[Strophulus, an infectious disease].
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A phenol chemical face peel restores a clean, youthful appearance by removing the fine wrinkles of the tired, aged face. This procedure has the additional advantage of decreasing the rate of appearance of precancerous and probably early cancerous lesions of the photoaged skin of the face. Knowledge of the history, theory, histology, and technique are made current. A comprehensive review demonstrates that pigmentary changes, third degree scarring, and cardiac arrhythmias appear to be the main complications. The technique is safe and effective if used in a judicious manner.
This article examines environmental illness in athletes. Causes, symptoms, and treatment of heat-related illness, cold-related illness, and altitude-related illness are discussed.
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A 35-year-old Kuwaiti field worker presented with a history of an asymptomatic, erythematous plaque on the right side of the nasal bridge. It soon extended to the malar area, being studded with multiple yellowish papules (Fig. 1). He denied any history of photosensitivity, drug intake, local trauma, topical applications, or ionizing radiations to that area. Examination revealed an erythematous, 1.5 x 3 cm plaque on the right nasal fold, extending to the malar area, overlain by a group of tiny yellowish papules (15-20 in number). He also had a few discrete milia on the right cheek. The histology (Fig. 2) revealed multiple keratin-filled cysts, surrounded by a dense lymphocytic infiltrate, findings consistent with milia; 0.05% tretinoin was prescribed twice daily for 1 month without improvement; minocycline, 100 mg daily, was then employed, and at 1 month of follow-up there was a significant decrease in erythema and milia count.
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