Pseudoverrucous papules and nodules (PPN) occur in the setting of chronic
irritant contact dermatitis commonly due to urine or feces. PPN most commonly affects
infants but has also been reported in association with urostomies, colostomies, chronic
urinary incontinence, encopresis, chronic fecal incontinence, spinal cord injury, and
potentially spinal dysraphism. Herein, we present the case of a patient with spina bifida in
association with Dubowitz syndrome who presented with perianal PPN. To our
knowledge, there is only one other case reported in the literature of a patient with spina
bifida who presented with PPN.
We present two cases of tinea corporis caused by Trichophyton verrucosum and Trichophyton interdigitale in a teenage girl who works with farm animals. We describe the differences in presentation between zoophilic dermatophytes and anthropophilic dermatophytes. Also, we report some of the typical features of the two rare species, T. verrucosum and T. interdigitale. This case is significant to dermatology as it raises awareness about these uncommon zoophilic dermatophytoses and demonstrates the importance of educating patients about their mode of infection.
Cutaneous metastases from internal malignancies are very rare, and only a few cases from esophageal cancer have been reported. We describe the case of a 61-year-old patient with recently diagnosed esophageal adenocarcinoma who presented with multiple skin nodules. Immunohistochemical analysis of the nodules matched the immunohistochemical profile of the patient’s previous esophageal biopsy specimen confirming the diagnosis of cutaneous metastases. This case highlights the importance of including cutaneous metastases in the differential diagnosis of any suspicious lesion in patients with a history of internal malignancy.
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