Cutis verticis gyrata and chromosomal abnormalities.
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Stool samples of patients suffering from seborrheic eczema of the scalp, psoriasis capitis, or seborrhiasis were investigated. All patients revealed pathological flora of the bowel to a high degree, predominantly pathogenic yeasts. Therapy of the intestine seems to be of good influence to the skin disease as well.
Therapy of seborrheic dermatitis depends on age (infantile, juvenile, or adult) and localisation (scalp, eyelids, chest, intertriginous areas). In order to avoid recurrences, the patient is instructed to wear suitable clothing, to reduce fat and alcohol, and to observe appropriate personal hygiene.
Dandruff is a sign of low specificity but high sensitivity for atopic constitution. Of 32 (40%) patients consulting the clinic for other reasons than dandruff, atopic dermatitis, or seborrheic dermatitis, 13 had raised IgE PRIST values of greater than 120 IU/ml. In only 6 (19%) of these patients was screening for atopy completely negative (family and personal history, total and specific IgG, prick test).
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Cleansing of the skin and hair is part of the daily routine of all neonates, infants, toddlers, children, and adolescents. Numerous soap and shampoo products are available to the consumer. The pediatrician is often asked to comment on the safety and efficacy of these products. Little information is available to help the pediatrician make a rational decision. The list of ingredients on the package are seldom useful and can be confusing. The theoretical and practical considerations leading to the addition of the major constituents of soaps and shampoos are reviewed and guidelines for the use of soaps and shampoos under normal circumstances and in a few selected conditions are suggested.
The death of a young boy who practiced self-therapy of seborrheic dermatitis of the scalp is reported. Practitioners should be aware that peer pressure in today's teenage society, coupled with misinterpretation of therapeutic protocols, may result in the application of unorthodox treatment regimens.
Objective assessment of seborrhea of the scalp has seldom been reported in the literature. We have used a variant of the method described by Saint-Léger and Lévêque to measure the sebum excretion rate in normal scalp, male pattern alopecia, pityriasis amiantacea, pityriasis capitis and alopecia areata. The sebum excretion rate was significantly increased in male pattern alopecia, significantly decreased in pityriasis amiantacea and showed a trend towards reduction in alopecia areata. Pityriasis capitis was not associated with changes in the excretion of sebum.
Thirty-nine patients with seborrheic dermatitis of the scalp were treated in a double-blind controlled study with a solution containing either 15 percent propylene glycol, 50 percent ethanol, and 35 percent water, or a solution containing 50 percent ethanol and 50 percent water. Two patients did not return for follow-up. Sixteen of eighteen (89 percent) in the group treated with propylene glycol showed healing, compared to six of nineteen (32 percent) in the other group. In twenty patients quantitative cultures for Pityrosporum orbiculare were taken. The number of organisms was reduced significantly after treatment with the propylene-glycol-containing solution but not in the other group. This propylene-glycol-containing solution was easy to apply, cosmetically attractive, and may be an alternative to corticosteroids for the treatment of seborrheic dermatitis of the scalp.
We present a typical localized bullous pemphigoid (Brunsting-Perry) associated with positive Nikolski sign. To the best of our knowledge, this is the first report on positive Nikolski sign in localized bullous pemphidoid.
The hair follicle and shaft in blacks have unique configurations. The occurrence of certain disorders such as hot-comb and traction alopecia, proximal trichorrhexis nodosa, trichonodoses, and pseudofolliculitis predominantly among blacks is related to the morphology as well as methods of caring for black hair. In addition, there are several disorders of unknown etiology such as dissecting cellulitis that also occur primarily in blacks. Familiarity with all of the structural differences that distinguish black hair and the disorders that affect the black patient's hair and scalp will enable dermatologists to provide proper diagnoses, treatment, and counselling for their black patients.
Many people suffer from scalp psoriasis. While the cause of this condition is not known, there is effective treatment. With well-planned therapy and patient compliance, scalp lesions can be controlled. Useful agents include coal tar shampoos and preparations, keratolytics and topical corticosteroids. Systemic agents are almost never indicated for scalp psoriasis alone.
In a discreet way, wigs not only cover up a disfiguring loss of hair but also chronic and suppurative diseases of the scalp. We especially deal with the problems regarding the choice of such wigs, how they are--if necessary--disinfected, cleaned, and tended, and how the expenses may be settled.