The lateral foldplasty procedure alone or combined with limited lateral matrix resection is a cheap, simple, and satisfactory technique for the treatment of ingrown toenails with a low risk of relapse. This technique also has good cosmetic results.
Various laser treatment modalities for angiokeratomas have been reported in the literature. A 60-year-old male patient presented for the treatment of multiple angiokeratomas of the scrotum and a 56-year-old female patient presented for the treatment of vulvar angiokeratomas. A 1064 nm long-pulsed Nd:YAG laser was used to treat the patients' lesions. The patients received two laser treatment sessions at an interval of 2 months. Nd:YAG laser treatment yielded successful results in the treatment of our patients' scrotal and vulvar angiokeratomas following two application sessions. We suggest that a long-pulsed Nd:YAG laser is a safe and effective method for the treatment of angiokeratoma of Fordyce.
Alopecia areata is a common skin disorder of presumed autoimmune etiology and it usually shows an unpredictable course. Treatment of alopecia areata is challenging. There is very little information on the use of surgical therapies for the treatment of alopecia areata in the medical published work. A 24-year-old male patient was referred to a private hair transplantation clinic owned by one of the authors for the treatment of therapy-resistant alopecia areata affecting both eyebrows. He had quickly lost all body hair 4 years prior beginning from the scalp. He received psoralen and ultraviolet A (PUVA) therapy for alopecia universalis and all body hair re-grew except his eyebrows. Alopecia areata was stable for the 18 months following the last medical treatment he received. Because there was no response to various medical therapeutic agents, we decided to transplant occipital hairs to the eyebrow area. After the patient understood and accepted all risks, occipital hairs were transplanted to the eyebrows by using the follicular unit extraction technique. Postoperatively, the patient did not receive any topical or systemic therapies for alopecia areata. Although 40% hair re-growth was detected in his eyebrows at 1 year postoperation, this rate was 80% by 2 years postoperation. However, there was resistance to re-growth in the medial eyebrow regions. New eyebrows grew as occipital hairs and required trimming. His satisfaction from the surgical procedure was 90% at the end of the 24th postoperative month. Surgical treatment of diseases like alopecia areata is still controversial. Our case report offers an additional contribution to the published work on the surgical methods used in the treatment of stable alopecia areata.
Turkderm -Turk Arch Dermatol Venereology 2018;52:85-90 Background and Design: Primary excision and hair transplantation are infrequently used to treat stable primary cicatricial alopecia (PCA). Follicular unit extraction (FUE) method has gained popularity in recent years. In this study, we aimed to investigate long-term results and effectiveness of hair transplantation in the treatment of PCA. Materials and Methods: In this study, 9 patients with stable (at least for a year) and histopathologically proven PCA, who were treated with FUE hair transplantation between 2011 and 2014, were evaluated retrospectively. Medical archive data was used to retrieve treatment details and results of the treatment. Patient satisfaction was evaluated by using a five-point Likert scale. Results: Nine patients with a median age of 41 years were included retrospectively in this study. Median disease duration was six years and median stable disease duration was two years. Histopathological diagnoses were lichen planopilaris (4 cases), frontal fibrosing alopecia (2 cases), pseudopelade (2 cases), and folliculitis decalvans (1 case). Test transplantation sessions were performed in three patients who were under 30 years of age or who were clinically suspected to have non-stable PCA. Hair transplantation was not performed in one patient due to disease activation after the test transplantation session. Median 1250 grafts were transplanted in eight patients with using FUE technique. AbstractAmaç: Stabil primer skatrisyel alopesiyi (PSA) tedavi etmek için primer eksizyon ve saç ekimi ender olarak kullanılmaktadır. Son yıllarda foliküler ünite ekstraksiyon (FUE) yöntemi popülarite kazanmıştır. Bu çalışmada PSA'da saç ekimi tedavisinin uzun dönemli etkileri ve etkinliğinin araştırılması amaçlanmıştır. Gereç ve Yöntem: Bu çalışmada, 2011-2014 yılları arasında, histopatolojik olarak ispatlanmış ve stabil (en az bir yıl) PSA'sı olan ve FUE saç ekimi yöntemi ile tedavi edilmiş hastalar retrospektif olarak değerlendirilmiştir. Tedavi detayları ve sonuçlarına tıbbi kayıtların incelenmesi sonucu ulaşılmıştır. Hasta memnuniyeti beş noktalı Likert skalası kullanılarak değerlendirilmiştir. Bulgular: Bu çalışmaya ortalama yaşı 41 olan dokuz hasta retrospektif olarak dahil edildi. Ortalama hastalık süresi altı yıl ve ortalama stabil hastalık süresi iki yıl idi. Histopatolojik tanılar liken pilanopilaris (4 olgu), frontal fibrozan alopesi (2 olgu), psödopelad (2 olgu) ve folikülitis dekalvans (1 olgu) idi. Otuz yaş altında olan veya klinik olarak stabil olmayabileceği düşünülen üç olguda test ekim seansları yapıldı. Test ekim seansında aktivasyonu olan bir olguya saç ekimi yapılmadı. Sekiz hastaya FUE tekniği kullanılarak ortanca 1250 greft ekildi. Hastalar işlem sonrası düzenli olarak ortalama 26 ay boyunca takip edildiler. Saç ekimi yapılan sekiz olgudan sadece bir tanesinde, hem alıcı hem de donör alanda, postoperatif ikinci yılda reaktivasyon görüldü. Ekim yapılan yedi olguda herhangi bir reaktivasyon yoktu ve beş tanesi saç ekimi sonucundan çok mem...
Anetoderma, is characterized by herniated atrophic macules clinically and by decreased to absent dermal elastic fibers histopathologically. Atrophoderma is characterized by depressed, atrophic, pigmented patches clinically and by thickened and homogenized dermal collagen bundles with absence of elastolysis histopathologically. Atrophoderma elastolyticum discretum describes lesions that are reminiscent of atrophoderma clinically but they are compatible with anetoderma histopathologically. A 34-year-old female patient presented with diffuse, hypopigmented, atrophic, shiny macules on the upper limbs and upper trunk. Histopathological examination revealed an atrophic epidermis with disorganized, hyalinized and coarse collagen bundles in the middle and lower dermis. Elastic fiber loss and fragmentation were detected in the upper dermis. The other patient was a 42-year-old female patient. She applied with diffuse, hypopigmented, shiny, atrophic macules on the upper limbs and upper trunk. Histopathological examination revealed findings that were similar to those of the first case but there was near complete loss of elastic fibers throughout the whole thickness of dermis. Our cases did not show depressed or herniated atrophic macules clinically but the macules were at the same level with the surrounding healthy skin. Histopathological findings in these cases showed the histopathological features of both atrophoderma and anetoderma. These two cases are interesting because they may represent a clinicopathological entity which has not been described before.
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