scholarly journals A Clinico-Pathological Study of Psoriasis and Psoriasiform Dermatitis

2020 ◽  
Vol 7 (51) ◽  
pp. 3085-3089
Author(s):  
Ashok Babu Venna ◽  
Sravan Chittla ◽  
Shashikant Malkud
Keyword(s):  
Clinical Diagnosis ◽  
Seborrheic Dermatitis ◽  
Skin Condition ◽  
Diagnosis And Treatment ◽  
Treatment Modalities ◽  
Pityriasis Lichenoides ◽  
Lichen Simplex Chronicus ◽  
Class B ◽  
Morphological Variants ◽  
Chronic Skin

BACKGROUND Psoriasis is a chronic skin condition, which can have varied presentation either per se or because of various treatment modalities, which can closely simulate any different dermatological conditions. Hence, a clinicohistopathological correlation is necessary for confirmation of diagnosis and treatment. Very few studies are available in the indexed journals on this subject matter. The present study is aimed to study the clinical and histological features of psoriasiform dermatitis and psoriasis. METHODS This was a longitudinal study consisting of 60 subjects divided into two classes based on clinical diagnosis. Class A patients with diagnosed psoriasis and class B subjects with psoriasiform dermatitis. Many patients have had specific examination and skin biopsy. RESULTS Majority of the cases (40 %) were in the age group of 31 - 40 years. Most common clinical diagnosis was psoriasis (56.7 %) followed by allergic contact dermatitis (13.3 %), pityriasis rosea (8.3 %), lichen simplex chronicus (5 %), seborrheic dermatitis (3 %), Devergie’s disease (3 %), and pityriasis lichenoides chronica (1.6 %). Clinicopathological concordance with psoriasis was seen in 68 cases (68 %) and discordance in 32 cases (32 %). CONCLUSIONS Clinically psoriasis vulgaris can be diagnosed (> 80 %) by presence of micaceous scales, along with grattage test and Auspitz’s sign. But in few, morphological variants of psoriasis and psoriasis modified due to various treatment modalities, we may not see the classical presentation and may mimic various other conditions (psoriasiform dermatitis), in which case a histopathological conformation is essential for diagnosis and treatment. KEYWORDS Psoriasis, Psoriasiform Dermatitis, Auspitz’s Sign, Histopathology

Papulosquamous Disorders

2013 ◽  
Author(s):  
Elizabeth A Abel
Keyword(s):  
Lichen Planus ◽  
Seborrheic Dermatitis ◽  
Primary Lesion ◽  
Diagnosis And Treatment ◽  
Pityriasis Rosea ◽  
Large Plaque ◽  
Pityriasis Lichenoides ◽  
Koebner Phenomenon ◽  
Pityriasis Rubra Pilaris ◽  
Mucous Membranes

Papulosquamous disorders comprise a group of dermatoses that have distinct morphologic features. The characteristic primary lesion of these disorders is a papule, usually erythematous, that has a variable amount of scaling on the surface. Plaques or patches form through coalescence of the primary lesions. Some common papulosquamous dermatoses are pityriasis rosea, lichen planus, seborrheic dermatitis, tinea corporis, pityriasis rubra pilaris, psoriasis, and parapsoriasis. The etiology, diagnosis, and treatment of pityriasis rosea, lichen planus, and seborrheic dermatitis (including seborrheic dermatitis associated with AIDS) are discussed in this chapter. Also discussed are the diagnosis and treatment of pityriasis rubra, parapsoriasis (pityriasis lichenoides and small- and large-plaque parapsoriasis), and erythroderma. This chapter includes color photographs of the aforementioned dermatoses plus the Koebner phenomenon, lichen planus of the mucous membranes, and erythroderma in Sézary syndrome. This review contains 11 highly rendered figures and 79 references.

Outcome of Nonsurgical Treatment for Plantar Fasciitis

1996 ◽  
Vol 17 (9) ◽  
pp. 527-532 ◽  
Author(s):  
Lowell H. Gill ◽  
Gary M. Kiebzak
Keyword(s):  
Clinical Diagnosis ◽  
Clinical Studies ◽  
Plantar Fasciitis ◽  
Steroid Injection ◽  
Nonsurgical Treatment ◽  
Treatment Modalities ◽  
Inflammatory Drug ◽  
Low Profile ◽  
Outcomes Study ◽  
Assessment Survey

Four hundred eleven patients with a clinical diagnosis of plantar fasciitis were assessed for predisposing factors. Each patient completed an outcomes assessment survey instrument that ranked effectiveness of various nonsurgical treatment modalities. Listed in descending order of effectiveness, the treatment modalities assessed were short leg walking cast, steroid injection, rest, ice, runner's shoe, crepe-soled shoe, aspirin or nonsteroidal anti-inflammatory drug, heel cushion, low-profile plastic heel cup, heat, and Tuli's heel cup. Treatment with a cast ranked the best. The Tuli's heel cup ranked the poorest. Most of the treatments were found to be unpredictable or minimally effective. The ineffectiveness of nonsurgical treatments noted in this outcomes study is at variance with most published clinical studies in which generally favorable results are reported after nonsurgical treatment for plantar fasciitis.

scholarly journals Epidemiological Distribution and Subtype Analysis of Premenstrual Dysphoric Disorder Syndromes and Symptoms Based on TCM Theories

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Mingqi Qiao ◽  
Peng Sun ◽  
Haijun Wang ◽  
Yang Wang ◽  
Xianghong Zhan ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Clinical Diagnosis ◽  
Premenstrual Dysphoric Disorder ◽  
Diagnosis And Treatment ◽  
Epidemiological Investigation ◽  
Different Types

We performed an epidemiological investigation of subjects with premenstrual dysphoric disorder (PMDD) to identify the clinical distribution of the major syndromes and symptoms. The pathogenesis of PMDD mainly involves the dysfunction of liver conveyance and dispersion. Excessive liver conveyance and dispersion are associated with liver-qi invasion syndrome, while insufficient liver conveyance and dispersion are expressed as liver-qi depression syndrome. Additionally, a nonconditional logistic regression was performed to analyze the symptomatic features of liver-qi invasion and liver-qi depression. As a result of this analysis, two subtypes of PMDD are proposed, namely, excessive liver conveyance and dispersion (liver-qi invasion syndrome) and insufficient liver conveyance and dispersion (liver-qi depression syndrome). Our findings provide an epidemiological foundation for the clinical diagnosis and treatment of PMDD based on the identification of different types.

scholarly journals Changes in the characteristics of dental emergencies under the influence of SARS-CoV-2 pandemic: a retrospective study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kan Wu ◽  
Chunjie Li ◽  
Zheng Yang ◽  
Shangchun Yang ◽  
Wenbing Yang ◽  
...  
Keyword(s):  
Medical Records ◽  
Demographic Data ◽  
Local Treatment ◽  
Major Change ◽  
Diagnosis And Treatment ◽  
Treatment Modalities ◽  
Treatment Methods ◽  
Emergency Patients ◽  
Dental Emergency ◽  
Time Diagnosis

Abstract Background Further understanding of the distribution and changing characteristics of dental diseases is of great significance for all dental emergency centers for strengthening the medical staff’s treatment knowledge abilities and effective use of emergency resources in the face of public health emergencies involving highly infectious respiratory diseases. Methods The medical records of 4158 dental emergency patients in 2019 and 2020 were retrospectively analyzed and divided into pre-SARS-COV-2 group and SARS-COV-2 group according to time. The demographic data, date and time, diagnosis, and treatment methods of the two groups were statistically described, and the chi-squared test was used to analyze the differences. The medical records of 4158 dental emergency patients during the same period of two years in 2019 and 2020 were retrospectively analyzed and divided into SARS-COV-2 pre-group and SARS-COV-2 group according to time. The demographic data, date and time, diagnosis and treatment methods of the two groups were statistically described, and the chi-square test was used to determine the differences. Results During the SARS-COV-2 pandemic, the number of dental emergency visits increased by 29.7%. During the pandemic, males (n = 286, 58.1%) were more likely to visit dental emergency centers for trauma than females (n = 206, 41.9%) (P < 0.05); females (n = 242, 60.8%) were more likely to visit dental emergency centers for acute gingivitis and acute pericoronitis than males (n = 156, 39.2%) (P < 0.05). A major change in diagnosis was related to acute pulpitis (K04.0) and acute apical periodontitis (K04.4), which increased by 9.2%; acute gingivitis (K05.0) and acute pericoronitis (K05.2) increased by 3.5%; open wound of the lip and oral cavity (S01.5) decreased by 17.9%; other conditions (non-emergency diseases) increased by 6.8%, compared with the pre-SARS-COV-2 period. Among the treatment modalities, during the pre-SARS-COV-2 period, 304 patients (17.7%) received a prescription for antibiotics and analgesics, and 1485 (86.5%) received a prescription for local treatment. During the SARS-COV-2 period, 958 (39.2%) received a prescription for antibiotics and analgesics, and 1636 (67.0%) received a prescription for local treatment. Conclusion SARS-COV-2 pandemic led to changes in the characteristics of dental emergency patients. Trauma, acute pulpitis, and acute periodontitis are the leading reasons patients refer to dental emergency centers. Dental emergency centers should optimize treatment procedures, optimize the staff, and reasonably allocate materials according to the changes to improve the on-site treatment capacity and provide adequate dental emergency care.

Understanding the Experiences of Anger in the Onset and Progression of Psoriasis: A Qualitative Study Using Social Media (Preprint)

2021 ◽  
Author(s):  
Olivia Hughes ◽  
Rachael Hunter
Keyword(s):  
Social Media ◽  
Qualitative Interviews ◽  
Psychosocial Interventions ◽  
Skin Condition ◽  
Future Research ◽  
Social Media Platforms ◽  
Chronic Skin ◽  
Skin Conditions ◽  
The Impact

BACKGROUND Psoriasis is a chronic inflammatory skin condition, which can be affected by stress. Living with psoriasis can trigger negative emotions, which may influence quality of life. OBJECTIVE This study explored the experiences of people with psoriasis with attention to the potential role of anger in the onset and progression of the chronic skin condition. METHODS Semi-structured qualitative interviews were conducted with twelve participants (n=5 females, n=7 males) recruited online from an advert on a patient charity’s social media platforms. Data were transcribed and analysed using thematic analysis. RESULTS Four key themes were identified: (1) ‘I get really angry with the whole situation:’ anger at the self and others, (2) the impact of anger on psoriasis: angry skin, (3) shared experiences of distress, and (4) moving past anger to affirmation. CONCLUSIONS Findings suggest that anger can have a perceived impact on psoriasis through contributing to sensory symptoms and unhelpful coping cycles and point to a need for enhanced treatment with more psychological support. The findings also highlight the continued stigma which exists for people living with skin conditions and how this may contribute to, and sustain, anger for those individuals. Future research could usefully focus on developing targeted psychosocial interventions to promote healthy emotional coping with psoriasis.

Differential Diagnosis of Seborrheic Dermatitis

1986 ◽  
Vol 7 (7) ◽  
pp. 204-211
Author(s):  
Mary L. Williams
Keyword(s):  
Atopic Dermatitis ◽  
Differential Diagnosis ◽  
Metabolic Diseases ◽  
Fungal Infections ◽  
Seborrheic Dermatitis ◽  
Local Therapy ◽  
Skin Condition ◽  
Unknown Etiology ◽  
Common Skin ◽  
Nutritional And Metabolic Diseases

Seborrheic dermatitis is a common skin condition of infancy of unknown etiology. The disorder is usually mild and responsive to therapy. In severe or atypical cases, a variety of other entities should be considered in the differential diagnosis. Atopic dermatitis, psoriasis, psoriasiform-id reaction, fungal infections, and irritant contact dermatitis can be differentiated on clinical grounds. Less common but more serious disorders, such as histiocytosis X, immunodeficiency disorders, and nutritional and metabolic diseases, may be considered in the child whose disease does not spontaneously resolve or respond satisfactorily to local therapy. Laboratory studies including skin biopsy may be helfpul in these cases. Seborrheic dermatitis is uncommon in children after infancy and before puberty. In this age group, scalp scaling is likely to be due to other causes, such as tinea capitis, atopic dermatitis, or psoriasis.

Orthodontic management of impacted mandibular second molars: A case series

2021 ◽  
Vol 14 (2) ◽  
pp. 98-104
Author(s):  
Andrea Cunningham ◽  
Dipali Patel ◽  
Zahra Sheriteh
Keyword(s):  
Early Diagnosis ◽  
Clinical Relevance ◽  
Case Series ◽  
Diagnosis And Treatment ◽  
Treatment Modalities ◽  
Individual Basis ◽  
Diagnosis And Management

This case series describes a number of different treatment modalities used in the management of impacted mandibular second molars (MM2s). A variety of cases is used to illustrate a number of ways in which these teeth can be managed, and to demonstrate that each case should be managed on an individual basis, taking into account the overall malocclusion. The importance of early diagnosis and management is highlighted throughout. CPD/Clinical Relevance: This case series highlights the difficulties and challenges in managing patients who present with impacted lower second molars (MM2s), and the importance of early diagnosis and treatment.

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