ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1992.tb02662.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1992.tb02663.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1992.tb02664.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1992.tb02665.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractMudi‐chood is an unusual dermatosis seen in India. It affects the nape of the neck and the exposed part of the upper back in girls and young women. It is characterized by mildly pruritic pigmented papular lesions. It probably represents the comedogenic activity of various oils applied to the hair, which is aggravated by the typical climatic conditions. We present three cases of mudi‐chood.Mudi‐chood is an unusual papulosquamous dermatosis affecting the nape of the neck and the exposed parts of the upper back of girls and young women. Mudi‐chood in the regional language means “hair‐heat.”1It is commonly seen in the southern parts of India, especially in the state of Kerala. The women in these regions wash their long hair daily and apply a variety of hair‐oils. Many herbal products are added to these oils, which vary from place to place. After washing, the hair is tied loose and dried in the sun. The humidity and the heat in these tropical areas, and also the peculiar habits of the women, seem to act as etiologic factors for mudi‐chood. Though commonly seen, there are few references in the literature to similar entities. The only exception is the original paper by Sugathan and Balaraman Nair.1We report three cases of mudi‐chood. Our cases are from parts of Western India where the climate is not as humid. The application of hair‐oils is not a daily ritual, and the disease is relatively uncommon in these parts of India. There is apparently no hereditary influence. An atmospheric influence, attributable to increased heat and moisture in the late summer, is responsible for an increase in mudi‐c

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1992.tb02666.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractA survey of people with skin cancer in tropical Australia detected a change in site of the prevalent cancer. In the post‐war generation more basal cell carcinomas are occurring on the back and fewer on the head and neck. A reversal of the sex ratio was also detected, with more women being afflicte

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1992.tb02667.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractFour patients developed post‐kala‐azar dermal leishmaniasis and neuritis (PKDL) 1 to 6 months following apparently successful treatment of kala‐azar. The duration of the lesion varied between 1 month and nearly 5 years. The lesions were macules, papules, or nodules affecting the face, extremities, and trunk. The diagnosis was made by demonstration of the parasite in slit smear and biopsies and by a positive direct agglutination test (DAT). Histologically, the patients were found to have neuritis affecting the cutaneous nerves in the lesion only. The nerves showed a lymphohistiocytic infiltration and occasionally parasites. There was no impairment of sensation. Response to sodium stibogluconate was good. PKDL may simulate leprosy both clinically and pathologi

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1992.tb02668.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractBefore starting methotrexate therapy for cases of recalcitrant psoriasis, a liver biopsy has been usual in order to exclude cirrhosis and moderate or severe fibrosis, which are contraindications for methotrexate treatment. As mortality and morbidity of liver biopsy are not negligible, and as this invasive procedure is unpleasant for the patient and urges clinical admission, we evaluated the possibility of ruling out severe liver pathology by means of ultrasonography, which we compared to liver biopsy. We made this comparison by means of a decision tree. The advantages of this analysis are the clear definition of the decision problem and its alternatives, and the possibility of calculating the risk of each alternative, thus being able to choose the best diagnostic method. In this study, the results of various research groups are discussed, in which liver biopsy and liver ultrasound were compared. In our decision tree we used some of these results and other assumptions, based on comparable studies. We varied the biopsy mortality and the sensitivity of ultrasound to show the change in the risk of each alternative. Our analysis shows that the differences of expected values between the liver biopsy branch and the ultrasonography branch are relatively small. Therefore, we advise each center, which has at its disposal a specialist in liver ultrasonography, to re‐evaluate its guidelines with regard to the detection of severe liver pathology before starting methotrexate for the treatment of psoriasi

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1992.tb02669.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractWe present an experimental study on the immunohistochemical identification ofPenicillium marneffeiin paraffin‐embedded, formalin‐fixed tissue. The monoclonal antibody EB‐A1 detects a specific galactomannan that appears to have at least one epitope identical inP. marneffei and Aspergillussp. This immunohistochemical approach could be useful in the diagnosis of a rare disease, penicilliosis marneffei, which proves to be difficult to identify by conventional micro

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1992.tb02670.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY

摘要:

AbstractFour patients suffering from pigmented actinic lichen planus were studied. Clinically, the lesions are melasma‐like, affecting mainly the face and exacerbating in summer and spring time. The histopathologic and immunofluorescence studies showed typical changes of actinic lichen planus. The possibility of pigmented actinic lichen planus should be considered in every patient with facial melanosi

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1992.tb02671.x

出版商:Blackwell Publishing Ltd    

年代:1992

数据来源: WILEY