scholarly journals Self-induced dermatosis: a diagnostic problem at the intersection of two specialties

2021 ◽  
Vol 24 (1) ◽  
pp. 61-70
Author(s):  
Olga Yu. Olisova ◽  
Natalia P. Teplyuk ◽  
Lyailya N. Kayumova ◽  
Lyudmila M. Smirnova ◽  
Ekaterina M. Anpilogova ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Clinical Picture ◽  
Clinical Manifestations ◽  
Skin Lesions ◽  
Current Data ◽  
Drug Reactions ◽  
Diagnostic Problem ◽  
Significant Similarity ◽  
Sudden Appearance ◽  
Methods Of Treatment

Self-induced dermatoses is a group of artificial skin injuries and its appendages caused by self-injuring by the patient in order to get rid of negative emotions and painful sensations or to simulate a well-known dermatitis because of the pathological desire to be hospitalized to meet emotional or financial needs. A significant similarity of clinical manifestations of self-induced dermatoses and oorganic dermatoses (vasculitis, cystic medicine, gangrenous pyoderma, drug reactions, etc.), the inefficiency of dermatological treatment with the sudden appearance of new lesions, as well as the deliberate concealment by the patient the real causes of skin lesions and giving false anamnesis lead to difficulties in diagnosis of self-induced dermatoses. The article presents current data on the main diagnostic criteria and effective methods of treatment of this disease based on several foreign and russian publications; own clinical cases descriptions are also provided. Self-induced dermatoses must be considered as a possible differential diagnosis in cases when no well-known dermatoses can explain the clinical picture and anamnesis does not match it; new destructive lesions appear spontaneously, despite the ongoing treatment.

Modern methods of treating rosacea

2019 ◽  
Vol 1 (7) ◽  
pp. 65-71
Author(s):  
O. A. Egorova ◽  
K. A. Novikov
Keyword(s):  
Clinical Manifestations ◽  
Treatment Method ◽  
Current Data ◽  
Trigger Factors ◽  
Laser Technology ◽  
Individual Approach ◽  
Modern Methods ◽  
Methods Of Treatment ◽  
Choice Of Therapy

Presented current data on the etiology of rosacea, the main aspects of pathogenesis, clinical forms of the disease. Reflects trigger factors leading to rosacea, as well as complicating its course. Modern methods of treatment are described, including the use of new safe preparations of ivermectin and brimonidine, providing a good, lasting effect of clinical manifestations of rosacea. The role of laser technology, actively occupying a leading place in the choice of physiotherapeutic treatment method, is noted. The need for an individual approach in the choice of therapy for each patient with rosacea is emphasized.

scholarly journals Pseudo-coronary variant of the course of myocarditis

2020 ◽  
pp. 128-134
Author(s):  
S. P. Tishkov ◽  
E. A. Dotsenko ◽  
E. N. Platoshkin ◽  
E. S. Rebeko ◽  
E. G. Tireshchenko ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Differential Diagnosis ◽  
Clinical Picture ◽  
Elevated Level ◽  
Clinical Manifestations

The clinical manifestations of myocarditis may have many variants. At the onset of the disease, it may progress as myocardial infarction. In this regard, the diagnosis of myocarditis is often justified by the clinical picture of the disease, changes in the electrocardiogram, echocardiogram, elevated level of cardio-specific enzymes coupled with the absence of coronary pathology. However, not always data obtained during the examination of patients at the beginning of the disease allow undertaking differential diagnosis between myocardial infarction and myocarditis.

scholarly journals Keratosis Lichenoides Chronica – a Case Report and Literature Review

2014 ◽  
Vol 6 (3) ◽  
pp. 120-137
Author(s):  
Mirjana Paravina ◽  
Predrag Cvetanović ◽  
Miloš Kostov ◽  
Slađana Živković ◽  
Ivana Dimovski ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Literature Review ◽  
Rare Disease ◽  
Clinical Picture ◽  
Treatment Options ◽  
Clinical Manifestations ◽  
Poor Response ◽  
Unknown Etiology ◽  
Distinct Entity

Abstract Keratosis lichenoides chronica represents a distinct entity, a rare disease of unknown etiology and pathogenesis, with clinical manifestations which, although typical, require extensive differential diagnosis. The course of the disease is chronic, progressive, and it is resistant to various treatment options, so despite variations in the clinical picture it is really easier to diagnose than to treat. This is a case report of a male patient in whom the diagnosis of keratosis lichenoides chronica was based on typical clinical picture, repeated biopsies and histopathological findings, course of the disease and poor response to any therapy.

scholarly journals Differential diagnosis of rosacea

2020 ◽  
Vol 23 (1) ◽  
pp. 50-56
Author(s):  
Vsevolod G. Akimov ◽  
L. S. Kruglova
Keyword(s):  
Differential Diagnosis ◽  
Clinical Picture ◽  
Clinical Signs ◽  
Diagnostic Errors ◽  
Skin Lesions ◽  
Facial Skin ◽  
Skin Erythema

The clinical picture of rosacea, including facial skin erythema, telangiectasia, and popular, and pustular elements, is similar to other dermatoses, thereby causing difficulties in the differential diagnosis. Original photos and descriptions of the clinical signs that distinguish these diseases from rosacea are provided. Therefore, the possibility of rare skin lesions that are sometimes mistaken for a more frequent pathology should be considered to avoid diagnostic errors.

scholarly journals SCLEROATROPHIC LICHEN - CURRENT DATA ON THE ETIOLOGY, PATHOGENESIS, CLINICAL FEATURES AND TREATMENT

2019 ◽  
Vol 22 (3-4) ◽  
pp. 73-85
Author(s):  
Yulia Aleksandrovna Semenchak
Keyword(s):  
Differential Diagnosis ◽  
Sexual Dysfunction ◽  
Connective Tissue ◽  
Metabolic Disorders ◽  
Current Data ◽  
Mucous Membranes ◽  
Clinical Variants ◽  
Limited Scleroderma ◽  
Immunological Changes ◽  
Methods Of Treatment

Scleroatrophic lichen (SL) - chronic autoimmune dermatosis, is one of the clinical variants of limited scleroderma, characterized by multifactorial genesis of development against the background of immunological changes, vascular and metabolic disorders in the connective tissue, which is characterized by severe focal atrophy of the skin and mucous membranes of the external genitals. SL is a debilitating disease causing itching, pain, dysuria and impaired urination, dyspareunia and significant sexual dysfunction in women and men. This article presents a review of current literature data on the etiology and pathogenesis, clinical picture, classification, differential diagnosis of the disease, as well as methods of treatment of patients. This review is based on the analysis of 64 articles, which were obtained from eLibrary, PubMed, NCBI, Embase.

scholarly journals Myelopathy associated with acute leukemia. Multidisciplinary view on the problem

2021 ◽  
Vol 25 (6) ◽  
pp. 19-28
Author(s):  
A. Yu. Polushin ◽  
V. S. Krasnov ◽  
S. N. Bardakov ◽  
D. I. Skulyabin ◽  
A. O. Agafonov ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Radiation Therapy ◽  
Acute Lymphoblastic Leukemia ◽  
Clinical Picture ◽  
Lymphoblastic Leukemia ◽  
Clinical Manifestations ◽  
Underlying Disease ◽  
Hematopoietic Stem ◽  
Treatment Methods ◽  
Wide Range

Leukemia-associated myelitis is a rare but underestimated complication. It has a different etiology associated with both, the main disease and its treatment methods. It requires differential diagnosis with funicular myelosis, polyradiculoneuropathy, tumor and hemorrhagic formation, stroke, dysmetabolic manifestations, as well as with the consequences of treatment of the underlying disease using radiation, cytostatic, targeted therapy.It should also be differentiated from paraneoplastic myelopathy and progression of the underlying disease. However,with the help of neuroimaging methods, it can be detected more recently than a detailed clinical picture appears. A case report of myelopathy in a 31 year old patient with acute lymphoblastic leukemia is presented. Treatment of the underlying disease was carried out with the use of chemotherapy, radiation therapy, allogeneic hematopoietic stem cell transplantation and targeted therapy. The nature of the disease,i.e. recurrent course of acute lymphoblastic leukemia, the variety of treatment methods, and the absence of focal changes in neuroimaging in the zone that determines clinical manifestations, made it necessary to consider a wide range of possible etiological factors for the development of myelopathy. Myelopathy was confirmed by MRI 2.5 months after the debut of neurological symptoms, which corresponds to modern concepts and time criteria for visualization in neurooncology. The article presents the criteria for diagnosing myelopathy, a complication of acute lymphoblastic leukemia. It should also be differentiated from However, with the help of neuroimaging methods, it can be detected more recently than a detailed clinical picture appears.

scholarly journals A case of seminoma presented with clinical manifestations of testicular torsion

2017 ◽  
Vol 89 (3) ◽  
pp. 236
Author(s):  
Aytac Sahin ◽  
Caglar Yildirim ◽  
Serkan Akan ◽  
Ozgur Haki Yuksel ◽  
Ahmet Urkmez
Keyword(s):  
Differential Diagnosis ◽  
Physical Examination ◽  
Clinical Picture ◽  
Laboratory Tests ◽  
Testicular Torsion ◽  
Clinical Manifestations ◽  
Testicular Tumor ◽  
Imaging Modalities ◽  
Acute Scrotum ◽  
Testicular Tumors

Testicular tumors rarely manifest themselves with clinical picture of testicular torsion. In this presentation of ours, we reported a 30-year-old patient whose post-orchiectomy histopathology report revealed the presence of seminoma. The patient consulted us with acute scrotum whose physical examination and Doppler ultrasonographic findings showed testicular torsion. Though rarely seen patients, in cases who consulted with acute scrotum, the possibility of testicular tumor should not be discarded. For the establishment of differential diagnosis detailed anamnesis and physical examination findings should be supported with laboratory tests and imaging modalities.

scholarly journals Primary umbilical endometriosis

2018 ◽  
Vol 45 (3) ◽  
Author(s):  
PAULO VICENTE DOS SANTOS FILHO ◽  
MARCELO PROTÁSIO DOS SANTOS ◽  
SAMANTA CASTRO ◽  
VALDINALDO ARAGÃO DE MELO
Keyword(s):  
Differential Diagnosis ◽  
Clinical Picture ◽  
Clinical Manifestations ◽  
Descriptive Study ◽  
Diagnostic Methods ◽  
Menstrual Period ◽  
Histopathological Analysis ◽  
Clinical Variables ◽  
Uncommon Disease ◽  
Umbilical Endometriosis

ABSTRACT Objective: to report the characteristics, evolution and outcome of patients with primary umbilical endometriosis. Methods: an observational and descriptive study of patients with primary umbilical endometriosis diagnosed between 2014 and 2017. The clinical variables evaluated were age, clinical picture, lesion characteristics, diagnostic methods, treatment and recurrence. Results: six patients diagnosed with primary umbilical endometriosis aged 28 to 45 years were operated on during the study period. They had lesions ranging from one to 2.5cm in diameter, violet in five patients and erythematous-violaceous in one. The duration of the symptoms until diagnosis ranged from one to three years and in all the cases studied the diagnosis was made through the clinical manifestations and confirmed by histopathological analysis. No case was associated with neoplastic alterations. All patients evaluated had pain and umbilical bleeding in the menstrual period. Conclusion: umbilical endometriosis is an uncommon disease and should be included in the differential diagnosis of women as umbilical nodules. The treatment of choice is the total exeresis of the lesion.

scholarly journals Diaper Dermatitis: answers to questions most frequently asked by pediatricians and parents in the light of recent global trends

2019 ◽  
pp. 127-134
Author(s):  
E. N. Saverskaya
Keyword(s):  
Differential Diagnosis ◽  
Clinical Manifestations ◽  
Current Data ◽  
Skin Care ◽  
Diaper Dermatitis ◽  
Global Trends ◽  
Prevention And Treatment ◽  
Production Technologies ◽  
Successful Prevention

The review provides current data on terminology, prevalence, etiopathogenesis, clinic and differential diagnosis of diaper dermatitis (DD). Particular attention is paid to approaches to the prevention and treatment of DD. Modern emollients and moisturisers, production technologies and possibilities of superabsorbing diapers have made it possible to significantly facilitate skin care for newborns and infants, and reduce the frequency and severity of the clinical manifestations of this disease. The key to successful prevention of DD is raising parents’ awareness and teaching them how to care for their baby’s skin.

scholarly journals An observational study of cutaneous adverse drug reactions in tertiary hospital

2018 ◽  
Vol 4 (2) ◽  
pp. 254
Author(s):  
Tejashwani . ◽  
Dipti Patel ◽  
Neela Bhuptani
Keyword(s):  
Adverse Drug Reactions ◽  
Clinical Manifestations ◽  
Medical Practitioner ◽  
Maculopapular Rash ◽  
Skin Lesions ◽  
Tertiary Hospital ◽  
Drug Reactions ◽  
Diagnostic Challenge ◽  
Female Ratio ◽  
Cutaneous Drug Reactions

<p class="abstract"><strong>Background:</strong> Adverse cutaneous drug reactions include reactions due to overdose, side effects and idiosyncratic reactions. They pose a diagnostic challenge due to wide variety of causative agents and varied clinical manifestations. Our study aims to record various clinical patterns of adverse drug reactions, their offending drugs and to study the pattern of morbidity and mortality in patients with severe cutaneous adverse drug reactions especially in the HIV era.</p><p class="abstract"><strong>Methods:</strong> 90 patients with adverse cutaneous drug reactions were included who came to Dept. of Dermatology, Venereology and Leprosy at P.D.U. Govt. Medical College and Hospital, Rajkot, Gujarat from October 2011 to November 2017. Thorough history with all routine haematological and biochemical investigations and septic screening was done. The morphology of skin lesions was noted. The offending drug was withdrawn in the patients and appropriate treatment was given.<strong></strong></p><p class="abstract"><strong>Results:</strong> The most common age group observed was 31-40 years (24.44%) with male to female ratio being 1.2:1. Maculopapular rash was the most common clinical type (16.66%). NSAIDS were the most common offending drugs (16.66%). Among the individual drugs, carbamazepine was the most common offending drug(14.44%). Drug was prescribed by a medical practitioner in 86 cases (95.55%), while self administered in 4 cases (4.44%). History of some cutaneous drug reaction in the past was present in 17 patients (18.88%). Lesions were generalised in 76 cases (84.44%) and localised in 14 cases (15.55%).</p><p class="abstract"><strong>Conclusions:</strong> Knowledge of the pattern and the offending drug helps in better management and reduced complications in these patients and also helps in preventing recurrences.</p>

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