Paraffin Granulomata, "Witch's Chin," and Nasal Deformities: Excision and Reconstruction with Reduction Chinplasty and Open Rhinotomy Resection.

A 57-year-old Filipino woman had paraffin materials placed in her nose, chin, and cheeks approximately 15 years prior to consultation. Progressive enlargement of the chin had occurred, simulating a witch's chin deformity, with a lesser degree of the distal nose and columellar area. Restoration of a relatively normal chin contour was accomplished by using tumescent bi-level anesthesia, mobilizing the protuberant tissues, hemi-ressecting the excess skin, and sculpting the subjacent tissue to an appropriate degree. The nose was then entered at the columellar junction with the upper lip, an open rhinotomy was accomplished, the supra-cartilaginous fibrous tissue was serially ressected to reform the profile, the cartilage was replaced to narrow the nasal configuration, and the nose structure was then replaced. Cosmetic improvement was significant.

Calafianin, a bromotyrosine derivative from the marine sponge Aplysina gerardogreeni.

Calafianin (1) and two known compounds, aerothionin and (3, 5-dibromo-2-hydroxy-4-methoxyphenyl)acetic acid, were isolated from the marine sponge Aplysina gerardogreeni. The structure of 1 was determined by NMR analysis and mass spectrometry.

[Ask-Upmark kidney: description of a case and review of the literature]. / Riñón de Ask--Upmark: descripción de un caso y revisión en la literatura.

We present a 15-year-old male patient diagnosed histopathologically as suffering from Ask-Upmark kidney, in the absence of vesicoureteral reflux and with hypertension. The first clinical manifestation was completely atypical: right loin pain, with so many agudisation treated at our emergency serve that justified a thorough study. The pathogenesis of the Ask-Upmark kidney is still unknown; some authors defend the congenital malformation hypothesis, as it was first described in 1929, but there are groups who support the Ask-Upmark kidney as a form of reflux nephropathy. After our description we present a review of the literature.

Two new flavones from Calliandra californica.

Two new flavones were isolated from the medicinal plant Calliandra californica, 7,2',4',5'-tetramethoxyflavone [1] and 5-hydroxy-7,2',4',5'-tetramethoxyflavone [2]. The structures were determined from spectral evidence and both compounds were synthesized. Compound 2 exhibited antimicrobial activity for two test bacterial strains.