Giant inflammatory linear verrucous epidermal nevus: Successfully treated with full thickness excision and skin grafting

Inflammatory linear verrucous epidermal nevus (ILVEN) is a pruritic, erythematous scaly epidermal nevus which follows a Blaschko′s lines. Lichen striatus, linear Darier disease, linear porokeratosis, linear lichen planus, linear psoriasis, and the verrucous stage of incontinentia pigmenti may all have similar clinical presentations as the linear verrucous epidermal nevus. ILVEN can be distinguished from true nevoid psoriasis by pruritus and lack of response to antipsoriatic treatments. Various therapeutic modalities have been described, but no one therapy has been successful consistently. Though giant ILVEN is a relative contraindication to surgical excision, here we report a case showing effectiveness of full thickness excision and skin grafting for this condition

Management of dermatoses with topical clobetasol propionate 0.025%

The development of topical corticosteroids (TC) has enabled effective treatment of many dermatoses. The main therapeutic activity of topical corticosteroids is their nonspecific anti-inflammatory effect that primarily seems to be a result of their action on the chemical mediators of inflammation. Topical corticosteroids have also been shown to be antimitotic. Corticosteroids also play a vital role in cellular signaling, immune function and protein regulation. Clobetasol propionate (CP) 0.025% is a prescription corticosteroid medicine, used to treat moderate to severe plaque psoriasis in patients 18 years of age and older. It is a class I specialized cream formulation, that is free of propylene glycol, short-chain alcohols (e.g. ethanol), and sorbitan sesquioleate, a sorbitol-based emulsifier which is a common contact allergen used in many topical corticosteroid formulations. This case series discusses about management of different dermatoses using ImpoyzTM (clobetasol propionate) cream 0.025%