Biomedical subjects
Publications and source records attributed to L Stankler.
A baby with the fetal hydantoin syndrome was found to have acne vulgaris of the face. Hydantoin taken by epileptic women during pregnancy may cause neonatal acne in the offspring.
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Light microscopy was used to examine the clinically normal palmar skin of 18 psoriatic patients (10 inactive and 8 active) and 18 non-psoriatic control patients. Histological changes in both epidermis and dermis vary with activity of the disease. The findings support the view that defective keratin formation precedes excessive proliferation of epidermal cells.
A family is described in which a woman, probably in a state of 'hysterical conversion', produced factitious lesions in her own skin (dermatitis artefacta) and in the skin of two sons (child abuse). Non-accidental injury to a child's skin may form part of a spectrum of skin artefacts in the parent.
PAS staining was used to assess the glycogen content of clinically normal forearm epidermis in 32 patients with active psoriasis, 30 patients with inactive psoriasis and 40 non-psoriatic subjects. Glycogen accumulation was greater in patients with active than in those with inactive psoriasis. The inactive psoriatics showed significantly less glycogen accumulation than the controls.
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A patient with follicular and dermal mucinosis is described. Although the skin histology was of a benign nature the patient died from an associated underlying reticulosis. Spontaneous mucinorrhoea subsided with therapy for Hodgkin's disease.
Application of dithranol confined to the normal skin surrounding thirty-six psoriatic lesions produced improvement in twenty-four lesions, which was significantly more than the improvement noted in four of thirty-six control lesions left untreated. Such healing was temporary and slower than in lesions treated conventionally. It is suggested that the apparently normal skin around a psoriatic lesion under treatment influences the psoriasis.
Investigations on thirteen consecutive adult patients with classical lichen planus revealed a significant lowering in the levels of circulating IgA and IgM. Patients with lichen planus may have an immunological defect which makes them susceptible to infection with an unknown virus.
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