ISSN:0004-8380    

DOI:10.1111/j.1440-0960.1995.tb00932.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYAndrogenetic alopecia is an androgen dependent disorder occurring in genetically susceptible individuals. The pattern of hair loss in women differs from that of classical male pattern alopecia, being more diffuse and with retention of the frontal hair line in most cases. Characteristic histopathological changes occur but biopsy is rarely helpful in diagnosis. Although research has shown subtle alterations in the androgen status of women with androgenetic alopecia, most patients presenting with this disorder are normal endocrinologically. Anti‐androgen therapy will result in some improvement in up to 50% of patients after 6 to 12 months of therapy, but in practice will usually only decrease the rate of hair loss and not result in new hair growt

ISSN:0004-8380    

DOI:10.1111/j.1440-0960.1995.tb00933.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYA proportion of patients who suffer from either irritant or allergic contact dermatitis, many of whom have no past or family history of atopy or of any other skin disease, evolve into chronic eczema. Workers' compensation payments are frequently suspended after about 6 to 12 months on the basis of ‘endogenous dermatitis’. Patients, often healthy breadwinners in the 30 to 50 age group are deemed unemployable because of persistent active dermatitis. Expensive prolonged litigation frequently follows but the end result is usually a patient who has become a healthy, bored, pensioner/retiree with all the psychological and physical sequelae secondary to inactivity and major lifestyle change. It is now becoming recognized that there are many jobs which a person suffering from various degrees of chronic dermatitis can perform without aggravation of dermatitis. However, widespread acceptance of this tenet requires a change in attitude by all the players in the workers' compensation complex, namely the employer, the insurance company, the medical practitioner, the employee and the union. Fortunately, the emphasis is gradually changing towards multidisciplinary assessment of work potential with appropriate retraining and redeployment of injured workers rather than granting lump sum compensation payouts or pensi

ISSN:0004-8380    

DOI:10.1111/j.1440-0960.1995.tb00934.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYSkin malignancy of all types is prevalent in Australia and the incidence is rising. Reconstruction of post‐surgical excision defects in the face can be facilitated by the use of myocutaneous flaps using facial mimetic musculature. The mimetic musculature can be partially sacrificed without the loss of discernible facial tone or expression. Examples of their use include the frontalis, orbicularis oculi, nasalis, procerus, levator labii superioris, mentalis, orbicularis oris, platysma and SMAS. Myocutaneous flaps in the face enjoy the same advantages of increased skin viability as they do elsewhere in the body. Their use in the face is superior to the cosmetic results obtained by skin grafting alone or distant skin flap giving better colour match, increased vascularity and appropriate bulk when subcutaneous tissues and muscles have also been sacrificed in the initial extirpation of the skin malignanc

ISSN:0004-8380    

DOI:10.1111/j.1440-0960.1995.tb00935.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYA total of 242 employers were surveyed over the telephone to assess their attitudes toward prospective employees with visible tattooing. Employers were divided into eight categories according to type of industry. Responses to the survey were tabulated and confidence intervals produced. It would appear that significant bias exists against the employment of persons with visible tattoos in the hospitality, beauty, retail and office sectors where less than 30% of those surveyed would employ a person with a tattoo. All industries except building and the public service admitted that they would be influenced by a visible tattoo in over 40% of cases.

ISSN:0004-8380    

DOI:10.1111/j.1440-0960.1995.tb00936.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYFour hundred and seventy‐four Nova Scotian renal transplant recipients were screened, using the records of the Nova Scotia Cancer Registry and the Victoria General Hospital, in a retrospective study, for the development of cutaneous malignancies. Sixteen patients developed a total of 60 squamous cell carcinomas (SCC) and 14 developed 28 basal cell carcinomas (BCC). The survival curve shows that within 10 years of transplant, less than 10% will develop SCC. This is a 16‐fold increase above the rate of SCC in the general population of Nova Scotia, Canada. Age at time of transplantation appears to be a significant determinant of subsequent skin cancer risk. None of the previously reported HLA associations was found to hold in this small study. The role of ultraviolet radiation, due to both geographic and lifestyle exposure, is discussed when comparing to other transplant stud

ISSN:0004-8380    

DOI:10.1111/j.1440-0960.1995.tb00937.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYWe report a case of Grzybowski's generalized eruptive keratoacanthoma which demonstrates the characteristic features of this rare condition. The recurring nature of the eruption each summer supports the suggestion that UV irradiation may act as a precitating factor in eruptive keratoacanthoma.

ISSN:0004-8380    

DOI:10.1111/j.1440-0960.1995.tb00938.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYThe brown forehead ring (linea fusca), a distinctive but infrequently recognized pattern of facial pigmentation, is described. The history of this sign is recounted. In modern times it seems to be associated with other well recognized patterns of facial pigmentation, chemical photosensitizers and excessive sun exposure. Three cases in adult males are described and the different aetiologies illustrated.

ISSN:0004-8380    

DOI:10.1111/j.1440-0960.1995.tb00939.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYA 67 year old woman with an extensive oropharyngeal carcinoma developed acrokeratosis paraneoplastica. She suffered severe pain in the fingers and toes and experienced some symptomatic relief with psoralen ultraviolet A therapy.

ISSN:0004-8380    

DOI:10.1111/j.1440-0960.1995.tb00940.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY

摘要:

SUMMARYA 62 year old woman presented with two large slowly growing pedunculated tumours. These were excised from the lateral aspect of the upper eyelid and were found to be keratotic basal cell carcinomas.

ISSN:0004-8380    

DOI:10.1111/j.1440-0960.1995.tb00941.x

出版商:Blackwell Publishing Ltd    

年代:1995

数据来源: WILEY