Kowloon Bay Integrated Treatment Centre, 9/F Kowloon Bay Health Centre, 9 Kai Yan Street, Kowloon Bay, Kowloon, Hong Kong This is a case report of a 20-month-old boy who presented with multiple asymptomatic nodules on the left pretibial area. He had no history of diabetes or other systemic diseases. Family history was unremarkable. Skin biopsy showed palisading granuloma in deep dermis and subc...

Pretibial epidermolysis bullosa is a rare variant of hereditary epidermolysis bullosa characterized by the delayed onset of lesions and their localization. We present two cases, a 35-year-old woman and a 21-year-old man. They clinically had pruritus, nodular prurigo-like or lichenified lesions, violaceous scarring, milia, nail dystrophy and in one case albopapuloid lesions on the trunk. Physica...

While free flaps have been widely used for reconstruction of pretibial defects, the extended operation times are known to be a major drawback. This report presents case successful lower leg large defect with bone-anchored advancement flap and split-thickness skin graft. A 59-year-old female patient underwent wide excision sarcoma on area. The measured 14×6 cm 10×2 exposure tibia in medial aspec...

Systemic capillary leak syndrome is characterized by recurrent hypovolemic shock attributable to increased systemic capillary leakage. A 26-year-old woman was admitted because of recurrent episodes of hypovolemic shock. Hemoconcentration, hypoalbuminemia, and monoclonal gammopathy were observed. We diagnosed systemic capillary leak syndrome. Three years later, she again had an attack of systemi...