Assuntos
Alopecia/psicologia , Alopecia/terapia , Técnicas Cosméticas/economia , Aceitação pelo Paciente de Cuidados de Saúde , Adolescente , Adulto , Idade de Início , Alopecia/economia , Alopecia/etnologia , Estudos Transversais , Feminino , Humanos , Renda , Masculino , Pessoa de Meia-Idade , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Satisfação do Paciente , Estudos Prospectivos , Qualidade de Vida , Fatores Sexuais , Singapura , Adulto JovemRESUMO
CONTEXT: Small common acquired melanocytic nevi (AMNs) are common on Asian facial skin. AIMS: To show that the 755 nm Alexandrite laser stacked at the 100-µs long-pulsed mode (µsAL) is an effective modality for the removal of selected AMNs. SETTINGS AND DESIGN: This was a retrospective case series, followed up with a telephone interview. MATERIALS AND METHODS: A retrospective analysis of all patients treated between January 2010 and April 2012 with the µsAL laser for small AMNs was conducted. Pre- and post-treatment facial photographs and photographs of the individual lesions were analyzed by two independent dermatological surgeons for degree of clearance and complications. A telephone interview was conducted with the patients to assess their satisfaction with the procedure. RESULTS: A total of 18 patients with 53 lesions were included. 7/18 (38.9%) of patients had 'excellent' results. No patients had 'mild' or 'poor' results. At 4 week post-treatment, 49/53 (92.5%) were totally cleared, with 14/53 (26.4%) reporting mild atrophy, and 11/53 (20.8%) reporting mild post-inflammatory hypopigmentation. The majority of lesions had negligible complications. 9/18 (50%) judged the procedure to be 'excellent', and all patients reported that they would recommend this procedure to a friend seeking removal of small facial AMNs. CONCLUSION: The µsAL is an effective modality for the removal of small facial AMNs.
RESUMO
Extra-mammary Paget disease (EMPD) is a rare intra-epithelial carcinoma that is usually found on the apocrine-rich skin of the perineum. We report 2 cases in which EMPD was initially misdiagnosed on the initial punch biopsy as melanoma-in-situ and Bowen disease respectively. Reasons for the misdiagnoses included a rare pigmented axillary variant of EMPD in the first case and atypical bowenoid features on H&E in the second. The cases are described with a critical review of the histopathological findings, along with a review of the current literature. This highlights the necessity of a comprehensive immunohistochemical panel for the assessment of intra-epithelial pagetoid atypical cells.