CONTENTS

ORTHO This special supplement was made possible through an educational grant from Ortho DermatologicaL

Mitchell E. Stashower, MD,LCDR, MC, USNR, Thomas A. Rennie, MD, CPT, MC, USA, George W. Turiansky, MD, LTC, MC, USA, and William R. Gilliland, MD, MAJ, MC, USA Bethesda, Maryland, and Washington, DC

Photoinduced dermal pigmentation in patients 290 taking tricyclic antidepressants: Histology, electron miscroscopy, and energy dispersive spectroscopy Mane C. Sicari, MD, Mark Lebwohl, MD, Jim Baral, MD, Patricia Wexler, MD, Ronald E. Gordon, PhD, and Robert G. Phelps, MD New York, New York

Paraneoplastic pemphigus associated with 294 follicular dendritic cell sarcoma arising from Castleman's tumor Il-Joo Lee, MD, Soo-Chan Kirn, MD, Hee Sung Kirn, MD, Dongsik Ban g, MD, Woo lck Yang, MD, Woo-Hee Jung, MD, and Hoon Sang Chi, MD Seoul, Korea

Pigmented purpura-like eruption as cutaneous 298 sign of mycosis fungoides with autoimmune purpura Pietro Puddu, MD, Giulio Ferranti, MD, Alessandra Frezzolini, BSc, Laura Colonna, MD, and Giuseppe Cianchini, MD Rome, Italy

Francisco A. Rubio, MD, Pedro Herranz, MD, Goretti Robayna, MD, Jose M. Pena, MD, Felix Contreras, MD, and M. Casado, MD Madrid, Spain

_______________________________________

Journal of the
American Academy of DERMATOLOGY

VOL . 40 , NO. 5 May, Part 1,1999

CONTINUING MEDICAL EDUCATION

The new pemphigus variants 649
Neha D. Robinson, MD,
Takashi Hashirnoto, MD,
Masayuki Arnagai, MD, and
Lawrence S. Chan, MD
Chicago, Illinois, and Kurume and Tokyo, Japan

CME examination 672

Answers to CME examination (Identification 674
No. 899-104), April 1999 issue of the Journal
of the American Academy of Dermatology


CLINICAL AND LABORATORY STUDIES

The clinical spectrum of anti-Ro-positive 675
cutaneous neonatal lupus erythematosus
William L. Weston, MD,
Joseph G. Morelli, MD, and Leia A. Lee, MD
Denver, Colorado

Periplakin and envoplakin are target antigens 682
in canine and human paraneoplastic pemphigus
Alain de Bruin, Dr Mod Vet,
Eliane Müller, PhD,
Marianne Wyder,
Grant J. Anhalt, MD,
Peter Lemmens, DVM, and
Maja M. Suter, Dr Mod Vet, PhD
Berne, Switzerland, Baltimore, Maryland,
and Antwerp, Belgium

Risk of cutaneous malignant melanoma in patients 686
with nonfamilial atypical nevi from a pigmented
lesions clinic
Dyon G. C. T. M. Snels, MD,
Elysee T. M. Hille, PhD,
Nelleke A. Gruis, PhD, and
Wilma Bergman, MD, PhD
Leiden, The Netherlands

Cancer incidence among Finnish psoriasis patients treated with 694
8-methoxypsoralen hath PUVA
Anna Hannuksela-Svahn, MD, Eero Pukkala, PhD, Leena Koulu, MD, PhD,
Christer T. Jansen, MD, PhD, and Jaakko Karvonen, MD, PhD
Oulu, Helsinki, and Turku, Finland

Awareness of skin cancer by kidney transplant patients 697
Edward W. Cowen, MD, and Elizabeth M. Billingsley, MD
Hershey, Pennsylvania

Methotrexate-induced papular eruption in patients with rheumatic diseases: 702
A distinctive adverse cutaneous reaction produced by methotrexate in
patients with collagen vascular diseases
E. Goerttler, MD, H. Kutzner, MD, H. H. Peter, MD, and L. Requena, MD
Freiburg and Friedrichshafen, Germany, and Madrid, Spain

Allergic contact dermatitis: Correlation of in vivo confocal imaging to 708
routine histology
Salvador Gonzalez, MD, PhD, Ernesto Gonzalez, MD,
W. Matthew White, BS, Milind Rajadhyaksha, PhD, and R. Rox Anderson, MD
Boston, Massachusetts, and Henrietta, New York

The incidence of cancellation and nonattendance at a dermatology clinic 714
Neal S. Penneys, MD, PhD, MBA, and Dee Anna Glaser, MD
St Louis, Missouri

Quantitative detection of silicone in skin by means of electron spectroscopy 719
for chemical analysis (ESCA)
Claire L. Haycox, MD, PhD, Deborah Leach-Scampavia, BS,
John E. Olerud, MD, and Buddy D. Ratner, PhD Seattle, Washington

Nickel allergy and its relationship with local nickel pollution, ear piercing, 726
and atopic dermatitis: A population-based study from Norway
Tone Smith-Sivertsen, MD, Lars Kare Dotterud, MD, PhD, and
Eiliv Lund, MD, PhD Troms^, Norway

The drug line: The clinical expression of the pigmentary Voigt-Futcher line 736
in turn derived from the embryonic ventral axial line
E. Dorinda Shelley, MD, Walter B. Shelley, MD, PhD, and
Ben Pansky, MD, PhD Toledo, Ohio

THERAPY

Low-dose oral pulse methotrexate as monotherapy in elderly patients with 741
bullous pemphigoid
Johan D. Heilborn, MD, Mona Stähle-Bäckdahl, MD, PhD,
Freidun Albertioni, PhD, Ismini Vassilaki, MD, Curt Peterson, MD, PhD,
and Eija Stephansson, MD, PhD Stockholm, Sweden

Immunoablative high-dose cyclophosphamide without stem cell rescue in 750
paraneoplastic pemphigus: Report of a case and review of this new therapy
for severe autoimmune disease
Hossein C. Nousari, MD, Robert A. Brodsky, MD, Richard J. Jones, MD,
Michael R. Grever, MD, and Grant J. Anhalt, MD Baltimore, Maryland

SPECIAL ARTICLE

The changing status of inpatient dermatology at American academic 755
dermatology programs
Robert S. Kirsner, MD, Doris G. Yang, MD, and
Francisco A. Kerdel, BSc, MBBS Miami, Florida

BENEATH THE SURFACE

The River Clinic 758
David Elpern, MD Williamstown, Massachusetts

PEARLS

Surgical Pearl: Removal of a large labial mucocele 760
Thao A. Tran, BA, and Harry L. Parlette III, MD
Charlottesville, Virginia

lotaderma #64 762

EDITORIAL

Making sense of antigens and antibodies in pemphigus 763
Grant J. Anhalt, MD Baltimore, Maryland

BRIEF COMMUNICATIONS

Treatment of cutaneous sarcoidosis using phonophoresis 767
Darin S. Gogstetter, MD, and Lowell A. Goldsmith, MD
Rochester, New York

Graft-like plantar lesion secondary to possible dorsal-to-ventral 769
cutaneous transposition
Laryssa Dragan, MD, Alan L. Lorincz, MD, Maria M. Medenica, MD,
and Scott B. Phillips, MD Chicago, Illinois

Severe anaphylaxis after a chlorhexidine bath 771
Erna Snellman, MD, and Tapio Rantanen, MD Lahti, Finland

Lupus erythematosus associated with erythema multiforme: 773
Does RoweIVs syndrome exist?
Ann R. Shteyngarts, Michael R. Warner, MD, and Charles Camisa, MD
Cleveland, Ohio

Contact dermatitis in subjects infected with HIV type 1 777
Stefania Bellegrandi, MD, Rosamaria ROSSO, MD, Graziella Mattiacci, MD,
Rosetta Ferrara, MD, Gianpiero D'Offizi, MD, FernandoAiuti, MD,
lvano Mezzaroma, MD, and Roberto Paganelli, MD Rome, Italy

Quality of life improvement in a patient with severe atopic dermatitis treated 780
with photopheresis
Geeta Mohia, BS, Nancy Horvath, BS, and Seth Stevens, MD
Cleveland, Ohio

Prevention of sodium lauryl sulfate irritant contact dermatitis by 783
Pro-Q aerosol foam skin protectant
Sean E. Patterson, PhD, Judith V. Williams, MD, and
James G. Marks, Jr, MD Hershey, Pennsylvania, and
Ferndale, Michigan

LETTERS

The physician scientist, peer review, and creativity 786
Ramon M. Fusaro, MD, PhD Omaha, Nebraska

Skin Signs of Systemic Disease 786
Irwin M. Braver-man, MD New Haven, Connecticut

UVA therapy for scleroderma 787
James W. Steger, MD, and Jeanette H. Matthews, MD
San Diego, California

Reply 787
Martina Kerscher, MD, and Stefanie Behrens, MD Ulm, Germany

SELF-ASSESSMENT

Self-Assessment examination of the American Academy of Dermatology 789
(Identification No. 899-205)

Answers to Self-Assessment examination of the American 794
Academy of Dermatology

May 1999 issue of the Journal of the American Academy
of Dermatology

ANNOUNCEMENTS

American Board of Dermatology Examinations 674

Call for Patients with Inherited Diseases of the Skin 718

National Registry for Ichthyosis and Related Disorders 759

_______________________________________

Journal of the American Academy of

DERMATOLOGY

VOL. 40 NO. 5 , Part 2,1999

Severe subepidural blistering disorder with 797
features of bullous pemphigoid and herpes
gestationis
Melanie K. Triffet, MD,
Lawrence E. Gibson, MD, and
Kristin M. Leiferman, MD
Rochester, Minnesota


Chronic factitial ulcer of chin cured by 802
endodontic (root-canal) surgery for underlying
periapical abscess
Walter B. Shelley, MD, and
E. Dorinda Shelley, MD
Toledo, Ohio


Vesicular carcinoma erysipelatodes 805
Kappa P. Meadows, MD, and
Conleth A. Egan, MB, MRCPI
Salt Lake City, Utah


POEMS syndrome: Cicatricial alopecia as an 808
unusual cutaneous manifestation associated
with an underlying plasmacytoma
Michael Weichenthal, MD,
Andrea V. Stemm, MD, Julia Ramsauer, MD,
Hartwig Mensing, MD, Alfred C. Feller, MD,
and Wilhelm Meigel, MD Hamburg and
LUbeck, Germany


Submammary granular parakeratosis: 813
An acquired punctate hyperkeratosis of
exogenic origin
Johannes Wohlrab, MD, Matthias Liifti, MD,
Manfred Wolter, MD, and
Wolfgang Ch. Marsch, MD Halle (Saale),
Germany

Facial Orf
Michael G. Bodnar, MD, 0. Fred Miller III, MD, and William B. Tyier, MD 815
Danville, Pennsylvania

Resolution of recalcitrant hand warts in an HIV-infected patient treated 818
with potent antiretroviral therapy
David H. Spach, MD, and Roy Colven, MD Seattle, Washington

Bazex syndrome mimicking a primary autoimmune bullous disorder 822
Diya F. Mutasim, MD, and Galia Meiri, MD Cincinnati, Ohio

Giant congenital multiple patch-like glomus tumors
Tae-Young Yoon, MD, Hong-Tak Lee, MD, and Seung-Ho Chang, MD 826
Cheongju, Korea

Paget's disease of the male breast associated with intraductal carcinoma 829
Michael Bodnar, MD, 0. Fred Miller III, MD, and William Tyier, MD
Danville, Pennsylvania

Photosensitivity due to alprazolam with positive oral photochallenge test 832
after 17 days administration
Yasuhiro Watanabe, MD, Akira Kawada, MD, PhD, Yoshihiro Ohnishi, MD,
Shingo Tajima, MD, PhD, and Akira Ishibashi, MD, PhD
Saitama and Chiba, Japan

Erosive adenomatosis of the nipple in an eight-year-old girl 834
Sharon E. Albers, MD, Maja Barnard, MD, Paul Thorner, MD, PhD, FRCPC,
and Bernice R. Krafchik, MB, ChB, FRCPC Toronto, Ontario, Canada

_______________________________

Journal of the American Academy of DERMATOLOGY
VOL. 40, NO. 6, JUNE 1999


CONTENT


NOVEL TREATMENT STRATEGIES FOR
SUPERFICIAL MYCOSES

Novel treatment strategies for SI
superficial mycoses: introduction
Boni E. Elewski, MD, and
Roderick J. Hay, DM, FRCP
Cleveland, Ohio, and London,
United Kingdom


Diagnosis of onychomycosis made simple S3
David H. Ellis, PhD
North Adelaide, Australia


Optimal growth conditions for the S9
determination of the antifungal susceptibility
of three species of dermatophytes with the
use of a microdilution method
Heather A. Norris, MT (ASCP),
Boni E. Elewski, MD, and
Mahmoud A. Ghannourn, PhD
Cleveland, Ohio


Pharmacokinetics of fluconazole in skin S14
and nails
Jan Faergemann, MD, PhD
Gothenburg, Sweden


Onychomycosis: therapeutic update S21
Richard K. Scher, MD
New York, New York


Treatment of tinea capitis: beyond griseofulvin S27
Boni E. Elewski, MD
Cleveland, Ohio


Oral therapy of common superficial fungal S31
infections of the skin
Jack L. Lesher, Jr., MD
Augusta, Georgia


The management of superficial candidiasis S35
Roderick J. Hay, DM, FRCP, FRCPath
London, United Kingdom

_______________________________

Journal of the
American Academy of DERMATOLOGY
VOL:40, NO:1, JANUARY 1999

Behcet's disease and complex aphthosis 1
Jayashri V. Ghate, MD, and
Joseph L. Jorizzo, MD
Winston-Salem, North Carolina

Answers to CME examination (Identification 18
No. 898-112), December 1998 issue of the Journal
of the American Academy of Dermatology

CME examination 19

CLINICAL AND LABORATORY STUDIES

Nevus depigmentosus: Clinical features and 21
histopathologic characteristics in 67 patients
Han-Seung Lee, MD, Voon-Sun Chun, MD,
and Seung-Kyung Hann, MD
Seoul, Korea

Skin cancer in Australian heart transplant 27
recipients
Colin S. Ong, MBBS, Anne M. Keogh, MD,
Steven Kossard, FACD, Peter S. Macdonald, PhD,
and Phillip M. Spratt, FRCS
Da rlin g hurst, Austra lia

Update on the incidence and mortality from 35
melanoma in the United States
H. Irene Hall, PhD, Donald R. Miller, PhD,
Joseph D. Rogers, BS, and
Barbara Bewerse, MS Atlanta, Georgia,
and Boston, Massaclutsetts

Destructive procedures are the standard of 43
care for treatment of actinic keratoses
Steven R. Feidman, MD, PhD,
Alan B. Fleischer, Jr, MD,
Phillip M. Williford, MD, and
Joseph L. Jori/zo, MD
WinxtoH-Saicin, North Carolina

Alterations in HIV expression in AIDS patients with poriasis or 48
pruritus treated with phototherapy
Joan Breuer-McHam, MSc, Gailen Marshall, MD, PhD,
Ahmed Adu-Oppong, MSc, Michelle Goller, MD, Steven Mays, MD,
Tim Berger, MD, Dorothy E. Lewis, PhD, and Madeleine Duvic, MD
Houston, Texas, and San Francisco, California

Clinical and dermatoscopic criteria for the preoperative evaluation 61
of cutaneous melanoma thickness
Giuseppe Argenziano, MD, Gabriella Fabbrocini, MD, Paolo Carii, MD,
Vincenzo De Giorgi, MD, and Mario Delfino, MD Naples and
Florence, Italy

THERAPY-

Long-term antibiotic therapy for balanitis xerotica obliterans 69
Walter B. Shelley, MD, PhD, E. Dorinda Shelley, MD,
Molly A. Grunenwald, MD, Timothy J. Anders, MD, and
Anita Ramnath, MD Toledo, Ohio

Long-term results of isotretinoin in the treatment of 68 patients with 73
hidradenitis suppurativa
Jurr Boer, MD, PhD, and Mirjan J. P. van Gemert, MD
Deventer, The Netherlands

Prophylactic antibiotics in patients undergoing laser resurfacing of the skin 77
Woraphong Manuskiatti, MD, Richard E. Fitzpatrick, MD,
Mitchel P. Goidman, MD, and Niels Krejci-Papa, MD
Encinitas, California

Microfine zinc oxide (Z-Cote) as a photostable UVA/UVB sunblock agent 85
Mark A. Mitchnick, MD, David Fairhurst, PhD, and Sheldon R. Pinnell, MD
Wainscott, New York, and Durham, North Carolina

Effect of colchicine in the subcorneal pustular dermatosis type of IgA 91
pemphigus
Emmilia Hodak, MD, Moshe Lapidoth, MD, and Michael David, MD
Tel Aviv, Israel

DERMATOLOGIC SURGERY

The principle of a three-staged operation in the surgery of acne scars 95
Kyu-Kwang Whang, MD, PhD, and Miae Lee, MD
Seoul, Korea

Mohs micrographic surgery for the treatment of in situ nail apparatus 98
melanoma: A case report
Cedric C. Banfield, MRCP(UK), Rodney P. R. Dawber, FRCP,
Neil P. J. Walker, FRCP, Graeme 1. Stables, MRCP(UK), Bassam Zeina, MD,
and Kate Schomberg, AIMLS Oxford, United Kingdom
Adverse reactions after cosmetic lip augmentation with permanent biologically 100
inert implant materials
Christine Hoffmann, MD, Sanja Schuller-Petrovic, MD, H. Peter Soyer, MD,
and Helmut Kerl, MD Graz, Austria

PEARLS

Surgical Pearl: The modified buried dermal suture 103
James D. Whalen, MD, Raymond G. Dufresne, MD, and
Siobhan C. Collins, MD Fannington, Connecticut

lotaderma #60 104
Jeffrey D. Bernhard, MD Worcester, Massachusetts

BRIEF COMMUNICATIONS

Interferon alfa-2b-induced Meyerson's nevi in a patient with dysplastic 105
nevus syndrome
Joachim Krischer, MD, Marc Pechere, MD, Denis Salomon, MD,
Monika Harms, MD, Pierre Chavaz , MD, and Jean-Hilaire Saurat, MD
Geneva, Switzerland

The midline part: An important physical clue to the clinical diagnosis of 106
androgenetic alopecia in women
Elise A. Olsen, MD Durham, North Carolina

Severe urticarial reaction to diphenylcyclopropenone therapy for 110
alopecia areata
Murad Alam, MD, Edward A. Gross, MD, and Ronald C. Savin, MD
New York, New York, and New Haven, Connecticut

Physician, heed thy shelf 112
Elizabeth F. Sherertz, MD, and Pam W. Ayers
Winston-Salem, North Carolina

Effects of altitude and latitude on ambient UVB radiation 114
Darrell S. Rigel, MD, Ethan G. Rigel, and Adam C. Rigel
New York, New York

A novel chemotherapeutic regimen (interferon alfa, zidovudine, 116
and etretinate) for adult T-cell lymphoma resulting in rapid
tumor destruction
Edward F. Chan, MD, Yvonne G. Dowdy, MD, Benhur Lee, MD,
W. Gillies McKenna, MD, PhD, Kevin R. Fox, MD,
Robert J. Levy, MD, Mariusz A. Wasik, MD, and Alain H. Rook, MD
Philadelph ia, Pennsylvan ia

Intracellular interleukin-4 profiles during high-dose intravenous 121
immunoglobulin treatment of therapy-resistant atopic dermatitis
Stephen Jollcs, MSc, MRCP, Jenny Hughes, MRCP, and
Malcolm Rustin, MD, FRCP London and Middlesex, United Kingdom
Curved nail of the fourth toe 124
Shinichi Yotsumoto, MD, PhD, and Tamotsu Kanzaki, MD, PhD
Kagoshima, Japan

SPECiAl ARTICLE

The affliction of Job: Poisoned! 126
Sheila Gorman, MD, and David L. Kaplan, MD Greeley, Colorado,
and Kansas City, Missouri

.LETTERS

Subaeute cutaneous lupus erythematosus versus systemic lupus 129
erythematosus
Jeffrey P. Callen, MD Louisville, Kentucky

Reply 129
p. Jablonska, M. Blaszczyk, and H. Wolska Warsaw, Poland

Pressure ulcers 131
Michael Caswell, PhD Carrollton, Texas

Reply ' 131
Lina F. Kanj Boston, Massachusetts

From other ghosts of the past: Acne lesion counting 131
Joseph A. Witkowski, MD, and Lawrence Charles Parish, MD
Philadelphia, Pennsylvania

BOOK REVIEWS

WebDoctor: Your online guide to health care and wellness. 132
Richard M Sharp, EdD, and Vicki F. Sharp, PhD
Reviewed by Thomas L. Ray, MD Iowa City, Iowa

The mouth: Diagnosis and treatment. Drore Eisen and Denis P. Lynch 132
Reviewed by GinatW. Mirowski, DMD, MD Indianapolis, Indiana

CORRECTION

Correction to Winkelmann RK, Dahl PR, Perniciaro C (J Am Acad 133
Dermatol 1998;39:967-70)

SELF-ASSESSMENT
Self-Assessment examination of the American Academy 134
of Dermatology (Identification No. 899-201)

Answers to Self-Assessment examination of the 139
American Academy of Dermatology
January 1999 issue of the Journal of the American Academy
of Dermatology

ANNOUNCEMENTS
Impact of New Technologies in Dermatology: Medical 26
and Surgical
Call for Patients with Inherited Diseases of the Skin 84
Attention Authors 90
American Board of Dermatology Examination Dates 142
READER SERVICES
Information for authors 23A, 24A, and 25A
Information for readers 30A
Dermatology opportunities 68A
Instructions for Category I CME credit 32A
Instructions for Category I CME credit (Self-Assessment) 32A
CME examination answer sheet 35A
CME examination answer sheet (Self-Assessment) 65A
Statement on advertising in the Journal 25A
Index to advertisers 74A

___________________________________________________________

Journal of the
American Academy of
DERMATOLOGY

VOL . 40 , NO . 2 February, Part 1,1999

Methods of hair removal 143
Eh'se A. Olsen, MD
Durham, North Carolina

GME examination 156

Answers to CME examination (Identification 158
No. 899-101), January 1999 issue of the
Journal of the American Academy of
Dermatology

CLINICAL AND LABORATORY STUDIES


Imipramine-induced hyperpigmentation: 159
Four cases and a review of the literature
Michael E. Ming, MD,
Jag Bhawan, MD,
Catherine M. Stefanato, MD,
Timothy H. McCalmont, MD, and
Lisa M. Cohen, MD
San Francisco, California, and
Boston, Massachusetts

The clinical phenotype of pemphigus is defined 167
by the anti-desmoglein autoantibody profile
Masayuki Amagai, MD, PhD,
Kazuyuki Tsunoda, DDS,
Detlef Zilhkens, MD,
Tetsuo Nagai, DDS, PhD, and
Takeji Nishikawa, MD, PhD
Tok\'o, Japan, and Wuerzburg, Germany

Reevaluation of the ABCD rule for 171
epiluminescence microscopy
Michael Binder, MD,
Harald Kittler, MD,
Andreas Steiner, MD,
Markus Dawid, MD,
. Hubert Pehamberger, MD, and
Klaus Woiff, MD,"FRCP
Vienna, Austria

Skin cancer in kidney and heart transplant recipients and different 177
long-term immunosuppressive therapy regimens
Fetter Jensen, MD, Svein Hansen, MD, Bj0m Müller, MSc,
Torbj0rn Leivestad, MD, PhD, Per Pfeffer, MD, PhD,
Odd Geiran, MD, PhD, Per Fauchald, MD, PhD, and
Svein Simonsen, MD, PhD Oslo, Norway

Evaluating the relevance of aeroallergen sensitization in atopic eczema 187
with the atopy patch test: A randomized, double-blind multicenter study
Ulf Darsow, MD, Dieter Vieluf, MD, and Johannes Ring, MD, PhD
Munich and Hamburg, Germany

Time-efficiency of nondermatologists compared with dermatologists in 194
the care of skin disease
Steven R. Feldman, MD, PhD, Alan B. Fleischer, Jr, MD,
Amy C. Young, BA, and Phillip M. Williford, MD
Winston-Salem, North Carolina

Hormones and hair patterning in men: A role for insulin-like growth 2OO
factor I?
Lisa B. Signorello, Joanne Wuu, Chung-cheng Hsieh, Anastasia Tzonou,
Dimitrios Trichopoulos, and Christos S. Mantzoros
Boston and Worcester, Massachusetts, and Athens, Greece

THERAPY

Livedo reticularis and livedoid vasculitis responding to PIJVA therapy 204
Hyun-Joo Choi, MD, and Seung-Kyung Hann, MD Seoul, Korea

EMLA cream as a topical anesthetic for the repeated mechanical 208
debridement of venous leg ulcers: A double-blind, placebo-controlled
study
Catherine Lok, MD, Carle Paul, MD, Pierre Amblard, MD,
Didier Bessis, MD, Clelia Debure, MD, Brigitte Faivre, MD,
Bernard Guillot, MD, Jean Paul Ortonne, MD, Gunilla Huledal, MSc (Pharm),
and Bernard Kalis, MD Amiens, Paris, Grenoble, Montpellier, Besanfon,
Nimes, Nice, and Reims, France, and Södertälje, Sweden

DERMATÖPATHOLOGY

Actinically degenerate elastic tissue is the likely antigenic basis of actinic 214
granuloma of the skin and of temporal arteritis
J. P. 0'Brien, MD, FRCPA, and W. Regan, DDM, FACD
Sydney, Australia


The Spitz tumor 50 years later: Revisiting a landmark contribution and 223
unresolved controversy
Alain Spatz, MD, and Raymond L. Bamhill, MD
Vlllejuif, France, and Baltimore, Maryland
CLINICAL REVIEW

Chronic urticaria and angioedema associated with thyroid autoimmunity: 229
Review and therapeutic implications
Warren R. Heymann, MD Camden, New Jersey

PERIODIC SYNOPSIS

Pregnancy dermatoses 233
Samantha Anne Vaughan Jones, MD, MRCP, and
Martin Munro Black, MD, FRCP, FRCPath Surrey and London, England

SPECIAL ARTICLE

*

Alopecia areata investigational assessment guidelines 242
Elise 01 sen, MD, Maria Hordinsky, MD,
Susan McDonald-Hull, MB, FRCP, Vera Price, MD, Janet Roberts, MD,
Jerry Shapiro, MD, and Kurt Stenn, MD Durham, North Carolina;
Minneapolis, Minnesota; Pontefract, United Kingdom;
San Francisco, California; Portland, Oregon; Vancouver, British Columbia,
Canada; and Skillman, New Jersey

PEARLS

Surgical Pearl: Fine gauze is a useful carrier for epidermal graft in 247
the treatment of vitiligo by means of the suction blister method
William Yuk Ming Tang, MRCP, FHKAM (Med), Jian De Han, MD,
Nian Zhu Lu, MD, Loi Yuen Chan, MRCP, FHKAM (Med), and
Kuen Kong Lo, FRCP, FHKAM (Med) Hong Kong and Guangzhou, China

lotaderma #61 249
Jeffrey D. Bernhard, MD Worcester, Massachusetts

Surgical Pearl; The first dorsal web of the hand as a graft donor 250
site for the defects on the hand and digits
Shih-Tsung Cheng, MD, Chieh-Shan Wu, MD, Hsin-Su Yu, MD, PhD,
and J. Ramsey Mellette, MD Kaohsiung, Taiwan, and Denver, Colorado

BRIEF COMMUNICATIONS

Clinically subtle primary cutaneous melanoma 252
Susan E. Koch, MD, and Jean M. Henneberry, MD
Portland, Oregon, and Baltimore, Maryland

Familial cutaneous collagenoma 255
Joel C. Phillips, MD, Mark A. Knautz, MD, Omar P. Sangueza, MD, and
Loretta S. Davis, MD Augusta, Georgia

Diffuse dermal angiomatosis: A variant of reactive angioendotheliomatosis 257
associated with atherosclerosis
Arash Kimyai-Asadi, BA, Hossein C. Nousari, MD, Nooshin Ketabchi, MD,
Jean M. Henneberry, MD, and Constantino Costarangos, MD
Baltimore, Maryland

Detection of human papillomavirus type 10 DNA m eccrine 259
syringofibroadenomatosis occurring in Clouston's syndrome
J. Andrew Carlson, MD, Angela Rohwedder, PhD, Soume Daulat, MD,
Joseph Schwartz, MD, and Jörg Schaller, MD
Albany and Latham, New York, and Bochum and Duisburg, Germany

Fixed drug eruption caused by lactose in an injected botulinum toxin 263
preparation
Neil H. Cox, FRCP, Philip Duffey, MRCP, and Janice Royle, MRCGP
Carlisle and Newcastle upon Tyne, United Kingdom

Mycophenolate mofetil in autoimmune and inflammatory skin disorders 265
Hossein C. Nousari, MD, Alexander Sragovich, MD,
Arash Kimyai-Asadi, MD, Diane Orlinsky, MD, and Grant J. Anhalt, MD
Baltimore, Maryland

Nasal and nasal-type natural killer/T-cell lymphoma 268
Satoshi Hirakawa, MD, Michiyo Kuyama, MD, Sachiko Takahashi, MD,
Osamu Yamasaki, MD, Hiroko Kanzaki, MD, Takanori Teshima, MD,
Mine Harada, MD, Yuxiang Ma, MD, Teruyuki Kawabata, MD,
Tadashi Yoshino, MD, and Jiro Arata, MD Okayama, Japan

Erysipeloid sporotrichosis in a woman with Cushing's disease 272
Sam Kim, AG, Matthew H. Rusk, MD, and William D. James, MD
Philadelphia, Pennsylvania

Sweet's syndrome associated with chronic myelogenous leukemia: 275
Demonstration of leukemic cells within a skin lesion
Yoshio Urano, MD, Yuki Miyaoka, MD, Masaaki Kosaka, MD,
Kazuyuki Kabe, MD, Naoyuki Uchida, MD, and Seiji Arase, MD
Tokushima, Japan

Homocysteinemia and livedoid vasculitis 279
Gillian E. Gibson, MD, Hongzhe Li, PhD, and Mark R. Pittelkow, MD
Rochester, Minnesota

GORRESEONDENCE

Antifungal sponsored supplements 282
Ronni Wolf, MD, Danny Wolf, MD, and Vincenzo Ruocco, MD
Tel Aviv and Kupat Holim, Israel, and Naples, Italy

Reply from the Editor 282
Jeffrey D. Bernhard, MD

Atypical hydroa vacciniforme in childhood: From a smoldering stage to 283
Epstein-Barr virus-associated lymphoid malignancy
Keiji lwatsuki, MD, Mikio Ohtsuka, MD, Hitsoshi Akiba, MD, and
Furnio Kaneko, MD Fukushima, Japan

Reply 284
Omar P. Sangueza, MD, and Mario Magana, MD
Augusta, Georgia, and Mexico City, Mexico

Lichen planopilaris or lupus? 284
Henrik Klem Thomsen, MD, DMSc Copenhagen, Denmark

Life without disease: The pursuit of medical Utopia. 285
William B. Schwarte, MD
William B. Schwartz, MD Los Angeles, California

Skin resurfacing. W. P. Coleman III and N. Lawrence, editors 286
Reviewed by Jonathan L. Cook, MD Philadelphia, Pennsylvania

______________________________________________________

Journal of the
American Academy of
DERMATOLOGY

VOL . 40 , NO . 3 , March 1999

CONTINUING MEDICAL EDUCATION

Mucocutaneous reactions to chemotherapy 367
Wendy S. Susser, MD,
Diane L. Whitaker-Worth, MD, and
Jane M. Grant-Kels, MD
Farmington, Connecticut

Answers to CME examination (Identification 398
No. 899-102), February 1999 issue of the Journal
of the American Academy of Dermatology

CME examination 399

CLINICAL AND LABORATORY STUDIES

Long-term effectiveness and side effects of 401
carbon dioxide laser resurfacing for
photoaged facial skin
Woraphong Manuskiatti, MD,
Richard E. Fitzpatrick, MD, and
Mitchel P. Goidman, MD
La Jolla, California

Epidermal grafts for treatment of stable and 412
progressive vitiligo
Hong Yong Kirn, MD, PhD, and
Kwang Young Kang, MD
Chonbltk, South Korea

Prognosis in cutaneous T-cell lymphoma by skin 418
stage: Long-term survival in 489 patients
Herschel S. Zackheim, MD, Smita Amin, MD,
Mohammed Kashani-Sabet, MD, and
Alex McMillan, PhD
San Francisco, California

The gatekeeper model is inefficient for the 426
delivery of dermatologic services
Steven R. Feldman, MD, PhD,
Alan B. Fleischer, Jr, MD, and
John G. Chen, PhD
Winston-Saiem, North Carolina

Helicobacter pylori eradication treatment reduces the severity of rosacea 433
Scrap Uta§, MD, Omer Ozbakir, MD, Abdullah Turasan, MD, and
Cengiz Utas, MD Kayseri, Turkey

In vivo study of skin mechanical properties in patients with 436
systemic sclerosis
Hristo Petrov Dobrev, MD Plovdiv, Bulgaria

Chronic idiopathic urticaria; Comparison of the clinical features of 443
Patients.
R. A. Sabroe, MRCP, P. T. Seed, MSc, C Stat, D. M. Francis, BSc,
R. M. Ban, PhD, A. Kobza Black, MD, FRCP, and
M. W. Greaves, MD, PhD, FRCP
London, United Kingdom

Penile lichen sclerosus et atrophicus treated with clobetasol 451
dipropionate 0.05% cream: A retrospective clinical and
histopathologic study
Kristina DahIman-Ghozlan, MD, Mari-Anne Hedblad, MD, and
Geo von Krogh, MD, PhD
Stockholm, Sweden

Plasmapheresis as an adjunct treatment in toxic epidermal necrolysis 458
Conleth A. Egan, MB, MRCPI, Wendy J. Grant, MD,
Stephen E. Morris, MD, Jeffrey R. Saffle, MD, and John J. Zone, MD
Salt Lake City, Utah

Dowling-Degos disease (reticulate pigmented anomaly of the flexures): 462
A clinical and histopathologic study of 6 cases
You Chan Kim, MD, Mark D. P. Davis, MD, MRCPI,
Carl F. Schanbacher, MD, and W. P. Daniel Sii, MD
Rochester, Minnesota

DERMATOPATHOLOGY

Extraparotid Warthin 's tumor 468
James W. Patterson, MD, E. David Wright, MD, and
Sharon Camden, MD, PhD
Charlottesville and Richmond, Virginia

CLINICAL REVIEW

Three new cases of transient bullous dermolysis of the newhorn 471
Sonali G. Hanson, MD, Jo-David Fine, MD, MPH, and Moise L. Levy, MD
Houston, Texas, and Chapel Hill, North Carolina

Surgical Pearl: Versatile paper clip comedo extractor for acne surgery 477
Maj Joseph L. Cvancara, USAF, MC, and
Lt Col Jeffrey J. Meffert, USA, MC
Fort Sam Houston, Texas

lotaderma #62 478
Jeffrey D. Bernhard, MD Worcester, Massachusetts

BRIEF COMMUNICATIONS

Disseminated superficial actinic porokeratosis: Treatment with 479
topical tacalcitol
Markus Bohm, MD, Thomas A. Luger, MD, and Gisela Bonsmann, MD
Münster, Germany

Increased dermal angiogenesis after low-intensity laser therapy 481
for a chronic radiation ulcer determined by a video
measuring system
Andreas Schindi, MD, Martin Schindi, MD,
Liesbeth Schindi, MD, Wolfgang Jurecka, MD, H. Honigsmann, MD,
and Friedrich Breier, MD
Vienna, Austria

Linear IgA bullous dermatosis in a patient with chronic renal failure: 485
Response to intravenous immunoglobulin therapy
Inayat U. Khan, MD, Kailash C. Bhol, PhD, and A. Razzaque Ahmed, M D
Boston, Massachusetts

Twenty-nail dystrophy and vitiligo: A rare association 488
Tina M. Peloro, MD, and Howard B. Pride, MD
Danville, Pennsylvania

Nodular fasciitis: Response to intralesional corticosteroids 490
Brad S. Graham, MD, Terry L. Barrett, MD, and Robert W. Goltz, MD
San Diego, California

Pseudoporphyria induced by nabumetone 492
Joachim Krischer, MD, Flavio Scolari, MD,
Mitsuko Kondo-Oestreicher, MD, Sonja Vollenweider-Roten, MD,
Jean-Hilaire Saurat, MD, and Marc Pechere, MD
Geneva, Switzerland

Stevens-Johnson syndrome limited to multiple sites of radiation 493
therapy in a patient receiving phenobarbital
Karynne 0. Duncan, MD, Robert E. Tigelaar, MD, and
Jean L. Bolognia, MD
New Haven, Connecticut
CORRESPONDENCE

Sunscreens and vitamin D levels 497
Robin Marks Victoria, Australia

Reply 497
John J. DiGiovanna, MD, and Kenneth H. Kraemer, MD
Providence, Rhode Island, and Befhesda, Maryland

Chevron nail/herringbone nail 497
Eileen J. Parry, MD Salford, United Kingdom

Chevron nail 498
Robert Baran, MD, and Rodney Dawber, MD
Cannes, France, and Oxford, England

Abbrevophilia 498
Prof E. Y. D. Teufelsdröckh Soloi, New York

Reply 499
Jeffrey D. Bernhard, MD, Editor

Possible hazard to patients from immersion oil used for 499
epiluminescence microscopy

Michael Binder, MD, Harald Kittlei, MD, Hubert Pehamberger, MD,
and Klaus Wolff, MD, FRCP Vienna, Austria

Therapeutic failure of high-dose intravenous iminunoglobulin in 499
pemphigus vulgaris

Stephen Jolles, MSc, MRCP, DipRCPath, Jenny Hughes, MRCP, and
Malcolm Rustin, MD, FRCP London, Engfand

SELF-ASSESSMENT

Self-Assessment examination of the American Academy 501
of Dermatology (IdentiFication No. 899-203)

Answers to Self-Assessment examination of the 505
American Academy of Dermatology
March 1999 issue of the Journal of the American Academy
of Dermatology

ANNOUNCEMENTS

Call for Patients with Inherited Diseases of the skin 411

American Board of Dermatology Examination Dates 417

__________________________________

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
VOLUME 41, NUMBER 1, JULY 1999


CONTINUING MEDICAL EDUCATION j

Varicella zoster virus 1
Monica L. McCrary, MD, Jessica Severson, MD, and Stephen K. Tyring, MD, PhD
Augusta, Georgia, and Galveston, Texas

Answers to CME examination (Identification No. 899-106), June 1999 14
issue of the Journal of the American Academy of Dermatology

CME examination 15

REPORTS

Longitudinal melanonychia in children: A clinical and histopathologic 17
study of 40 cases
Sophie Goettmann-Bonvallot, MD,Josette Andre, MD, and Stephane Belaich, MD
Paris, France, and Brussels, Belgium

Cigarette smoking-associated elastotic changes in the skin 23
Alan S. Boyd, MD, Thomas Stasko, MD, Lloyd E. King, Jr, MD, PhD,
Gregory S. Carneron, PhD, Anthony D. Pearse, MSc, FIScT, and Stephen A. Gaskell
Nashville, Tennessee; Muncie, Indiana; and Heath Park, Cardiff, United Kingdom

Public knowledge, awareness, and perceptions of the association 27
between skin aging and smoking
Marie-France Demierre, MD, FRCPC, Daniel Brooks, MPH, Howard K. Koh, MD, MPH,
and Alan C. Geller, RN, MPH Boston, Massachusetts

Porphyria cutanea tarda and hepatitis C virus: A case-control study and 31
meta-analysis of the literature
Tsu-Yi Chuang, MD, MPH, Ryan Brashear, and Charles Lewis, MD
Indianapolis, Indiana

Follow-up and evaluation of skin cancer screening in British Columbia 37
David Engelberg, DMD, Richard R Gallagher, MA, and Jason K. Rivers, MD, FRCPC
Vancouver, British Columbia, Canada


Immunohistochemical evaluation of androgen receptors in genital 43
and extragenital lichen sclerosus: Evidence for loss of androgen
receptors in lesional epidermis
M. M. Clifton, MD, llene B. Bayer Garner, MD, Sabine Köhler, MD, and
Bruce R. Smoller, MD Little Rock, Arkansas, and Stanford, California

THERAPY

Ultraviolet AI (340-400 nm) phototherapy for cutaneous 47
T-cell lymphoma
Heidi Plettenberg, MD, Heiger Stege, MD, Mossaad Megahed, MD,
Thomas Ruzicka, MD, Yuko Hosokawa, MD, Takuo Tsliji, MD,
Akirnichi Morita, MD, PhD, and Jean Krutmann, MD Düsseldorf, Germany,
and Nagoya, Japan

Duration of remission of psoriasis therapies 51
John Koo, MD, and Mark Lebwohl, MD San Francisco, California, and
Neu) York, New York

An open study of tinea capitis in 50 children treated with a 2-week 60
course of oral terbinafine
Bernice Krafchik, MBChB, FRCPC, andJanice Pelletier, MD
Toronto, Ontario, and Bangor, Maine

Recurrence rate of hirsutism after 3 different antiandrogen therapies 64
Deniz Yucelten, MD, Mithat Erenus, MD, Oya Glirbuz, MD, and
Fatih Durmusoglu, MD Istanbul, Turkey

DERMATOPATHOLOGY

Basal cell carcinoma: A comparison of shave biopsy versus punch biopsy 69
techniques in subtype diagnosis
E. Brian Russell, MS, Patrick R. Carrington, MD, and Bruce R. Smeller, MD
Little Rock, Arkansas


REVIEW ARTICLE

Biochemical and Immunologie mechanisms in atopic dermatitis: 72
New targets for emerging therapies
Jon M. Hanifin, MD, and Sai Chan, MD Portland, Oregon

PEARLS

Surgical Pearl: The Red Rubber Robinson bolster in cutaneous surgery 78
Walter L. Williams, MD, Stephanie A. Caradonna, BS, and Robert A. Skidmore, MD
Gamesville, Florida

Iotaderma # 66 80

FROM THE ACADEMY

The health impact of solar radiation and prevention strategies: 81
Report of the Environment Council, American Academy of Dermatology
Coordinators: Henry W Lim, MD, and Kevin Cooper, MD

CASE REPORTS

Atrophie blanche-like scarring after pulsed dye laser treatment 100
Sabine Sommer, MRCP and Robert Alexander Sheehan-Dare, MRCP
Leeds, England

Drug-induced linear lgA bullous dermatosis probably induced by 103
fürosemide
Jean-Philippe Cerottini, MD, Claudia Ricci, MD, David Guggisberg, MD, and
Renato G. Panizzon, MD Lausanne, Sluitzerland

Development ofPeyronie's and Dupuytren's diseases in an individual 106
after single episodes of trauma: A case report and review of the literature
Thomas J. Connelly, DO Stuart, Florida

Eccrine angiomatous hamartoma: Report of a case and literature review 109
Thomas C. Nakatsui, MD, Eric Schloss, MD, FRCPC, Alinns Krol, MD, FRCPC, and
Andrew N. Lin, MD, FRCPC Edmonton, Alberta

Ilifted hair foUiculitis: A pattern of scarring alopecia? 112
Vesna Petronic-Rosic, MD, MS, Aleksandar Krunic, MD, PhD,
Margita Mijuskovic, MD, and Sonja Vesic, MD, PhD Philadell)hia, Pennsyluania,
and Belgrade, Yugoslavia

Ectopic hidradenoma papilliferum: A case report and review of 115
the literature
Russell Vang, MD, and Philip R. Cohen, MD
Houston, Texas


BRIEF REPORTS

Acute varicella zoster with postherpetic hyperhidrosis as the initial 119
presentation of HIV infection
Kornal F. Chopra, MD, Tanya Evans, MD, Jessica Severson, MD, and
Stephen K. Tyring, MD, Phü Neu) York, New York, and Galveston, Texas

Photosensitivity in the Smith-Lemli-Opitz syndrome: The US 121
experience of a new congenital photosensitivity syndrome
A. V Anstey, FRCP, and C. R. Taylor, MD Cardiff, United Kingdom, and
Boston, Massachusetts

Cimetidine therapy for recalcitrant warts in adults: Is it any better 123
than placebo?
CindyJ. Rogers, BA, Mary D. Gibney, MD, Elaine C. Siegfried, MD,
Bruce R. Harrison, MS, RPh, and Dee Anna Glaser, MD St Louis, Missouri

Expression of basic fibroblast growth factor and its receptor in 127
angiosarcoma
Toshiyuki Yamamoto, MD, Tadashi Urneda, MD, Hiroo Yokozeki, MD, and
Kiyoshi Nishioka, MD Tokyo, Japan

LETTERS

Cost analysis studies of Mohs micrographic surgery 130
Wallace N. Weber, MD Hays, Kansas

Reply 130
Joel Cook, MD, and John A. Zitelli, MD Charleston, South Carolina,
and Pittsburgh, Pennsylvania

Risk of melanoma in medium-sized congenital melanocytic nevi 131
dark C. Otiey, MD Rochester, Minnesota

Reply 131
Alfred W Kopf, MD New York, New York

SELF-ASSESSMENT

Self-Assessment examination of the American Academy of 133
Dermatology (Identification No. 899-207)

Answers to Self-Assessment examination of the American Academy 139
of Dermatology
July 1999 issue of the American Academy of Dermatology



ANNOUNCEMENTS I

American Board of Dermatology 71

Call for Patients with Inherited Diseases of the Skin 114

READERSERVICES

Information for authors 22A, 23A, and 24A

Information for readers 30A

Dermatology opportunities 103A

Instructions for Category I CME credit 34A

Instructions for Category I CME credit (Self-Assessment) 34A

CME examination answer sheet 37A

CME examination answer sheet (Self-Assessment) 101A

Statement of advertising in the Journal 24A

_________________________________

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY

VOLUME. 41, NUMBER. 2, PART 2, AUGUST 1999


This special supplement was made possible
through an educational grant from
Ortho Dermatological.

Sarcoidosis in a patient with AIDS: Amanifestation 285
of immune restoration syndrome
Paradi Mirmirani, MD, Toby A. Maurer, MD,
Brian Herndier, PhD, MD, Michael McGrath, MD, PhD,
Mark D. Weinstein, and Timothy C. Berger, MD
San Francisco, California


Granuloma annulare localized to the palms 287
Sylvia Hsu, MD, Amy C. Lehner, MD, andJanice R. Chang, MD
Houston, Texas


Merkel cell carcinoma occurring in renal transplant 289
patients
Amy Urbatsch, MD, W Mitchell Sams, Jr, MD,
Marshall M. Urist, MD, and Rachel Sturdivant, MD
Birmingham, Alabama


CoUagenous fibroma (desmoplastic fibroblastoma) 292
Noah K. Weisberg, MD, David J. DiCaudo, MD, and
N. Bradly Metland, MD Scottsdale, Arizona


Calciphylaxis associated with metastatic breast 295
carcinoma
Neal Mastruserio, MD, Ethan Quan Nguyen, MD,
Timothy Nielsen, MD, Adam Hessel, MD, and
Arthur E. Pellegrini, MD Columbus, Ohio


A case of relapsing polychondritis involving the tragal 299
and the conchal bowl areas sparing of the helix and
the anithelix
Jennifer H. Khan, MD, and lftikharAhmed, MD
Rochester and Minneapolis, Minnesota

Syringolymphoid hyperplasia and follicular mucinosis in a patient 303
with cutaneous T-cell lymphoma
Zeina Tannous, MD, Marisa F. Baldassano, MD, Vincent W Li, MD,
Joseph Kvedar, MD, and Lyn M. Duncan, MD
Beirut, Lebanon, and Boston, Massachusetts


Shingles developing within recent surgical scars 309
Arjen F. Nikkels, MD, PhD, and Gerald E. Pierard, MD, PhD
Liege, Belgium


Occupational allergic contact dermatitis from olive oil in a masseur 312
Marlene Isaksson, MD, and Magnus Bruze, MD, PhD Malmo, Sweden


Remission of psoriasis after treatment with interferon-alfa and 316
2-chlordeoxyadenosine for hairy cell leukemia
Waqas llyas, BA, Delynne Myers, MD, Ronn Mann, MD, and
Mark P Seraly, MD Pittsburgh, Pennsylvania


Painful red nodules of the legs: A manifestation of chronic 319
infection with gram-negative organisms
David S. Nieves, BS, and William D. James, MD Philadelphia, Pennsylvania


Vitamin A deficiency phrynoderma: Due to malabsorption and 322
inadequate diet
Narelle R. Bleasel, MB.BS, Karen M. Stapleton, FACD, May-Sen Lee, MB.BS,
and John Sullivan, MB.BS Tasmania and New South Wales, Australia


Nevoid keratosis of the nipple 325
Mariana Xifra, MD, Cesar Lagodi'n, MD, Dolores Wright, MD,
Mario Abbruzzese, MD, and Alberto Woscoff, MD Buenos Aires, Argentina


Cutaneous endometriosis in a postmenopausal woman receiving 327
hormonal replacement
Sung Woo Choi, MD, Hye Nam l.ee, MD, SeokJin Kang, MD, and
Hyung Ok Kim, MD Seoul, Korea


Multiple cutaneous metaplastic synovial cysts 330
Sarccta R. Singly MD, Alice S. R Ma, MD, and Anita Dixon, MD
Kansas city,missouri


Longitudinal, transverse, and diffuse nail hyperpigmentation 333
induced by hydroxyurea
Angela Hernandez-Martin, MD, Santiago Ros-Forteza, MD, and
Pablo de Unamuno, MD Madrid, Orense, and Salamanca, Spain


Cutaneous Rasai-Uorfman disease presenting as pustular and 335
acneiform lesions
R Ang, MD, S. H. Tan, MD, and B. H. Ong, MD Singapore


Primary cutaneous nocardiosis in a husband and wife 338
Jahreis Angelika, MD, Glander Hans-Jurgen, MD, and Haustein Uwe-Frithjof, MD
Leipzig, Germany


Pincer nail deformity after Kawasaki's disease 341
Sheryll L. Vanderhooft, MD, andJ. Eric Vanderhooft, MD
Salt Lake City, Utah


Sclerornyxedema 343
Zsuzsanna Bata-Csorgo, MD, Sander Husz, MD, Marta Foldes, MD,
Irrna Korom, MD, Katalin Molnar, MD, Marta Morvay, MD, and
Attila Dobozy, MD Szegedy, Hungary


Laterosubungual giant cell tumor of the tendon sheath: 347
An unusual location
Berkrand Richest, MD, and Josette Andre, MD Liege and Brussels, Belgium


Stewart-Trev.es syndrome in a patient with elephantiasis 349
Dafna Hallel-Halevy, MD, Joseph Yerushalmi, MD, Marcelo H. Grunwald, MD,
liana Avinoach, MD, and Sima Halevy, MD Beer-Sheva, Israel


Granuloma faciale in a child successfully treated with the 351
pulsed dye laser
Jenifer Hall Welsh, MD, Theresa L. Schroeder, MD, and Moise L. Levy, MD
Houston, Texas, and St Louis, Missouri


Localized heat urticaria 354
Anwell Chang, MD, and John A. Zic, MD
Cleveland, Ohio,and Nashville. Tennessee


Strongyloides stercoralis infection presenting as generalized 357
prurigo nodularis and lichen simplex chronicus
Carolyn I.Jacob, MD, and Stella F. Patten, MD
Madison and Marshfield, Wisconsin


Generalized lupus erythematosus profundis in a patient with 362
genetic partial deficiency of C4
Hossein C. Nousari, MD, Arash Kimyai-Asadi, BA, and Thomas T. Provost, MD
Baltimore, Maryland

_______________________________________