Isolated annular atrophic lichen planus of the mammary areola

How well prepared are dermatologists redeployed to COVID‐19 wards?

“…The massive patient influx has led to shortages not only in vital medical supplies but also in medical personnel, resulting in health authorities taking emergency initiatives so as to face the consequences of this public health crisis. 1 Among these initiatives is the recruitment of doctors of specialties other than internal medicine or anesthesiology and, in some cases, even of medical students. [1][2] Such actions, although necessary and evident in critical times, can be a cause of concern for numerous physicians who are suddenly redeployed to COVID-19 wards yet lack even the basic intensive care training.…”

“…1 Among these initiatives is the recruitment of doctors of specialties other than internal medicine or anesthesiology and, in some cases, even of medical students. [1][2] Such actions, although necessary and evident in critical times, can be a cause of concern for numerous physicians who are suddenly redeployed to COVID-19 wards yet lack even the basic intensive care training. 2 As far as the structure of the dermatologic medical specialist training is concerned, there are certainly differences among the different countries and even among residency programs in the same country: some residency programs include a general medicine common trunk of variable duration, while others are constituted solely of a full-time dermatology training.…”

“…Kerasia-Maria Plachouri*, Letter to the editor: de novo Koebner phenomenon Dear Editor, It was with great interest that we read the case report "Isolated annular atrophic lichen planus of the mammary areola" by Ozbagcivan et al 1 in the June 2019 edition of this journal.…”

“…The patient has a history of breastfeeding her child, and the authors have proposed that the lesion may be resultant of unknown trauma during breastfeeding resulting in Koebner phenomenon. 1 The Koebner phenomenon is defined as the development of isomorphic pathologic lesions in the traumatized uninvolved skin of patients who have cutaneous diseases, and these new lesions are clinically and histologically identical to those in the diseased skin.…”

“…3 We propose that such cases may be termed 'de novo Koebner phenomenon'. The case by Ozbagcivan et al 1 may be an example of such de novo Koebner phenomenon, but further follow-up of the patient may be needed to look for development of more lesions over sites of trauma, or if this was an isolated occurrence in her. Also, although the 'all or none phenomenon' was once accepted for Koebner phenomenon, it has been demonstrated that all trauma need not necessarily produce lesions in susceptible individuals.…”