1/12. lyme disease in childhood: report of one case.We report a pediatric patient of lyme disease in taiwan, confirmed by laboratory tests. An 8-year-old overseas Chinese girl from new jersey, USA, visited our dermatological clinic with joint pain and multiple expanding annular erythema rashes (measured up to 17x10 cm) for three days. lyme disease was diagnosed by the presence of the antibody against borrelia burgdorferi. The skin lesions and arthralgia were resolved after amoxicillin treatment, and she got well in the following one year. This presented work tries to remind physicians to be aware of lyme disease in taiwan, particularly for children or young people with recurrent expanding annular skin rashes and chronic arthralgia of undetermined causes.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/12. Irritant contact dermatitis after use of Bispectral Index sensor in prone position.IMPLICATIONS: Because the Bispectral Index monitor is placed on the forehead, skin reactions such as dermatitis have more than cosmetic implications for the physician and patient.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/12. erythromelalgia misdiagnosed as cellulitis.This case report examines the presentation of a patient with erythromelalgia that was misdiagnosed as cellulitis on several prior occasions. The presentation of bilateral acral edema and erythema, especially in the setting of myeloproliferative and/or connective tissue diseases, should alert the physician to the possibility of alternate diagnoses, including erythromelalgia. Treatments target symptom alleviation, as well as diagnosis and treatment of causative factors.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/12. Chemotherapy-induced palmer planter erythrodysesthesia.We report a case of palmar plantar erythrodysesthesia (PPE) in a case of acute lymphoblastic leukemia treated with VALP regime. The treating physician must be aware of this uncommon complication of chemotherapeutic agents to avoid unnecessary investigations.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/12. Distal phalange necrosis: a severe manifestation of palmar plantar erythrodysesthesia.Palmar plantar erythrodysesthesia is a cutaneous drug reaction induced by chemotherapy. We present a case of a patient with neurosensorial deficit affected by ovarian cancer who experienced a painless necrosis of a distal phalange of the hand during treatment with pegylated liposomal doxorubicin. Palmar plantar erythrodysesthesia may be underestimated by physicians in paucisymptomatic patients.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/12. Rocky Mountain spotless fever: a dilemma for the clinician.Failure of the characteristic rash to develop during the course of illness in rocky mountain spotted fever may lead to the delay or failure of diagnosis and may result in fetal encephalopathic illness with disseminated vascular injury. Four patients are described herein in whom a rash failed to develop and the diagnosis was initially incorrect. Each patient was seen at least once before hospital admission by a physician and given ineffective antibiotic therapy, resulting in fatal complications. Besides the failure of the rash to develop, the lack of any specific diagnostic test that is useful during the acute illness represents a major difficulty for the physician in making the diagnosis before the patient's death. Any adult in an endemic geographic area who is initially seen with an undifferentiated acute febrile illness in which headache and myalgias are prominent should be considered for treatment with tetracycline unless otherwise contraindicated.- - - - - - - - - - ranking = 2keywords = physician (Clic here for more details about this article) |
7/12. Superior vena caval syndrome.The two cases of the superior vena caval syndrome described illustrate the problem of making a diagnosis and of determining the etiology of this syndrome. The cutaneous manifestations were typical of the syndrome and included the sudden onset of facial and upper extremity edema, erythema, and telangiectasia. The causes of the syndrome cannot be recognized from the clinical presentation. In one of our cases, the cause was only determined at autopsy and proved to be an unusual benign cause, idiopathic thrombosis, masquerading as a malignant tumor; the other case was caused by an actual malignancy. The manifestations of the syndrome should alert the physician to determine its cause in order that appropriate therapy may be instituted as rapidly as possible.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
8/12. Erythematous papules in a patient with cardiac myxoma: a case report and review of the literature.A 35-year-old woman was followed up by a physician for one and a half years as a case of transient ischemic attach (TIA) due to thrombosis. She had a few erythematous papules on the dorsal side of her right forearm and on the right side of her neck. From the history of TIA and the transient erythematous papules, we suggested the possibility of cardiac myxoma. Echocardiogram demonstrated a large mass in her left atrium. An immediate operation was carried out, and the cardiac myxoma was excised surgically. Histological examination of the erythematous papule revealed myxoma emboli.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
9/12. dermatitis with an unusual explanation in a welder.occupational diseases among welders include asthma, acute keratoconjunctivitis, and various skin disorders. A localized cutaneous erythema from UVC radiation is common and does not generally constitute any problem, as its cause is obvious to the welder, the symptoms are slight, and it is transient. In this report a welder with UVC-induced erythema on the cheeks is described. Initially, neither the worker, the physician at the factory, nor ourselves suspected a UVC erythema. Extensive investigations, including factor visits with measurements of UVA, UVB, and UVC irradiance during welding, revealed the cause of the dermatitis to be UVC, most likely reflected from a textile hood used to prevent exposure to dirt.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
10/12. Dermal complication of the bowel bypass syndrome: a case report.Bowel bypass surgery, which involves shortening the small bowel to about 45 cm, is a modality of treatment for morbid obesity. Although this procedure is not routinely performed today, patients with complications from this procedure are still seen by physicians. The case of a patient who had bowel bypass surgery and experienced subsequent complications is discussed.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
| | Next -> |