1/4. Cutaneous inoculation tuberculosis: prosector's wart occurring in a physician.Cutaneous inoculation tuberculosis may occur either a primary or secondary infection. When the condition occurs in medical or laboratory personnel after contact with tuberculous material the term "prosector's wart" is often used. A case is reported in a physician following trauma during an autopsy on a tuberculous patient.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/4. The painful purple digit: an alarming complication of candida albicans antigen treatment of recalcitrant warts.candida albicans (CA) antigen immunotherapy for recalcitrant warts is a novel treatment that has had much success in the recent past. Although several side effects are well documented in the literature, we report a new adverse reaction to CA antigen immunotherapy for verruca vulgaris of the distal fingertip. Our patient received an intradermal injection of CA antigen solution into periungual warts located on the distal left thumb and distal subungual area of the left index finger. Within 24 hours, the patient reported pain, edema, and a purple hue to only the index finger. Incision of the finger demonstrated no hematoma or compartment syndrome. Although the etiology is unknown, we believe the condition was most likely due to edema and vascular compromise secondary to a vigorous delayed-type hypersensitivity reaction, possibly leading to cyanosis of the distal index finger. We report this case to make physicians who use intralesional CA antigen aware of a new possible complication at this anatomic location.- - - - - - - - - - ranking = 0.2keywords = physician (Clic here for more details about this article) |
3/4. Complications of liquid nitrogen cryosurgery for verrucae over bony prominences.Liquid nitrogen cryosurgery is the most frequently used surgical treatment for verrucae. Its success rate is high and complications are rare. However, liquid nitrogen should be used with great care over bony prominences where skin and subcutaneous tissues are thin. We present 3 patients in whom the treatment of simple warts over bony prominences by liquid nitrogen resulted in full-thickness loss of skin. In 2 of them, extensor tendons of fingers were exposed and had to be covered with flaps. We conclude that expertise of the physician is of paramount importance in preventing similar complications in cryosurgery of verrucae.- - - - - - - - - - ranking = 0.2keywords = physician (Clic here for more details about this article) |
4/4. Verrucae planae spread by electrolysis.The following case report presents a patient in whom flat warts were spread by electrolysis. Since electrolysis is a common procedure, physicians should be aware of such an occurrence. Adequate examination and treatment before the patient undergoes electrolysis can eliminate this unwanted side effect.- - - - - - - - - - ranking = 0.2keywords = physician (Clic here for more details about this article) |