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1.
In. Prabhu, S. R. Textbook of oral medicine. New York, Oxford University Press, 2004. p.124-136, tab.
Monografia em Inglês | MedCarib | ID: med-16951

RESUMO

A mucosal ulcer is a breach in the epithelial continuity that results in the exposure of underlying connective tissue to the external environment. Mucosal erosion, on the other hand, is a shallow depression resulting from the loss of a few layers of epithelial cells. In erosive lesions the connective tissue is not exposed to the external environment. In dental practice oral mucosal ulcers and erosions are commonly encountered. Most ulcerative and a few erosive lesions are symptomatic and patients seek consultation for relief from discomfort and pain. Oral ulceration and erosion can result from several causes which may operate at local or systemic levels. Diagnosis of oral ulcerative and erosive lesions is not easy. This is because of the fact that ulcers, in particular, may often look clinically similar regardless of the differences in their causative factors. Some ulcers may also possess malignant potential or frank malignant features at the time of patient's first visit (AU)


Assuntos
Humanos , Úlceras Orais/classificação , Úlceras Orais/etiologia , Úlceras Orais/diagnóstico , Gengivite Ulcerativa Necrosante/complicações , Gengivite Ulcerativa Necrosante/tratamento farmacológico , Enterovirus , Herpes Zoster/diagnóstico , Herpesvirus Humano 4 , HIV/patogenicidade
2.
Postgrad Doc - Caribbean ; 11(6): 268-77, Dec. 1995.
Artigo em Inglês | MedCarib | ID: med-5032

RESUMO

Skin manifestations are a common feature of HTLV-1 associated disorders and of HTLV-1 infection itself. These include the lymphomatous skin infiltrates in adult T-cell lymphoma/leukaemia, most commonly manifesting as persistent, generalised papules, nodules and plaques with later ulceration, acquired ichthyosis and xeroderma in HAM/TSP, infective dermatitis of children, dermatomyositis, crusted (Norwegian) scabies, psoriasiform rashes which may precede one of the more serious disease associations, and possibly also seborrhoeic dermatitis. Disorders typically associated with immunosuppression such as disseminated herpes zoster, and ulcerative non-healing herpes simplex may also be seen occasionally both in ATK as well as in other wise asymptomatic HTLV-1 infection (AU)


Assuntos
Humanos , Masculino , Feminino , Criança , Adulto , Vírus Linfotrópico T Tipo 1 Humano , Linfoma Cutâneo de Células T , Dermatite , Dermatomiosite , Escabiose , Psoríase , Herpes Zoster , Herpes Simples , Leucemia-Linfoma de Células T do Adulto , Paraparesia Espástica Tropical , Uveíte , Hipercalcemia , Anemia , Complexo Relacionado com a AIDS , Hanseníase , Sarcoidose , Dermatite Esfoliativa , Escleroderma Sistêmico , Dermatopatias Vesiculobolhosas , Eczema , Ictiose , Imunoglobulina G , Anticorpos Anti-HTLV-I , Staphylococcus , Streptococcus , Bronquiectasia , Catarata , Polimiosite , Eritema , Edema , Sarcoptes scabiei , Dermatite Seborreica , Tinha do Couro Cabeludo , Região do Caribe , Estados Unidos , Haiti , Japão , América do Sul , África
3.
West Indian med. j ; 40(suppl.1): 57, Apr. 1991.
Artigo em Inglês | MedCarib | ID: med-5544

RESUMO

One of the commonest examples of severe pain that persists long after the injury or disease initiating it has ceased to be active is the neuralgia complicating herpes-zoster. A large variety of treatments have been used to treat acute herpetic and post-herpetic neuralgia, with disappointing results. The treatment of choice should have a low risk of damaging the patient and should relieve acute herpetic neuralgia of all grades of severity, prevent post-herpetic neuralgia and effectively relieve neuralgia at all sites in all patients. In this study, 40 patients with acute herpetic neuralgia and 15 patients with post-herpetic neuralgia were treated with sympathetic blocks (SB). It was possible to follow up 30 (66.6 percent) of the patients with neuralgia treated in the acute stage and 12 (80 percent) of the patients with post-herpetic neuralgia for one or more years after treatment. Effective and permanent relief was achieved in all patients if SBs were given within 3 weeks of the onset of the neuralgia in the acute stage of the disease. In patients with post-herpetic neuralgia of 6 months' duration or less, SBs gave complete relief to 41.6 percent and partial relief to 41.7 percent. The results of this study justify the conclusion that SBs satisfy the criteria necessary for treating acute herpetic neuralgia effectively. The rate of success of SBs in treating post-herpetic neuralgia is high enough to make them the preferred method of treatment in this neuralgia (AU)


Assuntos
Humanos , Neuralgia/terapia , Bloqueio Nervoso Autônomo , Herpes Zoster
4.
Caribbean J Pharmacy ; 1(3): 50-3, Aug. 1986.
Artigo em Inglês | MedCarib | ID: med-8048

RESUMO

Licorice (liquorice) is widely known as a flavouring agent. It is also commonly recgonized as a folk medicine for sore throats. It is not as widely known, however, that licorice has cortisone-like activity and side effects. Nor is it commonly known that preparations from licorice are clinically useful in treating peptic ulcers. Currently, focus is on the role of licorice in treating various herpes infections. Data is presented vindicating many traditional uses and evaluating the role of licorice and its derivatives in current clinical medicine (AU)


Assuntos
Glycyrrhiza/efeitos dos fármacos , Úlcera Péptica/tratamento farmacológico , Herpes Zoster/tratamento farmacológico , Neoplasias/tratamento farmacológico
7.
West Indian med. j ; 21(3): 181, March 1972.
Artigo em Inglês | MedCarib | ID: med-6229

RESUMO

Herpetic and post herpetic neuralgia, two of the most distressing complications of herpes zoster, are not uncommon and in a period of 10 years since October, 1961, I have treated 21 patients, 18 females and 3 males with neuralgia complicating herpes zoster. Fourteen patients presented with neuralgia during the herpetic stage and 7 in the post herpetic stage. In these 7, duration of pain reported varied from 2 weeks to 3 years. Ten patients had very severe pain and 11 patients severe pain. I regarded the pain experienced as severe when it distrubed sleep and other bodily functions, and required narcotic medication for its control; and very severe when it persisted despite narcotic medication. On five occasions the cranial nerves were involved. The 5th four times and the 7th together with the 8th once. In the 4 patients with 5th nerve involvement, the ophthalmic division alone was involved once, the ophthalmic and maxillary division together once, and the mandibular division twice; once alone, and one together with the cervical roots. The cervical roots were involved alone four times, the thoracic roots nine times, and the lumbar roots three times. The patient with 7th and 8th nerve involvement developed in addition an herpetic irido cyclitis and there were unequivocal signs of encephalitis in 3 of the patients with cranial nerve involvement. Three patients were in their 6th decade, 7 in the 7th and 11 over 70 years old. Stellate ganglion blocks were used for treating neuralgias of the head and neck and upper thoracic roots which paravertebral sympathetic blocks and epidural blocks (lumbar and caudal were used for neuralgias of the lower thoracic and lumbar region. Thirteen patients were given complete and lasting relief and 6 patients partial relief, i.e. their pain was reduced to such an extent that it could be controlled by such analgesics as aspirin and paracetamol. In additional there were 2 patients who reported complete relief up to 7 days after their last treatment, whom I have been able to trace at follow-up. The number of analgesic blocks required for pain relief varied. The patient with involvement of the 7th and 8th nerves required as many as fifteen blocks. But in the majority one or two blocks sufficed (AU)


Assuntos
Humanos , Feminino , Masculino , Neuralgia/terapia , Herpes Zoster/complicações
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