1/11. lung cancer associated with pulmonary bulla. case report and review of literature.A few reports have suggested the possible association between lung cancer and bullous disease. We report a surgical case of lung adenocarcinoma located in close proximity to pulmonary bullae. A 48-year-old nonsmoker, asymptomatic male was found to have a pulmonary tumor mass and giant bulla in the right lung. thoracotomy identified a tumor arising from a firm, scarred and contracted area close to the bulla wall. Based on this report and review of other cases in the literature, we emphasize the need for physicians to be aware of the potential development of lung cancer in patients with pulmonary bulla. copyright copyright 1999 S. Karger AG, Basel- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/11. Spontaneous bullae over laser resurfaced skin.We report 2 cases of facial bullae occurring subsequent to full-face carbon dioxide laser skin resurfacing. Although the cause is unknown, both responded to potent topical corticosteroid treatment. Laser resurfacing is a relatively new procedure, and physicians should be aware of this complication.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/11. Exposure to liquid sulfur mustard.Chemical weapons continue to pose a serious threat to humanity. With the use of chemical weapons by terrorists in tokyo, and the projected disarming of the chemical weapon stockpile in this country, the possibility that emergency physicians will encounter patients contaminated by chemical munitions, such as sulfur mustard, exists. Mustard is a vesicating agent with a long latency between exposure and symptoms. Exposure can cause burns, conjunctivitis, pneumonia, and death. We describe 3 workers exposed to mustard at a chemical weapon storage facility. This article reports the first case of an exposure to mustard at a storage facility, as well as the first documented incident occurring in the united states. All physicians who manage patients in an acute care setting should be aware of the presentation and emergency treatments involving patients contaminated with mustard.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |
4/11. Arthropod bites manifesting as recurrent bullae in a patient with chronic lymphocytic leukemia.BACKGROUND: We report a patient with chronic lymphocytic leukemia (CLL) that developed recurrent vesicobullous lesions that histologically demonstrated features of an exaggerated response to an arthropod bite. OBJECTIVE: patients with CLL can present with many cutaneous manifestations, including specific and nonspecific lesions. Although rare, patients with CLL can develop an exaggerated response to an arthropod bite. CONCLUSION: Emphasis needs to be placed on the clinical recognition of arthropod bites as an unusual cutaneous manifestation of CLL, as they provide the physician with both a diagnostic and a therapeutic challenge. patients often deny being bitten and, thus, the biopsy results conflict with the patient's history. Additionally, as there is no specific treatment, both the patient and physician are faced with a similar dilemma. Although our patient initially responded well to corticosteroids, his lesions significantly improved while being treated with dapsone.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |
5/11. Giant bulla mimicking pneumothorax.It is usually thought by emergency physicians that the diagnosis of a pneumothorax is straightforward and easy to make and to treat, but the diagnosis may sometimes pose a challenge. The present report describes a case of a giant pulmonary bulla in a 40-year-old man that progressed to occupy almost the entire left hemithorax and also subsequently ruptured to produce a large left pneumothorax. The giant bulla was diagnosed only as a pneumothorax, and initially managed with a chest tube only. The differentiation between pneumothorax and a giant bulla can be very difficult, and often leads to inaccurate diagnosis and management. This case report demonstrates the clinical presentation of giant bulla and its complications such as pneumothorax and also highlights the difficulty in making this diagnosis and appropriately treating it. In this article, we emphasized how to differentiate between giant bulla and pneumothorax utilizing history, physical examination, and radiological studies including computed tomography (CT) scan.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/11. Simultaneous bilateral spontaneous pneumothorax: case report.A 22-year-old previously healthy male was admitted to the emergency department for chest pain and dyspnea of 1-day's duration. He had a history of heavy smoking. The patient was cyanotic, agitated, and severely dyspneic. lung auscultation revealed severe diffuse bronchospasm and equally diminished breath sounds on both sides. Nasotracheal intubation and mechanical ventilation were performed shortly after admission due to acute respiratory failure. Simultaneous bilateral spontaneous pneumothorax was diagnosed from the chest x-ray, and chest tube drainage was immediately performed bilaterally. Computerized tomography of the chest 1 month later showed diffuse emphysematous bullae of the lungs. The case presented here should increase physicians' awareness of this rare form of spontaneous pneumothorax and its diverse manifestations.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
7/11. lung cancer coexisting with bullae.Scattered reports have suggested the association of cancer with bullous disease. We report herein, two surgical cases of lung cancer arising from bullae. Both the patients were males who smoked heavily and the generation of cancer was found simultaneously with the discovery of the bulla. At thoracotomy, it was found that the cancer had arisen from the firm, scarred and contracted area adjacent to the bulla wall. On the basis of this experience and review of the literature, it is suggested that physicians should always pay careful attention to the generation and complication of cancer while treating bullous disease in heavy smoking individuals.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/11. Cutaneous blisters and carbon monoxide poisoning.We present the cases of three patients with skin blisters following carbon monoxide (CO) poisoning. Their blisters appeared to be related to the severity of the poisoning (HbCO levels of more than 40%). Two of the three patients died despite aggressive initial 100% surface oxygen followed by hyperbaric oxygen therapy. The pathophysiology of this type of blister remains unresolved. It could result from pressure necrosis alone or from a combination of pressure necrosis and direct CO inhibition of tissue oxidative enzymes. Although skin involvement as a result of CO poisoning is less frequently reported today than in the past (perhaps because of misidentified burns or because of more aggressive resuscitation and treatment protocols), the physician should recognize that such blisters may signal severe CO poisoning.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
9/11. Prepubertal oral pemphigus vulgaris.Although rare, oral pemphigus vulgaris must be considered in those patients who have a prolonged history of oral lesions. The fact that chronic oral lesions characteristically precede skin changes in pemphigus emphasizes the importance of this disease to the dental profession. patients with long-term and recurrent vesiculoulcerative oral lesions should undergo biopsy examination to establish the diagnosis. The dentist and the physician must collaborate to establish an appropriate diagnostic and therapeutic plan for the management of these patients.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
10/11. Bullae in the donor site of a split-thickness skin graft.A patient developed bullae in a donor site 3 weeks after a split-thickness skin graft was taken. No reference to blistering in the donor site of a recently taken split-thickness skin graft could be found in the surgical literature, and a computerized search of the world's medical literature revealed only a single report of a similar case. The mechanism of bulla formation has not been elucidated. We alert physicians to this phenomenon and urge that each case that is seen be studied in an orderly manner by histologic, electron microscopic, and immunofluorescent techniques.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
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