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    Cervicomediastinal cystic hygroma: Case report
    (2010) Manduz, Şinasi; Altuntaş, Emine Elif; Katrancio?lu, Nurkay; Karahan, O?uz; Erçöçen, Ali Riza
    Lymphangioma is a rare benign tumor seen in first decad of the life. Cystic hygroma (CH) is a congenital abnormality of the lymphatic vessels, with an incidence of 1/6000. CH especially is located in the posterior cervical triangle (75%) head and neck region also that is located in the axilla, chest wall, shoulder, mediastinium, anterior wall of the abdomen, or inguinal region. Most of the cases are diagnosed at birth and cysts continue to expand slowly. The main pathology of the CH connections of the jugulary vein and lymphatic vesels are not consisting. The differential diagnosis CH includes lipoma, hemangioma, branchial cleft cyst, thyroglossal cyst, dermoid cyst, thimic cyst, laryngosel, thyroid mass, neuroblastoma, rhabdomysarcoma, lymphadenopathy meningoencephalocele and encephalocele. Treatment of this pathology is total excision but the lesions recurs in 10-25% of patients. The recurrence ratio changes by histologicaly type and localization of the lesion the. Another treatment alternative of the CH is intra lesional injection of the sclerosine material, steroid or bleomicine. In this study a 10 months-old-male infant who had cervicomediastinal cystic hygroma is presented in the high light of literature. Copyright © 2010 by Türkiye Klinikleri.
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    Traumatic hair bearing skin wound combined with kerion celsi: A rare case
    (2011) Yilmaz, Sarper; Gümüş, Nazim; Erin, Omer Faruk; Çelik, U?ur Recep; Erçöçen, Ali Riza
    Traumatic hair bearing skin wound combined with kerion celsi: a rare case Introduction: Kerion celsi is a hypersensitivity reaction to a dermatophytic infection in hair bearing skin which is caused by dermatophyte species such as T mentagrophytes, T verrucosum, T rosaceum (T megninii), T tonsurans, T violaceum, and T soudanense in children who have hypersensitivity againist the components of dermatophytes. Differential diagnosis is very difficult when a scalp wound is associated with the history of traumatic scalp injury. Presented here was a rare case of kerion celsi who had traumatic scalp wound. Material and Methods: A 7-year-old boy presented to our clinic, complaining of a head wound which caused from hitting it to a heater 15 days ago. On the examination, a 5 × 5 cm wound on the vertex of the scalp was diagnosed with painful draining scalp abscesses, purulent discharge, itchy plaques, hair loss, pruritus and scaling. It seemed to be an infected and traumatic wound of hair bearing skin. For the treatment, wound care and a parenteral antibiotic were initiated, and then a surgical debridement was performed to take out necrotic tissues and drain abscess formations. However, any evident for healing didn't appear. Results: After considering kerion celsi, by using fungal cultures, examination of scalp brush samples under microscope and histopathologic investigation of the debridement materials, diagnosis was achieved. Systemic and topical antifungal treatment healed the wound completely. Conclusions: Although association of a traumatic scalp wound with a dermatophytic infection is a rare instance, if there is a scalp wound with crusting, serious ooze, pus, and keratin debris in childhood, and especially if there is a resistant againist usual treatment modalities, kerion celsi should be considered in differential diagnosis.