Search PubMed⌕ Search

Biomedical subjects

S J Kucirka

Publications and source records attributed to S J Kucirka.

2 recordsLinked to original sources

Idiosyncratic allergic reaction to textured saline implants.

In the literature, multiple conditions, including hematomas, self-limited cutaneous eruptions, and generalized systemic complaints, have been attributed to breast implants. We report the first case of idiosyncratic allergic reaction to the textured surface of a mammary prosthesis. The reaction was documented by patch testing of the textured surface compared with smooth-surface silicone controls. Symptoms resolved with removal of the implants and have not recurred after insertion of smooth-walled implants. Whereas the physiology of this condition remains unclear at this time, it is important to recognize the possibility of a delayed hypersensitivity reaction when considering reconstruction with a textured breast implant.

Adult↗

Heritable nail disorders.

This article describes a number of syndromes affecting the nail unit. When a patient presents with a complaint involving the nails, it is important to consider first the common nail disorders. However, one should evaluate the entire patient to discover associated signs or symptoms that would point toward an underlying syndrome. The dermatologist may have an opportunity to discover a syndrome that might have significant related morbidity or mortality, which may be prevented through early detection. By recognizing the presence of inherited syndromes, the dermatologist may facilitate genetic counseling. It should be noted that most of the syndromes described are of autosomal dominant inheritance, with variable expressivity, and that the individual manifestations can vary widely in severity, making recognition difficult.

Child↗