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Biomedical subjects

E EPSTEIN

Publications and source records attributed to E EPSTEIN.

At least 73 records · Page 4Linked to original sources

Cat-scratch fever.

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Bartonella Infections↗

Extragenital syphilis in physicians.

In reply to a questionnaire, 51 cases of extragenital chancres in physicians were reported by 32 contributors. Thirty-five of these lesions occurred on the fingers, six inside the nose, one on an eyelid and one on an arm. Otolaryngologists and medical students, interns and residents were affected most commonly. Examination of patients, deliveries, pelvic examinations, needle punctures and tonsillectomies seemed to be the most dangerous procedures in this regard. Since such lesions in physicians frequently are diagnosed as pyogenic or malignant lesions and so treated, the importance of a high index of suspicion for syphilis is stressed.

Chancre↗

Complications of tattooing.

Pathologic consequence of tattooing is relatively rare, but in light of the great number of persons in military service, where tattooing seems to be popular, consideration of the complications seems worth while.Four unusual cases of patients with cutaneous lesions in tattoos are reported. One patient had Boeck's sarcoid, in which the cutaneous eruption was limited solely to the tattooed areas on the body and involved all the various colors of the tattoo. The cutaneous eruption was only a single manifestation of generalized sarcoidosis. Another patient had secondary syphilis with the cutaneous lesions involving multi-colored tattoos, including the red areas. These tattoos were applied in Hawaii, and presumably the red dye was not the usual cinnabar (mercuric sulfide). As a general rule, the cutaneous lesions of secondary syphilis do not involve the red areas because of the treponomicidal action of mercuric sulfide.In the third case the characteristic eruption of discoid lupus erythematosus was present. It began over the red areas of a tattoo on the patient's forearm. It has been stated that mercuric sulfide is a photo-sensitizing agent, and it is believed that this explains the localization of the eruption in this case. The fourth patient had eruption, caused by mercury sensitivity, in an area of tattoo. The eruption was noted soon after the tattooing was done, and it persisted for seven years.

Color↗

Chronic urticaria following penicillin therapy.

Urticaria developed in six patients three to ten days after the intramuscular injection of penicillin, and the condition persisted for from three to fifteen months. The suffering, disability and expense that resulted from the injection indicates that physicians should make certain that the patient who receives penicillin has a true indication for its use.

Chronic Disease↗