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Basaloid follicular hamartoma with eruptive milia and hypohidrosis: is there a pathogenic relationship ?

We report a sporadic case of eruptive milia with histopathological features of basaloid follicular hamartoma which developed in an 8 year-old Japanese girl. Multiple milia and comedo-like eruptions were present at birth and gradually increased in number and spread over the extremities. Histopathologically, keratotic cysts with trichilemmal keratinization and features of basaloid follicular hamartoma were observed without any histological findings of basal cell epithelioma or trichoepithelioma. Reduced sweating was observed after iontophoretically applied acetylcholine on the forearm. Nevus of Ota and thyroid goiter were complications.

Child↗

Summer and skin.

Some skin problems either occur exclusively in summer, or are exacerbated by heat and humidity. The more common of these conditions are discussed briefly in this article.

Female↗

[Illnesses associated with high environmental temperature].

After a brief review of pathologies secondary to high environmental temperatures and of the pathophysiological mechanisms underlying different clinical patterns the authors stress the need for a more precise knowledge of the risk factors involved and detail suitable preventive measures. They also describe the situation which occurred in Rome during the 1983 heat wave during which a steep increase in mortality was observed compared to preceding years.

Adaptation, Physiological↗

An outbreak of periporitis staphylogenes of complex origin.

During the summer 1971 an outbreak of periporitis staphylogenes occurred among newborn in Horsens Hospital. 23 babies (16 boys and 7 girls) were infected with Staphylococcus aureus resistant to penicillin. Some of them also developed pemphigus neonatorum and sweat gland abscesses. Phage typing of staphylococci from the infected babies indicated, that some had acquired bacteria from the hand-eczema of a midwife and others from a doctor carrying Staphylococcus aureus, in his nose.

Denmark↗

Common dermatologic disorders.

This article gives a brief synopsis of the most common dermatologic disorders likely to be encountered by a plastic surgeon. Clinical features and aids to diagnosis are emphasized, along with treatment suggestions and characteristic photographs.

Acne Vulgaris↗

Correlation of histologic and immunologic findings in cats with miliary dermatitis.

Eighteen cats with miliary dermatitis were evaluated, using skin testing and histology. Sixteen cats had allergic skin disease (14 cats had positive skin-test reactions to flea antigen [two of which were also atopic], one was atopic only, and one was allergic to beef). In the two remaining cats, the cause of miliary dermatitis was not identified. Histologically, 17 of the cats had superficial eosinophilic dermatitis and epidermal spongiosis, crusting, and ulceration, which were compatible with an allergic cause. Four of these cats had concurrent eosinophilic plaques, which histologically resembled miliary lesions. This overlap of plaques with miliary lesions indicated that when plaques and miliary dermatitis are found concurrently, both lesions may be caused by the same allergens.

Animals↗

Nonbacterial pus-forming diseases of the skin.

The formation of pus as a result of an inflammatory response to a bacterial infection is well known. Not so well appreciated, however, is the fact that many other nonbacterial agents such as certain fungi, viruses and parasites may provoke pus formation in the skin. Also heat, topical applications, systemically administered drugs and some injected materials can do likewise. Numerous skin diseases of unknown etiology such as pustular acne vulgaris, pustular psoriasis and pustular dermatitis herpetiformis can have bacteriologically sterile pustules. The importance of considering nonbacterial causes of pus-forming conditions of the skin is obvious from a diagnostic and therapeutic point of view.

Acne Vulgaris↗