Dermatology Archives

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Table of Content: Volume 5, Issue 1

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Research Article Pages 127-130

Retrospective Analysis of Pediatric Alopecia Areata Treated with Methotrexate

Authors: Emily Correia, BS, Michael Jones and Leslie Castelo-Soccio, MD, PhD

Abstract: Therapy for alopecia areata (AA) in pediatric patients is challenging and unstandardized. Common treatments for alopecia include topical agents, triamcinolone injections, and systemic agents. Treatment using systemic agents in children is controversial due to possible negative side effects and the need for long term therapy because of potential relapse after cessation. The purpose of this study was to evaluate the efficacy and safety of methotrexate therapy for the treatment of AA in pediatric patients. This medication is affordable and routinely used in children for other chronic conditions.

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Case Report Pages 122-126

Pinwheel Flap as an Option to Reconstruct a Nasal Defect: A Series of Two Cases

Authors: Rogério Nabor Kondo, Ariane Itimura Cestari, Bruno Mendes Soares, Fabiana De Mari Scalone and Silvia Irla Alfaro Yabar

Abstract: Basal cell carcinoma (BCC) is the most common skin cancer. When located in the nasal region and the resulting defect is greater than 3 centimeters becomes challenging for the dermatological surgeon. The pinwheel technique (PWT) is a rotating flap to correct defects, mainly on the scalp, but we use it to close two nasal defects after CBC excision.

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Case Report Pages 118-121

Amlodipine-Induced Hyperpigmentation

Authors: Haleigh E Harper, BA, Matthew DaCunha, MD, Garth Fraga, MD and John C Hall, MD

Abstract: Calcium channel blockers are frequently used for treatment of hypertension. Studies have reported hyperpigmentation secondary to calcium channel blockers, although cases are limited and mostly related to diltiazem and nifedipine. To our knowledge, there are only two cases describing hyperpigmentation secondary to amlodipine. We report a patient exhibiting drug-induced hyperpigmentation secondary to chronic amlodipine use

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Case Report Pages 115-117

A Challenging Diagnosis: Primary Cutaneous Leiomyosarcoma, Initially Resembling a Dermatofibroma

Authors: Sara Alonso Batanero, Juan Emmanuel Sánchez Lara, Miguel Ángel Cruz Sánchez, José Edecio Quiñones Sampedro, Ana Belén Sánchez Casado, Asunción García Plaza and Juan Ignacio González Muñoz

Abstract: We present a case of primary cutaneous leiomyosarcoma misdiagnosed as a benign tumor. Primary cutaneous leiomyosarcomas are very difficult to diagnose preoperatively because clinical presentation and imaging studies are nonspecific and do not allow an adequate differential diagnosis with other skin lesions. Therefore definitive diagnosis is based on the pathology report

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