An Atypical Presentation of Extragenital Lichen Sclerosus et Atrophicus

open6noLichen Sclerosus et Atrophicus is a chronic inflammatory,invalidating disorder mainly involving the anogenital skin. Extragenital lesions are uncommon, occurring asmultiple, oval, porcelain-white macules, or papules. Whenpresent, they are mostly observed on the superior trunk, axillae, buttocks, and extremities, following Blaschko lines.openSabina Vaccari, Alessia Barisani, Francesca Pepe, Carlotta Baraldi, Bianca Maria Piraccini, Valeria GaspariSabina Vaccari, Alessia Barisani, Francesca Pepe, Carlotta Baraldi, Bianca Maria Piraccini, Valeria Gaspar

Frequency of malignant neoplasms in 257 chronic leg ulcers

none7noBACKGROUND: Chronic leg ulcers are one of the most common medical conditions and are a substantial source of morbidity. OBJECTIVES: To investigate the prevalence of skin cancer mimicking leg ulcers. PATIENTS AND METHODS: This observational study included all patients with a clinical diagnosis of chronic leg ulcers (CLU) admitted to the Wound Care Unit, Division of Dermatology, University of Bologna, between March 2008 and February 2011. Patients' general health was assessed, and skin biopsy and vascular Doppler of the lower limbs were performed. RESULTS: Two hundred fifty-seven patients ages 45 to 98 with CLU were included. Skin biopsies were performed in all patients. Pathologic results showed that 10 patients had ulcerative lesions of neoplastic origin. Surgical excision was performed in all patients with neoplasms. After at least 1 year of follow-up, no recurrences were observed. DISCUSSION AND CONCLUSION: Our findings highlight the important role of systematic biopsies in diagnosing ulcerated tumors of the lower legs and indicate a high prevalence of large ulcerated basal cell carcinomas.Background Chronic leg ulcers are one of the most common medical conditions and are a substantial source of morbidity. Objectives To investigate the prevalence of skin cancer mimicking leg ulcers. Patients and Methods This observational study included all patients with a clinical diagnosis of chronic leg ulcers (CLU) admitted to the Wound Care Unit, Division of Dermatology, University of Bologna, between March 2008 and February 2011. Patients' general health was assessed, and skin biopsy and vascular Doppler of the lower limbs were performed. Results Two hundred fifty-seven patients ages 45 to 98 with CLU were included. Skin biopsies were performed in all patients. Pathologic results showed that 10 patients had ulcerative lesions of neoplastic origin. Surgical excision was performed in all patients with neoplasms. After at least 1 year of follow-up, no recurrences were observed. Discussion and Conclusion Our findings highlight the important role of systematic biopsies in diagnosing ulcerated tumors of the lower legs and indicate a high prevalence of large ulcerated basal cell carcinomas. © 2013 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.openMisciali C;Dika E;Fanti PA;Vaccari S;Baraldi C;Sgubbi P;Patrizi AMisciali C;Dika E;Fanti PA;Vaccari S;Baraldi C;Sgubbi P;Patrizi

In Situ Melanoma of the Nipple and Areola: A Dermoscopic Report in Two New Cases

none4nono abstract requirednoneGiulio Tosti, Camilla Salvini, Alessia Barisani, Sabina VaccariGiulio Tosti, Camilla Salvini, Alessia Barisani, Sabina Vaccar

Homogeneous blue lumps of the nipple-areola complex in pubertal girls

Retroareolar cysts are benign breast lesions caused by the obstruction and consequent dilatation of Montgomery tubercles. Herein, we report two cases of premenarchal girls who developed retroareolar cysts. Their course and differential diagnosis are discussed

Solitary erythematous, tender plaque of the heel in a young infant

Calcinosis cutis is a rare disorder resulting from the precipitation and deposition of insoluble calcium and phosphate salts (hydroxyapatite crystals) in the dermis and subcutaneous tissue. It is generally divided into four main groups on the basis of etiology and pathogenesis. Clinical presentation of cutaneous calcinosis cutis varies according to the diagnosis and the underlying process. We report a case of calcinosis cutis of the heel in which both the extravasation of a calcium gluconate infusion and renal failure could have promoted the development of calcinosis cuti

Solitary erythematous, tender plaque of the heel in a young infant

Calcinosis cutis is a rare disorder resulting from the precipitation and deposition of insoluble calcium and phosphate salts (hydroxyapatite crystals) in the dermis and subcutaneous tissue. It is generally divided into four main groups on the basis of etiology and pathogenesis. Clinical presentation of cutaneous calcinosis cutis varies according to the diagnosis and the underlying process. We report a case of calcinosis cutis of the heel in which both the extravasation of a calcium gluconate infusion and renal failure could have promoted the development of calcinosis cuti