1
|
Calderon P, Ajmal H, Brady M, Kartono F. Refractory erythema annulare centrifugum treated with roflumilast. JAAD Case Rep 2024; 47:17-19. [PMID: 38576897 PMCID: PMC10993127 DOI: 10.1016/j.jdcr.2024.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/06/2024] Open
Affiliation(s)
- Pamela Calderon
- Department of Dermatology, Corewell Health Farmington Hills, Farmington Hills, Michigan
| | - Hamza Ajmal
- Department of Dermatology, Corewell Health Farmington Hills, Farmington Hills, Michigan
| | - Mitchell Brady
- Department of Dermatology, Corewell Health Farmington Hills, Farmington Hills, Michigan
| | - Francisca Kartono
- Department of Dermatology, Corewell Health Farmington Hills, Farmington Hills, Michigan
| |
Collapse
|
2
|
Slater K, Halash K, Kartono F. Oral Lichen Planus Successfully Treated With Upadacitinib. J Drugs Dermatol 2024; 23:e104-e106. [PMID: 38564384 DOI: 10.36849/jdd.7859] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
Abstract
With the rise of Janus kinase (JAK) and Signal Transducer and Activator of Transcription (STAT) inhibitor use in dermatologic conditions, there has been increasing hope in treating extensive and difficult-to-treat inflammatory cutaneous conditions. Today we report a case of oral lichen planus successfully treated with an oral JAK1 inhibitor, upadacitinib. This case had been unresponsive by several standard methods but responded with 70% improvement within 1 month when treated with upadacitinib. J Drugs Dermatol. 2024;23(4):7859. doi:10.36849/JDD.7859e  .
Collapse
|
3
|
Slater KN, Nessel T, Kartono F. Toxic Erythema of Chemotherapy, Vasculitic Eruption With Malignant Intertrigo Characteristics, and Superimposed Infection Post-bevacizumab Initiation. Cureus 2024; 16:e52816. [PMID: 38406049 PMCID: PMC10884723 DOI: 10.7759/cureus.52816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2024] [Indexed: 02/27/2024] Open
Abstract
Drug reactions are a known risk in combined anti-cancer therapy. Less commonly recognized risks of chemotherapies and targeted immunotherapies include toxic erythema of chemotherapy reactions. With the immunosuppressive quality of cancer combined with anti-cancer treatments, patients are also susceptible to increased infection. We report a rare case of combined targeted anti-cancer treatment with bevacizumab and lorlatinib, and an associated transformation of an eczematous process into a toxic erythema of chemotherapy vasculitic eruption, with combined malignant intertrigo characteristics and superimposed infection following the initiation of bevacizumab.
Collapse
Affiliation(s)
- Kristin N Slater
- Dermatology, Lincoln Memorial University DeBusk College of Osteopathic Medicine, Harrogate, USA
| | | | | |
Collapse
|
4
|
Slater KN, Valk B, Kartono F. A case of generalized granuloma annulare treated with upadacitinib. JAAD Case Rep 2023; 34:12-14. [PMID: 36936861 PMCID: PMC10015114 DOI: 10.1016/j.jdcr.2023.01.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/13/2023] Open
Affiliation(s)
- Kristin N. Slater
- Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Harrogate, Tennessee
- Correspondence to: Kristin N. Slater, MS, Lincoln Memorial University-DeBusk College of Osteopathic Medicine, 6965 Cumberland Gap Pkwy, Harrogate, TN 37752.
| | | | | |
Collapse
|
5
|
Affiliation(s)
- Reem Kashlan
- Wayne State University School of Medicine, Detroit, Michigan
| | - Kristin Slater
- Lincoln Memorial University-DeBusk College of Osteopathic Medicine, Harrogate, Tennessee
| | | | | |
Collapse
|
6
|
Chan DV, Kartono F, Ziegler R, Abdulwahab N, DiPaola N, Flynn J, Wong HK. Absence of HLA-DR1 positivity in 2 familial cases of frontal fibrosing alopecia. J Am Acad Dermatol 2014; 71:e208-10. [PMID: 25437995 DOI: 10.1016/j.jaad.2014.05.064] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2014] [Accepted: 05/28/2014] [Indexed: 10/24/2022]
Affiliation(s)
- Derek V Chan
- Division of Dermatology, Department of Medicine, Wexner Medical Center at the Ohio State University, Columbus, Ohio
| | - Francisca Kartono
- Division of Dermatology, Department of Medicine, Wexner Medical Center at the Ohio State University, Columbus, Ohio
| | - Rebecca Ziegler
- Division of Dermatopathology, Department of Pathology, Wexner Medical Center at the Ohio State University, Columbus, Ohio
| | - Nebila Abdulwahab
- Clinical Histocompatibility Laboratory, Wexner Medical Center at the Ohio State University, Columbus, Ohio
| | - Nicholas DiPaola
- Clinical Histocompatibility Laboratory, Wexner Medical Center at the Ohio State University, Columbus, Ohio
| | - Joseph Flynn
- Division of Hematology, Department of Medicine, Wexner Medical Center at the Ohio State University, Columbus, Ohio; James Cancer Center at the Ohio State University, Columbus, Ohio
| | - Henry K Wong
- Division of Dermatology, Department of Medicine, Wexner Medical Center at the Ohio State University, Columbus, Ohio; James Cancer Center at the Ohio State University, Columbus, Ohio.
| |
Collapse
|
7
|
Kartono F, Basile A, Roshdieh B, Schwimer C, Shitabata PK. Findings of osseous sclerotic bodies: a unique sequence of cutaneous bone formation in nephrogenic systemic fibrosis. J Cutan Pathol 2010; 38:286-9. [DOI: 10.1111/j.1600-0560.2010.01591.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
8
|
Kirby W, Kartono F, Desai A, Kaur RR, Desai T. Treatment of large bulla formation after tattoo removal with a q-switched laser. J Clin Aesthet Dermatol 2010; 3:39-41. [PMID: 20725537 PMCID: PMC2921738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
Widely considered the gold standard treatment option for tattoo removal, the use of Q-switched lasers may very rarely result in the formation of large bulla. While very disconcerting to patients, these lesions are easily managed and, with proper care, heal quickly with no long-term consequences. The authors present three cases of patients who had bullous reactions shortly after receiving Q-switched laser treatment of tattoo ink. Bullous formation in all three patients was treated successfully.
Collapse
Affiliation(s)
| | - Francisca Kartono
- Department of Dermatology, Botsford Hospital, Farmington Hills, Michigan
| | | | - Ravneet R. Kaur
- David Geffen School of Medicine at UCLA, Los Angeles, California
| | | |
Collapse
|
9
|
Kirby W, Desai A, Desai T, Kartono F, Geeta P. The Kirby-Desai Scale: A Proposed Scale to Assess Tattoo-removal Treatments. J Clin Aesthet Dermatol 2009; 2:32-37. [PMID: 20729941 PMCID: PMC2923953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
BACKGROUND As tattoos have become increasingly popular in the Western world, tattoo-removal requests have also increased, as patients' personal identities advance. Laser tattoo removal is the current treatment of choice given its safety and efficacy. However, due to varying types of tattoos, it has been difficult to quantify the number of laser treatments required with certainty when discussing laser tattoo removal with our patients. OBJECTIVE To propose a practical numerical scale to assess the number of laser tattoo-removal treatments necessary to achieve satisfactory results. METHODS AND MATERIALS A retrospective chart review was performed on 100 clinic patients who presented for laser tattoo removal. An algorithm was proposed to assign a numerical score to each tattoo across six different categories (skin type, location, color, amount of ink, scarring, and layering). The cumulative score (Kirby-Desai score) is proposed to correlate with the number of treatment sessions required for satisfactory tattoo removal. RESULTS A correlation coefficient of 0.757 was achieved, with satisfactory tattoo removal in all subjects (N=100, p<0.001). CONCLUSION We propose the Kirby-Desai scale as a practical tool to assess the number of laser tattoo-removal sessions required, which will translate into a more certain cost calculation for the patient.
Collapse
Affiliation(s)
| | | | | | - Francisca Kartono
- Department of Dermatology, Botsford Hospital, Farmington Hills, Michigan
| | - Patel Geeta
- New York College of Osteopathic Medicine, Old Westbury, New York
| |
Collapse
|
10
|
|
11
|
Desai TD, Desai AD, Horowitz DC, Kartono F, Wahl T. The use of high-frequency ultrasound in the evaluation of superficial and nodular basal cell carcinomas. Dermatol Surg 2007; 33:1220-7; discussion 1226-7. [PMID: 17903155 DOI: 10.1111/j.1524-4725.2007.33257.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Frequencies of 20 MHz may be appropriate to visualize basal cell carcinomas (BCCs) including their tumor thickness and margins. Histologic comparisons to sonographic images are related at all levels of the epidermis and corium. OBJECTIVE The objective was to evaluate whether high-frequency ultrasound (HFUS) proved to be an inexpensive and noninvasive modality to adequately delineate tumor margins under favorable circumstances. MATERIALS AND METHODS Fifty superficial and nodular BCCs of various locations were scanned using a 20-MHz ultrasound device. Tumors were delineated, excised with 4-mm surgical margins, and sent for histologic clearance. Morpheaform, recurrent BCCs, BCCs in areas difficult to scan, and BCCs with specific properties were excluded from this study. RESULTS Clinical and ultrasonic measurements correlated well in terms of width, depth, and length (p<.0005). Of 50 BCCs, 45 were clear after margin assessment with HFUS. Five BCCs depicted extension past 4-mm surgical margins and returned with positive margins. CONCLUSION HFUS delineated tumor margins adequately, and it appeared to depict subclinical extension past 4 mm on less aggressive BCC variants. It could be warranted if clinical or histologic diagnosis is uncertain. The strong association between clinical and ultrasonic measurements initiates more successful forms of therapy, risk-stratifies specific subgroups of patients, and prevents overall morbidity.
Collapse
Affiliation(s)
- Tejas D Desai
- Western University of Health Sciences, Pomona, California, USA.
| | | | | | | | | |
Collapse
|
12
|
Tsai S, Kartono F, Shitabata PK. A novel glass slide filing system for pathology slides. Am J Clin Pathol 2007; 128:109-11. [PMID: 17580277 DOI: 10.1309/104f7e17xmfe0txx] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
The availability of a collection of microscope glass slides for review is essential in the study and practice of pathology. A common problem facing many pathologists is the lack of a well-organized filing system. We present a novel system that would be easily accessible, informative, protective, and portable.
Collapse
Affiliation(s)
- Steve Tsai
- Department of Pathology, Harbor-UCLA School of Medicine, Torrance, CA, USA
| | | | | |
Collapse
|
13
|
Abstract
BACKGROUND Crusted Norwegian scabies is a rare hyperkeratotic variant of scabies infestation. We report herein a case of crusted scabies in a woman with underlying Langerhans cell histiocytosis (LCH). OBSERVATIONS A 49-year-old woman with LCH was hospitalized owing to marked thrombocytopenia. Her hyperkeratotic skin eruption was thought to be secondary to LCH because several years earlier, she had positive biopsy findings and had been diagnosed as having LCH. After a 1-month hospital stay, her laboratory values improved despite worsening of her skin lesions. CONCLUSION Analysis of skin scrapings confirmed the presence of scabies, and resolution was achieved with a 1-dose ivermectin treatment.
Collapse
|
14
|
Abstract
Sodium lauryl sulfate (SLS) has often been chosen as a model for irritant contact dermatitis (ICD) to study the effect of irritants in combination (1-14). Recently 'tandem', or sequential, exposures with SLS have been performed to study the mechanism of skin barrier impairment in ICD (1-6, 15). The assessment of reactions have been documented with visual scoring, transepidermal water loss (TEWL), skin colour reflectance measurements, skin blood flow; among which TEWL has been noted as the most sensitive value (16). The matched control groups were treated with either a single exposure to a single irritant or in tandem with the same irritant repeatedly. Synergistic and additive effects have been reported for various tandem pairs of irritants, however, the mechanism for both remains unclear. The results of tandem irritation studies were evaluated to define and investigate the responses produced and deduce a possible mechanism of action. Clinical ramifications, albeit complex, are discussed.
Collapse
Affiliation(s)
- Francisca Kartono
- Department of Dermatology, UCSF, School of Medicine, San Francisco, CA 94143, USA
| | | |
Collapse
|