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Rahmatulla S, Batta K, Tatnall F, Sandhu D, Brown V. Facial discoid dermatosis: A cosmetically disfiguring and challenging condition to treat. Skin Health Dis 2021; 1:e56. [PMID: 35663769 PMCID: PMC9060026 DOI: 10.1002/ski2.56] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Revised: 06/02/2021] [Accepted: 06/10/2021] [Indexed: 12/03/2022]
Abstract
Facial discoid dermatosis (FDD) is a recently described condition comprising discrete facial papulo‐squamous lesions. We report three cases that clinically and histologically resemble FDD and demonstrate its resistance to treatment. Awareness of this new clinical entity will allow early diagnosis and the ability to make patients aware that there is unlikely to be a successful treatment. However, our study suggests that although FDD can persist for many years, it appears to remain stable.
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Affiliation(s)
- S Rahmatulla
- Department of Dermatology West Hertfordshire Hospitals NHS Trust Watford Hertfordshire UK.,School of Life and Medical Sciences University of Hertfordshire Hatfield Hertfordshire UK
| | - K Batta
- Department of Dermatology West Hertfordshire Hospitals NHS Trust Watford Hertfordshire UK
| | - F Tatnall
- Department of Dermatology West Hertfordshire Hospitals NHS Trust Watford Hertfordshire UK
| | - D Sandhu
- Department of Dermatology West Hertfordshire Hospitals NHS Trust Watford Hertfordshire UK
| | - V Brown
- Department of Dermatology West Hertfordshire Hospitals NHS Trust Watford Hertfordshire UK
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Ramessur R, Saffar N, Czako B, Agarwal A, Batta K. Cutaneous thrombosis associated with skin necrosis following Oxford-AstraZeneca COVID-19 vaccination. Clin Exp Dermatol 2021; 46:1610-1612. [PMID: 34189756 PMCID: PMC8444634 DOI: 10.1111/ced.14819] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2021] [Accepted: 06/24/2021] [Indexed: 12/29/2022]
Affiliation(s)
- R Ramessur
- Departments of, Dermatology, Watford General Hospital, Hertfordshire Hospitals NHS Trust, Watford, UK
| | - N Saffar
- Departments of, Dermatology, Watford General Hospital, Hertfordshire Hospitals NHS Trust, Watford, UK
| | - B Czako
- Clinical Haematology, Watford General Hospital, Hertfordshire Hospitals NHS Trust, Watford, UK
| | - A Agarwal
- Histopathology, Watford General Hospital, Hertfordshire Hospitals NHS Trust, Watford, Hertfordshire, UK
| | - K Batta
- Departments of, Dermatology, Watford General Hospital, Hertfordshire Hospitals NHS Trust, Watford, UK
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McDonald BS, Pigors M, Kelsell DP, O'Toole EA, Burkitt-Wright E, Kerr B, Batta K. Noonan syndrome with multiple lentigines and associated craniosynostosis. Clin Exp Dermatol 2018; 43:357-359. [DOI: 10.1111/ced.13329] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/21/2017] [Indexed: 12/17/2022]
Affiliation(s)
- B. S. McDonald
- Department of Dermatology; Watford General Hospital; Hertfordshire Hospitals NHS Trust; Watford Hertfordshire UK
| | - M. Pigors
- Centre for Cell Biology and Cutaneous Research; Blizard Institute; Barts and the London School of Medicine and Dentistry; Queen Mary University of London; London UK
| | - D. P. Kelsell
- Centre for Cell Biology and Cutaneous Research; Blizard Institute; Barts and the London School of Medicine and Dentistry; Queen Mary University of London; London UK
| | - E. A. O'Toole
- Centre for Cell Biology and Cutaneous Research; Blizard Institute; Barts and the London School of Medicine and Dentistry; Queen Mary University of London; London UK
| | - E. Burkitt-Wright
- Manchester Centre for Genomic Medicine; Genetic Medicine; St Mary's Hospital; Central Manchester University Hospitals NHS Foundation Trust; Manchester UK
| | - B. Kerr
- Manchester Centre for Genomic Medicine; Genetic Medicine; St Mary's Hospital; Central Manchester University Hospitals NHS Foundation Trust; Manchester UK
| | - K. Batta
- Department of Dermatology; Watford General Hospital; Hertfordshire Hospitals NHS Trust; Watford Hertfordshire UK
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McDonald BS, Narayanan S, Elawad M, Kiparissi F, Cullup T, Batta K. Interleukin-10 receptor mutation presenting with severe nappy ulceration and infantile inflammatory bowel disease. Clin Exp Dermatol 2017; 42:771-773. [PMID: 28597964 DOI: 10.1111/ced.13157] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2016] [Indexed: 12/31/2022]
Abstract
Inflammatory bowel disease (IBD) can be divided into Crohn disease, ulcerative colitis and inflammatory bowel disease unclassified (IBDU). In most patients, these disorders present in adolescence or early adulthood. Patients with infantile IBD can have an associated underlying immunodeficiency disorder caused by a mutation in interleukin (IL)-10 or its receptor. We describe a child presenting with intractable bloody diarrhoea since 2 weeks of age and with severe nappy ulceration, who was ultimately diagnosed as having inflammatory bowel disease (IBD) due to an immunodeficiency in the IL-10 receptor. This report highlights the importance of considering this rare immunodeficiency in patients with infantile IBD presenting with severe perianal disease to a dermatologist.
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Affiliation(s)
- B S McDonald
- Department of Dermatology, Watford General Hospital, Watford, Hertfordshire, UK
| | - S Narayanan
- Department of Paediatrics, Watford General Hospital, Watford, Hertfordshire, UK
| | - M Elawad
- Department of Paediatric Gastroenterology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - F Kiparissi
- Department of Paediatric Gastroenterology, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - T Cullup
- Regional Molecular Genetics Laboratory, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - K Batta
- Department of Dermatology, Watford General Hospital, Watford, Hertfordshire, UK
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Muttardi K, Nitoiu D, Kelsell DP, O'Toole EA, Batta K. Acral peeling skin syndrome associated with a novelCSTAgene mutation. Clin Exp Dermatol 2015; 41:394-8. [DOI: 10.1111/ced.12777] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/27/2015] [Indexed: 11/27/2022]
Affiliation(s)
- K. Muttardi
- Department of Dermatology; Watford General Hospital; Watford Hertfordshire UK
| | - D. Nitoiu
- Centre for Cell Biology and Cutaneous Research; Blizard Institute; Barts and the London School of Medicine and Dentistry; Queen Mary University of London; London UK
| | - D. P. Kelsell
- Centre for Cell Biology and Cutaneous Research; Blizard Institute; Barts and the London School of Medicine and Dentistry; Queen Mary University of London; London UK
| | - E. A. O'Toole
- Centre for Cell Biology and Cutaneous Research; Blizard Institute; Barts and the London School of Medicine and Dentistry; Queen Mary University of London; London UK
| | - K. Batta
- Department of Dermatology; Watford General Hospital; Watford Hertfordshire UK
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Ramesh R, Bouloux P, Dorkins H, Ellis R, Buch M, Batta K. Oral 4, X-linked ichthyosis with a contiguous gene defect in three successive generations. Br J Dermatol 2007. [DOI: 10.1111/j.1365-2133.2007.07876_4.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Abstract
Calciphylaxis is a rare, potentially life-threatening syndrome characterized by progressive microvascular and superficial soft tissue calcification, usually seen in patients with chronic renal failure. We describe an unusual case of calciphylaxis in a patient with alcoholic liver disease and normal renal function who responded well to conservative wound care.
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Affiliation(s)
- S P R Lim
- Department of Dermatology, North Staffordshire Hospital, Stoke-on-Trent, UK.
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Affiliation(s)
- K Batta
- Department of Dermatology, North Staffordshire Hospital, Stoke-on-Trent ST4 7PA, UK.
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Stavrou P, Murray PI, Batta K, Gordon C. Acute ocular ischaemia and orbital inflammation associated with systemic lupus erythematosus. Br J Ophthalmol 2002; 86:474-5. [PMID: 11914223 PMCID: PMC1771078 DOI: 10.1136/bjo.86.4.474] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Abstract
Birthmarks are commonly seen in neonates. Most are insignificant incidental findings and straightforward in their diagnosis and management. Others are of more serious concern and may require intervention for medical or cosmetic reasons. They may also be an indication of abnormalities in other organ systems. This chapter will focus on the diagnosis and management of large vascular and pigmented birthmarks. A multidisciplinary team approach involving paediatricians, dermatologists, plastic surgeons and other specialists is often required in the management of these children.
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Affiliation(s)
- K Batta
- Dermatology Department, The Birmingham Children's Hospital, Steelhouse Lane, Birmingham, UK
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Batta K, Rugg E, Wilson N, West N, Goodyear H, Lane E, Gratian M, Dopping-Hepenstal P, Moss C, Eady R. A keratin 14 'knockout' mutation in recessive epidermolysis bullosa simplex resulting in less severe disease. Br J Dermatol 2000. [DOI: 10.1046/j.1365-2133.2000.03722.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Abstract
Cryptococcus albidus is a non-neoformans species of the genus Cryptococcus and is a rare cause of disease. There have been only 13 previously reported cases of systemic disease in which this opportunistic yeast has been isolated from the lung, cerebrospinal fluid and blood. We report the first case of cutaneous Cryptococcus infection due to the species C. albidus, in a man with Sézary syndrome.
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Affiliation(s)
- S Narayan
- Department of Dermatology, The Birmingham Skin Centre and Department of Histopathology, City Hospital, Birmingham B18 7QH, U.K
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Batta K, Rugg EL, Wilson NJ, West N, Goodyear H, Lane EB, Gratian M, Dopping-Hepenstal P, Moss C, Eady RA. A keratin 14 'knockout' mutation in recessive epidermolysis bullosa simplex resulting in less severe disease. Br J Dermatol 2000; 143:621-7. [PMID: 10971341 DOI: 10.1111/j.1365-2133.2000.03722.x] [Citation(s) in RCA: 41] [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: 11/26/2022]
Abstract
Epidermolysis bullosa simplex (EBS) is a blistering skin disease caused in most cases by mis-sense mutations in genes encoding the basal epidermal keratin (K) 5 and K14. The inheritance is usually autosomal dominant and the mutant keratin proteins appear to exert a dominant negative effect on the keratin intermediate filament cytoskeleton in basal keratinocytes. We report a child with a homozygous K14 mutation resulting in the complete absence of K14 protein in the epidermis; remarkably, he only had mild to moderate disease. Electron microscopy of a skin biopsy showed a marked reduction in numbers of keratin intermediate filaments in the basal keratinocytes. Immunofluorescence microscopy using monoclonal antibody LL001 against K14 showed no staining, suggesting a functional knockout of K14. Sequence analysis of genomic DNA revealed a homozygous mutation in codon 31 of K14 that resulted in a premature stop codon further downstream in exon 1. The child's mother, who is unaffected by the disease, is heterozygous for the mutation. The consanguineous father was unaffected and unavailable for testing. The resulting mRNA is predicted to encode a protein of 116 amino acids, of which the first 30 are identical to the normal K14 sequence, and the remaining 86 residues are mis-sense sequence. Four previously reported cases of autosomal recessive EBS with functional knockout of K14 were severely affected by blistering, in contrast to our patient in whom the predicted protein has only the first 30 amino acids of K14 and is therefore the closest to a true knockout of K14 protein yet identified.
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Affiliation(s)
- K Batta
- Department of Dermatology, The Birmingham Children's Hospital, Birmingham B4 6NL, U.K
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Affiliation(s)
- K Batta
- The Birmingham Skin Centre, City Hospital NHS Trust, UK
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Batta K, Hindson C, Cotterill JA, Foulds IS. Treatment of poikiloderma of Civatte with the potassium titanyl phosphate (KTP) laser. Br J Dermatol 1999; 140:1191-2. [PMID: 10354107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Abstract
Involvement in pemphigus vulgaris of the female genital tract including the vulva, vagina and cervix has previously been described. In all these cases other cutaneous and mucosal sites have also been affected at some time. We describe a case of pemphigus vulgaris which only involved the vaginal mucosa. The patient presented with a persistent vaginal discharge and examination showed extensive vaginal erosions. Histology of vaginal biopsies was non-diagnostic. The recognition that the vaginal changes may represent an immunobullous disease led to further vaginal biopsies on which direct immunofluorescence studies were performed. These biopsies showed IgG and C3 in the intercellular epidermis, suggesting a diagnosis of pemphigus vulgaris. During the 3-year period that the patient has been under review there have never been any other cutaneous or mucosal lesions. To our knowledge, this is the first case of pemphigus vulgaris localized exclusively to the vaginal mucosa. There was considerable delay in diagnosis and this case highlights how important it is to recognize that chronic mucosal lesions at genital sites may be caused by immunobullous diseases such as cicatricial pemphigoid and pemphigus, and to institute appropriate investigations.
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Affiliation(s)
- K Batta
- The Birmingham Skin Centre, City Hospital NHS Trust, Birmingham B18 7QH, U.K
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Batta K, Tan CY, Colloby P. Giant cell tumour of the tendon sheath producing a groove deformity of the nail plate and mimicking a myxoid cyst. Br J Dermatol 1999; 140:780-1. [PMID: 10233358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Abstract
There is conflicting evidence regarding the reproducibility of patch testing. Discordant results have been reported in up to 44% of cases. The clinical relevance of these discordant patch tests has not been previously assessed. We studied 383 consecutive patients receiving simultaneous duplicate patch testing on opposite sides of the upper back with 10 allergens from the European standard series. Completely discordant patch tests-a negative test on one side with a positive test on the opposite side-were recorded in 30 (8%) patients. Two patients had discordant tests to two of the allergens; 28 had discordant reactions to one allergen. Completely discordant tests were recorded for nickel in 10 (3%) patients, balsam of Peru in two (0.5%), thiomersal in one (0.3%), cobalt in four (1%), paraphenylenediamine in three (0.8%), fragrance mix in two (0.5%), formaldehyde in four (1%), potassium dichromate in two (0.5%), lanolin in three (0.8%) and Kathon CG in one (0.3%). Of those patients with completely discordant patch tests, the allergen was deemed to be a true positive in 11 (3% of total) cases and of possible relevance in a further three. The allergen was felt to be relevant to the presenting complaint in seven (2% of total) patients.
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Affiliation(s)
- J F Bourke
- Birmingham Skin Centre, City Hospital, Dudley Road, Birmingham B18 7QH, U.K.
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Affiliation(s)
- K Batta
- Birmingham Skin Centre, City Hospital NHS Trust, UK
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Hastings JG, Batta K, Gourevitch D, Williams MD, Rees E, Palmer M, Smilie J. Fatal transfusion reaction due to Yersinia enterocolitica. J Hosp Infect 1994; 27:75-9. [PMID: 7916367 DOI: 10.1016/0195-6701(94)90072-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
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