Severe Oral Mucositis: A Rare Adverse Event of Pembrolizumab
Oral Mucositis
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Treatment of malignancy with anti-programmed cell death 1 (PD-1) immune checkpoint inhibitors can cause mucocutaneous side effects resulting from T cell activation. Due to their recent development, the full side effect profile remains to be fully elucidated, however dermatologic adverse events are most common. The main oral toxicities of these immune checkpoint inhibitors include: xerostomia, dysg …
Rapidly Enlarging Malignant Proliferating Trichilemmal Tumor
Trichilemmal Tumor
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Malignant proliferating trichilemmal tumors are rare adnexal neoplasms that most commonly occur on the scalp in elderly women. These tumors are associated with recurrence and even nodal or distant metastatic spread. Here, JDD authors describe a 38-year-old patient who presented with a scalp nodule that was diagnosed as a high-grade malignant proliferating trichilemmal tumor. Introduction Th …
Blastomycosis-like Pyoderma Arising in Lichen Planus – A JDD Case Report
Lichen Planus
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CASE REPORT A 71-year-old Fitzpatrick phototype IV man with a history of hyperlipidemia and extensive travel to the Middle East presented with a mildly painful vegetative growth on his right lower leg for 1.5 months (Figure 1). In 2014, the patient reported a pruritic “rash” in the same location, which was treated with fluocinonide .05% ointment with resolution. [caption id="attachment …
Eruptive Milia Within a Tattoo
Milia within a tattoo
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Introduction The most frequently reported tattoo-related dermatoses, according to a study of 234 tattooed patients, are allergic,1infectious,2,3 and granulomatous4,5 reactions occurring in 2.1% of this population.6 Less common reactions are lichenoid,7photoallergic,8 pseudolymphomatous,9 discoid lupus erythematosus,10 incidental skin neoplasm,11 and koebnerization of psoriasis.12,13Milia within t …
Widespread Skin Necrosis Secondary to Gemcitabine Therapy
Skin Necrosis
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INTRODUCTION Cutaneous side effects are relatively common in chemotherapy but vary in frequency and severity depending on the medication, dose, duration, pharmacokinetics, and pharmacodynamics. Gemcitabine, a pyrimidine nucleoside analogue, is a common oncologic agent used in the treatment of a variety of malignancies such as cancers of the head and neck, lung cancer, breast cancer, pancreatic …