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en: Lactation anaphylaxis: report of a rare case with recurrent postpartum anaphylaxis

en: Lactation anaphylaxis is extremely rare and has been scarcely reported in the literature. Breast feeding and/or milk expression immediately induces life-threatening anaphylactic reactions, including generalized urticaria, angioedema, respiratory symptoms, and hypotension. Six English-language case reports have described the clinical course in detail. The present report describes a case involving a 24-year-old woman with no history of allergic reactions or anaphylaxis who experienced anaphylactic reactions three times immediately after milk expression. Lactation anaphylaxis was suspected when a detailed medical history revealed lactation-related recurrent anaphylactic symptoms. The authors prescribed bromocriptine to stop lactation and switched her to formula feeding, which resulted in no further anaphylactic episodes. Based on a review of the relevant literature, this report describes the characteristics of lactation anaphylaxis and possible management strategies. The pathogenesis of lactation anaphylaxis has been inferred from various experimental results.

en: Dermatology Online Journal

ja: Dermatology Online Journal


en: Zosteriform mycosis fungoides: case report of progression to tumor stage and review of the literature

en: Mycosis fungoides (MF) is the most common type of cutaneous T-cell lymphoma, although it has many clinicopathological variants. Zosteriform MF is an extremely rare variant characterized by dermatomal distribution. To date, only six patients with zosteriform MF have been reported. We report a 57-year-old man with tumor-stage zosteriform MF localized on the left T4, T7-8, and bilateral L4 dermatomes for seven years after the first visit. Local skin-target therapy radiotherapy effectively led to complete remission, which was maintained with a combination of oral etretinate (30mg/day) and narrow-band ultraviolet B phototherapy. No other reports exist of zosteriform MF occurring in multiple dermatomes. We reviewed the literature to add to our understanding of the nature of rare variants of MF and discuss therapeutic options for zosteriform MF.


en: 超高齢者に発症し，中等量プレドニゾロン内服にて軽快したIgA血管炎による肺胞出血の1例

en: Hifuka No Rinsho

ja: 皮膚科の臨床


en: 1年で7回再燃した陰部習慣性丹毒の男性例

ja: 1年で7回再燃した陰部習慣性丹毒の男性例

en: 徳島赤十字病院医学雑誌

ja: 徳島赤十字病院医学雑誌


en: A case of vitiligo that followed the path of a varicose vein in the lower leg

en: Vitiligo is an acquired chronic depigmenting disorder of the skin and is characterized by the destruction of melanocytes. One of the clinical features of vitiligo is that damage to normal skin frequently results in the formation of depigmented macules, which is known as Köebner's phenomenon (KP). Here, we presented a case of vitiligo, in which depigmented macules followed the course of a dilated varicose vein. Dilatation of blood vessels was considered to contribute to the development of the vitiliginous lesions as a trigger for KP. Any kind of skin injury can trigger KP, but this is only the second case in which a dilated blood vessel caused KP in vitiligo. J. Med. Invest. 71 : 177-178, February, 2024.

en: The Journal of Medical Investigation : JMI


en: ヒドロキシクロロキンにより尋常性乾癬の増悪と薬疹を生じた1例

ja: ヒドロキシクロロキンにより尋常性乾癬の増悪と薬疹を生じた1例


en: 染毛剤により生じたChemical Leukodermaの1例

ja: 染毛剤により生じたChemical Leukodermaの1例


en: ニボルマブ，イピリムマブ併用療法によりVogt-小柳-原田病様ぶどう膜炎を生じた悪性黒色腫の1例