Vol 23, No 2 (2020)

Benign skin tumors arising from the adipose tissue (Derkum’s disease, Madelung’s disease, symmetrical lipomatosis) and the muscle tissue (leiomyoma) are rarely seen at a dermatological appointment, which creates diagnostic difficulties for practicing dermatologists. To improve diagnostic performance, the authors provide brief clinical descriptions and original images of these tumors.

This article describes the clinical aspects and treatment of seborrheic keratosis. The authors report the highly effective use of destructive therapy, 1.5% zinc chloropropionate solution in 2-chloropropionic acid, in patients with seborrheic keratosis.

This article presents the recently published data on the pathogenesis and cutaneous manifestations of the new coronavirus infection (COVID-19). The main symptoms of COVID-19 have already been well studied. However, recently, some reports on cutaneous manifestations (urticaria, papulae and vesicles, erythematous rash, purpura, livedo-angiitis, eruptive angioma, chilblain-like rash, pityriasis rosea, erythema multiforme, and periorbital dyschromia) in patients with COVID-19 have been made. Moreover, the healthcare professionals using personal protective equipment more frequently may develop occupational dermatoses.

In mid 2020, the number of new coronavirus (COVID-19) cases has exceeded globally six million. The clinical manifestations of COVID-19 infection are numerous mostly causing damage to the bronchopulmonary system in the form of a dry cough, rhinitis, dyspnea, fever, myalgia, and general weakness. Skin manifestations of COVID-19 are rare and currently include five types of skin lesions occurring during the infection process, which are reliably recorded in only a limited number of case reports and certain analytical publications. This article describes the clinical case of a 28-year-old patient with urticaria-like disseminated rash and confirmed COVID-19-associated pneumonia.

This article discusses the manifestations of the adolescence crisis in patients with acne vulgaris, using a four-level personality model (biological, psychological, social, and spiritual levels). On the one hand, the adolescence crisis can trigger acne vulgaris in case of a genetic predisposition; on the other hand, acne can aggravate the process of experiencing the adolescence crisis. The authors suggest the use of psychological counseling (relaxation techniques, methods of rational psychotherapy, etc.) within the dermatological care for adolescent patients with mild and moderate acne vulgaris. The authors present the results of a study of the efficacy of comprehensive therapy (including psychological counseling) in adolescent patients with mild-to-moderate acne vulgaris, compared with traditional dermatotropic therapy. Statistically significant differences between two groups were revealed in the changes in the indicators of the mental condition presentation (r = -0.90; p < 0.05), the dermatological index of acne (DIA) (r = -0.34; p < 0.05), and indicators of quality of life (r = -0.72 and r = -0.68. according to the questionnaires of the Dermatology Life Quality Index and Skindex-29, resp.; p < 0.05). Simultaneous improvement in the psychoemotional status was correlated with positive cutaneous changes, as evidenced by the direct rather than pronounced statistically significant relationship between the indices of the experience scale and the ADI index (r = 0.52; p <  0.05). The obtained results show that the use of psychological counseling in the comprehensive treatment for adolescents with mild-to-moderate acne vulgaris is more effective compared with the traditional dermatotropic therapy.