Iranian Journal Of Dermatology
Volume:19 Issue: 1, Spring 2016

Wart is a common skin disease that can occur at any age. While they are usually benign and self-limited, they can become irritating and cosmetically disabling to patients. The objective of this study is to compare the effectiveness of a topical 85% formic acid preparation with a combination of topical salicylic acid and lactic acid.
We enrolled 66 patients, 7-60 years of age, in this triple-blind study. Patients were randomly divided into 2 groups: group 1 received a topical 85% formic acid solution and group 2 received DuoFilm (topical 16.7% salicylic acid 16.7% lactic acid). The duration of treatment was a maximum of 4 weeks and we followed the patients every two weeks.
In group 1, 74.1% of the warts completely healed and 3.5% partially healed. In group 2 complete healing occurred in 40.8% and partial healing in 26.8% of the warts (P Topical formic acid had a higher cure rate for warts compared with a conventional preparation that consisted of both topical salicylic acid and lactic acid. This effect was particularly noted on the hands. This topical remedy could be regarded as an alternative to conventional treatments in the management of warts.

Worldwide, coronary heart disease is the most important cause of mortality and morbidity. Although numerous studies have documented the relationship between male pattern baldness and cardiovascular disease (CVD), few studies focused on this association in women. This study intended to evaluate the relationship between coronary artery disease and androgenetic alopecia (AGA) in both men and women.
This case-control study included 200 people, 100 (50 men and 50 women) with coronary heart disease (CHD) and 100 healthy control subjects (50 men and 50 women). Both groups were assessed for grading the severity of their baldness. The collected data were analyzed by the chi-square test.
A total of 74% of participants in this group had hair loss severity of grades IV-VIII, however in the control group, 50% had remarkable hair loss. There was a significant association between coronary artery disease and hair loss grade IV onward in men (P=0.038) but this relationship was not observed in women.
Male patients with AGA are at greater risk for developing CVD.

Laser treatment is a rapid, non-invasive procedure for long-term hair removal. Lasers operate based on the principle of selective photothermolysis and target melanin in the hair follicle. We intend to determine the level of hirsute patient satisfaction with the alexandrite laser hair removal procedure.
In this cross-sectional study 82 hirsute patients with unwanted hair on their faces were enrolled. The patients received treatment with a 755 nm alexandrite laser (GentleLASE, Candela Corporation, USA). We documented their level of satisfaction with this laser in terms of hair removal. Laser therapy, electrolysis, and depilation were compared.
Patients ≥30 years old expressed greater satisfaction compared to those Most patients expressed satisfaction with the alexandrite laser hair removal procedure. Age played a significant role in patient satisfaction.

Cimex lectularius (bed bug) are insects abundantly found in hot, temperate areas. This study is related to the outbreak of Cimex lectularius in a construction site around Polour in Amol, Iran. This cross-sectional study has examined 182 prefabricated houses made of intermodal containers [Conex] converted to a temporary housing, in a construction site.
The studied population comprised 1434 men. We used a questionnaire to gather information. The bugs were collected from the floor of the room, beds, bed sheets, blankets, pillows, and mattresses in each surface meter over a fixed time with the help of forceps and a flashlight.
From the 182 examined containers, 164 (approximately 90.1%) had evidence of contamination by bed bugs. From the examined people, 1243 (86.7%) had bug bites. Males between the ages of 35 to 44 (41.0 %) years had the most bites. The hands (38.3%) and abdominal area (23.7%) were the locations with the most bites.
The study has shown that the bugs entered the site on second hand objects such as wooden beds. Consulting health experts and training people in areas that are suspicious for these bugs can decrease the problems caused by the bites.

Chronic graft versus host disease (cGVHD) is a major cutaneous complication of bone marrow transplantation (BMT). Although milder forms of this process may be associated with a lower incidence of tumor recurrences, it is mandatory to develop a more efficient and less harmful therapeutic approach.
This case-series study enrolled 7 patients diagnosed with chronic mucocutaneous GVHD. We divided the patients into three major categories based on the type of skin lesions: sclerodermoid, lichenoid, and mixed. Patients received several packs of narrow band UVB (NBUVB) phototherapy. Each pack contained ten sessions of NBUVB (311 nm) with a duration of at least ten seconds and a fixed radiation dosage (6 mj/cm2) during the treatment.
There were 3 patients diagnosed with lichenoid skin lesions, 2 with sclerodermoid lesions, and 2 had mixed cGVHD lesions. During the follow up period one patient was excluded due to a lower respiratory tract infection. The mean response ratio was 42% with a mean satisfaction level of 5.5 out of 10. The lichenoid group had the best, most rapid response. There were no serious adverse effects reported.
Narrow band UVB phototherapy is useful as an adjuvant therapeutic modality in cutaneous lichenoid and intraoral cGVHD with no serious adverse effects.

A 30-year-old healthy man came to our hospital with complaints of red, hot, and painful upper extremities which spontaneously appeared. These manifestations worsened with exercises and heat, but were alleviated by rest and cooling of the hands. There were 2 similar previous episodes of short duration. The patient was a healthy, non-alcoholic, non-smoker with no history of using medicine. Routine laboratory tests showed no abnormalities, and he had a normal physical examination. Clinical evolution was uneventful and the skin changes gradually improved after desquamation with complete return to normal features. The clinical features herein described constitute classical characteristics of primary erythromelalgia, an uncommon, possibly underreported condition.

A 19-year-old woman presented with a history of a solitary, slow growing papule on her forehead area since one year. Physical examination revealed an apparently healthy woman with a firm, pink papule, 6 mm in diameter (Figure 1). The remainder of the physical examination revealed no abnormalities. There were no significant family and past medical histories that could assist with the diagnosis. We performed a 3 mm punch biopsy and sent the specimen for histopathology examination.