Posts

Showing posts with the label Cutanaeous surgery

Pretibial Myxedema, Nodular Variant: Unique Presentation and Clinical Course

Image
  Juniper Publishers- JOJ Dermatology & Cosmetics Abstract Literature has shown morphological diversity in the presentation and occurrence of pretibial myxedema following I-131 treatment. We present a case of a 47 y.o African American male with post I-131 hypothyroidism for Graves disease that presented with enlarging bilateral lower extremity and ankle lesions. Examination revealed firm, tender, hemispherical, large, hyperpigmented nodules. Ultrasound demonstrated nonspecific hypovascular nodular thickening of the skin. Excisional biopsy showed reactive dermal and subcutaneous fibrosis with dermal mucinosis. Alcian blue stain confirmed the diagnosis. Graves’ dermopathy is generally rare, with the nodular variant accounting for 10% of cases. Our case reflects a variable appearance of post-I-131 treatment dermopathy partially resistant to the multimodal treatment. Keywords:  Myxedema; Nodular Variant; Hypothyroidism; Dermopathy Abbreviations:  Radioactive iodine (I-131...

Scar Reduction by Special Chemical Regimen

Image
      Juniper Publishers- JOJ Dermatology & Cosmetics Abstract A unique chemical formula consisting of alpha-hydroxy acid, beta-hydroxy acid and some other ingredients is used as a professional treatment and the aftercare or home care is achieved by Conditioning Oil, Retinyl Serum and Scarcare Gel. The chemical formula was applied on scar area with or without dry needling and the aftercare was applied alternately with above 3 products. Substantial scar reduction of keloidal, hypertrophic and surgical scars has been achieved in all cases. Hence this technique is a viable, effective and safe method to diminish all non-acne scars. Keywords:  Conditioning Oil Scarcare Gel Keloidal Scarring Ear Piercing Surgical Cuts Collagen Ablative Non-ablative Introduction Scarring is a very common skin problem. Most skin injury types can contribute to scarring. This includes cuts, burns, acne scars, chickenpox scars, ear piercing, scratches, surgical cuts, and vaccination sites. ...

Mesh Can Be Mess

    Juniper Publishers- JOJ Dermatology & Cosmetics Abstract The use of a prosthetic mesh to repair a tissue defect may produce a series of post-operative complications, among which infection is the most feared and one of the most devastating. The mesh related infections after hernia repair of up to 8% have been reported. Hence, the use of mesh should be with great care and caution. Strategies which are beneficial in reducing the incidences of mesh related infections after hernia repairs should be used in clinical practice. Keywords:  Prosthetic Mesh Tissue Defect Post-Operative Complications Devastating Hernia Repair Strategies Introduction Mesh use in abdominal hernia surgery is now a standard treatment. However, incidences of the mesh related infections after hernia repair of up to 8% have been reported [1-3]. The rate of infection is influenced considerably by underlying co-morbidity, mostly increased in patients with diabetes, immune suppression or obesity. Type ...

Serum Levels of 25-Oh Vitamin D in Psoriatic Patients and Control Subjects

Image
  Juniper Publishers- JOJ Dermatology & Cosmetics Abstract Background:  Literature data on the association of psoriasis with vitamin D deficiency are still controversial. Aim:  To compare serum levels of vitamin D of adults with psoriasis without arthritis and controls. Materials and Methods:  The analysis of vitamin D serum levels was performed by chemiluminescent immune-assay. Statistical data were evaluated by the tests: Fisher’s Exact, Student’s t and Mann-Whitney; the values were considered significant when P< 0.05. Results:  The study included 36 patients with psoriasis, mean age was 45.8±14.4 years; 21 (58.3%) patients were male. The control group comprised 37 participants with a mean age of 40.3±12.1 years; 20 (54.1%) of these were male. There was no difference between the groups considering sex (P=.815) and age (P =.088). BMI for the psoriasis and control groups were 27.2±4.1kg/m2 and 27.2±4.8kg/m2 (P=0.921), respectively. The laboratory tests sh...

Pemphigus Vulgaris and Infections: A Retrospective Study on Hundred Patients Presenting as Inpatient Cases at Mayo Hospital Lahore

Image
    Juniper Publishers- JOJ Dermatology & Cosmetics Abstract Background:  Autoimmune process and immunosuppressive therapy of pemphigus vulgaris would predispose the patients to infections Aim:  We aimed to study the prevalence of infection and pathogenic agents in pemphigus vulgaris patients admitted to dermatology service. Material and methods:  This retrospective study was conducted on 155 pemphigus vulgaris patients (68 males, 87 females) (Table 1) admitted to dermatology service between 2009 and 2011. In this study, the diagnosis of pemphigus vulgaris was confirmed by light microscopic and direct immunofluorescence findings. Data were collected through a questionnaire. Results:  Out of 155 pemphigus vulgaris patients, 33 had infection at admission and 9 acquired nosocomial infection. In addition, 37 cases of oral candidiasis and 15 cases of localized herpes simplex were recorded. Totally, 94 cases of infection were recorded. The occurrence of infec...