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At least 1,423 records · Page 79Linked to original sources

[The history of dandruff and dandruff in history. A homage to Raymond Sabouraud].

In one of his books, written at the beginning of this century, Raymond Sabouraud devotes some 280 pages to the history of dandruff. Their reading illustrates how, from the Greeks to Sabouraud's era, this desquamative disease has been subjected to endless doctrinal and scientific conflicts, long before the so-called "present" controversies. One of the early conflicts, between Celsus and Galen, lies in the nature of the squames, i. e. dry or exudating, leading to the inclusion (or non inclusion) or pityriasis in the group of desquamative diseases, such as psoriasis or ichytosis. Translated into Latin (furfur, porrigo) and into Arabic, the word pityriasis was replaced in the Middle Age by tinea which then referred to any disease of the human scalp. With Plenk, Lorry, Willan and others, the 18th century brought a new attitude of mind where observation took precedence over doctrine, but owing to the lack of experimental approach there was no adequate description of the squames and their anatomical origin. This was the case with Hebra who, in the 19th century, claimed that dandruff was nothing but a sebaceous disease. This major turn resulted for decades in a confusion between dandruff and seborrhoea. In the late 19th century, bacteriological studies were decisive steps taken by Rivolta, Malassez and Sabouraud. The presence on scalps affected with dandruff of a bottle-shaped "fungus" (Pityrosporum ovale was initially not regarded as a yeast) was taken as being the definite cause of the disease. The Sabouraud dogma was born, but as early as 1877 it was denied by Vidal who observed these "spores" on healthy scalps.(ABSTRACT TRUNCATED AT 250 WORDS)

Dermatology↗

Fatal Streptococcus viridans septicemia and meningitis: relationship to fetal scalp electrode monitoring.

Viridans streptococci have been reported as an increasingly frequent pathogen in neonatal sepsis. These infections have appeared to be less virulent than those associated with other bacteria. The case of an infant is reported who developed a scalp abscess secondary to an internal fetal monitoring electrode caused by viridans streptococci. This infection evolved into a rapidly fatal septicemia and meningitis. Viridans streptococci may be responsible for virulent fatal infections in neonates.

Abscess↗

[Microsporum infection in patients treated at the Dermatological Clinic, Medical Academy, in Gdańsk 1984-1988].

In the years 1984-1988 in the Department of Dermatology, M. A. in Gdańsk 80 cases of microsporum mycoses were diagnosed. The cases were due to Microsporum canis. Among 80 cases of this mycosis we found 59 children aged from 2 to 15 years and 21 subjects aged over 15 years. In children the most cases were diagnosed in the age group 4-7 years. In 40 cases (50%). M. canis produced lesions of hairless skin and in 36 cases (45%) the scalp was involved.

Adolescent↗

[Cutis verticis gyrata, hypertrophic gastritis, motrice diarhea, and horse's tall syndrome, a new association an apudoma (carcinoid or chemodectoma) (author's transl)].

The authors report the observation of a 70 years male with Cutis Verticis Gyrata (without hypertrophying osteopathy), Menetrier's hypertrophic gastritis, motrice diarrhea of the endocrine type, flush syndrom, liver angiomatosis and a large sacral water clear cells tumor with horse's tail syndrom. The initial tumor was on the posterior wall of rectum, but was necrosed : bone metastasing chemodectoma, or locally invading carcinoid ? This new complex paraneoplastic disease seems to be associated with APUD tumor.

Acromegaly↗

Sternocostoclavicular hyperostosis: two cases with differing dermatologic syndromes.

Sternocostoclavicular hyperostosis is a rare rheumatic condition characterized by ossification and erosion of the clavicle and the first rib, that has been shown to be associated with pustular skin lesions. We present 2 cases, one of which had features of pustulosis palmaris et plantaris and the other dissecting cellulitis of the scalp. Although the dermatologic manifestations differ, both cases have rheumatologic and roentgenographic features diagnostic of sternocostoclavicular hyperostosis.

Adult↗

[The clinico-laboratory evaluation of the efficacy of the external treatment of microsporosis using a 5% mebetizol ointment].

Therapeutic efficacy of external application of 5 percent mebetizol ointment was analyzed in the treatment of 140 patients with microsporosis. The best effect was achieved when such therapy was combined with oral griseofulvin in glabrous skin microsporosis. The effect of treatment of mycosis of the hairy part of the head was less marked. No cases of the therapy intolerance, complications, or recurrences were recorded. Toxic effects of mebetizol on vital organs were not observed. External applications of 5 percent mebetizol ointment permitted cut down of the periods of treatment by 10-15 days, this being a significant economic effect.

Administration, Cutaneous↗

[Phototherapy of psoriasis of the scalp. Results in 21 patients treated with a special portable ultraviolet rays lamp].

The presence of hair hampers the performance of photo- and photochemotherapy and blocks the efficacy of exposure to sunlight in patients affected by scalp psoriasis. A portable source of ultra-violet rays was tested on 21 patients: the device is equipped with a special comb which, by separating the hair, partially overcomes the protective shield formed by the latter. The light source's physical parameters were experimentally evaluated and it is worth noting the high concentration of UVB in the emission spectrum. No topical or systemic drugs were used during treatment. A complete remission of dermatosis was achieved in 6 cases, a marked improvement in 11 (50-95%), and a slight improvement in 4 (20-30%). The source used was found to be efficacious especially in those forms of slight to medium psoriasis of the capillitium; it was handy and easy to use making it suitable for home use.

Adolescent↗

[1% econazole hair-shampoo in the treatment of pityriasis capitis; a comparative study versus zinc-pyrithione shampoo].

On the basis of the assumption that Pityrosporum ovale is an important pathogenic factor in the aetiology of Pityriasis simplex capitis (dandruff), the Authors intended to evaluate the efficacy and tolerability of econazole (1% hair-shampoo) in the treatment of this scalp disease. Dandruff could be considered a problem more from a cosmetic than from a medical point of view; for this reason a conventional anti-dandruff hair-shampoo containing zinc-pyrithione was selected as a control. In this open controlled study, seventy patients suffering from different forms of Pityriasis simplex capitis were enrolled at the 1th Dermatological Institute, University of Milan, and randomly assigned to the econazole and zinc-pyrithione treatment groups, respectively. At the end of the four-weeks treatment (two applications/week) a marked decrease in signs (scaling, seborrhea, erythema) and symptoms (burning, itching) was observed in both groups. Regarding the antifungal efficacy, econazole hair-shampoo was slightly better than control. General evaluation on tolerability and cosmetical patterns was favourable for both formulations.

Adolescent↗

[Psoriatic alopecia manifestation, course and therapy in 34 patients].

We report on a long-term clinical study on 34 patients (aged 6 to 88) suffering from psoriasis vulgaris capillitii with ensuing loss of hair and alopecia. Most patients showed heavy hyperkeratosis. The loss of hair was either massive (sometimes in tufts) or moderate; its course was acute in 53%, chronically recurrent in 15%, and chronically progressive in 32% of the cases. The psoriatic alopecia was circumscribed in 80% (from the size of a coin up to that of a palm of a hand; thinned out or bare) and diffuse in 20% of the patients. Alopecia was only observed in psoriatic lesions, but not necessarily in every plaque. Thus, psoriasis of the entire scalp did either result in circumscribed or in diffuse alopecia. The trichogram taken from regions next to alopecic areas revealed a telogen rate between 25 and 86%, according to the respective progression of the disease. The light microscope showed the typical features of psoriasis associated with distinct follicular hyper-(para-)keratosis; in some of the histologic sections, we saw a well-defined perifollicular adnexophilic infiltration of lymphocytes and histiocytes, which could cause alterations of the follicular epithelium and sometimes even destroy it altogether. In due course, these alterations resulted in granulomatous foreign-body reaction with scar formation. After topical anti-psoriatic treatment, we noticed regrowth of hair in more than 70% of the patients, whereas 25% developed scarring alopecia. - What we call psoriatic alopecia is the symptomatic loss of hair in psoriatic lesions of the scalp. In most of the cases, it can easily be identified on account of the underlying psoriasis.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

[Tinea capitis presenting as staphylococcal pyodermatitis of the scalp].

Two severe cases of pyoderma (staphylococcus aureus) of the scalp, resistant to appropriate antibiotic treatment, proved to be due to exotic dermatophytes (Trichophyton soudanense and Trichophyton violaceum) in two North African children living in France. Both cases exemplify the growing number of Tinea capitis due to anthropophilic species imported from Africa by immigrated populations, their sometimes atypical clinical presentation and their familial epidemiology. Fungal cultures and identification procedures are essential for the diagnosis and epidemiological investigation of such cases.

Child, Preschool↗

Scalp infection after fetal monitoring in labour.

Neonatal scalp infection was reviewed over a four year period. The occurrence of such infection was found to be 0.14% of those infants monitored in labour using a spiral scalp electrode and 0.16% of those infants undergoing instrumental delivery. The duration of labour and the membrane-rupture delivery interval did not differ significantly from the total population. Scalp infection after monitoring occurred significantly later (day seven) than after instrumental delivery (day three) and was less often associated with positive bacterial cultures. Scalp damage is probably important in the aetiology of scalp infection, and the course of infection related to the degree of trauma.

Delivery, Obstetric↗

Acne keloidalis in women.

Acne keloidalis is a chronic scarring folliculitis that most commonly occurs on the scalps of young black men. This disorder is described in two black women who had no evidence of androgen excess. Trauma to scalp hair may have precipitated the condition in one patient. Although it is uncommon, acne keloidalis should be considered a treatable cause of cicatricial alopecia in women.

Acne Keloid↗

[Candidal granuloma of the scalp in a child].

Candidal granuloma in an infant of 11 months is described. The disease has developed at the age of 3.5 months after administration of ampicillin for an acute respiratory viral disease and otitis. The diagnosis has been confirmed by microscopic examinations and cultivation. The condition has been cured by oral nystatin and external batrafen cream.

Administration, Oral↗