Assuntos
Dermatite , Veia Safena , Denervação Autônoma , Dermatite/etiologia , Humanos , Veia Safena/cirurgiaAssuntos
Hanseníase Dimorfa , Hanseníase Tuberculoide , Hanseníase , Criança , Pré-Escolar , Humanos , Hanseníase/diagnóstico , Hanseníase/tratamento farmacológico , Hanseníase Dimorfa/diagnóstico , Hanseníase Dimorfa/tratamento farmacológico , Hanseníase Tuberculoide/diagnóstico , Hanseníase Tuberculoide/tratamento farmacológicoRESUMO
A corymbose (or corymbiform) arrangement in secondary syphilis (derived from the Greek word korymbos) is characterised by a central large plaque or papule surrounded by smaller satellite lesions akin to an explosion, whereas annular plaques consist of a peripheral ring of erythematous papules with central hyperpigmentation. These are very rare cutaneous manifestations of secondary syphilis. This case report focuses on one such interesting case which presented with the annular and corymbose pattern involving the face and genitalia.
Assuntos
Exantema , Placa Aterosclerótica , Sífilis , Humanos , Sífilis/diagnósticoRESUMO
BACKGROUND: There is no information regarding the proportion of stroke patients who drive or ride after a stroke from developing countries. AIM: We aimed to study the predictors of poststroke driving or riding and its impact on social life in Indian patients. METHODS: This study was done in the stroke and neurology clinics of Christian Medical College, Ludhiana, from May 1, 2008 to May 31, 2010. Patients were recruited if they had completed ≥1-year follow-up. Subjects were interviewed using a structured questionnaire. Stroke outcome was assessed by using the modified Rankin scale. Outcome was classified as good (modified Rankin scale ≤2) and poor (modified Rankin scale >2). RESULTS: Two hundred and one patients were interviewed. Mean age was 58·0 ± 13·4 years (median 59 years, range 17-85 years), 139 (69·2%) were men. The mean duration of follow-up was 37·4 ± 29·2 months (range 19-210 months). Out of 201 patients, 132 (65·7%) drove or rode before stroke and among them only 54 (40·9%) returned to driving or riding after stroke [men 53 (98·1%)]. Among the 78 who did not return to driving or riding, 51 (65·4%) had an impact on social life. In the multivariate logistic regression analysis, the predictors of inability to drive were lower education (odds ratio 0·32, confidence interval 0·12-0·89, P = 0·03), unemployment (odds ratio 4·59, confidence interval 1·67-12·6, P = 0·003), and poor outcome (odds ratio 3·97, confidence interval 1·06-14·8, P = 0·04). CONCLUSIONS: Only 40·9% of the patients returned to driving or riding. Lower education, unemployment, and poor recovery were the predictors of inability to drive or ride. Inability to drive had a major impact in their social life.