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At least 487 records · Page 27Linked to original sources

Acral melanoma simulating warts: dermoscopic clues to prevent missing a melanoma.

BACKGROUND: Acral melanoma may adopt a variety of clinical characteristics simulating other tumors, ulcers, hemorrhage, or infections. In the Caucasian population health care providers often misdiagnose acral melanoma, and this is the cause of inadequate treatments. Clinical and dermoscopic clues can be easily recognized, which help to prevent missing a melanoma. OBJECTIVES: To study the clinical and dermoscopic findings in three cases of acral melanoma simulating warts that had been treated by dermatologists with curettage and cryotherapy. MATERIAL AND METHODS: Clinical and dermoscopic study of the tumors and review of the most frequent simulators of acral melanoma reported in the literature. RESULTS: In all three tumors, hyperkeratosis and the lack of specific pigmentation were observed. The parallel ridge pattern, revealed by dermoscopic examination, precipitated the recognition of acral melanoma. CONCLUSION: In these cases that presented atypical characteristics of acral lesions, therefore challenging the diagnostic process, dermoscopic examination helped to confirm an accurate diagnosis of acral melanoma.

Aged↗

Palmoplantar milia: sequelae of early congenital syphilis.

A 5-month-old male was examined in our dermatology clinic with numerous palmoplantar milia. The child had early congenital syphilis with palmoplantar desquamation, which was followed by the development of milia. Histologic and electron microscopic features suggested that these secondary milia probably derived from the epidermis.

Epidermal Cyst↗

Acquired ichthyosis in a child with rhabdomyosarcoma.

A generalized ichthyosiform eruption developed in a 13-year-old boy three weeks before presentation with a paravertebral rhabdomyosarcoma. His skin returned to normal shortly after the onset of chemotherapy and remission of the tumor. This case is unusual because the ichthyosis developed acutely, following a generalized urticarial eruption, and also involved the palms and soles.

Adolescent↗

Infantile acropustulosis.

Infantile acropustulosis is a recurrent, pruritic, vesicopustular eruption appearing mostly on the palms and soles. The present survey of 25 children with infantile acropustulosis is the most extensive reported since this entity was first described in 1979. Our cases conform to the recognized clinical course, but disclaim any male or ethnic origin predominance. Although the etiology of infantile acropustulosis is obscure, it may be ascribed to some infective agent. It is not limited to young children, and has been found in the siblings of patients who were followed. Suppressive therapeutic measures, such as topical corticosteroids under occlusion, were found to be effective. The disorder does not seem to be as rare as one might gather from the literature.

Age Factors↗

Occupational health problems among dental hygienists.

A questionnaire survey on work-related health complaints was performed among dental hygienists. Valid information was received fom 189 hygienists, representing about half of all active members of the Norwegian Association of Dental Hygienists. Parallel information was received from similar number of female and male control persons in other occupations. The present report presents data on the nature and etiology of the chemically induced health complaints. About half of the hygienists had experienced one or more health problem of dermal, systemic, sensory (eye) or respiratory nature during the last year, as compared to 37% of the female and 19% of the male control group. The most frequent complaint was dermatoses of hands and fingers (37%), caused by different chemical, work-related factors. Latex gloves were responsible for 1/3 of these reactions. The role of immunological and irritant latex reactions were discussed and the prevalence of non-dermatological reactions compared with similar findings among women in other occupations.

Adult↗

Cinnamic aldehyde allergy.

Positive patch test reactions to 2% cinnamic aldehyde were obtained from 2.8% of 34 males and 9.1% of 55 females. The 9.1% female reactivity may be traceable to perfumed cosmetics. Simultaneous Jasmin allergy is documented as is the occurrence of alpha-amyl cinnamic aldehyde in synthetic Jasmin. The relevance of these reactions is discussed. In two of the patients a proper diagnosis was not made from the original contact history. Only after a screening tray demonstration of cinnamic aldehyde allergy could a relevant history be taken from these patients.

Acrolein↗

Milk recorder dermatitis.

Occupational contact dermatitis to Bronopol and Kathon CG has been identified in 3 milk recorders following the introduction of a new milk preservative. The source of exposure, sensitising potential and measures for prevention are discussed.

Adult↗

An analysis of 501 consecutive contact clinic consultations.

A simple micro-computer program was used to analyse the results of testing 501 consecutive patients attending a patch test clinic. 64% of males and 71% of females had positive tests; 17% of males and 12% of females had occupational dermatitis; 16% of males and 15% of females had irritant contact dermatitis; and 13% of males and 19% of females had a history of atopic eczema.

Adolescent↗

Occupational dermatitis in a prefabrication construction factory.

In a field study of occupational dermatoses in a prefabrication construction factory, 272 workers were interviewed, examined and patch tested to chromate, cobalt, nickel, rubber mixes, epoxy resin, melamine formaldehyde and conplasts. The prevalence of occupational dermatitis was 14% (38/272); 57% (22/38) were irritant dermatitis from cement; 39.5% (15/38) were allergic contact dermatitis from cement (2 with concomitant rubber glove allergy); and 2.5% (1/38) were allergic to rubber chemicals in gloves. The overall prevalence of chromate sensitivity was 8.5% (23/272), with the highest rate from the concreting bays of the factory. The rate was unrelated to the duration of workers' engagement in construction work. 34.8% (8/23) had asymptomatic chromate allergy. The prevalence of cobalt reactions was 17.4% (4/23) and all were associated with chromate allergy.

Adolescent↗