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At least 613 records · Page 34Linked to original sources

The surgical correction of residual facial disfigurement produced by rhinophycomycosis entomophthorae: a case report.

Rhinophycomycosis entomophthorae is a rare tropical granulomatous infection caused by the fungal organism Entomophthora coronata. The disease arises as a submucosal granuloma, usually in the region of the inferior turbinate, spreads centrifugally to involve the nasal sinuses, alae nasae, upper lip, forehead and cheeks and may produce extensive facial deformity. The response to medical treatment with potassium iodide or co-trimoxazole is variable. We wish to report a case in which staged surgical correction of the sequelae of the disease produced a significant improvement in the facial appearance.

Adult↗

Necrotising fasciitis in the head and neck region.

Necrotising fasciitis is an uncommon entity in present day medicine. Our review of the literature did not reveal any case involving the head and neck region. A case of this rare disease involving the head and neck region is presented.

Facial Dermatoses↗

Human orf.

Human Orf is an uncommon viral disease acquired through contact with infected sheep and goats. We report five cases of human Orf acquired while preparing mutton. The clinical picture and the management of human Orf are presented. Awareness of the benign nature of the condition is important in preventing ill-advised therapy.

Adult↗

A two-year review of pain control during laser therapy using the flashlamp pulsed dye laser.

Laser therapy is now accepted as the treatment of choice for port wine stains. Patient reaction to laser light exposure and methods used to control pain during 1357 treatment sessions for 350 medium to large port wine stains using the SPTL-1 laser (Candela Laser Corporation) are reported. In the majority of cases (86%) it was necessary to use either general anaesthesia or some other form of local pain control.

Adolescent↗

Herpes simplex encephalitis. Immunohistological demonstration of spread of virus via olfactory and trigeminal pathways after infection of facial skin in mice.

An immunohistological study of viral antigen (VA) in the brain was carried out in mice which had been infected with herpes simplex type 1 virus (HSV) in the skin of the face. In 77% of the mice with VA in the brain the olfactory system as well as the trigeminal system/brainstem was affected. The remaining 23% had VA in the trigeminal system/brainstem only. Eye swab cultures yielded HSV from all mice with VA in the olfactory system. The ease of access of virus infecting the face to the olfactory system shown in this model may have implications for human infections.

Animals↗

A clinical study for the control of facial mucocutaneous herpes virus infections. I. Characterization of natural history in a professional school population.

One thousand thirty-one dental and dental hygiene students, faculty and staff at The University of Michigan School of Dentistry were interviewed in order to identify those with a past history of perioral mucocutaneous herpetic infection. Subsequently, the population was followed for 9 (+/- 3) months in order to determine various parameters of disease expression. Analysis of the results indicate the following: 1. In this professional population, 20.5 per cent described prior experience with perioral herpes. No sex difference was noted. 2. Prevalence increased with age. In the faculty-staff group (mean age 32.9 years +/ 11.8) prevalence was 30.7 per cent, whereas in the student -roup (mean age, io.6 years+/- 3.8) prevalence was 17.7 per cent. Occupational and/or socioeconomic factors did not appear to account for the age-related difference in prevalence. 3. Only 40 per cent of those who related prior disease experience developed lesions within the observation period of 9 (+/-3) months. 4. The recurrence rate, based upon an observation period of 9 (+/-3) months, in those persons who related prior disease experience was found to be 1.3 episodes per year (0.1 per month). 5. Duration of lesions ranged between 3 and 17 days, with a mean of 9 days. 6. The lower lip was the most common site of a lesion. 7. Triggering factors associated with development of a lesion in order of decreasing frequency were found to be; emotional stress, exposure to sun, and illness.

Adult↗

The patient with ichthyosis. Report of a case.

The ichthyoses are a group of hereditary disorders that share in common the accumulation and shedding of large amounts of hyperkeratotic epidermis. Little is known about the oral manifestations of these disorders. Following a review of the literature, a case study is presented and the dental management of the patient with ichthyosis is discussed.

Adult↗

Dermatitis artefacta of the paraoral region.

Factitial injuries constitute a group of lesions that relate only in the manner in which they are produced and have no particular physical appearance. The possibility of correctly diagnosing a factitial injury is difficult unless this unusual condition is considered in a differential diagnosis. In this article, a case report of factitial injury of the paraoral soft tissue in a 33-year-old white man is presented. A review of self-mutilation and of the psychological aspects of self-destructive behavior is also included.

Adult↗

Treatment of oro-facial herpes simplex infections with acyclovir: a review.

The treatment of herpes simplex virus (HSV) infections in the past has been largely unsuccessful. Introduction of the drug acyclovir has been a positive development. Acyclovir has been extensively studied in the treatment of a a variety of HSV infections in immunocompromised patients and in otherwise healthy patients. The results have shown it to effectively inhibit HSV replication but to have no effect in preventing or eliminating the latent state of the virus. It has been shown to be very effective in certain instances and not so effective in others.

Acyclovir↗

Chronic indolent orofacial herpes simplex virus infection in chronic leukemia: a report of three cases.

Orofacial mucocutaneous infections caused by herpes simplex virus (HSV) may exhibit a distinct chronic indolent pattern of behavior in some immunosuppressed patients as opposed to the more familiar aggressive patterns. Three patients with chronic leukemia who illustrate this chronic indolent pattern are presented. These cases should alert the clinician to the variable clinical appearance that HSV may adopt in the immunosuppressed patient.

Aged↗

Acyclovir-resistant, foscarnet-sensitive oral herpes simplex type 2 lesion in a patient with AIDS.

We report the case of an immunocompromised patient with AIDS in whom developed a perioral and several intraoral HSV 2 lesions that persisted for more than 1 year. The virus was resistant to acyclovir but was sensitive to foscarnet. Viral isolates were thymidine kinase negative. The lesions resolved with intravenous foscarnet therapy given over a 15-week period, and when last seen, 8 months after foscarnet was discontinued, the patient had not had a recurrence.

Acquired Immunodeficiency Syndrome↗