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At least 1,081 records · Page 60Linked to original sources

Incidence and clinical consequence of the purple glove syndrome in patients receiving intravenous phenytoin.

OBJECTIVE: To determine the incidence, risk factors, and long-term sequelae of the purple glove syndrome (PGS) in hospital patients receiving IV phenytoin. BACKGROUND: PGS is a poorly understood, potentially serious local complication of IV phenytoin administration characterized by progressive distal limb edema, discoloration, and pain. METHODS: The pharmacologic records of the Mayo Foundation hospitals were reviewed to identify 179 consecutive patients who had IV phenytoin ordered during a 3-month period. Their hospital records were then reviewed to confirm IV phenytoin treatment, the frequency of PGS (defined as the progressive development of edema, discoloration, and pain in the limb after administration of IV phenytoin), and the outcome of PGS. RESULTS: A total of 152 patients received IV phenytoin, and nine (5.9%) developed PGS. PGS patients received a greater median initial dose of phenytoin, total 24-hour dose, and total number of doses (all p < 0.05). In addition, the median age of the PGS patients was older, their infusion was more often given for acute seizures, it was less likely to be administered in the operating room, and the length of their hospital stay was longer (all p < 0.05). One patient required surgical therapy, and all other patients resolved within 3 weeks with conservative management. CONCLUSIONS: PGS is not rare and elderly patients and individuals receiving large, multiple doses are particularly at risk. This iatrogenic complication may be preventable by substituting fosphenytoin for IV phenytoin.

Adolescent↗

An instrumented glove for monitoring MCP joint motion.

A lycra glove has been instrumented with novel low-profile electrogoniometers to measure index and middle finger metacarpophalangeal (MCP) flexion/extension motion. It is lightweight and comfortable to wear, enabling portable, unobtrusive measurement of joint usage about the home or work environment. Preliminary results have shown it to be of comparable accuracy to existing clinical measurements. Many applications are envisaged in the fields of ergonomics, orthopaedics and rehabilitation.

Adult↗

Papular-purpuric "gloves and socks" syndrome due to parvovirus B19: report of a case with unusual features.

We present a case of papular-purpuric "gloves and socks" syndrome (PPGSS) in an adult male with acute parvovirus B19 infection. The patient displayed the classical features of fever, oral lesions, and purpura on hands and feet, but the purpuric lesions on the feet evolved to superficial skin necrosis, a feature not previously described in this syndrome. We believe this is the first reported case of PPGSS occurring in Brazil.

Acrodermatitis↗

Papular-purpuric "gloves and socks" syndrome caused by parvovirus B19.

This paper presents a 15-year-old boy with an acute febrile illness accompanied by purpuric and papular lesions located mostly on the dorsal areas of his hands and feet with the additional changes on his knees and elbows. Serologic studies confirmed the acute infection by parvovirus B19. Apart from mild leukocytosis there were no other abnormalities in hematologic and laboratory findings. The diagnosis of papular-purpuric "gloves and socks" syndrome (PPGSS) was made. Cutaneous changes completely resolved two weeks later. Herein the patient's condition was described together with a brief overview of the PPGSS literature concerning this relatively rare viral exanthema.

Acrodermatitis↗

Helping new braille readers: effects of spacing, finger locus, and gloves.

Braille words (Exp. 1) and individual braille characters (Exp. 2) were touched by 60 naive sighted observers while vision of the tangible patterns was excluded. The embossed code had to be matched against a visible representation of braille and letter equivalents. The reading of braille was aided by the use of large braille or standard braille with extra space inserted between characters. Reading was impaired when subjects were limited to the use of the fingerpad and were prohibited from employing the fingertip. Recognition was not altered by covering the hand with vinyl examination gloves. It was suggested that beginning braille readers might profit from extra space between the braille characters comprising words. Furthermore, the use of the more sensitive fingertip to explore braille patterns helped, perhaps by encouraging sequential identification of spatial information.

Adult↗

Creating a model for fabricating a partial hand glove prosthesis using the realigned casts of the contralateral digits.

A method for creating a model for fabricating a partial hand glove prosthesis is described. The realigned casts of the corresponding digits of the contralateral uninjured hand were used to substitute for the lost digits on a cast of the stump. The technique allows an exact reproduction of the anatomical and fine surface details of the digits. It has the advantage of customisation, allowing a close match in the size, shape and surface characteristics of the prosthesis to that of the remaining digits of the hand.

Adult↗

Computerized hand diagnostic/rehabilitation system using a force feedback glove.

This paper describes recent results of a unified computerized system for hand diagnosis and rehabilitation. Automatic diagnosis data collection and Virtual Reality rehabilitation exercises are the main characteristics of the system. The diagnosis subsystem includes a tactile sensing glove in addition to standard devices such as electronic dynamometer, pinchmeter and goniometer. Three standard rehabilitation exercises were simulated in a Virtual Reality environment, using the WorldToolKit graphics library. The first two exercises (ball squeezing and DigiKey) allow measurement of finger forces exerted during the rehabilitation routine. The third exercise (Peg board) involves the patient's visual-motor coordination. The rehabilitation subsystem uses a VPL DataGlove retrofitted with Rutgers Master (RM-I) and its interface. The exercises involve manipulation of objects with different stiffnesses and geometry. Grasping forces were modeled and fed back using the Rutgers Master worn on patient's hand. Data is gathered in real time from both diagnosis and rehabilitation subsystems. Finger specific forces recorded during rehabilitation exercises allow better diagnosis of the patient impairment. An ORACLE database is used to store and manipulate patients' records. Proof of concept trials were performed in a clinical environment. Some results of patient records analysis are presented in this paper. A new version of the system using an RM II haptic interface is presently under consideration.

Adult↗

Juvenile papular-purpuric gloves and socks syndrome.

Papular-purpuric gloves and socks syndrome (PPGSS) occurs mainly in young adults, but it should also be considered in the differential diagnosis of childhood exanthems. The case presented here is the youngest patient hitherto reported with PPGSS and supports the concept of a viral genesis.

Child, Preschool↗

Anaphylaxis due to cornstarch surgical glove powder.

Two nurses suffered anaphylaxis to cornstarch glove powder. Both exhibited (1) positive prick skin tests to cornstarch powder in water, with resultant anaphylaxis in one and (2) negative prick skin tests and RAST to corn. Analysis of the powder revealed only glucose and inorganic salts. We were unable to detect in vitro histamine release or cornstarch powder specific IgE. Because of the positive skin tests and the resultant anaphylaxis, we suspect that cornstarch is the responsible allergen.

Adult↗

Gloves and socks syndrome caused by parvovirus B19 infection.

The papular purpuric gloves and socks syndrome (PPGSS) is an uncommon dermatosis with a typical purpuric exanthem limited to hands and feet; it occurs mainly in young adults. We report a case of a 19-year-old man with an acute febrile illness accompanied by purpuric and papular lesions located mostly on the dorsal areas of his hands and feet. Serologic analysis for parvovirus B19 yielded positive results. The diagnosis of PPGSS was made. The eruption cleared without therapy in 12 days with plantar and palmar desquamation. Parvovirus B19 and some other viral infections have been proven to be causative agents of this syndrome.

Acrodermatitis↗

[A new system for aerating airtight protective clothing such as gloves, boots and suits].

Airtight protective clothing covering the skin of the human body, such as for example rubber gloves or rubber shoes, lead to heat accumulation and through transpiration to changes of the skin. Cutaneous diseases are encouraged by this. The herein presented aeration system functioning through air channels supplied by exterior lines, is improving the unhealthy skin conditions and is making it more agreeable to wear protective clothing.

Humans↗

[The compression glove--a useful tool in hand surgery].

Edema of the hand of no matter which cause prevents adequate active finger motion. Persistent swelling may lead to secondary shrinkage of collateral ligaments and fibrosis of paratenon. A custom made compression glove has proven to be an effective tool in reducing edema and preventing secondary damage. It has been useful in treating posttraumatic or postoperative edema and trophic disturbances of the hand.

Clothing↗

Comparison of sperm-rich fractions of boar semen collected by electroejaculation and the gloved-hand technique.

Semen was collected from 8 yearling boars, using electroejaculation and the gloved-hand technique. Four semen samples were collected from each boar by each technique, on an alternating schedule, with a 72-hour interval between collections. Comparison of the volume, motility, live-dead ratio, sperm concentration, and spermatozoal conformation of the sperm-rich fractions showed that there were no significant differences between the 2 techniques for any factor evaluated.

Animals↗

Evaluation of the disinfectant effect of a quick drying rubbing type povidone-iodine alcoholic solution by the glove juice method.

The antiseptic effect of povidone-iodine alcoholic solution (HAD Hand Wash), a newly developed quick drying rubbing type disinfectant, was evaluated in 40 subjects. Samples of hand bacteria were collected by the glove juice method. The bacteria were incubated, and a cell count was performed. Disinfection was carried out by rubbing 3 ml of HAD Hand Wash carefully on to the skin of the subjects' hands. The efficacy of the solution was evaluated by computing the bacterial reduction rates as compared to the pre-disinfection bacterial count after disinfecting once and three times. The bacterial cell count was significantly reduced from the pre-disinfection count for one hour after disinfecting once and for two hours after disinfecting three times. In addition, the bacterial reduction rate after disinfecting three times remained superior to that after disinfecting once over a period of two hours. We concluded that disinfecting once with HAD Hand Wash is sufficient for routine hygienic hand washing, while disinfecting three times is desirable when, as with surgical hand washing, the strictest antisepsis is required. HAD Hand Wash produced no adverse side effects.

Antisepsis↗

Immunohistochemical and virological study of skin in the papular-purpuric gloves and socks syndrome.

The pathogenesis of viral exanthems remains unclear. We have undertaken an immunohistochemical study of lesional skin biopsies in patients with the papular-purpuric gloves and socks syndrome (PPGSS) secondary to parvovirus B19 infection. Intracytoplasmic staining of the dermal endothelial cells, keratinocytes, and sweat glands was shown with an antibody to parvovirus B19. There were perivascular dermal infiltrates with T cells, sometimes with exocytosis. By polymerase chain reaction, virus DNA was detected in all skin biopsies and in one serum sample. The cutaneous manifestations of parvovirus infection seem secondary to infection of the endothelium and epidermis.

Adolescent↗