Background: Nevus lipomatosis cutaneous superficialis (NLCS) is a rare hamartoma of mature adipose tissue characterized by solitary or multiple, soft, skin-colored or yellowish lobules that may coalesce to give rise to plaques with a cerebriform surface. There are two clinical types: (1) multiple lesions that are usually presented in a segmental distribution and (2) a solitary papule or nodule. Aim and Objective: To study the clinical and histopathological features of 5 Saudi patients with NLCS. Method: A retrospective analysis of clinical data and histopathological findings of 5 cases of NLCS in King Khalid University Hospital between January 2011 and November 2016. Demographic and clinical data were obtained from the clinical case files. Slides and tissue blocks were retrieved. H&E- and EVG-stained slides were studied in all cases. Results: We identified 5 patients with NLCS, of whom 4 were female. The average age at diagnosis was 36 years. The mean duration of the lesion was 4.4 years. The most common location was the lower part of the body. Most of the cases were diagnosed as skin papilloma before skin biopsy. Surgical excision was effective and no recurrence was observed. Conclusion: This is the first study about this rare type of skin tumor in Saudi Arabia and highlights the need for awareness of this clinical condition among dermatologists.
BackgroundAutoimmune subepidermal bullous dermatoses have similar clinical features to those of a spectrum of immune reactants at the dermoepidermal junction (DEJ). It is difficult to obtain a precise diagnosis without an immunofluorescence assay because of their similar clinical presentations. The aim of this study was to describe the cellular cutaneous infiltration among autoimmune subepidermal bullous dermatoses.Materials and methodsThis retrospective analysis was conducted at a hospital in Riyadh, Saudi Arabia using biopsy-based data collected from 65 patients.ResultsSpongiotic changes, neutrophils, and lymphocyte infiltrations in the epidermis differed among the subepidermal bullous diseases. The DEJ showed a difference in the extent of neutrophil infiltration. The dermis showed differences in perivascular lymphocytic infiltration, neutrophilic infiltration, eosinophilic infiltration, and dermal edema.ConclusionThe dermal and DEJ showed most of the histopathologic changes in subepidermal autoimmune bullous dermatoses.
<p class="abstract">Glomus tumors are rare, benign and vascular neoplasm of the glomus body, account for less than 2% of all soft tissue tumors<strong>. </strong>The most common site is the subungual region of the fingers and toes. Extra digital sites including the forearm are uncommon and usually misdiagnosed as other conditions. Usually the glomus tumors present with the classical triad of severe pain, pinpoint tenderness and clod hypersensitivity. This is a case report study design with detailed history, examination of 54-years-old male patient with a painful nodular lesion in the left forearm, which is misdiagnosed as foreign body granuloma. Elliptical excision relieved the symptoms and histopathologic examination confirmed the diagnosis of glomus tumor.</p>
Basal cell carcinoma (BCC) is the most common human malignant neoplasm. It has a slowly progressive nature and a locally invasive behavior. Both genetic predisposition and exposure to environmental risks are involved in its pathogenesis. An ever-increasing annual incidence is observed. Multiple BCCs may be seen in some syndromes such as nevoid basal cell carcinoma syndrome (NBCCS), also known as Gorlin–Goltz syndrome. The occurrence of multiple, concurrent, non-syndromic BCCs is rare. Herein, we present a concise report of an observation of multiple, non-syndromic BCCs involving a hypopigmented patch on the forehead in an adult Afghani patient.
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