Subacute cutaneous lupus erythematosus presenting with generalized poikiloderma.

A 64-year-old woman experienced progressive generalized poikiloderma after an episode of sunburn 4 years earlier. The diagnosis of subacute cutaneous lupus erythematosus (SCLE) was confirmed by the presence of anti-Ro/SS-A and antinuclear antibodies, the histology, and the direct immunofluorescent findings (ie, positive lupus band test and "dust-like" epidermal IgG staining pattern). Poikiloderma has not been previously reported in the spectrum of SCLE. As a major pathomechanism of SCLE, photosensitivity might explain this uncommon clinical manifestation of the disease.

Cutaneous aspects of Down syndrome.

Down syndrome is associated with an increased incidence of cutaneous manifestations such as atopic dermatitis, alopecia areata, elastosis perforans serpiginosa, syringomas, and skin infections. We describe 3 patients with Down syndrome: an 8-year-old boy with alopecia areata, a 17-year-old boy with crusted scabies, and a 39-year-old woman with a cutaneous collagen vascular disease-like disorder. We also review cutaneous signs of this syndrome.

Candida granuloma and sarcoidosis.

Chronic mucocutaneous candidosis has been described in patients with impaired cell-mediated immunity. We describe a female patient with sarcoidosis who developed a Candida granuloma on her upper lip. Moderate impairment of the cell-mediated immunity was detected. Three months' treatment with ketoconazole was successful, but the lesion recurred at the same place after treatment was stopped.

[Dyskeratosis congenita (Zinsser-Engman-Cole syndrome)]. / Dyskeratosis congenita (Zinsser-Engman-Cole).

We report on a 23-year-old white Cuban suffering from congenital dyskeratosis. In addition to the obligatory triad of poikilodermia, onychodystrophy, and leukoplakia, the patient showed congenital stenosis of the esophagus and extreme seborrhea of the scalp.

Ultraviolet light-induced confluent and reticulated papillomatosis.

A 16-year-old girl initially had an eruption consisting of dark gray, flat, pin-sized, confluent papules with a slight hyperkeratotic surface. The lesions appeared after her summer holidays and were restricted to the tanned skin of sun-exposed areas, mainly the abdomen and back. Clinical and histologic findings were consistent with confluent and reticulated papillomatosis. If a basic disorder of keratinization is the cause of confluent and reticulated papillomatosis, it seems likely that the development of the disease in our patient may be due to an abnormal epidermal response to ultraviolet light.

[Sneddon's syndrome. 2 case reports]. / El síndrome de Sneddon. Reporte de dos casos.

Two patients with idiopathic generalized livedo reticularis and associated cerebrovascular disease are reported. In one of the cases (case no. 1) skin vascular lesions were present in two members of the family, thus suggesting the existence of a possible predisposition to systemic vascular affection. The need of prevention of the neurological symptoms in patients with generalized livedo reticularis, through the exclusion of the nocive agents which can cause vascular damage is emphasized.

[Carcinoma cuniculatum]. / Kartsinoma kunikulatum.

A 62-year-old male subject has developed carcinoma cuniculatum on the sole. The authors consider that the physician should bear in mind the possibility of a diagnostic error when selecting the therapeutic method. They suppose that carcinoma cuniculatum should be referred to verruciform carcinomas.

[Pachydermoperiostosis (Touraine-Solente-Golé syndrome)]. / Pachydermoperiostose (Touraine-Solente-Golé-Syndrom).

We report on a 38-year-old male patient suffering from pachydermoperiostosis (Touraine-Solente-Golé Syndrome), who underwent a cosmetic operation without success.

[Familial chronic discoid lupus erythematosus]. / Lupus erythematodes chronicus discoides familiaris (LECD).

We report on two patients (father and son) suffering from familial Lupus erythematosus chronicus discoides which could be proved clinically, histologically, and immunologically. Investigations on HLA revealed A-11, A-24, and B-35 for the father and A-24, B-13, and C-4 for the son.

[Lupus erythematosus discoides or lichen planus (author's transl)]. / Lupus Erythematodes Discoides oder Lichen Planus.

A patient with well-defined erythematous lesions with some atrophy on the scalp and face and lichen planus papules on the limbs and sacral region is reported. The histopathological features and the deposits of immunoglobulins in the cutaneous lesions confirm the presence of both diseases. The difficulties of the differential diagnosis are due to the interaction between lupus erythematosus chronicus discoides and lichen planus probably occurring in the same patient.

[Nodular scleroderma]. / Sclerodermia Nodularis.

An information is given about a 40 years old patient with a clinical picture of sclerodermia nodularis. A clinical and a histological diagnosis between sclerodermia nodularis and keloid is made.