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Pigmented follicular cysts are newly described cutaneous cysts with characteristic histology. They are usually single pigmented lesions occurring in men between 20 and 63 years of age that often are mistaken for nevi. The eighth case of this newly described cyst is presented; a brief review of epithelial cysts and how they differ from pigmented follicular cysts also is reported.

A lupuslike disease with cutaneous manifestations secondary to the use of chlorpromazine (Thorazine) is presented. Skin biopsy specimens demonstrated classic findings consistent with lupus erythematosus and abundant mucin deposition in the cutaneous lesions—a finding not previously reported to occur in drug-induced lupuslike disease. Laboratory and serologic examinations included a positive antinuclear antibody titer, presence of single-stranded deoxyribonucleic acid (DNA), absence of double-stranded DNA, presence of antihistone antibodies, normal complement level, increased IgM level, and prolongation of partial thromboplastin time. These data confirmed our clinical and histologic diagnosis. Cessation of the medication (chlorpromazine) led to resolution of the skin abnormalities. Electron microscopy revealed electrondense drug metabolites in vascular endothelial cells, as well as tubuloreticular inclusion bodies. This is only the second reported case of chlorpromazineinduced lupuslike disease with cutaneous manifestations.

Mohs micrographic surgery has been used to treat a variety of skin cancers with excellent results. We present a case where the application of this technique was used effectively to treat a lesion of localized cutaneous chromoblastomycosis. One year following the surgery no recurrence has occurred.

Pityriasis rubra pilaris (PRP) is a rare papulosquamous disease characterized by erythroderma, acuminate follicular papules, with so-called islands of sparing, follicular hyperkeratosis, palmoplantar keratoderma and occasional lymphadenopathy, hair loss, mucosal lesions (white or blue lines or erythematous lesions transversed by white streaks), and eye lesions (corneal opacities, conjunctivitis, keratitis). Pityriasis rubra pilaris can be widespread and very distressing to the patient, because limitation of motion and painful fissuring of palmar and plantar surfaces can occur. Among the many treatment modalities that have been used are vitamin A alone1or in combination with vitamin E,2topical aminonicotinamide,3azathioprine,4methotrexate,5isotretinoin,6etretinate,7PUVA,7and systemic steroids.8Anecdotal reports indicate that ascorbic acid or penicillin might also be of benefit. Lamar and Gaethe,8in their review of PRP, documented the effects of old remedies, such as arsenic, foreign protein injections, pilocarpine, pituitary extract, carotene