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Akan S, Arslan U, Yiğitbaşi Kiliç E. Androgen Receptor-Positive Penile Acrochordon: A Case Report. Cureus 2024; 16:e58177. [PMID: 38741806 PMCID: PMC11089589 DOI: 10.7759/cureus.58177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/31/2024] [Indexed: 05/16/2024] Open
Abstract
Acrochordons are polypoid, skin-colored lesions usually present at the site of skin folds. They are extremely rare in the preputial area of the penis and do not tend to grow. To the best of our knowledge, in English literature, this report presents the first case of an androgen receptor-positive penile acrochordon, which is located on the penis and showed rapid growth along with body development during puberty with no underlying causes such as acromegaly, diabetes, obesity, and trauma.
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Affiliation(s)
- Serkan Akan
- Department of Urology, University of Health Sciences Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR
| | - Umut Arslan
- Department of Urology, University of Health Sciences Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR
| | - Esin Yiğitbaşi Kiliç
- Department of Pathology, University of Health Sciences Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TUR
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2
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S Pillai N, Buccha Y. Amelanotic acrochordon. BMJ Case Rep 2024; 17:e259515. [PMID: 38395467 PMCID: PMC10895211 DOI: 10.1136/bcr-2023-259515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2024] Open
Affiliation(s)
- Niranjana S Pillai
- Department of Dermatology, Venereology and Leprosy, Dr D Y Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India
| | - Yash Buccha
- Department of Dermatology, Venereology and Leprosy, Dr D Y Patil Medical College Hospital and Research Centre, Pune, Maharashtra, India
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3
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Bhanushankar Verma S, Ramamoorthy R, Wollina U. Obese male with linear skin tags: Looking beyond the role of obesity and insulin resistance. Indian J Dermatol Venereol Leprol 2023; 0:1-2. [PMID: 37609734 DOI: 10.25259/ijdvl_134_2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Accepted: 04/05/2023] [Indexed: 08/24/2023]
Affiliation(s)
| | - Ramkumar Ramamoorthy
- Department of Dermatology, Kanchi Kamakoti Childs Trust Hospital, 12-A, Nageswara Road, Nungambakkam, Chennai, Tamil Nadu, India
| | - Uwe Wollina
- Department of Dermatology and Allergology, Municipal Teaching Hospital, Freidreichstrasse 41, Dresden, Saxony-Germany
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Zhanghuang C, Hang Y, Ji F, Long N, Yao Z, Li L, Yang Z, Tang H, Zhang K, Wu C, Xie Y, Yan B. Congenital giant fibroepithelial polyp of the scrotum in an infant: the first case report from China. Front Pediatr 2023; 11:1191983. [PMID: 37492601 PMCID: PMC10364443 DOI: 10.3389/fped.2023.1191983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 06/26/2023] [Indexed: 07/27/2023] Open
Abstract
Giant fibroepithelial polyp (FP) of the scrotum in infants is a rare disease. We reported the first case of FP in China. The child was only 9 months and 12 days old and was admitted to the hospital due to rapid growth and rupture of the scrotal mass. The patient underwent scrotal exploration under general anesthesia, and the mass was cystic-solid with clear boundaries. The tumor did not invade the sarcolemma of the scrotum and testicular tissue. The intraoperative pathological frozen section tended to be benign, and the scrotum's tumor and subcutaneous pedicle tissue were removed entirely after 0.5 cm from the boundary of the mass. The operation was successful. The mass was confirmed as FP by postoperative pathology. 6 months after the operation, the incision healed well without recurrence. This case report has a detailed diagnosis and treatment process and adequate examination results. It can provide a reference for diagnosing and treating FP in infants and reduce the risk of misdiagnosis and mistreatment.
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Affiliation(s)
- Chenghao Zhanghuang
- Department of Urology, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
- Yunnan Key Laboratory of Children’s Major Disease Research, Yunnan Province Clinical Research Center for Children’s Health and Disease, Kunming, China
| | - Yu Hang
- Department of Urology, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
| | - Fengming Ji
- Department of Urology, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
| | - Na Long
- Department of Special Needs Ward, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
| | - Zhigang Yao
- Department of Urology, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
| | - Li Li
- Yunnan Key Laboratory of Children’s Major Disease Research, Yunnan Province Clinical Research Center for Children’s Health and Disease, Kunming, China
| | - Zhen Yang
- Department of Oncology, Yunnan Children Solid Tumor Treatment Center, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
| | - Haoyu Tang
- Department of Urology, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
| | - Kun Zhang
- Department of Urology, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
| | - Chengchuang Wu
- Department of Urology, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
| | - Yucheng Xie
- Department of Pathology, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
| | - Bing Yan
- Department of Urology, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
- Department of Special Needs Ward, Kunming Children’s Hospital (Children’s Hospital Affiliated to Kunming Medical University), Kunming, China
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Zhang X, Wang P. Mycosis Fungoides Exhibits the Features of Skin Tags: A Case Report. Clin Cosmet Investig Dermatol 2023; 16:1765-1768. [PMID: 37441694 PMCID: PMC10335281 DOI: 10.2147/ccid.s411041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Accepted: 06/27/2023] [Indexed: 07/15/2023]
Abstract
We present the case of a 37-year-old male diagnosed with Mycosis fungoides (MF) after gradually developing multiple skin tags and brownish lichenoid papules. The patient had pre-existing erythema over his entire body, especially his face, upper extremities, and trunk, for over 1.5 years. Microscopic examination of the papule and the skin tag (ST) exhibited similar features mainly characterized by superficial dense band-like lymphoid infiltrates and epidermotropism of atypical lymphocytes (Pautrier's micro-abscesses). Immunohistochemistry further revealed the lymphoid infiltrates predominantly expressed LCA, CD3, CD4, and CD45RO but lacked CD7, CD8, CD30, CD20, and CD79a. The finding of this study that reports MF characterized by unusual STs suggests that some causes and effects have not been previously described in MF.
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Affiliation(s)
- XiaoYan Zhang
- Department of Dermatology, Hangzhou Third People’s Hospital, Hangzhou, People’s Republic of China
| | - Ping Wang
- Department of Dermatology, Hangzhou Third People’s Hospital, Hangzhou, People’s Republic of China
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Pinto V, Dellino M, Cicinelli R, Micheletti L, Ingravallo G, Cazzato G, Cascardi E, Cicinelli E. Multiple Vulvar Polyps in Pregnancy: A Benign Disease With a Challenging Diagnosis. J Low Genit Tract Dis 2023; 27:302-305. [PMID: 37201551 DOI: 10.1097/lgt.0000000000000737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/20/2023]
Affiliation(s)
- Vincenzo Pinto
- Department of Interdisciplinary Medicine (DIM), University of Bari "Aldo Moro", Bari, Italy
| | - Miriam Dellino
- Department of Interdisciplinary Medicine (DIM), University of Bari "Aldo Moro", Bari, Italy
| | - Rossana Cicinelli
- Department of Interdisciplinary Medicine (DIM), University of Bari "Aldo Moro", Bari, Italy
| | | | - Giuseppe Ingravallo
- Pathology Section, Department of Emergency and Organ Transplantation, University of Bari "Aldo Moro", Bari, Italy
| | - Gerardo Cazzato
- Pathology Section, Department of Emergency and Organ Transplantation, University of Bari "Aldo Moro", Bari, Italy
| | | | - Ettore Cicinelli
- Department of Interdisciplinary Medicine (DIM), University of Bari "Aldo Moro", Bari, Italy
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Friction-Aggravated Skin Disorders-A Review of Mechanism and Related Diseases. Dermatitis 2022:01206501-990000000-00081. [PMID: 36255396 DOI: 10.1097/der.0000000000000961] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT Skin is subject to frequent friction injury. Friction affects different structures of the skin, including keratinocytes, melanocytes, fibroblasts, and follicular units. Friction can also stimulate cytokine production. Friction is sensed by the mechanoreceptors, resulting in signal transduction to the nucleus, activating transcription factors and mechanoresponsive genes. Numerous friction-aggravated diseases have been identified, including inflammatory, depositional, follicular, genetic, infectious, and vesiculobullous disorders. Friction, as a potential modifiable aggravator, should be considered when skin diseases are located at friction-prone areas.
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Cells to Surgery Quiz: December 2021. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.10.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Beksac B, Donmez HG, Cagan M, Unal C, Fadiloglu E, Beksac MS. Acrochordons and autoimmunity: Significance of preconceptional counseling. Hum Antibodies 2020; 28:335-339. [PMID: 32831198 DOI: 10.3233/hab-200426] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Acrochordons are benign hypertrophic lesions of the skin of which the pathophysiology is unclear. OBJECTIVE This study aimed to examine the association of acrochordons with autoimmune disorders in patients with a poor obstetric history. METHODS This retrospective cohort involved 350 female patients with poor obstetric history who were included in a preconceptional care program to investigate risk factors for obstetric complications. These patients were further investigated for the co-existence of autoimmune disorders (defined by either a diagnosis of autoimmune diseases or autoimmune antibody positivity) and acrochordons. RESULTS An autoimmune disorder was present in 55.7% (195/350) of the patients. The rate of acrochordons was significantly higher in patients with autoimmune disorders (n= 195) compared to the control group (n= 155) (8.21% versus 2.58%, respectively) (p= 0.043). When the autoimmune disease positive (n= 58) and autoimmune antibody-positive (n= 137) groups were separately analyzed, acrochordons were found more frequently in the autoimmune disease group (p= 0.004). However, there was no statistically significant co-occurrence of autoimmune antibody positivity and the presence of skin tags (p= 0.135). CONCLUSION There may be immune system-related biological mechanisms underlying the pathogenesis of acrochordons. Preconceptional counseling is beneficial for women with poor obstetric history and acrochordons.
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Affiliation(s)
- Burcu Beksac
- Department of Dermatovenereology, Gulhane Research and Training Hospital, Ankara, Turkey
| | - Hanife Guler Donmez
- Department of Biology, Faculty of Science, Hacettepe University, Ankara, Turkey
| | - Murat Cagan
- Department of Gynecology and Obstetrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Canan Unal
- Department of Gynecology and Obstetrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Erdem Fadiloglu
- Department of Gynecology and Obstetrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - Mehmet Sinan Beksac
- Department of Gynecology and Obstetrics, Faculty of Medicine, Hacettepe University, Ankara, Turkey
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Salem SAM, Attia EAS, Osman WM, El Gendy MA. Skin tags: a link between lesional mast cell count/tryptase expression and obesity and dyslipidemia. Indian J Dermatol 2013; 58:240. [PMID: 23723485 PMCID: PMC3667297 DOI: 10.4103/0019-5154.110843] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND The etiology of skin tags (STs) is not fully understood. A relation to diabetes mellitus and obesity was suggested. Few studies of possible mast cells (MCs) involvement were reported. Tyrptase is a mast cell mediator and a potent fibroblast growth factor. It may provide a molecular link between mast cell activation and fibrosis. AIMS The aim was to assess clinical and laboratory findings in patients with STs, and the possible link between obesity, dyslipidemia, and lesional MC count/tryptase expression. MATERIALS AND METHODS A total of 20 patients with STs were subjected to clinical examination, estimation of body mass index (BMI), fasting blood glucose (FBG), postprandial blood glucose (PPBG), serum cholesterol and triglycerides, abdominal ultrasound for fatty liver assessment, in addition to study of MCs through staining for MC tryptase in two skin biopsies; lesional and nonlesional (control). RESULTS All patients showed abnormally high BMI and hypertriglyceridemia, with abnormal sonographic pattern in 15 patients (75%). STs number positively correlated with the age of patients. STs showed significantly higher MC counts and tryptase expression, compared with control skin (P < 0.001), with no correlation of the STs number or MC count with BMI, FBG, PPBG or serum cholesterol. Obese patients showed a significantly higher MC count than overweight and there was a positive correlation between MC count and serum triglycerides. Axilla and under breast STs showed a higher MC count compared with other sites. CONCLUSIONS STs seem to be related to obesity and hypertriglyceridemia. MCs with their tryptase are possibly involved in pathogenesis of STs. MC count is related to the associated factors; obesity and serum triglycerides. MC tryptase expression is a reliable method for accurate tissue MC counting.
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Affiliation(s)
| | - Enas AS Attia
- From the Department of Dermatology, Venereology and Andrology, Cairo, Egypt
| | - Wesam M Osman
- Department of Pathology, Faculty of Medicine Ain Shams University, Cairo, Egypt
| | - Marwa A El Gendy
- From the Department of Dermatology, Venereology and Andrology, Cairo, Egypt
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