DermAtlas: Online Dermatology Image Library dermatology image,lichen sclerosus et atrophicus,incontinentia pigmenti,hemangioma,ulcer

© 2001-2010, DermAtlas	*Image Name:*	lichen_sclerosis_3_080902	*File Type:*	jpg
	*Diagnosis:*	LICHEN SCLEROSUS ET ATROPHICUS	*Category:*	collagen vascular disease / atrophy
	*Body Site:*	vulva (labia) / genital diaper area / perineum	*Age:*	6 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symmetric hypopigmented atrophic confluent patches with some lichenification
	*Comments:*	This healthy 6-year-old girl complained of an itchy rash in the genital area for over a year. Her symptoms improved with the application of a high potency topical steroid.
	*Related Images:*	All related Images lichen_sclerosis_2_080902 lichen_sclerosis_1_080902

© 2001-2010, DermAtlas	*Image Name:*	Incontinentia_Pigmenti_1_080714	*File Type:*	jpg
	*Diagnosis:*	INCONTINENTIA PIGMENTI	*Category:*	vesiculobullous eruptions / Genetic Disorder / genodermatosis/genetic disorder / neonatal dermatology
	*Body Site:*	leg / thigh abdomen / vulva (labia)	*Age:*	13 days
	*Contributor:*	Charles Flores, MD
	*Description:*	widespread linear and swirled red papules and vesicles
	*Comments:*	This 13-day-old girl was evaluated in the emergency room for a worsening rash. She was a full term baby delivered vaginally without complications. She appeared well, and vital signs were normal. She had widespread erythematous papules and vesicles distributed linearly on her legs and trunk as well as crusted vesicles on her scalp. There was no family medical history of skin disorders. Diagnosis was confirmed with a skin biopsy which revealed eosinophilic spongiosis.
	*Related Images:*	All related Images Incontinentia_Pigmenti_2_080714 Incontinentia_Pigmenti_3_080714

© 2001-2010, DermAtlas	*Image Name:*	lichen_sclerosis_1_080502	*File Type:*	jpg
	*Diagnosis:*	LICHEN SCLEROSUS ET ATROPHICUS	*Category:*	collagen vascular disease / atrophy
	*Body Site:*	vulva (labia) / genital diaper area	*Age:*	8 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symmetric midline hypopigmented and depigmented patch with atrophy and erosions
	*Comments:*	This healthy 8-year-old girl was admitted to the hospital on 2 occasions over a 6 month period for bowel clean out following prolonged stool withholding resulting from pain associated with lichen sclerosis. She was started on an 8 week course of high potency topical steroid.

© 2001-2010, DermAtlas	*Image Name:*	hemangioma_11_080316	*File Type:*	jpg
	*Diagnosis:*	HEMANGIOMA / ULCER	*Category:*	neonatal dermatology / ulcer / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	vulva (labia) / anus diaper area / perianal perineum	*Age:*	9 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	3 weeks after initiation of treatment-almost complete healing with only a few small erosions remaining
	*Comments:*	This healthy 10-month-old girl developed a hemangioma in the anogenital area shortly after birth. It grew for 3-4 months, stabilized and then ulcerated at 8 months of age. She was treated twice with pulsed dye laser without improvement. The ulcers extended and the pain disrupted feeding and sleep. Within 3 days of initiating 3 mg/kg/day of oral prednisolone granulation tissue appeared at the border of the ulcerations and she was able to sleep through the night. Within 3 weeks the ulcers were almost completely healed and the medication was tapered over a total of 3 months. Treatment of ulcerated hemangiomas usually requires multiple modalities, and many lesions may take months to heal.
	*Related Images:*	All related Images hemangioma_1_080316 hemangioma_2_080316 hemangioma_3_080316 hemangioma_4_080316 hemangioma_5_080316 hemangioma_6_080316 hemangioma_7_080316 hemangioma_8_080316 hemangioma_9_080316 hemangioma_10_080316

© 2001-2010, DermAtlas	*Image Name:*	hemangioma_10_080316	*File Type:*	jpg
	*Diagnosis:*	HEMANGIOMA / ULCER	*Category:*	neonatal dermatology / ulcer / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	vulva (labia) / anus diaper area / perianal perineum	*Age:*	9 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	3 weeks after initiation of treatment-almost complete healing with only a few small erosions remaining
	*Comments:*	This healthy 10-month-old girl developed a hemangioma in the anogenital area shortly after birth. It grew for 3-4 months, stabilized and then ulcerated at 8 months of age. She was treated twice with pulsed dye laser without improvement. The ulcers extended and the pain disrupted feeding and sleep. Within 3 days of initiating 3 mg/kg/day of oral prednisolone granulation tissue appeared at the border of the ulcerations and she was able to sleep through the night. Within 3 weeks the ulcers were almost completely healed and the medication was tapered over a total of 3 months. Treatment of ulcerated hemangiomas usually requires multiple modalities, and many lesions may take months to heal.
	*Related Images:*	All related Images hemangioma_1_080316 hemangioma_2_080316 hemangioma_3_080316 hemangioma_4_080316 hemangioma_5_080316 hemangioma_6_080316 hemangioma_7_080316 hemangioma_8_080316 hemangioma_9_080316 hemangioma_11_080316

© 2001-2010, DermAtlas	*Image Name:*	hemangioma_9_080316	*File Type:*	jpg
	*Diagnosis:*	HEMANGIOMA / ULCER	*Category:*	neonatal dermatology / ulcer / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	vulva (labia) / anus diaper area / perianal perineum	*Age:*	9 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	3 weeks after initiation of treatment-almost complete healing with only a few small erosions remaining
	*Comments:*	This healthy 10-month-old girl developed a hemangioma in the anogenital area shortly after birth. It grew for 3-4 months, stabilized and then ulcerated at 8 months of age. She was treated twice with pulsed dye laser without improvement. The ulcers extended and the pain disrupted feeding and sleep. Within 3 days of initiating 3 mg/kg/day of oral prednisolone granulation tissue appeared at the border of the ulcerations and she was able to sleep through the night. Within 3 weeks the ulcers were almost completely healed and the medication was tapered over a total of 3 months. Treatment of ulcerated hemangiomas usually requires multiple modalities, and many lesions may take months to heal.
	*Related Images:*	All related Images hemangioma_1_080316 hemangioma_2_080316 hemangioma_3_080316 hemangioma_4_080316 hemangioma_5_080316 hemangioma_6_080316 hemangioma_7_080316 hemangioma_8_080316 hemangioma_10_080316 hemangioma_11_080316

© 2001-2010, DermAtlas	*Image Name:*	hemangioma_8_080316	*File Type:*	jpg
	*Diagnosis:*	HEMANGIOMA / ULCER	*Category:*	neonatal dermatology / ulcer / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	vulva (labia) / anus diaper area / perianal perineum	*Age:*	9 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	3 weeks after initiation of treatment-almost complete healing with only a few small erosions remaining
	*Comments:*	This healthy 10-month-old girl developed a hemangioma in the anogenital area shortly after birth. It grew for 3-4 months, stabilized and then ulcerated at 8 months of age. She was treated twice with pulsed dye laser without improvement. The ulcers extended and the pain disrupted feeding and sleep. Within 3 days of initiating 3 mg/kg/day of oral prednisolone granulation tissue appeared at the border of the ulcerations and she was able to sleep through the night. Within 3 weeks the ulcers were almost completely healed and the medication was tapered over a total of 3 months. Treatment of ulcerated hemangiomas usually requires multiple modalities, and many lesions may take months to heal.
	*Related Images:*	All related Images hemangioma_1_080316 hemangioma_2_080316 hemangioma_3_080316 hemangioma_4_080316 hemangioma_5_080316 hemangioma_6_080316 hemangioma_7_080316 hemangioma_9_080316 hemangioma_10_080316 hemangioma_11_080316

© 2001-2010, DermAtlas	*Image Name:*	hemangioma_7_080316	*File Type:*	jpg
	*Diagnosis:*	HEMANGIOMA / ULCER	*Category:*	neonatal dermatology / ulcer / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	vulva (labia) / anus diaper area / perianal perineum	*Age:*	9 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	1 week after initiation of treatment-note granulation tissue and re-epithelialization
	*Comments:*	This healthy 10-month-old girl developed a hemangioma in the anogenital area shortly after birth. It grew for 3-4 months, stabilized and then ulcerated at 8 months of age. She was treated twice with pulsed dye laser without improvement. The ulcers extended and the pain disrupted feeding and sleep. Within 3 days of initiating 3 mg/kg/day of oral prednisolone granulation tissue appeared at the border of the ulcerations and she was able to sleep through the night. Within 3 weeks the ulcers were almost completely healed and the medication was tapered over a total of 3 months. Treatment of ulcerated hemangiomas usually requires multiple modalities, and many lesions may take months to heal.
	*Related Images:*	All related Images hemangioma_1_080316 hemangioma_2_080316 hemangioma_3_080316 hemangioma_4_080316 hemangioma_5_080316 hemangioma_6_080316 hemangioma_8_080316 hemangioma_9_080316 hemangioma_10_080316 hemangioma_11_080316

© 2001-2010, DermAtlas	*Image Name:*	hemangioma_6_080316	*File Type:*	jpg
	*Diagnosis:*	HEMANGIOMA / ULCER	*Category:*	neonatal dermatology / ulcer / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	vulva (labia) / anus diaper area / perianal perineum	*Age:*	9 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	1 week after initiation of treatment-note granulation tissue and re-epithelialization
	*Comments:*	This healthy 10-month-old girl developed a hemangioma in the anogenital area shortly after birth. It grew for 3-4 months, stabilized and then ulcerated at 8 months of age. She was treated twice with pulsed dye laser without improvement. The ulcers extended and the pain disrupted feeding and sleep. Within 3 days of initiating 3 mg/kg/day of oral prednisolone granulation tissue appeared at the border of the ulcerations and she was able to sleep through the night. Within 3 weeks the ulcers were almost completely healed and the medication was tapered over a total of 3 months. Treatment of ulcerated hemangiomas usually requires multiple modalities, and many lesions may take months to heal.
	*Related Images:*	All related Images hemangioma_1_080316 hemangioma_2_080316 hemangioma_3_080316 hemangioma_4_080316 hemangioma_5_080316 hemangioma_7_080316 hemangioma_8_080316 hemangioma_9_080316 hemangioma_10_080316 hemangioma_11_080316

© 2001-2010, DermAtlas	*Image Name:*	hemangioma_5_080316	*File Type:*	jpg
	*Diagnosis:*	HEMANGIOMA / ULCER	*Category:*	neonatal dermatology / ulcer / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	vulva (labia) / anus diaper area / perianal perineum	*Age:*	9 months
	*Contributor:*	Katherine Puttgen, MD
	*Description:*	1 week after initiation of treatment-note granulation tissue and re-epithelialization
	*Comments:*	This healthy 10-month-old girl developed a hemangioma in the anogenital area shortly after birth. It grew for 3-4 months, stabilized and then ulcerated at 8 months of age. She was treated twice with pulsed dye laser without improvement. The ulcers extended and the pain disrupted feeding and sleep. Within 3 days of initiating 3 mg/kg/day of oral prednisolone granulation tissue appeared at the border of the ulcerations and she was able to sleep through the night. Within 3 weeks the ulcers were almost completely healed and the medication was tapered over a total of 3 months. Treatment of ulcerated hemangiomas usually requires multiple modalities, and many lesions may take months to heal.
	*Related Images:*	All related Images hemangioma_1_080316 hemangioma_2_080316 hemangioma_3_080316 hemangioma_4_080316 hemangioma_6_080316 hemangioma_7_080316 hemangioma_8_080316 hemangioma_9_080316 hemangioma_10_080316 hemangioma_11_080316