Topics
Dermatology
Localised Herpes Simplex Following Midline Laparotomy
An older man with Crohn's disease underwent emergency laparotomy for small bowel perforation. A peri-incisional vesiculobullous eruption developed 5days later. Histopathology demonstrated viral cytopathic changes, immunohistochemistry was positive for herpes simplex virus and HSV-1 DNA confirmed by polymerase chain reaction test, representing the first reported case of localised herpes simplex following abdominal surgery.
Jessica S. Bulluss, Paul Chee, Matthew J. Verheyden
Diagnosing Acute Kava Dermopathy: A Case Report of a Characteristic Cutaneous Eruption
A 41-year-old woman presented to the emergency department with a widespread pruritic, erythematous eruption following 6weeks of kava consumption for anxiety and insomnia. The eruption began on the abdomen and progressively involved the chest, upper back and face. Laboratory investigations revealed mild derangement of liver function test results. Skin biopsy results demonstrated folliculocentric inflammation and necrosis of sebaceous glands, consistent with acute kava dermopathy. Kava, a traditional anxiolytic herbal preparation, has been implicated in both chronic and acute cutaneous reactions, including ichthyosiform and sebotropic eruptions. Its active compounds, kavalactones, are hypothesised to provoke a cytotoxic T-cell–mediated response targeting sebaceous glands. This case is notable as it occurred in an Australian woman with no travel history to the Pacific Islands—a region where kava use is prevalent. Moreover, the distinct histopathological findings, rarely documented in the literature, provide valuable diagnostic insight and serve as a visual reference for clinicians encountering this condition.
Ali Abid, Nicholas Allen, Abeer Hagelamin, Christopher Henderson, Artiene Tatian
No silver lining with health misinformation: argyria caused by intentional silver consumption
A 63-year-old man was brought to the emergency department after a fall with prolonged floor lie of two days, complicated by urinary retention and acute kidney injury, in the context of peripheral neuropathy
Luke Collins · Logesh Palanikumar · Stephen Bacchi
Lingual Raynaud phenomenon
An 18-year-old Australian, Indigenous woman with no medical history presented with five months of small joint polyarthralgia and Raynaud phenomenon
Michael Taggart · Mina John
Melasma in the male: a less well recognised entity
An otherwise healthy man of Southeast-Asian descent aged in his mid-30s presented with non-pruritic hyperpigmented patches involving the face for over 12 months
Tim Aung · Rowland Noakes
Age group‐specific changes in keratinocyte cancer treatment rates in Australia, 2012–2021: a retrospective cohort study based on MBS claims data
Factors contributing to lower keratinocyte cancer treatment rates among younger Australians require further investigation
Catherine M Olsen · Nirmala Pandeya · Rachel E Neale · David C Whiteman
Good's syndrome associated with multiple basal cell carcinomas
Jacques Zimmer · Markus Ollert
Good's syndrome associated with multiple basal cell carcinomas
Michelle Wu · Margit Polcz · Nicole Seebacher
Skin fragility disorder misdiagnosed as child abuse: a cautionary tale
A two-year-old girl presented in distress after a minor fall in a sandpit at a childcare facility
Anneliese Willems · Lauren Weston · Susan Robertson
Good's syndrome associated with multiple basal cell carcinomas: a case report
A 61-year-old man of European ancestry presented with five large fungating lesions
Michelle Wu · Nicole Seebacher · Margit Polcz
Field cancerisation and radiotherapy: a case of treatment complications
Gerald B Fogarty · Elizabeth J Paton · David Christie
Field cancerisation and radiotherapy: a case of treatment complications
James Muir · Sarah K Morton · Selim Ozluer
Calcinosis cutis of the thumb
A 57-year-old woman receiving intermittent haemodialysis presented with a six-week history of a traumatic, painful, firm swelling of her right thumb
Mitchell Hunter‐Dickson · Jessica Conway
Field cancerisation and radiotherapy: a case of treatment complications
A 62-year-old man with a more than 30-year history of actinic keratoses and keratinocyte carcinomas presented for ongoing management
Sarah K Morton · Selim Ozluer · James Muir
A solitary triangular alopecia
An otherwise well, five-year-old girl was brought in by parents for review of a bald patch over the left frontotemporal scalp
Tim Aung
The impact of climate change on skin health
Climate change affects skin health and skin diseases; mitigation and adaptation strategies are required and are time-critical
Austen Anderson · Fiona Bruce · H Peter Soyer · Crystal Williams · Rebecca B Saunderson
Management of cutaneous melanoma in Australia: a narrative review
The management of cutaneous melanoma has been revolutionised in the past decade, with ongoing efforts to improve patient outcomes centred on rich translational research endeavours and robust clinical trials
Prachi Bhave · Jessica Wong · Aideen McInerney‐Leo · Anne E Cust · Craig Lawn · Monika Janda · Victoria J Mar
Fixed drug eruption: the often forgotten cutaneous adverse drug reaction
A 65-year-old woman presented to the emergency department with asymptomatic plaques on her left medial thigh
Katina J Selvaraj · Thomas J Stewart
Bridging the gap in skin cancer research for Australians with skin of colour
Australian skin cancer registries need to sensitively capture data on race and ethnicity to improve skin cancer outcomes for people with skin of colour
Ayooluwatomiwa I Oloruntoba · Michelle Rodrigues
Keratinocyte cancer in chronic smokers: is this arsenic exposure?
An 83-year-old woman of European ancestry had an initial diagnostic consideration of arsenical keratosis
Lachlan DW Lau · Anneliese Willems · Laura Scardamaglia
Cutaneous horn due to cutaneous squamous cell carcinoma
A 91-year-old man presented with a more than 10-year history of a slow growing horn- like lesion on the right side of the face
Li‐wen Zhang · Tao Chen
DANGER: what clinicians need to know about aggressive head and neck cutaneous squamous cell carcinoma
The DANGER acronym is a simple, evidence-based aid to identify high risk squamous cell carcinoma
Richard Tjahjono · Hubert TH Low · Jenny Lee · Deshan F Sebaratnam · Ruta Gupta · Michael J Veness · Jonathan Clark · Carsten E Palme
VEXAS syndrome causing fever of unknown origin
A 69-year-old man had three hospital admissions from April to July 2021 with persistent fever of unknown origin
Anna Grosse · Tania Salehi · Mandy Callary · Jane R Hecker · Pravin Hissaria
Management of atopic dermatitis: a narrative review
Ongoing elucidation of genetic and inflammatory pathways responsible for atopic dermatitis holds promise for new targeted treatments and increasingly personalised atopic dermatitis therapy
Michelle SY Goh · Jenny SW Yun · John C Su
Periorbital purpura following intense emesis
A 6-year-old girl presented with a 24-hour history of sudden onset, non-tender periorbital rash
Yi‐Teng Hung · Chun‐Bing Chen
