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The true last years and legacy of Dr. John Hinchman Stokes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18409250 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Stokes JW Tags: Skinmed Source Type: journals

Xyzal (levocetirizine dihydrochloride).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18327014 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Abramovits W, Gupta A Tags: Skinmed Source Type: journals

Expression of vinculin in autoimmune cutaneous diseases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The expression and distribution of vinculin are accentuated in patients with various skin autoimmune diseases and appear to be stronger in diseases involving the basement membrane, where it is thought to be relatively more important than in other skin disorders. PMID: 18327013 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Wohl Y, Goldberg I, Gat A, Ron-Tal O, Brenner S Tags: Skinmed Source Type: journals

Bullous eruption in a patient infected with the human immunodeficiency virus.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 30-year-old man diagnosed with human immunodeficiency virus (HIV) infection 10 years earlier, presented with large tense blisters associated with minimal itching of 10 days' duration. He had no history of oral or genital erosions or ulcerations and showed no symptoms of HIV-related illnesses. Highly active antiretroviral therapy (HAART) had been started 6 weeks earlier when his CD4 count was 116/mL. He initially received nevirapine 200 mg once daily; after 2 weeks with no skin eruptions or other adverse reactions, the dose was increased to 200 mg twice daily. Other components of his HAART included lamivudine and stav...
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: De D, Kanwar AJ, Radotra BD, Narang T Tags: Skinmed Source Type: journals

Academic medicine and the superhero: to involve, inspire, and challenge.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18327011 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Rashid RM Tags: Skinmed Source Type: journals

The safety and efficacy of high-dose alefacept compared with a loading dose of alefacept in patients with chronic plaque psoriasis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: There was no difference between the treatment groups in achieving PASI 50 or PASI 75. In addition, in our small population, the higher doses of alefacept were associated with increased adverse effects, including erythroderma. PMID: 18327010 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Cafardi JA, Cantrell W, Wang W, Elmets CA, Elewski BE Tags: Skinmed Source Type: journals

Tacrolimus-induced hyperpigmentation in a patch of vitiligo.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 10-year-old boy had vitiligo vulgaris involving limited areas and was prescribed topical tacrolimus ointment (0.03%), as the lesions were present in the infraorbital area in addition to other areas including the arms, thighs, and around the knees and ankles. Within 2 months of starting treatment, he had evidence of diffuse repigmentation of all the patches of vitiligo. Two months later, all the lesions repigmented completely with excellent color matching except those in the infraorbital area. The parents were anxious due to brownish hyperpigmentation in the previous patch of vitiligo in infraorbital area (Figure). He...
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: De D, Kanwar AJ Tags: Skinmed Source Type: journals

Ulcus vulvae acutum in a 13-year-old girl after influenza A infection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 13-year-old otherwise healthy premenarchal girl presented with acute onset of painful vulvar ulcerations. One day before developing vulvar ulcerations, she experienced flu-like symptoms, including a low-grade fever, cough, sore throat, and myalgia. Results of a throat swab were positive for influenza A infection (polymerase chain reaction [PCR] assay), and the patient was treated with oseltamivir. The patient's constitutional symptoms improved slightly, but within 2 days after her initial presentation, she returned to her primary care provider and described 24 hours of dysuria and vulvar swelling. She had a history o...
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Wetter DA, Bruce AJ, MacLaughlin KL, Rogers RS Tags: Skinmed Source Type: journals

Erdheim-Chester disease with cutaneous features in an Indian patient.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 60-year-old Indian woman presented with multiple asymptomatic, firm swellings over the face that had been progressively increasing for the past 3.5 years. She complained of dry cough and dyspnea of 2 years' duration, which was diagnosed as interstitial lung disease (ILD) based on chest radiography and high-resolution computed tomography. Apart from occasional backaches, the patient had no other systemic complaints. The results of the general physical examination was normal, with no lymphadenopathy. Cutaneous examination revealed multiple (5) firm, yellowish to skin-colored well-defined nodules with irregular margins ...
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Garg T, Chander R, Gupta T, Mendiratta V, Jain M Tags: Skinmed Source Type: journals

Photo capsules.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18327006 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Dlova NC Tags: Skinmed Source Type: journals

Acne in adult women.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18327005 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Pace J Tags: Skinmed Source Type: journals

Coexistent psoriasis and bullous pemphigoid responding to mycophenolate mofetil monotherapy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 73-year-old woman with a 50-year history of psoriasis was referred to our clinic with a 4-month duration of tense bullae on erythematous base and erosions localized on her lower extremities and torso (Figure 1A). Neither the oral nor the ocular mucosa had been involved. The lesions were intensively pruritic, significantly affecting the quality of her life. At the time of the examination, the patient presented with psoriatic plaques with adherent scales confined on the scalp (Figure 2A). According to the patient's history, her limited psoriasis was partially controlled with occasional topical medications (topical cort...
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Rallis E, Anyfantakis V Tags: Skinmed Source Type: journals

Tacrolimus: approved and unapproved dermatologic indications/uses-physician's sequential literature survey: part II.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Tacrolimus has been a useful therapeutic tool in dermatology practice ever since its inception. Accordingly, many "off-label" applications have been reported. Thus, its local immunosuppressive and steroid-sparing action stands recognized. Hence, its indications/uses were extended beyond atopic dermatitis to cover several dermatoses including other types of eczema, papulosquamous disorder of cornification, rosacea, other inflammatory skin conditions, vesicobullous disease, connective tissue disease, graft versus host disease, and follicular disorders. Many such diseases found to respond to tacrolimus therapy have been b...
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Sehgal VN, Srivastava G, Dogra S Tags: Skinmed Source Type: journals

Great dermatology libraries: the Max and Margareta Wolf Dermatology Library.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18327002 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Parish LC, Holubar K Tags: Skinmed Source Type: journals

Molluscum contagiosum.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18327001 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Scheinfeld NS Tags: Skinmed Source Type: journals

Genital human papilloma virus infection: advances in prevention for the long-term good of all.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The wonderful thing about being a physician, even an ordinary dogsbody of one, is that we live in a world in which almost every week scientists, researchers, and clinicians taking part in well-conducted trials usually backed by private capital and the pharmaceutical industry manage to perfect advances that will ultimately benefit not just our patients but the families and society in which our patients live. That is, of course, if we bother, even in the usual way of busy practitioners, skimming through medical journals or glancing at progress from Web sources. Most of us do not do so as well as we would like, but merely...
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Waugh M Tags: Skinmed Source Type: journals

Lamisil (terbinafine) oral granules.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18326999 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Scheinfeld N Tags: Skinmed Source Type: journals

Diagnosis and management of primary cicatricial alopecia: part II.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The second part of this 2-part article reviews clinical features, histology, management, and treatment of neutrophilic primary cicatricial alopecias (folliculitis decalvans and dissecting folliculitis) and mixed primary cicatricial alopecias (acne keloidalis, acne necrotica, and erosive pustular dermatosis). PMID: 18326998 [PubMed - indexed for MEDLINE]
Source: Skinmed - March 1, 2008 Category: Dermatology Authors: Wu WY, Otberg N, McElwee KJ, Shapiro J Tags: Skinmed Source Type: journals

Use of a keratolytic agent with occlusion for topical treatment of hyperkeratotic seborrheic keratoses.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Hyperkeratotic seborrheic keratoses can be satisfactorily managed with topical agents and scraping with reasonable patient satisfaction. Further studies with various keratolytic agents using other delivery systems are warranted. PMID: 18174808 [PubMed - indexed for MEDLINE]
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Burkhart CG, Burkhart CN Tags: Skinmed Source Type: journals

Facial porokeratosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 34-year-old man from El Salvador was referred to our clinic with a 10-year history of a pruritic erythematous facial eruption. He reported increased pruritus and scaling of lesions when exposed to the sun. He worked as a construction worker and admitted to frequent sun exposure. Physical examination revealed well-circumscribed erythematous to violaceous papules with raised borders and atrophic centers localized to the nose (Figure 1). He did not have lesions on the arms or legs. He did not report a family history of similar lesions. A biopsy specimen was obtained from the edge of a lesion on the right ala. Histologic...
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Carranza DC, Haley JC, Chiu M Tags: Skinmed Source Type: journals

Pityriasis rubra pilaris in a HIV-positive patient (Type 6 PRP).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 45-year-old previously healthy man presented with minimally itchy spiny papular lesions of 3 years' duration and discharging nodular cystic lesions for the past 2 years. Initially, lesions appeared on his ears, followed by the gradual appearance of similar lesions over his face, back, and extremities. The lesions were not associated with photosensitivity. Over the years, the patient continued to have similar lesions without any significant response to various topical medications and oral antibiotics. There was no history of fever or any other systemic complaints and the patient denied any other significant medical pr...
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: De D, Dogra S, Narang T, Radotra BD, Kanwar AJ Tags: Skinmed Source Type: journals

An unusual presentation of mucous membrane pemphigoid.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 68-year-old woman presented with recurrent mucocutaneous blisters of 6 years' duration and progressive loss of scalp hair of 2 years' duration. The disease had started as tense blisters associated with a burning sensation over the lower part of her back, gradually followed by involvement of her chest, upper part of her back, and arms. The blisters persisted for weeks before rupturing spontaneously. Four years later, she developed tense oral blisters, resulting in painful persistent erosions. At about the same time, blisters on her scalp developed, followed by erosions and hair loss. No other mucosal sites were involv...
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: De D, Dogra S, Saikia UN, Kanwar AJ Tags: Skinmed Source Type: journals

Familial cutaneous collagenoma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 41-year-old woman presented to our dermatology clinic in February 2005 with a chief complaint of numerous flesh-colored nodules on her back and abdomen. She initially noticed the lesions at age 17 years. The plaques had increased in size and number over time, but remained asymptomatic. The patient reported multiple similar lesions on a maternal uncle and a cousin. Her family history was also notable for cardiomyopathy, resulting in the death of her mother. The patient's past medical history was notable for poorly controlled type I diabetes, currently managed with an insulin pump; and coronary artery disease. The pati...
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Dawn ME, Deng AC, Petrali J, Wessely C, Jaffe D, Gaspari AA Tags: Skinmed Source Type: journals

Dermatofibroma on the palmar surface of the hand.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Case 1: A 58-year-old man presented with a solitary asymptomatic nodule on his thumb (Figure A). After trauma with a rusty nail approximately 20 years ago, he had developed a small papule, which had enlarged gradually for a few days initially before stabilizing. His personal and family medical histories were unremarkable. Dermatologic examination revealed a 1-cm crater-like nodule on the left palmar area. This was a firm and nontender lesion that was fixed to the overlying skin but moved freely from underlying structures. There were no similar lesions elsewhere on his body. Case 2: A 52-year-old man presented with a no...
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Gencoglan G, Karaarslan IK, Dereli T, Kazandi AC Tags: Skinmed Source Type: journals

Photo capsules. Actinomycosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18174802 [PubMed - indexed for MEDLINE]
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Dlova NC, Mosam A Tags: Skinmed Source Type: journals

Pyogenic granuloma.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18174801 [PubMed - indexed for MEDLINE]
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Scheinfeld NS Tags: Skinmed Source Type: journals

Lichen planus pemphigoides triggered by narrowband UVB, paracetamol, and ibuprofen, with autoantibodies to 130kDa antigen.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18174800 [PubMed - indexed for MEDLINE]
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Maoz KB, Brenner S Tags: Skinmed Source Type: journals

Terbinafine gel.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18174799 [PubMed - indexed for MEDLINE]
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Scheinfeld NS Tags: Skinmed Source Type: journals

Tacrolimus in dermatology-pharmacokinetics, mechanism of action, drug interactions, dosages, and side effects: part I.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The advent of tacrolimus at the end of the preceding century in the armamentarium of atopic dermatitis management was hailed as a breakthrough advance. It was, therefore, thought worthwhile to precisely review its origin and mechanism of action. Its topical application in the form of 0.03% to 0.1% ointments is rapidly effective and safe in pediatric and adult patients. Its use in atopic dermatitis ever since has been approved in Japan, the United States, Europe, and the Indian subcontinent. Thus, its local immunosuppressive action was fairly intriguing. Accordingly, its indications/uses were extended to cover several i...
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Sehgal VN, Srivastava G, Dogra S Tags: Skinmed Source Type: journals

Diagnosis and management of primary cicatricial alopecia: part I.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this 2-part article, the authors review the primary cicatricial alopecias. Primary cicatricial alopecia can be defined as predominantly lymphocytic, neutrophilic, or mixed based on the nature of the follicular infiltrate that is present around affected hair follicles. Lymphocytic primary cicatricial alopecias include chronic cutaneous lupus erythematosus (discoid lupus erythematosus), lichen planopilaris, classic pseudopelade of Brocq, central centrifugal cicatricial alopecia, alopecia mucinosa, and keratosis follicularis spinulosa decalvans. In this first part, the authors summarize the classification, epidemiology...
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Otberg N, Wu WY, McElwee KJ, Shapiro J Tags: Skinmed Source Type: journals

Use of oral isotretinoin in photoaging therapy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Isotretinoin improves photoaging with few adverse events because of the low dose used and to the short treatment duration. PMID: 18174796 [PubMed - indexed for MEDLINE]
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Kalil CL, Fachinello FZ, Lamb FM, Comunello LN Tags: Skinmed Source Type: journals

The art of peer review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18174795 [PubMed - indexed for MEDLINE]
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Oumeish OY Tags: Skinmed Source Type: journals

Peer review: what is it all about?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18174794 [PubMed - indexed for MEDLINE]
Source: Skinmed - January 1, 2008 Category: Dermatology Authors: Parish LC Tags: Skinmed Source Type: journals

Cutaneous manifestations of Staphylococcus aureus disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Staphylococcus aureus is a common pathogen in clinical infectious disease. The cutaneous manifestations can vary dramatically from a simple infected hair follicle to a life-threatening illness such as toxic shock syndrome or staphylococcal scalded skin syndrome. The authors review the variety of manifestations of various S aureus infections on the skin. PMID: 17975359 [PubMed - indexed for MEDLINE]
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Howell ER, Phillips CM Tags: Skinmed Source Type: journals

Drug rash with eosinophilia and systemic symptoms syndrome: sex and the causative agent.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The study was conducted to determine whether there is a sex difference in the causative agent of drug rash with eosinophilia and systemic symptoms (DRESS) syndrome. A retrospective review of hospital records from 1999 to 2006 in the dermatology department of a large municipal medical center found 8 patients who met the criteria for DRESS syndrome: drug-induced generalized eruption, associated systemic involvement (lymph node or visceral), and presence of eosinophilia (eosinophil count > or =1500/microL and/or circulating atypical lymphocytes). There were 4 men and 4 women, aged 19 to 53 years, with a mean age of 38 ...
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Maoz KB, Brenner S Tags: Skinmed Source Type: journals

Multiple lesions of cutaneous focal mucinosis in a teenager.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 19-year-old Hispanic woman presented to our clinic with a chief complaint of multiple pink papules on her face (Figure 1). The lesions were asymptomatic, had appeared several years before her consultation, and had remained stable in size. Similar lesions on her trunk and extremities had spontaneously resolved before presentation. She had no significant medical history and was not on any medications. Cutaneous examination was remarkable for a few scattered, well-demarcated, slightly raised pink papules and plaques with no scale, ranging from 0.5 to 1 cm in diameter. The lesions were distributed on the right cheek, rig...
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Hernandez C, Fowler A, Gandhi MY Tags: Skinmed Source Type: journals

Scrofuloderma: a forgotten disease?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 30-year-old woman was evaluated in our clinic with swelling localized to the left submandibular region and extending to the anterior part of the neck. Her symptoms first appeared 2 years earlier in the mid region of her neck. After a few months, the lesion enlarged to the left side of her neck and became crusted. She had been treated by several physicians with antibiotics, analgesics, and anti-inflammatory drugs without response. On physical examination, the patient had an axillary temperature of 38.2 degrees C. Bilateral axillary, cervical, and supraclavicular lymph nodes were detected. Dermatologic examination reve...
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Kiliç A, Gül U, Soylu S, Kaya I, Albayrak L Tags: Skinmed Source Type: journals

Genital warts treated by photodynamic therapy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The patient, a 30-year-old man with numerous genital condylomata acuminata (CA), has had unsuccessful treatment with liquid nitrogen, 20% podophyllin, and repeated 0.5% podophyllotoxin solution with 5% imiquimod (Figure 1). Before the appearance of CA, he experienced acute orchiepididimitis and a Candida infection. The patient was immunologically examined, and the lower level of lymphocytes, slightly reduced level of IgM, and C4 complement were revealed. Results from a human immunodeficiency virus examination were negative. After the therapeutic failure mentioned above, photodynamic therapy (PDT) was initiated using 20...
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Kacerovska D, Pizinger K, Kumpova M, Cetkovska P Tags: Skinmed Source Type: journals

Parapsoriasis: a complex issue.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Parapsoriasis is a peculiar reaction pattern of the skin that appears to have a spectrum with small plaque parapsoriasis at one end and large plaque at the other. The spectrum between is bridged by pityriasis lichenoides, pityriasis lichenoides chronica, pityriasis lichenoides et varioliformis acuta, and lymphomatoid papulosis. The highlights of the clinical pattern of these diseases has been succinctly elucidated here to facilitate their recognition in day-to-day dermatologic practice. Their possible etiopathogenesis has been brought to focus in the light of changing concepts reported in the literature. Further, possi...
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Sehgal VN, Srivastava G, Aggarwal AK Tags: Skinmed Source Type: journals

Posttraumatic lipoma: fact or fiction?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The pathogenetic link between soft tissue trauma and the formation of posttraumatic lipomas is still controversially discussed. There are 2 potential explanations to correlate soft tissue trauma and adipose tissue tumor growth. The first is the formation of so-called posttraumatic pseudolipomas by prolapsing adipose tissue through fascia resulting from direct impact. A second possibility points toward lipoma formation as a result of preadipocyte differentiation and proliferation mediated by cytokine release following soft tissue trauma and hematoma formation. PMID: 17975353 [PubMed - indexed for MEDLINE]
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Aust MC, Spies M, Kall S, Jokuszies A, Gohritz A, Vogt P Tags: Skinmed Source Type: journals

Intrahepatic cholestasis occurring with prurigo of pregnancy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 23-year-old woman presented to our polyclinic complaining of itching, generalized dermatitis, and jaundice. She was in her 31st gestational week and had developed pruritus and the dermatitis since the first month of pregnancy; her jaundice started about a month before presentation. Her history included similar complaints in a previous pregnancy, which resulted in premature birth of a baby with a permanent brain defect. One of her sisters had had jaundice and itching in her 27th gestational week and delivered a healthy baby; a second sister had experienced itching and dermatitis in her second trimester and delivered a...
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Cicek D, Kandi B, Demir B, Turgut D Tags: Skinmed Source Type: journals

Thoughts on local anesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17975351 [PubMed - indexed for MEDLINE]
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Humphreys T Tags: Skinmed Source Type: journals

Defining cellulitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17975350 [PubMed - indexed for MEDLINE]
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Parish LC, Witkowski JA Tags: Skinmed Source Type: journals

Yaz (3 mg drospirenone/20 microg ethinyl estradiol).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17975349 [PubMed - indexed for MEDLINE]
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Scheinfeld NS Tags: Skinmed Source Type: journals

Photo capsules.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17975348 [PubMed - indexed for MEDLINE]
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Dlova NC, Mosam A Tags: Skinmed Source Type: journals

Getting to the heart of the matter.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 60-year-old woman returned from visiting a cousin in Texas. For the past 6 weeks, she had not been feeling well and had lost almost 30 lb. She had frequent night sweats, although she did not recall having taken her temperature. Upon evaluation in the emergency department, results of physical examination were notable for cachexia and poor dentition. She was noted to have pyuria, and therapy was initiated for a urinary tract infection. Results of blood cultures performed the same day were positive for gram-positive cocci, and vancomycin therapy was initiated. She developed difficulty in seeing to her, left and a comput...
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Bernstein JM, Leasure W, Buel A Tags: Skinmed Source Type: journals

Differin (adapalene) Gel, 0.3%.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17975346 [PubMed - indexed for MEDLINE]
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Abramovits W, Gupta A Tags: Skinmed Source Type: journals

Photodynamic therapy and beyond.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17975345 [PubMed - indexed for MEDLINE]
Source: Skinmed - November 1, 2007 Category: Dermatology Authors: Benedetto AV, D'Addario S Tags: Skinmed Source Type: journals

Elastosis perforans serpiginosa.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 41-year-old white man with Down syndrome presented with a slightly pruritic, papular eruption on bilateral forearms of several years' duration. Physical examination revealed multiple 2- to 3-mm keratotic, umbilicated pink papules in an annular configuration distributed symmetrically on the flexural surfaces of the forearms (Figure 1). The skin surrounding these papules was noted to be hyperpigmented and somewhat atrophic. The remainder of his skin examination was unremarkable. A shave biopsy of 1 papule was performed and stained with hematoxylin-eosin. Hematoxylin-eosin-stained sections showed clumps of bright red fi...
Source: Skinmed - September 1, 2007 Category: Dermatology Authors: Suneja T, Zelonis B, Hurley MY, Youker SR Tags: Skinmed Source Type: journals

Rheumatoid arthritis associated with pemphigus foliaceus in a patient not taking penicillamine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17786108 [PubMed - indexed for MEDLINE]
Source: Skinmed - September 1, 2007 Category: Dermatology Authors: Sáez-de-Ocariz M, Granados J, Yamamoto-Furusho JK, López-Martínez A, Vega-Memije ME Tags: Skinmed Source Type: journals