Biomedical subjects
M J Boffa
Publications and source records attributed to M J Boffa.
Iron status of patients with alopecia areata.
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Hypertrichosis as the presenting feature of porphyria cutanea tarda.
We report a case of porphyria cutanea tarda in which the only cutaneous abnormality and initial presenting complaint was hypertrichosis. The patient had a history of excessive alcohol consumption. Alcohol avoidance and treatment with low-dose hydroxychloroquine resulted in resolution of the hypertrichosis and normalization of biochemical abnormalities.
Spontaneous improvement of scleromyxoedema.
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Screening for corticosteroid contact hypersensitivity.
To evaluate which corticosteroids are most useful for the detection of corticosteroid contact allergy in our population, 2123 patients were patch tested with a series of 6 corticosteroids, in parallel with a standard series, and other relevant investigations. 127 patients (5.98%) were allergic to one or more corticosteroids; 96 to tixocortol pivalate, 51 to hydrocortisone butyrate, 47 to budesonide, 11 to betamethasone valerate, 11 to clobetasone butyrate and 8 to clobetasol propionate. 511 patients with negative patch tests to the limited corticosteroid series were in addition tested to a further 12 corticosteroids; only 1 of these patients reacted to a corticosteroid. A combination of tixocortol pivalate and budesonide thus detected 91.3% of corticosteroid-allergic subjects. We believe that both these allergens should be included in the standard series and that there may be a case for extending this further.
Facial cellulitis during oral isotretinoin treatment for acne.
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Toxic epidermal necrolysis due to chloroquine phosphate.
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Allopurinol-induced toxic pustuloderma.
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