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At least 1,099 records · Page 61Linked to original sources

Palmoplantar hyperhidrosis. Treatment with alcohol solution of aluminium chloride hexahydrate: a simple method of transpiration measurement.

16 patients with palmar and/or plantar hyperhidrosis were treated with topically applied aluminium chloride hexahydrate in a 25% solution in absolute ethyl alcohol. Compared to treatment of axillary hyperhidrosis this formulation seems to be less effective, but a controlled study is needed. A simple method for transpiration measurement is described. It may be useful in daily practice to control the effect of the treatment.

Adolescent↗

Treatment of palmoplantar psoriasis with topical methoxsalen plus long-wave ultraviolet light.

Fourteen patients with chronic plaque-type psoriasis involving the palms and soles and 14 patients with palmoplantar vesiculopustular dermatosis, including three cases of localized pustular psoriasis, were treated with topical application of methoxsalen, followed by exposure to long-wave ultraviolet energy (topical PUVA). Approximately two thirds of the patients with palmoplantar plaque-type psoriasis and half of those with vesiculopustular dermatosis responded with considerable improvement, as evidenced by flattening of plaques, decreased scaling and erythema, and decreased vesicle and pustule formation after 15 to 40 treatments. Complete clearing of the treated areas was achieved in five patients with palmoplantar psoriasis, three of whom had the pustular variety. Most patients required continued maintenance therapy with topical PUVA. The condition of the patients with palmoplantar vesiculopustular dermatosis, especially those with severe involvement, was more labile and more difficult to control with PUVA therapy than in those with chronic scaling plaques.

Adolescent↗

[A study on the preoperative diagnosis of pustulosis palmaris et plantaris due to focal tonsillar infection (author's transl)].

In order to establish preoperative tests for Pustulosis palmaris et plantaris due to focal tonsillar infections, a provocation test using ultra-short wave radiation and a negation tests with Impletol solution were investigated. It was subsequently found that the radiation test did not correspond to the therapeutic effects of tonsillectomy on cutaneous lesions, in contrast to the Impletol test. A potentiated dosage of 5 ml Impletol solution was injected submucosally about each palatine tonsil in addition to a conventional 1cc dose (usually injected into the upper pole of each tonsil), and the effects on cutaneous lesions were then examined. In an attempt to define objectively these latter results, both hematologic and serologic tests were obtained, but these failed to show any significant differences in those patients tested.

Foot Dermatoses↗

Recurrent palmoplantar hidradenitis in children.

BACKGROUND: There are several reports of tender, erythematous plantar nodules occurring in pediatric patients. Despite similar morphological features, the histologic findings in these lesions have been quite diverse. A new entity called idiopathic plantar hidradenitis (also termed neutrophilic eccrine hidradenitis in children), which is characterized by tender, red nodules on the feet and unique histopathologic features, was recently described. OBSERVATIONS: We describe two children with these unusual cutaneous lesions and histopathologic findings and compare them with patients with idiopathic plantar hidradenitis. Our patients, in contrast to those with idiopathic plantar hidradenitis, had involvement of the palms as well as the soles. Both children had self-limited recurrent lesions; in one child, the lesions were associated with low-grade fever. Biopsy specimen findings in both cases demonstrated dense neutrophilic infiltrates localized to the eccrine units. CONCLUSIONS: Our patients had clinical and histologic findings similar to those recently reported as idiopathic plantar hidradenitis (neutrophilic eccrine hidradenitis in children). Because palms and soles can be affected and the lesions typically recur, we suggest that this condition be referred to as recurrent palmoplantar hidradenitis.

Child↗

[Cutaneous parvovirus infections: "gloves and socks" syndrome].

INTRODUCTION: Among the viral purpuric cutaneous manifestations, papular-purpuric "gloves and socks" eruptions have been lately described. The responsibility of parvovirus B19 infection has been suspected. OBSERVATION: We report two pediatric cases of papular-purpuric eruption of the extremities with a seroconversion for the parvovirus B19. One patient, a twelve-year old girl, also had cellulitic plaques. DISCUSSION: Parvovirus B19 is known for causing various cutaneous manifestations, among which erythema infectiosum as the most classical. A papular-purpuric "gloves and socks" syndrome may be individualised. Previously described in adults, this type of eruption may be prevalent in childhood.

Child↗

Petechial glove and sock syndrome caused by parvovirus B19.

The petechial glove and sock syndrome is a recently described febrile dermatosis characterized by acral edema, petechiae in a characteristic distribution, and enanthem, which has been associated in several cases with parvovirus B19 seroconversion. We report an additional case of petechial glove and sock syndrome that further corroborates the role of parvovirus B19 as a causative agent of this syndrome in adults.

Adult↗

In vivo observation of magnified features of pigmented lesions on volar skin using video macroscope. Usefulness of epiluminescence techniques in clinical diagnosis.

BACKGROUND AND DESIGN: In vivo epiluminescence microscopy is now used as a useful noninvasive method for determining clinical diagnosis of pigmented skin lesions. Until now, however, pigmented lesions on the volar skin have been hardly studied with this method. In the present epiluminescent study, various kinds of pigmented lesions on the volar skin were extensively investigated by means of video macroscope, a newly developed electronic device with a higher magnification power, and correlation between the magnified features and histopathologic findings was evaluated. RESULTS: Magnified features of most lesions of acquired or congenital melanocytic nevus on the volar skin were classified into the following three typical patterns: (1) a parallel pattern formed by pigmented parallel lines corresponding to the furrows of the skin markings, (2) a latticelike pattern composed of pigmented lines along and across the furrows of the skin markings, and (3) a fibrillar pattern formed by densely packed, fibrillar pigmented lines arranged in the direction crossing the furrows. In contrast, macular or plaque portions of acral lentiginous melanoma exhibited disorderly arranged, irregular pigment patterns, mainly affecting the ridges of the skin markings. In addition, brown globules of various shades and many black dots of variable sizes were often observed and, on the margin of the lesions, pseudopods and/or the "serrated" pattern were detected. Cutaneous hemorrhagic macule and so-called black heel showed highly specific features and thus could be easily diagnosed with video macroscopy. CONCLUSION: Video macroscope proved to be a very useful instrument for the diagnosis of pigmented lesions on the volar skin.

Equipment Design↗

New records of nail and skin infection due to Onychocola canadensis and description of its teleomorph Arachnomyces nodosetosus sp. nov.

Non-dermatophytic fungi are increasingly being recognized as agents of onychomycosis. In 1990, three cases of chronic infection of the great toenail in adult female residents of Canada were attributed to Onychocola canadensis, a previously unknown hyphomycete. Three additional cases were suspicious but unconfirmed. This report documents seven new records, including six of toenail infection in elderly individuals and one case of glabrous skin infection. Three isolations from New Zealand represent the first report of O. canadensis outside Canada. Treatment with griseofulvin in one New Zealand hallux infection case was found to improve the appearance of the nail, but specimens were culture positive after 6 months. The development in culture of broad, brown, nodose, thick-walled hyphae suggested an affinity to the ascomycete genus Arachnomyces. Although mating experiments were attempted on several different media, ascocarps were produced in six mated pairs on sterilized rice grains or rice extract agar after 7-12 months incubation. Arachnomyces nodosetosus Sigler & Abbott sp. nov. is described and compared with Arachnomyces minimus Malloch & Cain, also rarely isolated from cutaneous specimens. The genus Arachnomyces is placed in the Gymnoascaceae (Onygenales).

Aged↗

Ulcerative and oral lichen planus associated with sicca syndrome and primary biliary cirrhosis.

The following case report supports the hypothesis that the coexistence of lichen planus, primary biliary cirrhosis, and sicca syndrome is not co-incidental. The fact that all three diseases are manifest in the same patient substantiates a theory of pathogenesis based on a cell-mediated immune response analogous to that in allogeneic bone marrow transplant recipients with chronic graft-versus-host disease.

Aged↗

[Use of vacuum therapy in suppurative diseases of fingers and hands].

The results of complex treatment of acute purulent inflammatory diseases of the digits and hand with the use of vacuum-therapy in 109 patients are presented. Shortening of the time required for wound cleaning, reduction in disease and temporary invalidity duration were noted.

Abscess↗