Facial and perioral primary impetigo: a clinical study

2005 ◽  
Vol 29 (4) ◽  
pp. 341-345 ◽  
Author(s):  
Alexandros Kolokotronis ◽  
Stergios Doumas ◽  
Maria Lambroudi ◽  
Stella Lysitsa ◽  
Apostolos Epivatianos ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Study ◽  
Skin Infection ◽  
The Body ◽  
Healthy Children ◽  
Clinical Appearance ◽  
Pediatric Dentist ◽  
Common Skin ◽  
The Face ◽  
Mild Fever

Impetigo is the most common skin infection in children. The face, especially the perioral region, is one of the most frequently involved areas. Impetigo is a disease that interests the pediatric dentist, as it poses significant problems in its differential diagnosis from other conditions. Sixteen otherwise healthy children were examined suffering from facial and perioral impetigo. The typical clinical appearance was scattered, painless, slightly pruritic erosions covered by "honey-colored" crusts. In 4 children impetigo was localized in the facial and perioral area, whereas in all other cases lesions were diffused in perioral area and several regions throughout the body. Four children exhibited neck lymphadenopathy and one had mild fever. The treatment of impetigo included the application of topical measures with the systemic antibiotic chemotherapy.

scholarly journals Intraoral Sebaceous Carcinoma: Case Report of a Rare Tumor Emphasizing the Histopathological Differential Diagnosis

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Manveen Kaur Jawanda ◽  
R. V. Subramanyam ◽  
Harshaminder Grewal ◽  
Chitra Anandani ◽  
Ravi Narula
Keyword(s):  
Differential Diagnosis ◽  
Oral Cavity ◽  
Sebaceous Carcinoma ◽  
Rare Tumor ◽  
Radiographic Findings ◽  
Case Presentation ◽  
Clinical Appearance ◽  
Cutaneous Malignancy ◽  
The Face ◽  
Rare Malignancy

Background. Sebaceous carcinoma (SC) is an uncommon cutaneous malignancy, usually occurring predominantly in the eyelids and only occasionally involving the oral cavity. Sebaceous carcinoma (SC) is a rare malignancy. Only 10 cases of sebaceous carcinoma of the oral cavity have been reported so far. Case Presentation. A 40-year-old female presented with a mass on the left side of the middle third of the face. Radiographic findings were inconclusive. Resection of the mass was consistent with the diagnosis of primary sebaceous carcinoma. Conclusion. Intraoral sebaceous carcinoma is uncommon. Due to its varied clinical appearance and presence of a diverse histopathologic appearance, the diagnosis is quite often confounding and elusive. Hence, it is imperative to familiarize oneself about various aspects of this rare tumor for earlier diagnosis, to improve the chances of patient’s survival.

scholarly journals A Rare Case of Facial Multiple Epidermal Cysts: Successfully Treated by Surgical Excision

2021 ◽  
Author(s):  
Qian Yu ◽  
Yanxian Wang ◽  
Yuling Shi ◽  
Jun Gu
Keyword(s):  
Rare Case ◽  
Surgical Excision ◽  
The Body ◽  
First Line ◽  
Case Presentation ◽  
Common Skin ◽  
The Face ◽  
Stratified Squamous Epithelium ◽  
Gland Function ◽  
Multiple Cysts

Abstract Background Epidermal cysts are common skin tumors that are composed of a keratinocytic cyst wall and central keratin material, which can occur anywhere in the body, especially on the face. However, there are no relevant reports of multiple epidermal cysts coexisting at the same location.Case presentation Here, we report one rare case of facial multiple epidermal cysts, who underwent sequential resection of all cysts. A 45-year-old male presented with facial multiple masses for over 2 years. Physical examination showed multiple cysts with varied sizes on the face. All cysts were smooth, dome-shaped, freely movable, and some of them were attached to the skin by a central pore. The histopathology revealed cysts in the dermis, the wall of which were composed of stratified squamous epithelium, and the cavity were filled with keratin. Therefore, the patient was diagnosed as facial multiple epidermal cysts.Conclusions This is the first well-documented case of multiple epidermal cysts on the face. We report this rare case to highlight that although epidermal cysts usually appear single, they may also appear multiple in the same location, especially in those patients with vigorous sebaceous gland function. Surgical excision is the first-line effective treatment for epidermal cysts.

Biopsies of Facial Dermatoses Made Simple

2014 ◽  
Vol 138 (4) ◽  
pp. 550-552 ◽  
Author(s):  
Faisal Al-Mohammedi ◽  
Richard I. Crawford ◽  
Magdalena Martinka
Keyword(s):  
Differential Diagnosis ◽  
Skin Diseases ◽  
English Literature ◽  
The Body ◽  
Inflammatory Skin Diseases ◽  
The Face ◽  
Inflammatory Skin ◽  
Skin Conditions ◽  
Facial Dermatitis

Context.—Biopsy of the face is rarely done for inflammatory skin diseases, unless the entire process is confined to the face. Objective.—We hypothesized that facial dermatitis has a differential diagnosis that is more limited than the differential diagnosis of inflammatory skin diseases that affect other parts of the body. To our knowledge, the classification of inflammatory skin diseases occurring on the face has never been conducted before in the English literature. Design.—The most-recent 100 facial biopsies of inflammatory skin conditions were retrieved from our files, and the cases were categorized into the main inflammatory skin patterns. Results.—Forty-seven cases (47%) were categorized as interface dermatitis, 2 cases (2%) as psoriasiform dermatitis, 11 cases (11%) as spongiotic dermatitis, 16 cases (16%) as diffuse and nodular dermatitis, 8 cases (8%) as perivascular dermatitis, 14 cases (14%) as folliculitis and perifolliculitis, 1 case (1%) as panniculitis, and 1 case (1%) as fibrosing dermatitis. The number of diagnostic entities represented within each of these patterns was small. Conclusions.—We believe that facial dermatitis should have its own more-circumscribed differential diagnosis. From a practical viewpoint, many of the inflammatory skin diseases that affect other parts of the body should be excluded from the differential diagnosis after the tissue is determined to be from a facial skin biopsy, and others should not be considered unless the biopsy is from the face.

Skin and Soft Tissue Infections

2012 ◽  
pp. 341-350
Author(s):  
Imad M Tleyjeh ◽  
Larry M Baddour
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Skin Infection ◽  
Subcutaneous Tissue ◽  
Clinical Manifestations ◽  
Hair Follicles ◽  
Soft Tissue Infections ◽  
Exposed Skin ◽  
Common Skin ◽  
The Face

Common skin and soft tissue infections covered in this chapter include impetigo, folliculitis, furuncles, carbuncles, cellulitis, and necrotizing fasciitis. Impetigo is a superficial pustular skin infection. Multiple lesions occur on exposed skin of the face and extremities. Staphylococcus aureus causes most cases. Folliculitis is a superficial skin infection of hair follicles. A furuncle is a purulent, painful nodular skin infection involving the hair follicle that is usually a complication of folliculitis. A carbuncle is a cluster of abscesses in subcutaneous tissue that drain through hair follicles. The prevailing pathogen for both furuncles and carbuncles is S aureus. Skin abscesses involve the dermis and deeper skin tissues. Often a pustule is present on the skin. For most cases the pathogen is S aureus. Cellulitis involves skin and subcutaneous tissues. Clinical manifestations of cellulitis include swelling, erythema, tenderness, and warmth. Necrotizing forms of cellulitis are necrotizing fasciitis types I and II. Clinical features include fulminant destruction of tissue and systemic toxicity.

scholarly journals Epidermal Cysts Surgery: Case Series

2020 ◽  
Vol 7 (3) ◽  
pp. 1-6
Author(s):  
Teodor Angelov ◽  
Valeri Malev ◽  
Georgi Tchernev
Keyword(s):  
Differential Diagnosis ◽  
Benign Tumor ◽  
Case Series ◽  
Surgical Excision ◽  
Complete Removal ◽  
Vascular Lesion ◽  
The Body ◽  
Trichilemmal Cyst ◽  
The Face ◽  
Risk Of Malignancy

Epidermal cysts are the most common scalp cysts in clinical practice. They are most commonly located in the region of the face, neck, and trunk, and have been reported in many other topographic areas of the body. Clinically, they are present as free-moving nodules located below the skin, ranging in size from a few millimeters to a few centimeters in diameter. Histopathologically, they are defined as benign tumor formations with a very low risk of malignancy. The differential diagnosis includes: lipoma, neurofibroma, salivary gland adenoma, vascular lesion and fibroid, and Trichilemmal cyst. The most common treatment for epidermal cysts is surgical excision with removal of all contents without compromising the integrity of the capsule. In this publication, we present five clinical cases of patients with epidermal cysts in different topographic regions of the body. The patients were treated surgically by elliptical excision and complete removal of epidermal cysts without rupture. The defects were closed with single discontinued skin sutures and the sutures were removed on an 8- / 14-postoperative day. No recurrence was observed in the postoperative period.

scholarly journals Canine demodicosis

2018 ◽  
Vol 52 (3) ◽  
pp. 187
Author(s):  
A. F. KOUTINAS (Α.Φ. ΚΟΥΤΙΝΑΣ) ◽  
M. N. SARIDOMICHELAKIS (Μ.Ν. ΣΑΡΙΔΟΜΙΧΕΛΑΚΗΣ) ◽  
C. K. KOUTINAS (X.Κ. ΚΟΥΤΙΝΑΣ)
Keyword(s):  
Skin Diseases ◽  
Disease Diagnosis ◽  
The Body ◽  
Common Complication ◽  
Demodex Canis ◽  
Common Skin ◽  
The Face ◽  
One Year ◽  
Systemic Application ◽  
Localized Form

Canine demodicosis, which is caused by the follicular mite Demodex canis, is one of the most common skin diseases, especially in the young dog. Demodicosis can be localized or generalized; in the latter a parasite-specific cellular immunosuppression, which is genetically transmitted, is the cornerstone of its pathogenesis. Alopecia - hypotrichosis, erythema, hyperpigmentation, lichenification, papules, scales and crusts, first appear on the face and front limbs, to spread eventually to the other parts of the body. Superficial or deep staphylococcal pyoderma is a common complication, especially in the generalized form of the disease. Diagnosis will be confirmed by the presence of the mite in high numbers and at various developing stages in the skin scrapings. Treatment is not recommended for the localized form, which is almost always self-limiting. Various ectoparasiticides have been used in the generalized form of the disease, either for topical (amitraz) or systemic application (ivermectin, mylbemycin, moxidectin), with good results. Treatment is terminated when not a single parasite can be found in the skin scrapings on 2-3 consecutive monthly re-examinations. The animal is considered cured if there have not been any relapses one year since the end of the acaricidal treatment.

A Clinical Study to evaluate the effect of Dushivishari Ajay Ghrita in Dushivisha Janya Lakshana

2019 ◽  
Vol 4 (02) ◽  
Author(s):  
Sunil Kumar ◽  
Akhilesh Kumar SIngh
Keyword(s):  
Clinical Study ◽  
Toxic Substance ◽  
Abdominal Distension ◽  
The Body ◽  
High Grade ◽  
High Grade Fever ◽  
Important Concept ◽  
Mental Confusion ◽  
The Face

Dushivisha is a unique concept of Ayurveda. Bruhatrayi explains spectrum of Dushivisha concept in many ways as a important concept related in Vishatatra statement. Dushivisha is any low potency toxic substance which vitiates the Dhatus when favorable condition occurs. It produces different symptoms in different people according to their age, habits and place of residence. In the Ayurveda context the poison has been divided into sub types and there is no separate classification of Dushivisha, But Ayurveda defines it as Sthavara, Jangama or Kritimavisha after its treatment, when it becomes less potent its effects are doesn’t nullifies radically because of which it resides in the body, that particular less potent part of above said poison is called Dushivisha. Dushivisha produces sense of intoxication after meals, indigestion, anorexia, eruption of circular patches on the skin, urticaria, mental confusion, Dhatukashya, oedema on the face and extremities, ascites, vomiting, diarrhoea, discolouration, fainting, intermittent high grade fever and unquenched able thirst. Some poisons produce insanity, abdominal distension, Shukra Kshaya, muffled voice while other causes Kustha and respective disorders of various type. Acharya Shusruta mention Ajay Gritha in the treatment of Dushivisha. So this article aim to collect the data to evaluate the effect of Ajay Ghrita in Dushivishajanya Lakshana.

Questions on the role of biofilms for the adaptation of microorganisms to unfavorable environmental factors by the example of P. aeruginosa

2020 ◽  
Vol 99 (4) ◽  
pp. 379-383
Author(s):  
Vasily N. Afonyushkin ◽  
N. A. Donchenko ◽  
Ju. N. Kozlova ◽  
N. A. Davidova ◽  
V. Yu. Koptev ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
Environmental Factors ◽  
Barrier Function ◽  
Infectious Agent ◽  
Antagonistic Activity ◽  
The Body ◽  
Main Function ◽  
Pathogenic Potential ◽  
The Face

Pseudomonas aeruginosa is a widely represented species of bacteria possessing of a pathogenic potential. This infectious agent is causing wound infections, fibrotic cystitis, fibrosing pneumonia, bacterial sepsis, etc. The microorganism is highly resistant to antiseptics, disinfectants, immune system responses of the body. The responses of a quorum sense of this kind of bacteria ensure the inclusion of many pathogenicity factors. The analysis of the scientific literature made it possible to formulate four questions concerning the role of biofilms for the adaptation of P. aeruginosa to adverse environmental factors: Is another person appears to be predominantly of a source an etiological agent or the source of P. aeruginosa infection in the environment? Does the formation of biofilms influence on the antibiotic resistance? How the antagonistic activity of microorganisms is realized in biofilm form? What is the main function of biofilms in the functioning of bacteria? A hypothesis has been put forward the effect of biofilms on the increase of antibiotic resistance of bacteria and, in particular, P. aeruginosa to be secondary in charcter. It is more likely a biofilmboth to fulfill the function of storing nutrients and provide topical competition in the face of food scarcity. In connection with the incompatibility of the molecular radii of most antibiotics and pores in biofilm, biofilm is doubtful to be capable of performing a barrier function for protecting against antibiotics. However, with respect to antibodies and immunocompetent cells, the barrier function is beyond doubt. The biofilm is more likely to fulfill the function of storing nutrients and providing topical competition in conditions of scarcity of food resources.

HISTOPATHOLOGY OF THE PIGMENTED TUMORAL-LIKE LESIONS OF THE SKIN AT HUE HOSPITAL OF MEDICINE AND PHARMACY UNIVERSITY

2018 ◽  
Vol 8 (4) ◽  
pp. 65-69
Author(s):  
Mao Nguyen Van ◽  
Dong Tran Nam
Keyword(s):  
Key Words ◽  
Definitive Diagnosis ◽  
The Other ◽  
Cell Tumour ◽  
Cross Sectional ◽  
Skin Tumour ◽  
Clinical Appearance ◽  
The Face ◽  
The Common ◽  
Difficult Cases

Background: Pigmented tumour of the skin is one of the common tumour in human including the benign pigmented tumours (more common) called Nevi tumours and the malignant one called melanoma which was less frequent but the most poor in prognosis. In addition, the others not belonging to these group had the same clinical appearance, so the application of histopathology and immunohistochemistry for the definitive diagnosis was indespensible. Objectives: 1. To describe the macroscopic features of the pigmented tumoral-like lesions; 2. To classify the histopathologic types of the pigmented cell tumours and the other pigmented tumours of the skin. Materials and Method: Cross-sectional research on 55 patients diagnosed as pigmented tumoral lesions by clinician, then all definitively diagnosed by histopathology combining the immunohistochemistry in difficult cases. Results: There was no difference in gender, the disease was discovered most common in adult, especially with the age over 51 years old (58.1%). the most region located was in the face accounting for 60%, following the trunk and limbs (14.6%, 12.8% respectively). All 3 malignant melanomas happened in foot. The most common color of the lesions was black (65.4%), the other ones were rose, grey and blue. Histopathology and immunohisthochemistry showed that the true pigmented cell tumours were 52.6% encompassing benign ones (Nevi tumour) (41.8%), melanoma (5.4%) and lentigo (5.4%). 47.4% was not the true pigmented cell tumour including pigmented basocellular carcinoma (36.4%) and the others less common as histiofibromas, acanthoma and papilloma. Conclusion: the pigmented tumoral-like lesions of the skin could be the true pigmented cell tumours and the others, so the application of the histopathology and the immunohistochemistry after the clinical discovery helps to determine and classify the disease definitely and for the best orientation of treatment as well. Key words: skin tumour, benign pigmented tumour (Nevi), malignant pigmented tumour (melanoma), pigmented basocellular carcinoma

DIAGNOSTICS AND TREATMENT OF POISONING WITH THALLIUM

2018 ◽  
pp. 9-15 ◽  
Author(s):  
L. B. Zavaliy ◽  
A. Yu. Simonova ◽  
M. M. Potskhveriya ◽  
Yu. N. Ostapenko ◽  
M. G. Gadzhieva ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Picture ◽  
Clinical Guidelines ◽  
The Body ◽  
Biological Media ◽  
Pathophysiological Mechanisms ◽  
Thallium Poisoning ◽  
The World

Cases of thallium poisonings are regularly reported in media. In the present work, the world experience in diagnostics and treatment of victims with thallium poisoning has been compiled and summarized, search for clinical guidelines for the diagnostics, treatment and rehabilitation of patients has been carried out. The toxicokinetics and toxicodynamics, as well as pathophysiological mechanisms of thallium influence on the body are described in detail. Toxic and lethal concentrations of poison in biological media, as well as its tropicity to various tissues and body systems were determined. The clinical picture depending on the timing of poisoning and the dose of poison is described in detail. Difficulties of the differential diagnosis are defined. The most interesting cases of criminal and household poisonings with various terms of establishment of the diagnosis, doses of poisoning and outcomes are presented.

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