scholarly journals Eczema herpeticum in an infant – a case report

2020 ◽  
Vol 16 (3) ◽  
pp. 320-324
Author(s):  
Lesya Besh ◽  
◽  
Oksana Matsyura ◽  
Olesya Besh ◽  
Olga Troyanovska ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Case Report ◽  
Clinical Case ◽  
Allergic Inflammation ◽  
The Body ◽  
Preventive Effect ◽  
Herpesvirus Infection ◽  
Eczema Herpeticum ◽  
The Face ◽  
Ulcerative Lesions

Eczema herpeticum is a chronic dermatosis with erosive and ulcerative lesions of the skin in children of a predominantly young age. The clinical case presented in this article shows the severe course of herpesvirus infection combined with atopic dermatitis in a 5-month infant. A rash in the form of vesicles and pustules throughout the body with a predominant localisation on the skin of the face, the scalp, neck, and chest was found in the course of the examination of the child. Influence of infections on the course of allergic processes is an ambiguous and complicated issue. It has been proved that an infection can contribute to the development of allergies and exacerbate the course of already existing allergic inflammation. In recent years, an increasing number of studies have shown the preventive effect of infection on the development of allergic pathology in children, especially during the first years of life.

scholarly journals Transition Between Sensitive Delusion of Reference and Mood Disorder: A Case Report

2021 ◽  
Vol 12 ◽  
Author(s):  
Cecilia Maria Esposito ◽  
Alessio Fiorentini ◽  
Antonio Callari ◽  
Gian Maria Galeazzi ◽  
Paolo Brambilla
Keyword(s):  
Case Report ◽  
Mood Disorder ◽  
Mood Disorders ◽  
Clinical Case ◽  
Clinical Observation ◽  
Individual Case ◽  
Clinical Entity ◽  
Ernst Kretschmer ◽  
The Face ◽  
The Individual

The Sensitive Delusion of Reference is a clinical entity described by Ernst Kretschmer and never integrated into mainstream nosographic systems. It represents the possibility of developing psychosis starting from a personality characterized by sensitivity, scrupulousness, and fear of judgment of others. The presentation of the following clinical case highlights how the overlap between this clinical entity and mood disorders leads to characteristic psychopathology, which has not been sufficiently detailed. In particular, the delusions, which always starts from the idea of reference and the shame in the face of the judgment of others, takes on characteristics of guilt during the depressive phases and persecutory themes during the activation phases. This clinical observation, which obviously needs to be confirmed on a larger scale, encourages a renewed interest in the concept of Kretschmer's Sensitive Delusion of Reference and creates the possibility of intersecting multiple psychopathological levels, for a more complete perspective on the individual case.

Técnica de fios de polidioxanona no terço inferior da face - relato de caso

2021 ◽  
Vol 2 (6) ◽  
pp. 36-42
Author(s):  
Kananda Desbesel de Carvalho ◽  
Beatriz Rodrigues Póvoa
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Invasive Technique ◽  
Physiological Effects ◽  
Medium Term ◽  
Safety And Efficacy ◽  
Electronic Search ◽  
The Face ◽  
The Usa ◽  
The Aesthetic

Wired facial lifting is a minimally invasive technique that allows for a quick lifting effect. The aim of this study is to address the effectiveness of spiked Polydioxanone (PDO) threads (cog) for facial rejuvenation of the lower third of the face, through a clinical case report. The methodology was characterized by a brief bibliographic review, through an electronic search in the databases: Pubmed, Lilacs, Cochrane and bibliographic bases published in the USA and Brazil, associated with a clinical case report, making it possible to compare it with data from the literature on complications, safety and efficacy in the short and medium term. It is concluded that the aesthetic treatments seek to soften the signs of time and rescue the elasticity and firmness of the dermis. For this, it is necessary to elucidate the physiological effects, providing opportunities for safe treatment.

scholarly journals Primary cutaneous CD4+ small/medium-sized pleomorphic T-cell lymphoma in the practice of a dermatologist: A case report

2021 ◽  
Vol 12 (e) ◽  
pp. e67-e67
Author(s):  
Igor Kuklin ◽  
Nikolay Kungurov ◽  
Natalia Zilberberg ◽  
Muza Kokhan ◽  
Galina Safonova ◽  
...  
Keyword(s):  
Case Report ◽  
T Cell ◽  
Skin Biopsy ◽  
Clinical Case ◽  
Cell Lymphoma ◽  
T Cell Lymphoma ◽  
Laboratory Examination ◽  
The Face ◽  
Immunohistochemical Methods ◽  
Immunohistochemical Studies

The article demonstrates a case of diagnosis of a rare variant of primary skin lymphoma, namely of primary cutaneous CD4+ small/medium-sized pleomorphic T-cell lymphoma with an indolent course. The diagnosis of SMPTCL is based on the combination of the clinical picture, histological and immunomorphological data. A 70-year-old patient presented at the clinic with complaints about tumor-like formations on the skin of the face and back accompanied by moderate itching. The diagnosis was verified by pathomorphological and immunohistochemical studies of the biopsy of the affected skin. The presented clinical case emphasizes the importance of doctors’ clinical oncological alertness and the need for clinical and laboratory examination of the patient using modern histological and immunohistochemical methods for studying the skin biopsy.

Habilitating a Smile

Biofeedback ◽  
2012 ◽  
Vol 40 (2) ◽  
pp. 57-61 ◽  
Author(s):  
Jeffrey E. Bolek
Keyword(s):  
Case Report ◽  
Nerve Palsy ◽  
The Body ◽  
Limited Area ◽  
Muscle Dysfunction ◽  
Seventh Cranial Nerve ◽  
Increased Risk ◽  
Close Proximity ◽  
The Face ◽  
High Firing

The treatment of muscle dysfunction in the muscles around the face is particularly challenging. In addition to being the most observable muscles in the body, the limited area with which to work, the high firing rate, and the increased risk of picking up crosstalk from muscles in close proximity all add to the challenge. This case report describes the treatment of a young child with seventh cranial nerve palsy of the face.

scholarly journals Lamotrigine induced Steven Johnson syndrome: A case report in Al Batool teaching hospital in Diyala governorate

2021 ◽  
Vol 20 (2) ◽  
pp. 94-99
Author(s):  
Sura Qais Mahmood Almaroof ◽  
◽  
Issam Tariq Abdul Wahaab
Keyword(s):  
Case Report ◽  
Toxic Epidermal Necrolysis ◽  
Hypersensitive Reaction ◽  
The Body ◽  
Immune Mediated ◽  
Johnson Syndrome ◽  
Mucous Membranes ◽  
The Face ◽  
Systemic Manifestations ◽  
Steven Johnson Syndrome

Background: Steven Johnson syndrome (SJS) is a rare disease that is characterized by acute cutaneous manifestation represented by eruptions of the skin and the mucosal membranes. SJS is an immune-mediated disease, a hypersensitive reaction, characterized by hyperpigmentation of the mucous membranes, rash on the skin and multiple bullae and erosions scattered all over the body especially the face, trunk, and the extremities. Many studies reported that the incidence rate of the SJS was about 1.2 – 6 cases/ million each year and it is more common among males while the toxic epidermal necrolysis (TEN) is more common among females. In addition to the cutaneous manifestations.SJS might show multiple systemic manifestations including the liver, lungs and kidneys. In this case we reported the development of Steven Johnson syndrome in relation to the use of lamotrigine antiepileptic drug.

Cutaneous yeast microflora in patients with atopic dermatitis

Open Medicine ◽  
2011 ◽  
Vol 6 (6) ◽  
pp. 713-719 ◽  
Author(s):  
Aukse Zinkeviciene ◽  
Nemira Vaiciulioniene ◽  
Irena Baranauskiene ◽  
Violeta Kvedariene ◽  
Regina Emuzyte ◽  
...  
Keyword(s):  
Atopic Dermatitis ◽  
Yeast Species ◽  
Body Part ◽  
The Body ◽  
Body Parts ◽  
Cutaneous Infection ◽  
Healthy Individuals ◽  
Yeast Flora ◽  
The Face ◽  
Total Yeast

AbstractThe skin of persons with atopic dermatitis (AD) is very susceptible to cutaneous infection, and some yeast species may also aggravate AD. The total yeast population of an AD patient’s skin and its relation with individual age and body part remains poorly characterized. The aim of this study was to clarify the differences in cutaneous yeast flora by age and body parts of AD patients.By swabbing affected body parts (hands, legs, face, neck or trunk), 241 samples were collected from patients with AD (132 children and 109 adults), and as controls, 40 samples were taken from healthy individuals (20 children, 20 adults).In all, 89 (36.9%) of samples were positive; the yeast isolated belonged to three genera: Candida (27.4%), Malassezia (6.6%), and Rhodotorula (2.9%). Cutaneous colonization with yeasts was two-fold higher in the adults than in children (P<0.0001). The distribution of the yeast species was dependent on the body part sampled: Malassezia predominated in the face, neck, and trunk regions (P=0.0047); Candida more frequently colonized hands and legs (P=0.0029).Our study showed that cutaneous yeast flora and distribution of yeast species depends significantly on the age of the AD patient and the body part affected by atopic dermatitis.

scholarly journals Eczema herpeticum in a child in the first year of life: a clinical case report

2020 ◽  
Vol 101 (3) ◽  
pp. 426-430
Author(s):  
H M Vahitov ◽  
A G Makhmutova ◽  
L M Ziyatdinova ◽  
M S Pospelov
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
High Efficiency ◽  
Skin Lesions ◽  
First Year ◽  
Early Age ◽  
Eczema Herpeticum ◽  
Wide Range ◽  
Diagnostic Approaches ◽  
First Year Of Life

This article describes up-to-date information about aetiology and pathogenesis of course of herpetic eczema. The authors highlighted new approaches to diagnosis and therapy of Kaposi varicelliform eruption in children of early age. It was described the results of own observations of the child in the first year of life with Kaposi varicelliform eruption and experience of application-sorption therapy in the treatment of this disease. The high efficiency of application-sorption therapy in skin lesions caused by combination of infection and allergy in children was noted. The clinical case examined allowed to assess the full complexity of differential diagnostic approaches in verification of eczema herpeticum. For a wide range of paediatricians and surgeons, algorithms for diagnosis and therapeutic tactics were described in the case of Kaposi varicelliform eruption.

scholarly journals Progressive Disseminated Superficial Actinic Porokeratosis: a Case Report with a Family History in Three Generations

2013 ◽  
Vol 5 (3) ◽  
pp. 131-140
Author(s):  
Milica Stepanović ◽  
Mirjana Paravina ◽  
Danica Janjić Spasić
Keyword(s):  
Case Report ◽  
World Literature ◽  
Gentian Violet ◽  
Sun Exposure ◽  
The Body ◽  
Diagnostic Methods ◽  
Three Generations ◽  
Disseminated Superficial Actinic Porokeratosis ◽  
Cornoid Lamella ◽  
The Face

Abstract Disseminated superficial actinic porokeratosis is the most common form of porokeratosis in adults, which develops in the third or fourth decade of life, but may also occur later or earlier, more frequently in females, particularly in countries with high sun exposure. Lesions are numerous, uniform, superficial with central atrophy, demarcated by a distinct peripheral ridge, and usually found on sun exposed areas or elsewhere. The disease is inherited as an autosomal dominant condition. We present a 57-year-old retired woman. Her initial skin changes, affecting the face, developed in her thirties, and they have not changed their features since. In the following years, changes developed on the extensor surface of her arms and legs, with more prominent erythema, and then also on other parts of the body, including palms and soles, presenting as dark brown pigmented patches. Her mother had similar changes, and her daughter, who lives abroad, also has them. On examination, the patient presented with facial lesions, patches 2-3 mm wide, with peripheral hyperpigmentation and a pale center. There were multiple, 2-3 mm wide, dark brown lesions on the extremities and trunk. The lesions were either flat or with atrophic center with darker filiform corneal rim. Pathohistolgical examination revealed a "cornoid lamella", which is pathognomonic for the diagnosis of porokeratosis. Auxiliary diagnostic methods were also used - dermoscopy and Gentian violet staining. The patient was advised to avoid sun exposure and to apply photoprotective sunscreens. In conclusion, this is a case report of a disseminated superficial actinic porokeratosis that affected three generations of a family. Our patient developed lesions on palms and soles as well. A review of available world literature shows that this is the second case report of disseminated superficial actinic porokeratosis with palmoplantar involvement.

scholarly journals Cross-reaction of angioedema with clozapine, olanzapine, and quetiapine: A case report

2019 ◽  
Vol 9 (5) ◽  
pp. 315-317 ◽  
Author(s):  
Gabriela D. Williams
Keyword(s):  
Case Report ◽  
Antipsychotic Agents ◽  
Clinical Decision ◽  
Altered Mental Status ◽  
The Body ◽  
Cross Reaction ◽  
Mitral Insufficiency ◽  
Chemical Structures ◽  
The Face ◽  
Artery Disease

Abstract Angioedema is characterized by marked swelling of the subcutaneous or submucosal tissue and may affect various parts of the body, including the face, mouth, and extremities. Angioedema has specifically been associated with the use of several antipsychotic agents, including clozapine, olanzapine, iloperidone, haloperidol, quetiapine, paliperidone, ziprasidone, risperidone, and chlorpromazine. A 67-year-old African American male with a past medical history significant for hypertension, coronary artery disease requiring stent placement, mitral insufficiency, hyperlipidemia, tobacco use disorder, and schizophrenia presented with altered mental status and disorientation in the setting of clozapine nonadherence, which prompted acute hospitalization for clozapine reinitiation. During clozapine titration, the patient developed edema, erythema, and pruritus on his face and arms along with lip swelling characteristic of angioedema. Upon discontinuation of clozapine, the patient was trialed on several other antipsychotic medications to help manage acute psychosis and subsequently developed angioedema symptoms with trials of both olanzapine and quetiapine. Following these 3 distinct events of angioedema, the clinical decision was made to no longer trial atypical antipsychotics for the patient, and loxapine was cautiously initiated. The patient responded well to loxapine and continued to tolerate loxapine therapy for years. This case report identifies angioedema cross-reaction linked with 3 second-generation antipsychotics. Given the potentially life-threatening nature of angioedema, awareness of recurrent angioedema should be undertaken when trialing antipsychotics following an episode of angioedema correlated to antipsychotic use, particularly when trialing antipsychotics from the same generation and with similar chemical structures.

scholarly journals Experience of using synbiotics in the treatment of atopic dermatitis in children

2021 ◽  
pp. 145-150
Author(s):  
T. G. Malanicheva ◽  
N. V. Ziatdinova ◽  
G. S. Gataullina
Keyword(s):  
Atopic Dermatitis ◽  
Clinical Case ◽  
Lactobacillus Rhamnosus ◽  
High Efficacy ◽  
High Concentration ◽  
Moderate Severity ◽  
Promising Direction ◽  
Treatment Start ◽  
Complex Therapy ◽  
The Face

In current conditions, traditional antiallergic therapy for atopic dermatitis does not always help to achieve timely remission, so the development of effective therapy methods is a very topical task. The promising direction of probiotics in combination with prebiot-ics, including the original mono-strain synbiotic Lactobacillus rhamnosus LGG® at optimal high concentration of 4 х 109 CFU and prebiotic fructooligosaccharides 800 mg is drawing attention. This article presents data in a clinical case format. This article presents its own data in a clinical case format. The clinical case 1 showed that administration of synbiotic in 1 sachet 1 time per day for 14 days in the composition therapeutic diet during the period of complex antiallergic therapy to a 5-month-old child with a moderate course of atopic dermatitis resulted in a pronounced positive dynamics and achievement of remission on the 10th day after the treatment start against normalization of stool. Prior to this, the child had received only antiallergic therapy, which led to improvement of the skin process, but full clinical remission could not be achieved. Clinical case 2 showed the effectiveness of synbiotic in the composition therapeutic diet during the period of comprehensive antiallergic therapy in a 10-month-old child with a mild course of atopic dermatitis. From day 2 of treatment there was a significant positive dynamics in the skin process. On day 12, remission was achieved: relief of acute inflammatory elements on the face and at the elbows on the background of increased lactobaciUus content from 104 to 106 CFU/g of feces and bifidobacteria from 107 to 109 CFU/g of feces. Clinical case 3 demonstrates the efficacy of synbiotic in 2 sachets once a day for 14 days in a 9-year-old child with atopic dermatitis of moderate severity with a continuously relapsing course. From the 4th day of the beginning of the complex therapy positive dynamics in the skin process was noted, on the 14th day partial remission was achieved: erythematous elements on the back and extremities were eliminated, signs of hyperemia, infiltration and scratching disappeared against the background of stool normalization. Signs of dryness and slight lichenification persisted. Thus, these clinical examples demonstrate a high efficacy of synbiotic treatment in the complex antiallergic therapy of atopic dermatitis in children.

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