Sir, Eccrine spiradenoma (ES) is a rare and benign adnexal tumor originating from the eccrine glands. It is usually located in the truncal region and is most common in young adults twenty to forty years old. Herein, we report a clinical, dermoscopic, and histological description of the case of an elderly male with an atypical tumor localization. A 74-year-old male presented with a painless, nodular mass on the anterior aspect of the left forearm, growing progressively over the previous year. He had no medical history. A dermatological examination revealed a solid, skin-colored nodule with a central ulceration and a peripheral collar, measuring approx. 1 to 1.5 cm in diameter, not bleeding on contact (Fig. 1a). There were no similar nodules or palpable lymph nodes. Dermoscopy was performed with DermLite 4. It demonstrated a vascular pattern of branched vessels and a central ulceration with a reddish background and scattered blue clods. It also showed a yellowish-brown, serohematic crust surrounding the ulceration and the reddish background (Figs. 1b and 1c). Upon histopathologic examination, the excised nodule revealed a tumoral proliferation, which was well demarcated from the surrounding tissue. It consisted of sharply defined lobules and cords intertwined into a puzzle-like structure (Fig. 2a). Two cell populations were identified: small basaloid cells and larger cuboidal ones. The cells displayed high mitotic activity yet no abnormal mitotic figures and no necrotic background. The section also showed numerous amorphous eosinophilic deposits within the cell cords and a richly vascularized stroma (Fig. 2b). The excision was complete and there were no recurrences on subsequent checks.
Homemade slime is a popular children's toy, created by mixing several household products. 1 Several cases of contact dermatitis from homemade slime were reported recently. 2 We describe a case of "handborne" contact dermatitis of the face due to homemade slime, which was possibly photoaggravated. CASE REPORTA 13-year-old girl presented with pruriginous lesions on the face which appeared 2 days before consultation. Dermatological examination revealed papules and vesicles involving the cheeks ( Figure 1A) and very mild hand dermatitis ( Figure 1B). The patient reported a similar episode 3 years ago after using cleansing wipes.Patch testing had already been performed, with a positive reaction to methylchloroisothiazolinone/methylisothiazolinone (MI) and MI alone.Since this initial episode, she strictly avoided these allergens. Her parents reported that 2 days before the current lesions appeared, she played for the first time with a slime made by herself and then went into the sun. For preparing slime, she had used laundry detergent F I G U R E 1 (A) Papules and vesicles on the cheek; (B) discrete hand dermatitis; (C) laundry detergent ingredients (Nadhif) SAAD ET AL. 329 (Nadhif), a glue, and food coloring. The girl denied direct application of the slime on her face. Upon review of her slime ingredients, the laundry detergent contained MI ( Figure 1C).Therefore, we diagnosed "hand-borne" slime allergic contact dermatitis. After avoiding contact with slime and treatment with topical steroids (Desonide), hand and face dermatitis disappeared. DISCUSSIONWe report a case of "hand-borne" slime contact dermatitis of the face. Several cases of slime contact dermatitis of the hands have been reported recently. 2 Our observation is interesting insofar as our patient had only mild lesions on her hands and the face was mostly affected. The ingredients of slime are household items such as laundry detergent, shampoos, shaving cream, food coloring. and glue. 3 In our case, MI was found in laundry detergent; the exact composition of glue could not be retrieved. Recently, it has been demonstrated that MI can cause photoaggravated allergic contact dermatitis. 4 This could explain the predominance of lesions on the face of our patient, although we have not performed a photopatch test to support the diagnosis of a possibly photoaggravated contact dermatitis. CONFLICT OF INTERESTNone to declare. ORCID Ines Lahouelhttps://orcid.org/0000-0001-9625-7692
Androgenetic alopecia (AGA) is the most common type of progressive hair loss in men and women. To varying severity, hair loss affects the frontal, temporal, and the vertex regions. The occipital region is a non-androgen-dependent area; it is generally spared.The prevalence of AGA in men is estimated at 30% at 30 years, up to 50% at 50 years, and 80% at 70 years. 1 AGA is a pathology involving the aesthetic prognosis, which has a negative impact on the quality of life. Patients are motivated to have effective treatment to restore hair loss, and hair transplantation is among best treatments. 2 The principle of hair micro-grafts during AGA
T‐cell lymphoblastic lymphoma (T‐LBL) is frequently revealed by amediastinal mass or peripheral lymphadenopathy. Skin lesions in T‐LBLusually present as multiple nodules associated with multiple peripherallymphadenopathy and bone marrow invasion. Our patient is particular bythe revealing presentation of the lesions as Cutis verticis gyrate.
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