The procedure using sutures made of absorbable poly-L-lactic acid and poly lactide/glycolide is a relatively safe procedure without major complications.

Terbinafine, a widely used antifungal agent, may rarely cause cutaneous side effects with an incidence of 2.7%. Generalized pustular eruptions are quite uncommon but severe adverse cutaneous reactions of terbinafine have been reported. The main pustular eruptions due to terbinafine include acute generalized exanthematous pustulosis and drug induced pustular psoriasis. In this report, two cases of acute generalized exanthematous pustulosis and one case of generalized pustular psoriasis triggered with terbinafine are presented.

PURPOSE Ingrown toenail is one of the most common nail conditions. Although many surgical treatments are described for complicated cases, recurrence of pain and postoperative disability are common. We evaluated the long-term effi cacy of proximolateral matrix partial excision followed by chemical matricectomy with phenol. METHODSWe performed 348 proximolateral partial matricectomies and phenol ablations in 225 patients with stage 2 or 3 ingrown toenail. Patients were examined weekly until full wound healing was achieved and were observed for 24 months to assess the long-term effi cacy of the treatment.RESULTS Short-term results were good. We observed only 1 recurrence during the 24-month follow-up period, at 8 months. The success rate was therefore 99.7%. No severe complications occurred. Cosmetic results were remarkably good.CONCLUSIONS Proximolateral partial matricectomy with phenol ablation is an excellent surgical method for the treatment of ingrown toenails, having low morbidity and a high success rate, even in the long term.

Mean age of the patients was 5.13 years (1-13 years), 66.6% were boys (n=10), and 33.4% were girls (n=5); 53.3% were diagnosed in August (n=8). Dermatologic examinations revealed palmar and plantar vesicular eruptions in all cases, additionally one patient had vesicular eruptions also on hip, legs, and arms. Erosive stomatitis was present in oral mucosa of 60% of patients (n=9). Nail findings were determined after a mean of 4.06 weeks following HFMD. Onychomadesis and Beau's line were present in 66.6% (n=10) and 33.4% of the patients, respectively.Hand-foot-mouth disease is a viral infection of childhood, which may be seen as isolated cases or epidemics, and characterized with palmoplantar vesicular eruption and erosive stomatitis. Being aware that Beau's line and onychomadesis can be seen as late findings of HFMD and should relieve without treatment, will prevent unnecessary diagnostic and invasive interventions.

has been missed by this screen. However, a more likely explanation is that there are other genes involved in DC, particularly in the autosomal-recessive form of the disease, the identities of which remain unknown. A recent study showed that two thirds of the families included such as our patient did not have mutations in DKC1 and TERC genes. 4 Cutaneous findings are the most consistent feature of DC. The degree of pigmentation increases with age and can involve the entire skin surface. Dermal pigmentation was reported in the cases with DC in the literature. 5 We demonstrated hyperkeratinization in the dermis and basal pigmentation in the epidermis, but there was no dermal pigmentation in our case. Lack of dermal pigmentation is not inconsistent with DC, since the physical appearance can be highly variable.Our patient had unilateral renal agenesis. A patient with DC and horseshoe kidney was previously reported. 6 Renal agenesis occurs in 1 of 1000 births; thus, it may be a coincidental finding.In this report, we present an atypical case with DC and unilateral renal agenesis from Turkey. Reporting cases with DC will highlight the mechanisms underlying a broad range of biological processes like ageing and many forms of cancer.