Ichthyosis cribriformis: A new entity?

A 22-year-old woman had an unusual congenital skin disorder in the form of ichthyosis characterized by innumerable keratotic plugs, resulting in a peculiar sievelike appearance. On histopathologic examination the epidermis showed a pronounced orthohyperkeratosis. The keratotic plugs seemed to emerge from the infundibular region of hair follicles. Immunohistochemical characterization revealed a normal keratin and filaggrin expression. Oral treatment with isotretinoin resulted in a reduction of the hyperkeratosis. Because we could not find any previously reported similar case, we propose the new name "ichthyosis cribriformis," which means "sievelike ichthyosis."

Bilateral tinea nigra in a temperate climate.

Tinea nigra is a superficial mycosis associated with a dematiaceous fungus called Phaeoannellomyces werneckii. It is clinically characterized by asymptomatic non-scaly brown and black macules, the most common localization is the palmar region. Only one bilateral case occurring on the plantar skin and four palmar bilateral cases have been reported. We report the case of a 5-year-old boy presenting two hyperpigmented lesions with an irregular contour in both palmar regions, which appeared three months prior to presentation. Topical treatment with ketoconazole was effective.