[Dermatitis of the scalp associated with the installation of ceramic wool fiber (Kao-wool) insulation in a nuclear power station--Ohio].
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An 11-year-old child developed an infection of the scalp due to anaerobic germs following an acute attack of frontal sinusitis. The mechanism and therapy of this rare complication are discussed. The favorable outcome in this case suggests the need for revision of the generally poor prognosis of this complication, on the condition that adequate treatment be applied under the control of a multidisciplinary team.
'Eosinophilic pustular folliculitis", first described by Ofuji and co-workers in 1970, is obviously a new entity, not only confined to Japan. Recently, there was a case reported from Sweden; we present here the first observation in the FRG. The disease is characterized by eruptions of aggregated pustules, containing numerous eosinophils, and by blood eosinophilia. In our patient the disease first appeared on the scalp, leading to scarring alopecia. Since in our and in some other patients the lesions were not limited to the follicles, we feel that the term 'sterile eosinophilic pustulosis" is more appropriate to reflect the clinical picture. For differential diagnosis Morbus Duhring and M. Sneddon-Wilkinson have to be considered. "Sterile eosinophilic pustulosis" differs from these mainly because of the eosinophilic infiltrations deep in the dermis. Immunofluorescence tests are negative. Treatment with DADPS may be helpful.
A case of Netherton's syndrome is reported herein and twenty-four previous cases reviewed and tabulated with respect to age, sex, family history, intelligence, consanguinity, aminoaciduria, atopy, recurrent infections, and IgG. This syndrome is characterized by the presence of trichorrhexis invaginata, a distinctive hair shaft abnormality, and either ichtyosis linearis circumflexa or congenital ichthyosiform erythroderma. Recent investigations have shed light upon the pathogenesis of this disease but the precise structural, biochemical, and genetic abnormalities have not been elucidated.
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Four men who underwent hair implantation for pattern baldness were treated for complications such as infection, foreign-body reaction, pruritus, and scarring. The complications were similar to those reported with synthetic modacrylic fiber implants that have been used for the same purpose. Although we believe this is the first article to report complications from hair implants, the illogical basis of the procedure suggests that complications will occur in many unsuspecting patients who undergo hair implantation.
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Several methods of fiber implantation have been used to reduce pattern baldness, and similar results have been reported: fiber breakage, foreign-body reaction, infection and scarring. Since one method or another tends to predominate in different geographic areas, the physician often is unable to compare the results of the various methods. The two patients described in this article underwent different methods of fiber implantation; serious complications occurred in both. Fiber implantation is an unsafe technique and must be discouraged.
In an open study, 38 patients suffering from psoriasis of the scalp with various degrees of severity and duration, were treated for 4 weeks with a lotion containing 0.05% betamethasone 17, 21-dipropionate and 2% salicylic acid in a paraben-free vehicle containing isopropyl alcohol. The results showed agreement between the overall evaluation of response by patients and the physician using a 60 mm visual scale analogue. Marked relief of symptoms appeared after 1 week of treatment while clinical improvement appeared after 2 weeks. Slight degree of induration was present in 1 patient after 4 weeks of treatment, while 8 patients showed slight degree of scaling. After 2 weeks, excoriation disappeared in all the patients treated. Overall tolerance and cosmetic acceptability of the preparation were good.