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At least 811 records · Page 45Linked to original sources

A new foam girdle for the significant reduction of ecchymoses post-liposuction.

BACKGROUND: Reston foam (3M, St. Paul, MN) has been used in the past for the reduction of ecchymoses postliposuction surgery. The application of this modality, however, can cause allergic dermatitis, bullae formation and postinflammatory hyper-pigmentation, and it takes approximately 30 minutes to apply. OBJECTIVE: To develop a girdle that protects the skin from the aforementioned problems while incorporating the concepts of foam compression. METHODS: A garment was developed that incorporates foam into a lycra covering. Velcro straps are placed throughout the entire length of the girdle so that the surgeon can adjust the pressure according to specific needs. This garment is kept on for two to three days. RESULTS: No cases of allergic dermatitis, bullae formation or postinflammatory pigmentations were found with using this garment in over 800 cases. CONCLUSION: In most cases, Reston foam is a good adjunct to liposuction surgery. However, it can occasionally cause allergic dermatitis, bullae formation or postinflammatory hyper-pigmentation and can take an inordinately long time to apply. The author presents a new garment that incorporates the foam into a lycra covering that includes velcro-adjustable straps along the entire length of the girdle. This garment has not caused the aforementioned problems of dermatitis, bullae formation or postinflammatory hyper-pigmentation in over 800 cases.

Ecchymosis↗

Diamond-Gardner syndrome: a case report.

We present a 13-year-old girl who came to our attention for an erythematous bruised lesion which appeared spontaneously without any apparent coagulopathy. The history, histology, and positive "skin-test," carried out by subcutaneously injecting autologous erythrocytes obtained from heparinized blood, confirmed the suspected diagnosis of Diamond-Gardner syndrome. No alterations of blood vessel walls or thromboses were found. Evaluation of hemocoagulative parameters revealed an increased factor VIII level and reduced platelet aggregation after stimulation by adenosine diphosphate (ADP.)

Adolescent↗

Complications and adverse reactions with the use of botulinum toxin.

Botulinum toxins are the causative agents of the severe food-borne illness botulism. With lethal doses approximating 10(-9) g/kg body weight, these neurotoxins represent some of the most toxic naturally occurring substances. Regardless, botulinum toxin is considered a safe therapy for inappropriate muscle spasms with adverse effects being typically self-limited. This article deals with some of the complications that have occurred with these treatments. The greatest concern with the use of BOTOX is probably the formation of blocking antibodies leading to nonresponse of subsequent treatment. Prevalence of resistance is less than 5%. Most complications associated with its aesthetic use are few and anecdotal. Nevertheless, the common problems and pitfalls associated with aesthetic treatment of the various areas of the face and neck with botulinum toxin are discussed. Also included are recommendations as to how to avoid these very undesirable, yet common, problems.

Blepharoptosis↗

Mucosal suggillation in the colon in secondary amyloidosis.

Amyloidosis of the gastrointestinal tract can mimic a variety of different conditions. The symptoms and findings depend upon the localization and extent of the amyloid deposits. This report concerns a 53-year-old female patient with secondary amyloidosis in the presence of a plasmocytoma, in whom, at endoscopy, petechial mucosal suggillation were observed in the distal colon. The cause of the mucosal petechiae were probably vascular changes induced by deposits of amyloid.

Amyloidosis↗