Journal of the American Academy of Dermatology
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J. Am. Acad. Dermatol. · Nov 2002
Review Case ReportsSpontaneous clearance of psoriasis during the course of Kikuchi-Fujimoto disease.
A 23-year-old woman had psoriasis vulgaris since childhood. She noted painless enlargement of several lymph nodes in the cervical region accompanied by fever and malaise. ⋯ During the course of the Kikuchi-Fujimoto disease, the patient's recalcitrant psoriatic lesions spontaneously subsided. Complete clearance of psoriatic lesions continued until remission of Kikuchi-Fujimoto disease.
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J. Am. Acad. Dermatol. · Nov 2002
Case ReportsGranular parakeratosis: resolution with topical tretinoin.
Granular parakeratosis is an unusual acquired dermatosis characterized by intertriginous keratotic papules. Histologic examination shows parakeratosis with large numbers of basophilic keratohyaline granules within the stratum corneum. We report a case of a granular parakeratosis of the axilla that cleared rapidly with topical administration of tretinoin.
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We present a 64-year-old patient with a 9-cm firm, irregular penile mass associated with phimosis, erectile dysfunction, and voiding difficulty. After he reluctantly admitted to multiple penile mineral oil self-injections for enlargement, surgical excision was performed. Pathologic examination was consistent with mineral oil granuloma (paraffinoma). ⋯ Fortunately, most of these fads have been abandoned by medical professionals, but the complicating lesions have been documented as having lag times as long as 30 years. Complete surgical excision remains the treatment of choice to prevent recurrence. Increased public awareness is needed for the prevention of this physically and psychologically debilitating problem.