultraviolet B (NBUVB), and ultraviolet A with and without psoralen in order to address the pruritus.

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Scleromyxedema in a 47-year-old female treated with colchicine and topical steroids

Scleromyxedema is a rare skin disorder characterized by fibroblast proliferation and mucin deposition in the dermis, in the absence of thyroid disease. The precise mechanisms whereby increased fibroblast activity results in mucin deposition remain to be defined, but the etiology of the disorder still remains to be unknown.

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Paradoxical immune reconstitution inflammatory syndrome (IRIS) of Kaposi sarcoma in an HIV-infected African man

Immune reconstitution inflammatory syndrome (IRIS) is worsening of the clinical status of an HIV patient upon recovery of the immune system leading to reactivation of clinical manifestations associated with infectious or noninfectious agents.1 Kaposi sarcoma (KS) has been estimated to lead to IRIS in 6.4-31% of cases after initiation of highly active antiretroviral therapy (HAART).1-3 Based on the Philippine Dermatological Society Health Information System for 2011-2016, there have been 40 recorded cases of Kaposi Sarcoma with a male to female ratio of 19:1.4

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Lichen planus pigmentosus in two Filipino males

Lichen planus pigmentosus (LPP) is a rare variant of lichen planus that presents with pruritic, slate gray to black macules and patches on both sun and non-sun exposed areas. Lesions may be clinically similar to ashy dermatosis. The etiology of LPP is not fully elucidated and the condition may spontaneously regress or remain active for years. Several literatures have mentioned improvement with topical calcineurin inhibitors however, no standard treatment exist.

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