Review Article

New Described Dermatological Disorders

Table 1

Clinicopathological findings of new described dermatological disorders.

DiseaseAuthorPublication dateNumber, sex, and age, yClinicsPathologyAccompanying signs or disease

Circumferential skin creases Kunze typeWouters et al. [7]20118, 6 M/2 F, NRCircumferential creases, cleft palate, typical face, intellectual disability, and growth retardationThickened, closely packed collagen bundles in deep dermis; normal distribution of elastic fibersNone

Unusual type of pachyonychia congenita or a new syndromeGönül et al. [8]20131, M, 30Follicular hyperkeratosis, bilateral blepharitis, epidermal cysts localized to the axillae, painful focal palmoplantar keratoderma, oral leukokeratosis, complete loss of teeth, nails with proximal layering, and mild mental retardationDeficiency of immunoglobulin A and squamous cell cancer

CANDLE syndromeTorrelo et al. [9]20104, 1 M/3 F, 2–14Early onset recurrent fever, annular violaceous plaques, persistent violaceous eyelid and lip swelling, delayed physical development, progressive lipodystrophy, hepatomegaly, and a range of visceral inflammatory manifestationsAn inflammatory reaction comprising both mature neutrophils and some mononuclear cells without vasculitis and perivascular and interstitial infiltrates of atypical mononuclear cells of myeloid lineageArthralgia, conjunctivitis, nodular episcleritis, epididymitis, ear and nose chondritis, prominent abdomen, aseptic meningitis, parotitis, interstitial lung disease, nephritis, otitis, acanthosis nigricans, and hirsutism. Increased ESR and CRP, hypochromic anemia, increased platelet counts, elevated AST and ALT, increased triglyceride levels, and basal ganglia calcifications

PASH syndromeBraun-Falco et al. [10]20122, M, 34, 44Pyoderma gangrenosum, acne, and suppurative hidradenitis, lacked any flare of arthritis. No mutation in PSTPIP1Necrotizing suppurative and focally fibrosing dermatitis with severe neutrophilic infiltration, consistent with PGNone

PAPASH syndromeMarzano et al. [11]20131, F, 16Pyogenic arthritis, pyoderma gangrenosum, acne, and hidradenitis suppurativa. Mutations in the PSTPIP1Consistent with PGNone

Acquired reactive digital fibromaPlaza et al.
[12]
20135, M, 54–682–6 weeks after the injury a nontender, well-delineated, immobile nodular mass on the distal portion of the digits appearedComposed of short fascicles of benign-appearing fibroblastic spindle cells with vascularized and somewhat myxoid stroma. There were no mitotic figures in the lesionNone

Onychocytic matricomaPerrin et al. [13]20125Slightly raised localized longitudinal melanonychia (pachymelanonychia)Endokeratinization originating in the deep portion of the tumor and nests of prekeratogenous and keratogenous cells in concentric arrangementNone

Onychocytic carcinomaPerrin et al. [14]20131, M, 52 2 years of history of a verrucous band of the lateral nail plate on the fourth finger of left hand and marked curving with a yellowish discolorationWell-limited in situ epithelial tumor of the matrix and nail bedNone

Acral histiocytic nodulesPatel et al. [15]20121, F, 57Pale-yellow, firm, well demarcated multiple nodules which were 5–10 mm in size and located around the interphalangeal joints on both the extensor and flexural surfaces of hands. The number of lesions had gradually increased; some had enlarged and none had resolved spontaneouslyWell-circumscribed, hypercellular nodules extending into the dermis and subcutis with small amounts of fibrosis were seen. Abundance of lymphocytes and histiocyte-like cells with occasional multinucleated cells. No lipid or haemosiderin pigment, no cholesterol clefts, and no ground-glass or foamy appearance of cells; mitoses were rare and no xanthoma cells were seen. CD68 positivity and S100 negativityNone

Saurian papulosisMolina-Ruiz et al. [16]20132, 1 F and 1 M, 27, 82Widespread, symmetric erythematous, flat, discrete papules with a polygonal shape and fine scaling resembling the skin of lizards, crocodiles, and dinosaurs. No facial, mucosal, nail, or palmoplantar involvement.
The teeth and hair were normal
Well-demarcated areas of compact eosinophilic orthokeratotic hyperkeratosis overlying a slightly acanthotic epidermisNone

Symmetrical acrokeratoderma Fan et al. [17] 201029, 25 M and 4 F, 9–54Symmetric, brown hyperkeratotic patches on the acral parts of the extremities. Worsened in summer and improved spontaneously in winter, becoming whitish with mild swelling after 3–6 minutes of water immersion or sweatingHyperkeratosis, acanthosis, and superficial perivascular lymphohistiocytic infiltrationNone

Confetti-like macular atrophyAksoy et al.
[18]
20092, F, 34, 422–5 mm, hypopigmented, atrophic macules at the same level with surrounding on the upper trunk and the extensor surface of the upper limbsHistopathological features that resemble both atrophoderma and anetodermaNone

Skin spiculesHu et al. [19]20091, M, 43Several hundred 1 to 2 mm white hyperkeratotic, perifollicular papules located primarily in the axillae and popliteal fossaeMild papillary epidermal acanthosis with hyperkeratosis, consistent with early seborrheic keratosisCutaneous marginal zone B-cell lymphoma

Erythema papulosa semicircularis recidivansSong et al. [20]20129, M, 24–39Centrifugally expanding semicircular erythematous plaques recurring every year in warm seasons. Exacerbating after excessive sweating, mild pruritus was generally accompanied, resolution of disorder after 2–5 relapsSuperficial perivascular dermatitis with mild hyperkeratosis, slight edema of the papillary dermis, and superficial sparse perivascular lymphocytic infiltrationNone