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Facial, pedal, and other regional dermatoses.

This article discusses disorders of the head and face, including feline acne, solar dermatoses, pruritus of the head and neck, and nodular or ulcerative dermatoses of the head. Disorders of the pinna, otitis externa, and nasal diseases are highlighted. In addition, a discussion of pododermatitis and diseases of the claws and ungual fold is presented. Miscellaneous regional dermatoses include midline ulcerative dermatitis, stud tail, and vaccine-induced lesions.

Animals↗

Outcome of facial rashes with non-specific histological features: a long-term follow-up of 64 cases.

Facial inflammatory dermatoses can be difficult to diagnose in their early stages; skin biopsy may help but often shows indeterminate features. The aims of our study were to identify patients presenting with a facial dermatosis requiring skin biopsy, in whom the initial histological features were classified as "non-specific", to determine the eventual diagnostic outcome, and to attempt to identify subtle early histologic features. We located 79 such cases with indeterminate histology from 45,000 dermatopathology reports 1972-1987. The original biopsies were assessed and scored using a check-list of 20 features and the patients' case-records up to 1992 were examined. Follow-up information was available in 64 cases and an eventual clinical diagnosis was made in 54 (84%) of these; the commonest diagnoses were rosacea (26%), chronic discoid lupus erythematosus (24%) and seborrheic or unclassified dermatitis (17%). Histological differences were seen in the original biopsies of these three diagnostic categories, although none was predictive. We conclude that clinical follow-up leads to the diagnosis of most facial rashes initially showing "non-specific" histology.

Adult↗