scholarly journals 308-nm excimer laser in the treatment of a localized recalcitrant form of perioral dermatitis: Case report

2022 ◽  
Vol 13 (e) ◽  
pp. e5-e5
Author(s):  
Catarina Queirós ◽  
Luís Uva ◽  
Paulo Filipe

In the last two decades, 308-nm excimer laser has been increasingly recognized as a therapeutic alternative for several dermatological conditions, being currently FDA approved for the treatment of localized vitiligo and moderately severe localized psoriasis unresponsive to topical treatments. We describe the case of a 17-year-old with a recalcitrant form of dermatitis occupying the entire perioral region, previously unresponsive to several treatments, who was treated with 308-nm excimer laser with an excellent result. 308-nm monochromatic excimer laser has several advantages over other types of phototherapy, including lower UV dose exposure, shorter courses of therapy and a better sparing of adjacent tissue. Although infrequently used, 308-nm excimer laser certainly has a vast potential in Dermatology, particularly regarding recalcitrant and localized inflammatory conditions, such as the one we present.

2021 ◽  
Vol 11 (7) ◽  
Author(s):  
M K Rajak ◽  
S Kumar ◽  
R Thakur ◽  
I Bhaduri

Introduction: Simultaneous fractures in the neck of femur on the one side and contralateral intertrochanteric fracture of the femur with only trivial injury are among rarest injuries. Fracture neck of femur or intertrochanteric fracture either isolated or in combination such as simultaneous bilateral fracture neck of femur and simultaneous bilateral intertrochanteric fractures are relatively commonly reported in literature. Herein, we report a very rare case of a young female with chronic kidney disease who presented with simultaneous fractures neck of femur on the one side and contralateral intertrochanteric fracture of femur after a fall from standing height. Case Report: A 41-year-old female with chronic kidney disease from the past 5 years presented to us with severe pain at both hip and inability to stand after a fall from standing height. Clinical examination and investigations were done. She suffered fracture neck of femur on the right side and intertrochanteric fracture femur on the left side. Single stage fixation of both these fractures by two different methods was done successfully after optimization of her medical condition with multidisciplinary approach. She was advised weight bearing according to fixation method used and progress of fracture union. She regained her preoperative walking status gradually in 6 months. Conclusion: Simultaneous fractures in the neck of femur on the one side and intertrochanteric fracture of the femur on the other side are very rare presentation and can happen in patients with primary or secondary bone disease. Multidisciplinary team effort is needed for overall effective management and prompt surgical treatment can help achieve favorable outcome. Keywords: Simultaneous, fracture neck of femur, intertrochanteric fracture femur.


2020 ◽  
Vol 11 ◽  
pp. 476
Author(s):  
Prashant Raj Singh ◽  
Nitish Nayak ◽  
Surendra Kumar Gupta ◽  
Raghavendra Kumar Sharma ◽  
Anju Shukla ◽  
...  

Background: Although hemorrhages associated with cervical and thoracic intraspinal schwannomas are typically localized to the subarachnoid hemorrhages (SAH) or subdural hemorrhages (SDH) compartments, rare intratumoral bleeds may also occur. Methods: In the literature, we found and analyzed multiple factors for 13 cases (e.g., epidemiological, clinical, and pathological) of cervical schwannomas with intratumoral hemorrhages (ITH). We added the 14th case of a 35-year-old female with along segment cervical schwannoma with ITH who presented with acute quadriplegia and respiratory decompensation. Results: These 14 patients averaged 51.77 years of age, 60% were male, and the tumor involved 2.83 segments. The incidence of SAH and ITH was noted in five cases each, while SDH’s were very rare. The pathological characteristics were consistent with the diagnosis of cellular schwannomas with S-100 positivity. The clinical outcomes were good (100%) in all the cases, including the one presented (modified McCormick score III). Conclusion: Cervical schwannomas with ITH are rare, and the surgical outcomes in such patients are good-excellent (>90%). The histopathology is always of prime importance and decisive in establishing and confirming the etiology of such ITH.


2021 ◽  
Vol 6 (2) ◽  
pp. 106-108
Author(s):  
Marikinda Manzoor ◽  
Deepak Kumar Sharma ◽  
Manu Bansal ◽  
Krishna Popat ◽  
Rakhshunda Manzoor

The primary concern of this case report is to discuss and review the different etiological features of c shaped canals, with its incidence, along with anatomical features, diagnosis and management of the c shaped configuration of the canal in the molars of the mandibular arch. Literature revealed that c shaped canal configuration is slightly a different variation that has a predilection towards the racial and most of the times or most commonly is seen in mandibular molars that too most commonly in second molar of the mandibular arch. This morphology when present in the canal may posses difficulty in shaping of the canal, cleaning of the canal as well as debridement of the canal along with obturation of the canal. The one of the most common way in the management of this c shaped canal morphology is done by with the help of usage of rotary instruments and can also with the use of hand instruments that too assisted with sonics as well as ultrasonics.


2018 ◽  
Vol 6 (5) ◽  
pp. 481-486
Author(s):  
Dnyaneshwar Kantaram Jadhav

Ayurved is science of life. Its guide human being for living on preventive & curative both aspect. Its ancient knowledge which is still stand truth to time. There are many diseases which is not mentioned directly in Ayurveda texts is called as Anukta vikar. Subclinical hypothyroidism is one of such disease. Such disease specifically mentioned but its line of treatment described very well. The present case is 28 year old male patient was suffering from Bhaar vrudhi (weight gain) from last 2.5 years while symptoms like Drubalya (fatigue), Sheet prachiti (feeling excessive cold), Bhrama (vertigo),  Shwasakashtata (dyspnoea after walking), Katishool (backache) since last 2 years. Patient on modern medicine still he doesn’t get any satisfy relief, at the end patient decide to take Ayurvedic treatment only. For treatment patient was came to Nakshatra Ayurved Panchkarma clinic & Research center, Mumbai. Ayurvedic management include internal medicine, Rukshaya bashpa peti sweda. After 1.5 month patient got Excellent Result. All symptoms disappear, weight reduces up-to 4 kg, TSH level comes from 7.71 to 3.23. This is single case study, will Collect data of more cases for further Research.


BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S118-S118
Author(s):  
Thilini Nanayakkara ◽  
Vipula Wijesiri

ObjectiveThis case is presented to describe a rare psychopathology in which the patient hears her own voice speaking out loud all the texts that she sees in books or papers and she cannot read them inside her mind. This psychopathological phenomena has some features of reflex hallucinations, thought echo as well as of inner reading voices yet it cannot be categorized into either one.Case reportThis is a 26-year-old female with Schizophrenia for 3 years. While on medication 8 months before presentation she started hearing her own voice reading any text that she sees. When she sees a text she cannot read it in her mind and understand, but she hears it in her own voice to her ears. With this she also hears other voices talking about her and to her. She also believes that her father is the one who controls all her actions and the things that happen to her. In her mental state examination her mood was euthymic and she had delusions of control, thought broadcasting and in her perceptions she had visual perceptual abnormality where she saw the same object she would look at in another direction but they are under her control. She also had second and third person auditory hallucinations. She was admitted to start on clozapine because her voices did not respond to any medication.DiscussionAuditory hallucinations are the most commonly encountered type in schizophrenia with a prevalance of 70–80%. This patient hears the words that she sees which has some features of reflex hallucinations, however in the latter the hallucination is not a transformation of the perception. This also has some qualities of thought echo, where just as the patient thinks she can hear them. However in this patient she cannot read the texts in her mind. Inner reading voices are where a person talks to oneself while reading, however in the subjective mind. In our patient this phenomenon also proved to be the most difficult to treat as all her other auditory hallucinations responded to Clozapine, while still this phenomenon remained.ConclusionThis case is presented to describe the rare psychopathology in this patient in the form of auditory hallucinations


PEDIATRICS ◽  
1975 ◽  
Vol 55 (6) ◽  
pp. 897-898
Author(s):  
John H. Di Liberti ◽  
Roberta A. Hughes

We would like to report a case of disseminated candidiasis quite similar to the one reported by Hill et al. in Pediatrics.1 CASE REPORT A 1,350-gm infant girl developed severe idiopathic respiratory distress syndrome shortly after delivery. An umbilical artery catheter was inserted. By 7 hours of age mechanical ventilation was required. Cultures were obtained and antibiotic therapy instituted Mechanical ventilation continued for about six weeks. During this time peripheral hyperalimentation was given along with continuous nasogastric tube feeding.


2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Frank Mayta-Tovalino ◽  
José Rosas ◽  
Cesar Mauricio-Vilchez ◽  
Silvia Luza ◽  
Daniel Alvitez-Temoche ◽  
...  

Currently, dental implants are a very frequent therapeutic alternative for replacing missing teeth. However, they are not exempt from developing complications of infectious origin. Therefore, this case report describes a 67-year-old female patient presenting infectious complications caused by suture rupture. Surgery combined with therapeutic management with antibiotics was performed, allowing preservation of the osseointegration of the implants in the lower arch. Within the limitations of this study, it was shown that more research is needed to determine the success and survival of implants presenting complications due to infections during the osseointegration process.


2019 ◽  
Vol 7 ◽  
pp. 2050313X1882382 ◽  
Author(s):  
Yassein Shamout ◽  
Alissa Sigal ◽  
Ivan V Litvinov

Minocycline is a medication commonly used for the treatment of acne vulgaris. The central nervous system-induced side effects of minocycline include headaches, pseudotumor cerebri, ataxia, and vestibular dysfunction. Many minocycline-related side effects have been presented in the literature, however, reports of depersonalization symptoms induced by the medication are rare. We present the case of a 37-year-old female diagnosed with perioral dermatitis treated with minocycline, who within 1 week suffered from severe depersonalization symptoms. The pathophysiologic mechanism of depersonalization induced by minocycline is unclear but various hypotheses include hypersensitivity of the serotonin system, drug-related metabolic encephalopathy, substance-induced temporal disintegration, and panic-disorder-related etiology. Depersonalization is a potentially severe and important side effect of minocycline that should be documented, further investigated, and recognized by clinicians.


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