ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1989.tb02478.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1989.tb02479.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1989.tb02480.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1989.tb02481.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1989.tb02482.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACT:Dermatology generally has been rated low in past studies of the prestige of medical specialties when the raters have been doctors and/or medical students. This investigation considers whether dermatologists maintain their relatively unfavorable position in the specialty prestige hierarchy when the raters are members of the lay public. Four hundred respondents ranked dermatology last out of ten specialties in ascribed esteem, perceived income, and assigned social value, suggesting that dermatologists are less well regarded by the public than are other doctors. Moreover, the relatively low prestige of dermatology appears to be largely independent of a rater's personal experience.

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1989.tb02483.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACT:The vulvo‐vaginal‐gingival syndrome, a new form of erosive lichen planus, has recently been described. The clinical features of this condition are reviewed and summarized based on the personal examination of 19 affected patients. Each of these patients demonstrated erosive or des‐quamative disease on some combination of vulvar, vaginal, or gingival mucosal surfaces, but often, at a single point in time, only one or two of the three areas were involved. Clinical features supporting the diagnosis of lichen planus included the regular presence of a narrow white reticulated border at the periphery of the eroded vulvar lesions and the occasional presence of nonerosive lichen planus lesions elsewhere on the skin or mucous membranes. Biopsy specimens taken from the white reticulated border generally revealed the typical histology of lichen planus, whereas biopsy specimens taken from the central eroded surface more often showed only a nonspecific inflammatory reaction. Recognition of the vulvo‐vaginal–gingival syndrome as part of the lichen planus spectrum will likely reduce the frequency of otherwise unclassifiable cases of vulvo‐vaginal desquamative and erosiv

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1989.tb02484.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACT:The incidence of vitiligo at the University College Hospital, Ibadan, Nigeria, was 6% for the period from 1980–1983. Approximately 70% were not older than 30 years of age. Sixty‐three percent of the lesions were in exposed areas. No family history was obtained. Leucoderma from cosmetics needs to be differentiated from vitiligo. Mercuric iodide‐containing “germicidal” soap, antiseptics with phenolic derivatives, and hydroquinone‐containing cosmetics have become endemic and are contributing to the former type of hypomelanosis. More worrisome is the use of topical corticosteroids as adjuncts with hydroquinone for lightening the skin tone. Oral and topical psoralens are not available in Nigeria, and management of this already complex disease with other modalities of treatment remains uns

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1989.tb02485.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACT:A 69‐year‐old man presented with a 3‐year history of scattered, grouped, asymptomatic follicular papules, pustules, and nodules tending toward coalescence into large geographic aggregates. Repeated cutaneous biopsy specimens showed granulomatous follculitis with negative Ziehl‐Neelsen stains. Finally, biopsy material submitted for mycobacterial culture grew Mycobacterium tuberculosis. No evidence of active systemic tuberculosis was found. The patient had a very rare form of tuberculosis, disseminated lupus vulgaris, presenting with granulomatous folliculitis, which is usually not seen in lupus vulgaris. The lesions resolved after an 18‐month course of isoniazid and rifampin. The unusual clinical and histologic presentation as well as occasional partial remissions following a variety of nonspecific empiric therapies delayed diagnosis despite multiple evaluations. This case illustrates the importance of obtaining mycobacterial cultures from skin biopsy specimens in addition to special stains whenever cutaneous tuberculosis is

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1989.tb02486.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

ABSTRACT:The authors report on a retrospective study of the occurrence of chancroid in the city of Vienna during the past 10 years. After identifying two patients at the authors' department with chancroid in March 1988, the authors investigated the frequency with which this disease presented during the last 10 years. Of 32 patients, six presented between 1977 and 1980, and one patient in 1987. The remaining 25 patients were diagnosed within a 4‐month period in 1981, suggesting a limited outbreak. The source of this infection could be traced to Turkey; infected prostitutes contributed to further spread in Vienna. All patients were treated successfully with sulfamethoxazole/trimethoprim. Efficient control of this outbreak can be attributed to inpatient treatment of the prostitutes. Appropriate and timely treatment must be proceeded by careful and exact diagnosis of this disease whose clinical picture is constantly diverging from its classical for

ISSN:0011-9059    

DOI:10.1111/j.1365-4362.1989.tb02487.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY