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Biomedical subjects

R I Ecker

Publications and source records attributed to R I Ecker.

8 recordsLinked to original sources

Word processing in the physician's office.

Although word processing has become an accepted business function for many office professionals, physicians have been slow to recognize the many uses that it has to offer. The physician's office can achieve greater productivity and efficiency by the integration of word processing into both the clerical and clinical sectors of medical practice. The task begins with an organization of professional communications and is developed based on the needs of an individual practice.

Communication↗

Lymphomatoid contact dermatitis.

Five elderly patients with recurrent and progressive erythematous patchy dermatitis had temporary flares of generalized erythema and associated positive patch tests. The histopathologic findings were of a distinct pattern of lymphocytic dermal reticulosis and chronic epithelial response. We believe this represents a potential pre-Sézary state that can be recognized by the course and the histologic pattern.

Aged↗

Povidone panniculitis. Polyvinylpyrrolidone panniculitis.

Multiple subcutaneous nodules and recurrent flu-like episodes developed in a 60-year-old woman after she had received local intramuscular injections of procaine povidone for a seven-year period. A skin biopsy specimen showed distinctive gray-blue material in the histiocytes in sections stained with hematoxylin-eosin. Povidone is an inert substance that may accumulate in multiple organs, including the skin. Its presence can be verified by its affinity for special stains or by spectrophotometric analysis. In our patient, ultrastructural study showed amorphous inrahistiocytic deposits in the tissues. -revious reports have indicated that this substance may eventually accumulate in noninjected skin sites and may lead to pulmonary and arthritic symptoms in some patients, but no other patients, to our knowledge, have had complications associated with fever.

Female↗

Demodex granuloma.

A punch biopsy was done to diagnose a progressive pustular facial rash in a middle-aged woman. The biopsy specimen disclosed an intact extrafollicular Demodex folliculorum, which may be the causative organism. A review of 30 cases of granulomatous facial lesions from the Mayo Clinic indicated that this finding is uncommon.

Female↗

Lymphoid follicles in subcutaneous inflammatory disease.

A review of inflammatory subcutaneous disease revealed that lymphoid follicles are observed frequently in lupus panniculitis. They are found rarely in other lymphocytic inflammatory diseases involving the panniculus, such as morphea, erythema nodosum, and erythema induratum. The lymphoid follicle may be an indication of immunoreactive and connective tissue disease, and cases should be evaluated with this in mind.

Adipose Tissue↗

Acrodermatitis and acquired zinc deficiency.

A 42-year-old woman had an acquired zinc deficiency. The patient was malnourished, secondary to chronic alcohol (ethanol) abuse and cirrhosis, with associated low serum and urinary levels of zinc. Her acrodermatitis was unresponsive to topically applied triamcinolone acetonide but cleared after oral zinc sulfate therapy.

Acrodermatitis↗