ABSTRACT
Eczema herpeticum has been well described in the setting of atopic dermatitis (AD) and other dermatoses. We present the case of a 2-month-old infant boy with cutaneous herpes simplex virus (HSV) infection within existing diffuse infantile seborrheic dermatitis. Providers should be aware that cutaneous HSV can be confined to a seborrheic distribution and may represent underlying epidermal dysfunction secondary to seborrheic dermatitis.
Subject(s)
Dermatitis, Atopic/diagnosis , Dermatitis, Seborrheic/diagnosis , Kaposi Varicelliform Eruption/diagnosis , Scalp Dermatoses/diagnosis , Acyclovir/administration & dosage , Acyclovir/therapeutic use , Antiviral Agents/administration & dosage , Antiviral Agents/therapeutic use , Dermatitis, Atopic/complications , Dermatitis, Atopic/drug therapy , Dermatitis, Seborrheic/complications , Dermatitis, Seborrheic/drug therapy , Diagnosis, Differential , Humans , Infant , Infusions, Intravenous , Kaposi Varicelliform Eruption/complications , Kaposi Varicelliform Eruption/drug therapy , Male , Scalp Dermatoses/complications , Scalp Dermatoses/drug therapy , Simplexvirus/isolation & purificationABSTRACT
BACKGROUND: Skin cancers of the periorbital area present unique challenges to Mohs surgeons. OBJECTIVE: The need for precise and high-quality Mohs micrographic surgery (MMS) is paramount because of the complex anatomy, vital structures, and potential threat to vision. METHODS: A thorough comprehension of anatomy is essential to help predict tumor behavior and ensure successful outcomes for patients. RESULTS: Tumors occurring at the medial and lateral canthi are of greatest concern for deeper orbital penetration. CONCLUSION: In this study, we present our experience with MMS of periorbital tumors, including clinical pearls and techniques to aid the Mohs surgeon.
Subject(s)
Eye Neoplasms/surgery , Eyelid Neoplasms/surgery , Mohs Surgery/methods , Skin Neoplasms/surgery , Aged , Aged, 80 and over , Carcinoma, Basal Cell/surgery , Carcinoma, Squamous Cell/surgery , Conjunctival Neoplasms/surgery , Eyelids/anatomy & histology , Female , Humans , Lacrimal Apparatus/anatomy & histology , Male , Mohs Surgery/adverse effects , Neoplasm Recurrence, Local/surgery , Postoperative Complications/prevention & controlABSTRACT
Tumor thickness has been a key tool for prognosis of melanoma. However, with the advent of gene expression profile (GEP) assays for melanoma and the discovery of multiple melanoma subtypes, it is time to reassess how we view tumor thickness as a prognostic indicator.Herein we present ten questions for consideration by the shrewd practitioner when considering prognostic factors of melanoma. J Drugs Dermatol. 2019;18(2):148-151.