Case Letter

Case Letter

Methotrexate as a Treatment of Palmoplantar Lichen Planus

Author:

Morgan Covington, MD

Carly Roman, MD

Farah R. Abdulla, MD

Palmoplantar lichen planus (LP) is a rare variant of LP that is resistant to most treatments. Methotrexate may be a cost-effective option in...

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Case Letter

Apremilast and Systemic Retinoid Combination Treatment for Moderate to Severe Palmoplantar Psoriasis

Author:

Tali Czarnowicki, MD, MSc

B. Peter Rosendorff, PhD

Mark G. Lebwohl, MD

Palmoplantar psoriasis is challenging to treat and is unresponsive to many modalities. Combination, rotational, and sequential treatment...

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Case Letter

Atretic Cephalocele With Hypertrichosis

Author:

Jameson T. Loyal, MD

Emily Farrell, MD

Joseph C. Pierson, MD

Atretic cephalocele is a rare diagnosis occurring on the scalp as a nodule with an overlying hair tuft or alopecia with or without a hair collar...

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Case Letter

Rupioid Psoriasis and Psoriatic Arthritis in a Patient With Skin of Color

Author:

Chelsea E. Steele, MD, MPH

Michael Anderson, MD

Jayson Miedema, MD

Donna Culton, MD, PhD

Rupioid psoriasis in skin of color may present a diagnostic challenge for health care providers.

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Case Letter

Granular Parakeratosis

Author:

Maren Gaul, DO

Jonathan Bass, MD

Schield Wikas, DO

Granular parakeratosis is possibly related to a combination of topical products that potentiate irritation, rubbing, and occlusion of sweat.

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Case Letter

Eczema Herpeticum in a Patient With Hailey-Hailey Disease Confounded by Coexistent Psoriasis

Author:

Vidhi V. Shah, MD

Ryan Fischer, MD

Stephen Squires, MD

Viseslav Tonkovic-Capin, MD

Hailey-Hailey disease and psoriasis are thought to occasionally koebnerize (isomorphic response) to areas of trauma.

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Case Letter

Don't Let the Bedbugs Bite: An Unusual Presentation of Bedbug Infestation Resulting in Life-Threatening Anemia

Author:

Stephen Emerson Kessler, MD

Stacy Chan, MD

Gladys Martin, MD

Although rare, anemia due to bedbug infestation should be considered in patients presenting with anemia and a widespread pruritic papular eruption...

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Case Letter

Raynaud Phenomenon of the Nipple Successfully Treated With Nifedipine and Gabapentin

Author:

Humberto Gallego, MD

Joseph S. Aleshaki, DO

Raynaud phenomenon of the nipple may be accompanied by lancinating pain of the breast in addition to nipple pain reminiscent of postherpetic...

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Case Letter

Radiation Recall Dermatitis Triggered by Prednisone

Author:

Jessica Galant-Swafford, MD

Meng Chen, MD

Sandra C. Christiansen, MD

Prednisone may be a trigger for radiation recall dermatitis in patients with sensitization to cross-reactive topical steroids such as tixocortol...

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Case Letter

Mycosis Fungoides Manifesting as a Morbilliform Eruption Mimicking a Viral Exanthem

Author:

Helena A. Jenkinson, MD

Phyu P. Aung, MD, PhD

Auris Huen, MD, PharmD

Mycosis fungoides classically occurs in patch, plaque, and tumor stages, with lesions preferentially occurring on regions of the body spared from...

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Case Letter

Disseminated Erythema Induratum in a Patient With a History of Tuberculosis

Author:

Niraj Butala, MD

Henry Fraimow, MD

Warren R. Heymann, MD

Erythema induratum is an uncommon panniculitis attributed to a delayed-type hypersensitivity reaction, classically to Mycobacterium...

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