Browsing by Author "Barankin, Benjamin"

Now showing 1 - 9 of 9
  • Thumbnail Image
    ItemOpen Access
    An 8-Year-Old Child with Delayed Diagnosis of Netherton Syndrome
    (2018-01-30) Leung, Alexander K. C.; Barankin, Benjamin; Leong, Kin Fon
    We report an 8-year-old boy with Netherton syndrome who was misdiagnosed and treated as severe atopic dermatitis. The diagnosis of Netherton syndrome was not made until the child was 8 years of age. We discuss the pitfalls in the diagnosis and alert physicians to the proper and early diagnosis of this syndrome. The child was treated with a low dose (0.25 mg/kg) of oral acitretin and a topical moisturizer with marked improvement of his skin and pruritus in 2 months. At 6-month follow-up, the skin was almost clear of erythema and scaling, and the hair was longer and stronger. The dose of acitretin was reduced to 0.12 mg/kg for another 6 months and then discontinued.
  • Thumbnail Image
    ItemOpen Access
    Bilateral Symmetrical Herpes Zoster in an Immunocompetent 15-Year-Old Adolescent Boy
    (2015-01-27) Leung, Alexander K. C.; Barankin, Benjamin
    Herpes zoster is uncommon in immunocompetent children. The bilateral symmetrical occurrence of herpes zoster lesions is extremely rare. We report a 15-year-old immunocompetent Chinese adolescent boy who developed bilateral symmetrical herpes zoster lesions. To our knowledge, the occurrence of bilateral symmetrical herpes zoster lesions in an immunocompetent individual has not been reported in the pediatric literature.
  • Thumbnail Image
    ItemOpen Access
    Dyshidrotic eczema
    (Enliven Archive, 2014-09-16) Leung, Alexander K.C.; Barankin, Benjamin; Hon, Kam Lun
    Dyshidrotic eczema, also known as dyshidrotic dermatitis or pompholyx, is characterized by pruritic, tense, deep-seated vesicles mainly on the palms and lateral surfaces of the fingers. In the chronic phase, scaling, desquamation, fissuring, and, sometimes, lichenification may be seen. The peak age of onset is between 20 and 30 years of age. The sex incidence is approximately equal. Most cases are idiopathic. Predisposing factors include atopy, contact allergens, contact irritants, dermatophyte infection, allergy to ingested metal, hyperhidrosis, prolonged use of protective gloves, intravenous immunoglobulin, psychological stress, and smoking. Although the disease is benign, it tends to run a chronic and relapsing course. Successful treatment requires a systemic multipronged approach that consists of avoidance of triggering factors, optimal skin care, pharmacotherapy during acute exacerbations, and education of patients/caregivers. Ultrapotent topical corticosteroids are the mainstay of pharmacotherapy.
  • Thumbnail Image
    ItemOpen Access
    Laugier–Hunziker Syndrome in an 8-Year-Old Boy with Scleral Melanocytosis, Lingual Pigmentation, Labial Pigmentation, and Melanonychia Striata
    (2020-03-17) Leung, Alexander K. C.; Leong, Kin Fon; Barankin, Benjamin; Lam, Joseph M.
    Laugier–Hunziker syndrome is a rare, acquired disorder characterized by mucocutaneous hyperpigmentation and melanonychia striata with no underlying systemic abnormalities. We report an 8-year-old boy with Laugier–Hunziker syndrome who presented with melanonychia striata affecting all the fingernails and toenails, macular pigmentation on the tongue and the lower lip, and scleral melanocytosis. Melanonychia striata rarely affect all the twenty nails, and scleral melanocytosis has rarely been reported in association with Laugier–Hunziker syndrome. Laugier–Hunziker syndrome occurs predominately in adults. Our patient is the youngest reported patient with Laugier–Hunziker syndrome.
  • Thumbnail Image
    ItemOpen Access
    Lichen Striatus with Nail Involvement in a 6-Year-Old Boy
    (2020-01-27) Leung, Alexander K. C.; Leong, Kin Fon; Barankin, Benjamin
    We describe a 6-year-old boy with an asymptomatic linear eruption on the left index finger with mild erythema of the proximal nail fold, nail dystrophy, and subungual hyperkeratosis of the nail. A diagnosis of nail lichen striatus was made. The child was successfully treated with a topical corticosteroid. Because of its rarity, nail lichen striatus is often under-recognized. Physicians should be familiar with the nail involvement in individuals with lichen striatus so that an accurate diagnosis can be made and unnecessary investigations and treatment avoided.
  • Thumbnail Image
    ItemOpen Access
    Nevus Lipomatosus Superficialis on the Left Proximal Arm
    (2017-09-13) Leung, Alexander K. C.; Barankin, Benjamin
    We report a 58-year-old woman with a solitary type of nevus lipomatosus superficialis on the left proximal arm. To our knowledge, the occurrence of a solitary type of nevus lipomatosus superficialis on the arm has very rarely been reported. A perusal of the literature revealed but one case, to which we are going to add another one. Recognition of this clinical manifestation is important so that a proper diagnosis can be made.
  • Thumbnail Image
    ItemOpen Access
    Persistent Salmon Patch on the Forehead and Glabellum in a Chinese Adult
    (2014-05-14) Leung, Alexander K. C.; Barankin, Benjamin; Hon, Kam Lun
    Salmon patches are present in approximately 44% of all neonates. The lesions tend to fade with time and those on the glabellum, eyelids, nose, and upper lip are rarely detected after the age of 6. We report a 33-year-old Chinese female with a salmon patch on the forehead and glabellum. To our knowledge, the occurrence of a salmon patch on the forehead and glabellum in adulthood has not been reported. The persistent salmon patch on the face of an adult is benign and not associated with any neurocutaneous syndrome or underlying vascular abnormality. The color of the lesion can be ameliorated with laser therapy if cosmesis is a concern.
  • Thumbnail Image
    ItemOpen Access
    Physiological Striae Atrophicae of Adolescence with Involvement of the Axillae and Proximal Arms
    (2017-05-16) Leung, Alexander K. C.; Barankin, Benjamin
    We report a 16-year-old adolescent male with multiple violaceous, atrophic, vertical linear striae isolated to the axillae and proximal arms of approximately one-year duration. In the past two years, he indulged in heavy weight-lifting. He experienced a growth spurt over the past few years. The patient was otherwise in good health and was not on any medications. Physiological striae atrophicae of adolescence where the striae were restricted to the axillae and proximal arms have very rarely been reported.
  • Thumbnail Image
    ItemOpen Access
    Physiological Striae Atrophicae of Adolescence with Involvement of the Upper Back
    (2013-07-15) Leung, Alexander K. C.; Barankin, Benjamin
    We report a 13-year-old boy with multiple purplish, atrophic, horizontal linear striae in the thoracic area. He reported a growth spurt in the preceding 12 months. His past health was unremarkable, and he took no medications. To our knowledge, physiological striae atrophicae of adolescence where idiopathic striae were restricted to the upper back have rarely been reported. Physiological striae atrophicae of adolescence may, on occasions, be mistaken for child abuse. It is important that child care professionals recognize this condition so that false accusations of child abuse will not be made.