Lepromatous Leprosy: Nasal Manifestations and Treatment with Minocycline

1992 ◽  
Vol 101 (3) ◽  
pp. 261-264 ◽  
Author(s):  
Anil K. Lalwani ◽  
Thomas A. Tami ◽  
Robert H. Gelber

Nasal involvement in lepromatous leprosy is universal and occurs early in the course of the disease. Nasal symptoms include obstruction, crusting, bleeding, and hyposmia. Traditional therapy with dapsone, rifampin, and clofazimine is limited by its cost and toxicity. Minocycline hydrochloride, a tetracycline antibiotic with limited side effects, is promising as a new treatment for leprosy. A case is presented that highlights the clinical presentation, diagnosis, and treatment of lepromatous leprosy.

2014 ◽  
Vol 89 (6) ◽  
pp. 865-877 ◽  
Author(s):  
Marcos Vinícius Clarindo ◽  
Adriana Tomazzoni Possebon ◽  
Emylle Marlene Soligo ◽  
Hirofumi Uyeda ◽  
Roseli Terezinha Ruaro ◽  
...  

Author(s):  
Kimberly A. Kripps ◽  
Leighann Sremba ◽  
Austin A. Larson ◽  
Johan L.K. Van Hove ◽  
Hoanh Nguyen ◽  
...  

2010 ◽  
Vol 79 (3) ◽  
pp. 497-508 ◽  
Author(s):  
Filip Konečný

In veterinary medicine, thrombo-embolism (TE) is an under-appreciated medical condition that requires immediate recognition. Since TE is multifactorial and its mode of presentation may vary, veterinarians face great difficulties in making a definitive diagnosis in a timely manner. In addition, most of the underlying conditions that give rise to TE are life-threatening and an aggressive diagnostic and therapeutic approach is required. Not only does the diagnosis and treatment of this condition require the collaboration of many specialties, the costs of therapy can be excessive with a high risk of recurrence. As such, owners have to be thoroughly informed before the therapy commences. While TE has been well-characterized in humans and is associated with significant morbidity and mortality, little information of similar quality is available in veterinary medicine. In addition, TE in animals is distinct from its human counterpart and we cannot simply adapt what is known from human clinical trials. With the promise of improvements in imaging modalities that improve our diagnostic capabilities, the window of opportunity to treat TE increases. This article focuses on aetiology, clinical presentation, diagnosis, and treatment of dogs and cats affected by TE.


Author(s):  
Peter Wolf ◽  
Thomas Scherer

SummaryGiven the growing use of immune checkpoint inhibitor (ICI) therapy in oncology, the prevalence of endocrine side effects is rapidly increasing. As clinicians are nowadays frequently confronted with these side effects in routine clinical care, awareness, better knowledge of endocrine irAEs and their clinical presentation and diagnosis is crucial for an adequate management. In this short-review we give a compact overview of the recent recommendations for the management of endocrine irAE related to ICIs and highlight difficulties and uncertainties in current clinical practice.


Author(s):  
Krishna Rajesh Kilaru ◽  
Suhasini Attada ◽  
Pooja Munnangi ◽  
Manogna Chowdary Kilaru

<p class="abstract"><strong>Background:</strong> Female pattern hair loss (FPHL) is a common cause of hair loss in women characterized by a diffuse reduction in hair density over the crown and frontal scalp with retention of the frontal hairline. The underlying pathophysiology is multifactorial. There are no universally agreed treatment guidelines available. The objective of the study was to understand the diagnosis and treatment pattern of female pattern hair loss and the role of minoxidil topical formulation and its combination in the management of FPHL.</p><p class="abstract"><strong>Methods: </strong>Predesigned questionnaire on FPHL was prepared based on review of literature and was filled by 80 consultant dermatologists. Recorded data was statistically analyzed.</p><p class="abstract"><strong>Results: </strong>Common age of onset of FPHL was between 20 to 30 years. Majority (96.25%) have reported FPHL in association with psychological morbidity. The most preferred treatment in mild and severe FPHL was minoxidil 5% and platelet rich plasma (PRP) plus minoxidil respectively. Most dermatologists (47.5%) treated with minoxidil for over 6 months. Majority (27.5%) reported flaking as the most common side effect with minoxidil followed by dryness, scalp irritation and itching. Majority (27.5%) observed that long treatment duration was contributing to non-compliance followed by medication cost and side effects. Majority of the dermatologists (90%) felt the need for treatment guidelines in the current Indian scenario.</p><p class="abstract"><strong>Conclusions: </strong>Minoxidil was the most common preferred treatment for mild and severe FPHL. PRP is the most common choice of combination therapy with minoxidil. Minimizing side effects, patient education and universal treatment guidelines can help manage FPHL better.  </p>


Prescriber ◽  
2013 ◽  
Vol 24 (13-16) ◽  
pp. 39-42
Author(s):  
Steve Chaplin ◽  
Christopher Chapple
Keyword(s):  

2021 ◽  
Vol 06 ◽  
Author(s):  
Atul R Chopade ◽  
Suraj N. Mali ◽  
Pramod A Patil

Background: There is an unmet need for effective diagnosis and treatment of chronic inflammatory pain and subsequent hypersensitivity (hyperalgesia). The nanotechnology and nano drug delivery could be a probable answer to solve this problem; this novel technique will surely take diagnosis of pain and anti-inflammatory therapy to newer heights offering faster pain relief to the patient. Objective: This study aims to collect more information about aspects of nanotechnology based applications towards pain management. Methods: A systemic search has been carried out using PubMed, Google Scholar, CNKI, etc. for relevant articles. Results and Conclusions: The article reviews possible application of nano science for betterment of anti-inflammatory therapy, which may help pain researchers. Our systematic analysis of previous studies showed that, with the ease of nanotechnology, we can effectively lower down the side effects and tolerance associated with current pain management systems. Advance nanomaterial based therapies will undoubtedly reduce the time span associated along with fewer side effects. By merging nanotechnology aspects along with drug carrier systems, we can effectively design such systems with inherent properties to treat pain.


2020 ◽  
Vol 13 ◽  
pp. 117954762095663 ◽  
Author(s):  
Alicja Krakowiak ◽  
Jakub Kuleta ◽  
Iwona Plech ◽  
Maciej Zarębiński ◽  
Małgorzata Wojciechowska ◽  
...  

With a growing number of patients on ticagrelor therapy after stent implantation, we observe many cases of side effects of the drug, mostly dyspnoea and bradycardia. In our article we present 2 patients, in which the symptoms were particularly severe. Then we describe possible mechanisms of these complications, explain how to carry out differential diagnosis, discuss when to switch ticagrelor to other antiplatelet drug and finally we present the way to deal with the symptoms.


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