Kamran Balighi; Zahra Ghodsi; Masoud Iravani; Maede Rayati Damavandi; Azadeh Goodarzi; Vahide Lajevardi; Sara Saburi; Alireza Faghihi Kashani
Volume 19, Issue 1 , 2016, , Pages 21-24
Abstract
Background: 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.Methods: ...
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Background: 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.Methods: 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.Results: 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.Conclusion: Narrow band UVB phototherapy is useful as an adjuvant therapeutic modality in cutaneous lichenoid and intraoral cGVHD with no serious adverse effects.
Mona Abdolreza; Vahide Lajevardi; Kamran Balighi; Kambiz Kamyab; Zahra Naraghi; Soroush Daklan
Volume 15, Issue 1 , 2012, , Pages 26-28
Abstract
A 25-year-old woman referred to our department with a lesion in the anterior part of her neck (Figure 1) since childhood. She complained of a clear discharge from the lesion which increased with pressure. Two years ago, the lesion was treated with electrosurgery but relapsed a few months later. Examination ...
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A 25-year-old woman referred to our department with a lesion in the anterior part of her neck (Figure 1) since childhood. She complained of a clear discharge from the lesion which increased with pressure. Two years ago, the lesion was treated with electrosurgery but relapsed a few months later. Examination revealed an erythematous papule in the anteriorinferior part of the neck with a clear mucoid discharge from its orifice upon pressure. Physical exam was otherwise normal. The patient had no other medical problems. She had never taken any medications. There was no family history of a similar problem. We advised the patient to be visited for excisional biopsy of the lesion.
Suzan Kavusi; Vahide Lajevardi; Fateme Moinedin; Mohamad Reza Barzegar
Volume 11, Issue 3 , 2008, , Pages 133-134
Abstract
A 10-year-old girl presented with a 1-year history of an eruption on her hands. Physical examination revealed soft, bluish slightly tender subcutaneous nodules and swellings in the ulnar site and palmar aspect of five fingers of the right hand and dorsal aspect of three fingers of the left hand without ...
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A 10-year-old girl presented with a 1-year history of an eruption on her hands. Physical examination revealed soft, bluish slightly tender subcutaneous nodules and swellings in the ulnar site and palmar aspect of five fingers of the right hand and dorsal aspect of three fingers of the left hand without any gross deformity in fingers and long bones (figure 1). History of pathological fractures was negative. X ray of the right hand showed reduction in bone density with lytic lesions in five metacarps and proximal phalanx of the fourth and fifth fingers associated with soft tissue swellings (figure 2). A biopsy specimen was taken from a skin nodule (figure 3).
