RESUMO
We feel that it is possible to make a reasonably consistent clinical diagnosis of lichen planus-like keratosis on the basis of several criteria. These criteria include physical appearance, location and short duration of the lesion, clinical symptoms such as pruritus and pain, age and sex of the patient, and the frequent presence of a preceding lentigo. Clinical data on fifty-nine histologically confirmed cases are presented. Some interesting features of this curious condition are discussed. Because of the clinical similarity of lichen planus-like keratosis to other sometimes more ominous lesions, microscopic confirmation of the diagnosis is still recommended.
Assuntos
Ceratose/diagnóstico , Líquen Plano/diagnóstico , Adulto , Fatores Etários , Idoso , Biópsia , Diagnóstico Diferencial , Feminino , Humanos , Ceratose/patologia , Masculino , Pessoa de Meia-Idade , Fatores Sexuais , Pele/patologiaRESUMO
A small familial epidemic of cutaneous sporotrichosis occurring in North Texas is reported. The disease occurred in four out of six children in two separate families of paternal cousins. The presumed source of infection was old prairie hay used for mulching. Trauma at the time of exposure seemed minimal or absent. Response to oral potassium iodide therapy was prompt and satisfactory.
Assuntos
Dermatomicoses/genética , Esporotricose/genética , Administração Oral , Adolescente , Criança , Pré-Escolar , Dermatomicoses/tratamento farmacológico , Dermatomicoses/microbiologia , Surtos de Doenças , Feminino , Humanos , Masculino , Iodeto de Potássio/administração & dosagem , Sporothrix/citologia , Esporotricose/tratamento farmacológico , Esporotricose/microbiologia , TexasRESUMO
A case of accidental industrial exposure to a single large dose of ultrasoft (Grenz) x-rays is reported. Certain inferences can be made by estimating average skin target dosage, average kilovoltage, milliamperage and duration of exposure. From these data the quality and skin depth dosage of the ray can be tentatively estimated. Comparison of these figures with known biological phenomena such as immediate x-ray burn reaction, late cutaneous sequelae and temporary epilation permits a reasonable estimate of probable skin surface dosage and prognosis.