RESUMEN
Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease affecting the apocrine glands that is painful and often debilitating. Clinical manifestations include painful subcutaneous nodules that may lead to purulent secretions, abscesses, and fistula formation. The disease can be disfiguring and can worsen with friction and smoking. Treatment of HS in military servicemembers (SMs) often requires physical duty restrictions, which can result in removal from active service. We report the case of an active-duty marine with a flare of groin HS.
Asunto(s)
Enfermedades de los Genitales Masculinos/diagnóstico , Enfermedades de los Genitales Masculinos/terapia , Ingle , Hidradenitis Supurativa/diagnóstico , Hidradenitis Supurativa/terapia , Personal Militar , Humanos , Masculino , Resultado del TratamientoRESUMEN
Tattoos are ubiquitous in modern society; however, they do not come without risk of medical complications. When complications arise in the military community, a particularly thorough differential diagnosis should be considered based on the increased exposures service members have during deployment and throughout their military career. We present a case of a 38-year-old active duty US Marine Corps woman with worsening skin lesions arising within a tattoo 6 weeks after acquiring the tattoo on her right chest. Given environmental exposures from a recent deployment to the Middle East, a wide differential was considered. Ultimately, a skin biopsy revealed early hypertrophic scar formation responsive to therapy with intralesional triamcinolone acetonide (Kenalog® [ILK]). However, given the Marine had recently deployed and is part of the active duty population, consideration of alternative, albeit rare, etiologies was imperative.
Asunto(s)
Cicatriz Hipertrófica/etiología , Personal Militar , Tatuaje/efectos adversos , Adulto , Cicatriz Hipertrófica/diagnóstico , Cicatriz Hipertrófica/tratamiento farmacológico , Femenino , Glucocorticoides/uso terapéutico , Humanos , Inyecciones Intralesiones , Triamcinolona Acetonida/uso terapéuticoAsunto(s)
Antibacterianos/efectos adversos , Erupciones por Medicamentos/diagnóstico , Técnica del Anticuerpo Fluorescente Directa , Dermatosis Bullosa IgA Lineal/inducido químicamente , Dermatosis Bullosa IgA Lineal/diagnóstico , Vancomicina/efectos adversos , Anciano , Reacciones Falso Negativas , Femenino , HumanosRESUMEN
Carbon dioxide (CO2) laser treatment is a common therapeutic modality for many dermatologic conditions. It uses a high energy, infrared beam of light, which selectively targets water-containing tissue resulting in controlled ablative resurfacing. This modality, however, can manifest significant cosmetic side effects. Here we report a case of verruca plana manifesting as a response to CO2 laser treatment. A 74-year-old female with recent Mohs surgery for a basal cell carcinoma, presented for full-face-fractionated CO2 treatment to address her surgical scars in addition to treating her mild diffuse actinic damage. Six weeks post treatment, the patient developed erythematous thin plaques over the areas that had been treated. Histology was consistent with verruca plana. Lesions showed mild improvement with topical tretinoin. Verruca plana are benign and typically self-limited; however, they can present a significant cosmetic burden to patients and are an important complication to consider when performing elective cosmetic procedures.