scholarly journals A CASE STUDY ON MANAGEMENT OF ERYTHRODERMA

2021 ◽  
Vol 9 (5) ◽  
pp. 1131-1135
Author(s):  
Prasanna N Mogasale ◽  
Radhika. C ◽  
Nagaraj S
Keyword(s):  
Western Medicine ◽  
Skin Lesions ◽  
Topical Steroids ◽  
Exfoliative Dermatitis ◽  
History Of ◽  
Total Body ◽  
Total Remission ◽  
Therapy Treatment

Erythroderma also known as generalized Exfoliative dermatitis which refers to a scaling involving 90% or more of the cutaneous surface. Clinicians are challenged to find the cause of exfoliative dermatitis by eliciting history of illness prior to erythema. Patients presenting acutely with exfoliative dermatitis often require admission because their total body functions can require monitoring. In western medicine, the principle management is to maintain skin moisture, avoid scratching, apply topical steroids; prolonged glucocorticoids therapy often is needed. From Ayurvedic perspective it could be correlated to Eka Kusta. Eka Kusta is the Vata Kapha Pradhana Vikara. Where skin lesions are Mahavastu, Masthyashaklopamam, Krisha Aruna in Varna. Here presenting a case of 48 years old female with erythroderma who was on long- term steroidal therapy. Treatment was planned with Shamana line of management based on her Bala. The treatment is carried out for one and half month in OPD and IPD section, all the western medicine was stopped and there was total remission of symptoms with Shamana Aushadhis. Keywords: Erythroderma, Eka Kusta, Shamana Aushadhis

scholarly journals Colonial Values and Asylum Care in Brazil: Reclaiming the Streets Through Carnival in Rio de Janeiro

2020 ◽  
pp. 155-161
Author(s):  
Julia Evangelista ◽  
William A. Fulford
Keyword(s):  
Local Community ◽  
Well Being ◽  
Colonial History ◽  
Self Confidence ◽  
History Of ◽  
The Impact ◽  
Mental Well Being ◽  
The City

AbstractThis chapter shows how carnival has been used to counter the impact of Brazil’s colonial history on its asylums and perceptions of madness. Colonisation of Brazil by Portugal in the nineteenth century led to a process of Europeanisation that was associated with dismissal of non-European customs and values as “mad” and sequestration of the poor from the streets into asylums. Bringing together the work of the two authors, the chapter describes through a case study how a carnival project, Loucura Suburbana (Suburban Madness), in which patients in both long- and short-term asylum care play leading roles, has enabled them to “reclaim the streets,” and re-establish their right to the city as valid producers of culture on their own terms. In the process, entrenched stigmas associated with having a history of mental illness in a local community are challenged, and sense of identity and self-confidence can be rebuilt, thus contributing to long-term improvements in mental well-being. Further illustrative materials are available including photographs and video clips.

P087 Polyarteritis nodosa: a case report

Rheumatology ◽  
2021 ◽  
Vol 60 (Supplement_5) ◽  
Author(s):  
A Azirar ◽  
A Ghannam ◽  
A Elaouli ◽  
M Rkain ◽  
N Benaajiba ◽  
...  
Keyword(s):  
Polyarteritis Nodosa ◽  
Skin Lesions ◽  
Lower Limbs ◽  
Periarteritis Nodosa ◽  
Minimal Effective Dose ◽  
First Child ◽  
History Of ◽  
Inflammatory Syndrome ◽  
Made In

Abstract Background Polyarteritis nodosa is a necrotizing vasculitis of small and medium caliber arteries. Rarely described in children, its pathophysiology is complex and remains poorly elucidated. Two main forms were described in the literature: cutaneous and visceral. Material and results We report the cases of two boys, aged of 7 and 11 years old. They had a history of recurrent sore throat with a recurrent aphthosis in the 11-year-old child. Both boys presented with polyarthralgias, myalgias, polymorphous skin lesions made of livedo reticularis with subcutaneous nodosa on the lower limbs in the first child and distal necrosis of the toes with oedema of the lower limbs in the second. Patients suffered also of cough evolving in a context of alteration of the general state made of fever and asthenia. A biological inflammatory syndrome was present in both children and the skin histology confirmed periarteritis nodosa. The evolution was marked by the disappearance of arthralgias and myalgias after a corticosteroid-based treatment with progressive dose reduction until minimal effective dose. Conclusion The diagnosis of Polyarteritis nodosa should be made in any child presenting with the following signs: fever, altered general condition, myalgias, arthralgias and skin manifestations. The prognosis is usually benign but long-term surveillance is necessary.

Addressing ecology and sustainability in mega-sporting events: The 2006 football World Cup in Germany

2010 ◽  
Vol 16 (4) ◽  
pp. 587-600 ◽  
Author(s):  
Harald Dolles ◽  
Sten Söderman
Keyword(s):  
Point Of View ◽  
Sporting Events ◽  
World Cup ◽  
Sporting Event ◽  
History Of ◽  
Waste Energy ◽  
First Time ◽  
Water Waste

AbstractFor the first time in the history of FIFA (Fédération Internationale de Football Association), the football (soccer) World Cup held in Germany 2006 specifically addressed environmental concerns. By doing so, the German Organizing Committee did not have the objective of creating a short-term vision, but rather of making a long-term and lasting contribution to the improvement of environmental protection in hosting a mega-sporting event. By taking the football world cup in Germany as a case study, we will provide insights into the so-called ‘Green Goal’ programme and its four main areas: water, waste, energy, and transportation. From a global point of view, climate protection was added by the Organizing Committee as the fifth area of action and was recognised as a cross-sectorial task. Finally, questions are addressed on how to apply those measurements in the planning and organisation of other mega (-sporting) events.

Topical Tacrolimus in the Treatment of Erosive Pustular Dermatosis of the Scalp

2007 ◽  
Vol 11 (6) ◽  
pp. 222-225 ◽  
Author(s):  
Marta J. Cenkowski ◽  
Shane Silver
Keyword(s):  
Light Exposure ◽  
Therapeutic Option ◽  
Rare Condition ◽  
Initial Therapy ◽  
Topical Steroids ◽  
Topical Tacrolimus ◽  
History Of ◽  
Prevention Of Relapse

Background: Erosive pustular dermatosis of the scalp (EPDS) is a rare condition characterized by chronic, sterile, pustular erosions leading to scarring alopecia. Although the etiology is unknown, it appears to be associated with ultraviolet light exposure and trauma. Histologic findings include nonspecific atrophy of the epidermis and chronic inflammation. Case History: A 71-year-old female presented with a 1-year history of a boggy, erythematous, friable plaque on the vertex of her scalp. A diagnosis of EPDS was made based on presentation, negative cultures, and histologic findings. Initial therapy with intralesional and topical steroids and oral antibiotics resolved the inflamed plaques; however, steroid-induced atrophy became prominent after 5 months of use. The treatment was discontinued, resulting in recurrence of disease. Topical tacrolimus 0.1% ointment was initiated, which has been successfully controlling the lesions with reversal of skin atrophy and clinical evidence of hair growth. Conclusion: This is the fourth reported case of the successful treatment of EPDS with topical tacrolimus for the resolution of atrophy and the prevention of relapse of inflammation. Although its long-term use warrants close follow-up for side effects, tacrolimus may constitute a novel therapeutic option for the treatment of EPDS.

FROM LONG-TERM PATTERNS OF SEASONAL HUNGER TO CHANGING EXPERIENCES OF EVERYDAY POVERTY: NORTHEASTERN GHANA C. 1930–2000

2006 ◽  
Vol 47 (2) ◽  
pp. 181-205 ◽  
Author(s):  
JÉRÔME DESTOMBES
Keyword(s):  
Statistical Evidence ◽  
West African ◽  
Anthropometric Data ◽  
Poor Diet ◽  
John Hunter ◽  
History Of ◽  
The 1960S ◽  
The Way

This article is a West African case-study of the nutritional history of everyday poverty. It draws on unusually rich statistical evidence collected in northeastern Ghana. In the 1930s, pioneer colonial surveys revealed that seasonal poor diet was pervasive, by contrast with undernourishment. They pave the way for constructing a new set of anthropometric data in Nangodi, a savanna polity where John Hunter completed a classic study of seasonal hunger in the 1960s. A re-survey of the same sections and lineages c. 2000, during a full agricultural cycle, shows a significant improvement in nutritional statuses, notably for women.

scholarly journals Exfoliative dermatitis due to dermatophytosis

2021 ◽  
Vol 15 (02) ◽  
pp. 306-309
Author(s):  
Risa Miliawati Nurul Hidayah ◽  
Andini Dwikenia Anjani ◽  
Lies Marlysa Ramali ◽  
Oki Suwarsa ◽  
Hendra Gunawan
Keyword(s):  
Histopathological Examination ◽  
Case Reports ◽  
Skin Surface ◽  
Entire Body ◽  
Fungal Culture ◽  
Exfoliative Dermatitis ◽  
Keratinized Tissue ◽  
Direct Microscopic Examination ◽  
History Of ◽  
Total Body

Exfoliative dermatitis (ED) or erythroderma is defined as diffuse erythema and scaling of the skin involving more than 90% of the total body skin surface, which can be caused by variety of systemic and cutaneous diseases, such as infection, including dermatophytosis. Dermatophytosis is a superficial fungal infection of keratinized tissue caused by dermatophytes. There are only few case reports of ED due to dermatophytosis in literature. A 39-year-old male present with history of diffuse erythematous macules and scales almost on entire body due to dermatophytosis was reported. The diagnosis of dermatophytosis was confirmed by direct microscopic examination, fungal culture, and histopathological examination. Patient was treated with 2% ketoconazole shampoo and two pulses of 1-week of 200 mg itraconazole twice a day for each month. Clinical improvement was showed on the 7th day of observation characterized by decreasing of erythematous macules and scales. Mycological and clinical improvements were obtained on the 29th day of observation. The etiology of ED should be determined in order to give an appropiate treatment.

scholarly journals The Miiyupimatisiiun Research Data Archives Project

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Naomi Adelson ◽  
Samuel Mickelson ◽  
Joshua J. Kawapit
Keyword(s):  
Data Transfer ◽  
Research Data ◽  
First Nation ◽  
Full Control ◽  
Data Archives ◽  
Medical Anthropologist ◽  
History Of ◽  
The Relationship

The Miiyupimatisiiun Research Data Archives Project (MRDAP) is a digitization and data transfer initiative between medical anthropologist Naomi Adelson and the Whapmagoostui First Nation (FN) in the territory of Eeyou Istchee (in northern Quebec). This report provides an overview of phase one of the MRDAP from three distinct perspectives: the researcher, the archivist, and the community. The authors discuss the history of the relationship between Adelson and the Whapmagoostui FN, the digitization process, and the work that is required to transfer the digitized materials to the community for access and safekeeping. The report also foregrounds how the project team is working to ensure that the community has full control over how the data is managed, stored, accessed, and preserved over the long term. The report provides a case study on how Indigenous data sovereignty is being negotiated in the context of one community.

scholarly journals Green road evaluation system and its progression route -Case study of Hubei province, China

2020 ◽  
Vol 145 ◽  
pp. 02044
Author(s):  
Xueping Chen ◽  
Sihua Bai ◽  
Yangang Yang ◽  
Li Jian ◽  
Jialin Yao ◽  
...  
Keyword(s):  
Evaluation System ◽  
Hubei Province ◽  
Indices System ◽  
Green Development ◽  
History Of ◽  
Covering Design ◽  
Design Construction ◽  
Road System

In view of the lack of coordination or guidance of green road concept and relevant evaluation to encourage sustainability, we redefined the concept of green road and its characteristics, and then reviewed some cross-sector targets of various departments related to green development. The history of green road related policies and studies were reviewed, and a green road evaluation indices system were established with 2 broad categories-compulsory and selective. The compulsory category contains 8 indices; and the selective category includes 76 indices, which are divided into 7 categories and 31 subcategories, covering design, construction and operation. In order to improve the evaluation continually, rating principles, grading methods and main reference literature were given. Then we selected 30 indices and design in a questionnaire to trial evaluation, and 11 projects of Hubei province were collected and used for analysis. Finally, based on the long-term and complexity of the evaluation system, we suggest some key improving strategies of green road evaluation in China. The establishment of the green road system is an attempt to bridge the requirements of different departments, and to stimulate the progressing technology to meet various challenges.

A bullous rash

2020 ◽  
pp. edpract-2020-319179
Author(s):  
Vanessa Migliarino ◽  
Alberto Di Mascio ◽  
Irene Berti ◽  
Andrea Taddio ◽  
Egidio Barbi
Keyword(s):  
Bacterial Culture ◽  
Skin Lesions ◽  
Lower Limbs ◽  
Antibody Detection ◽  
Topical Steroids ◽  
List Type ◽  
Bullous Dermatosis ◽  
History Of ◽  
Linear Iga Bullous Dermatosis ◽  
Severity Of The Disease

A 3-year-old boy presented with a 5-day history of bullous skin lesions localised mainly in the upper and lower limbs and in the genital region (figure 1). Lesions were not pruritic nor painful and showed a central crust. There was no family history of skin disorders or autoimmune diseases. The child never had fever and his physical examination was otherwise unremarkable.Figure 1Bullous skin lesions forming around a central crust, localised in the upper and lower limbs.QuestionsWhat is the most likely diagnosis based on this clinical presentation?Bullous impetigo.Bullous pemphigoid.Linear IgA bullous dermatosis.Dermatitis herpetiformis.What would be the next step in the investigation to confirm your diagnosis?Skin biopsy.Swab test for bacterial culture with an antibiogram.Anti-transglutaminase antibody detection.What is the mainstay of management?Dapsone.Systemic steroids.Topical steroids.All of the above answers are correct, according to the severity of the disease.Answers can be found on page 02.

scholarly journals Wells’ Syndrome Successfully Treated with Colchicine

2017 ◽  
Vol 9 (2) ◽  
pp. 65-69 ◽  
Author(s):  
Álvaro Iglesias Puzas ◽  
Laura Mesa Álvarez ◽  
Ángeles Flórez Menéndez ◽  
Susana Romero Yuste ◽  
Olga Prieto Gómez
Keyword(s):  
Skin Lesions ◽  
Unknown Etiology ◽  
First Line ◽  
Steroid Resistant ◽  
Chronic Disorder ◽  
Eosinophilic Cellulitis ◽  
History Of ◽  
Excellent Safety Profile ◽  
Wells Syndrome

Eosinophilic cellulitis is an uncommon, inflammatory and chronic disorder of unknown etiology. Corticosteroids are currently considered as the first-line treatment but they are not without significant disadvantages such as contraindications in steroid-resistant cases and patients with frequent recurrences. We report a patient suffering from Wells’ syndrome with a 24-year history of symptomatic and generalized skin lesions. After consultation in our department, treatment with colchicine 1 mg/day was prescribed resulting in large clinical improvement. No side effects have been recorded. To our knowledge, this is an original disease approach. Although small, our clinical experience supports the inclusion of colchicine in the drug armamentarium when treating patients suffering from Wells’ syndrome. Indeed, its excellent safety profile makes it very attractive for patients with frequent recurrent episodes who need secure options for the medium- and long-term disease control.

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