Assuntos
Analgésicos Opioides/efeitos adversos , Paniculite/induzido quimicamente , Pentazocina/efeitos adversos , Idoso de 80 Anos ou mais , Analgésicos Opioides/administração & dosagem , Nádegas , Calcificação Fisiológica , Feminino , Humanos , Injeções Subcutâneas , Pentazocina/administração & dosagem , Coxa da PernaRESUMO
Disfiguring nodular nasal lupus pernio is a rare condition that responds poorly to medical management. We have treated three affected patients with carbon dioxide laser remodelling, and report their progress 6 years, 2 years and 16 months following treatment, respectively. Although the abnormal granulomatous tissue was debulked rather than completely excised, the wounds healed within 4 weeks in all patients. The cosmetic results are acceptable and have been maintained in two of the patients, perhaps a reflection of their overall systemic sarcoidosis control.
Assuntos
Terapia a Laser/métodos , Deformidades Adquiridas Nasais/cirurgia , Doenças Nasais/cirurgia , Sarcoidose/cirurgia , Dermatopatias/cirurgia , Dióxido de Carbono , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Deformidades Adquiridas Nasais/patologia , Doenças Nasais/patologia , Sarcoidose/patologia , Dermatopatias/patologia , Resultado do TratamentoRESUMO
Amiodarone, a benzofuran derivative, has been used therapeutically as an antiarrhythmic and coronary vasodilator in Europe since 1964. One of its commoner side effects is cutaneous photosensitivity; more rarely, after ingestion of the drug for around 12 months, a slate-grey or violaceous discoloration of sun-exposed sites may gradually develop. Both of these side effects usually resolve within 2 years of discontinuation of the drug. We now present a woman who developed both photosensitivity and a slate-grey discoloration whilst taking amiodarone; on discontinuation of the drug, the dyspigmentation gradually resolved, but the photosensitivity has persisted and the patient remains symptomatic more than 17 years later.
Assuntos
Amiodarona/efeitos adversos , Antiarrítmicos/efeitos adversos , Transtornos de Fotossensibilidade/induzido quimicamente , Idoso , Dermatoses Faciais/induzido quimicamente , Dermatoses Faciais/patologia , Feminino , Humanos , Hiperpigmentação/induzido quimicamente , Hiperpigmentação/patologia , Transtornos de Fotossensibilidade/patologiaAssuntos
Alérgenos/efeitos adversos , Dermatite Alérgica de Contato/diagnóstico , Tiossulfato Sódico de Ouro/efeitos adversos , Auxiliares de Audição/efeitos adversos , Adolescente , Dermatite Alérgica de Contato/etiologia , Dermatite Alérgica de Contato/patologia , Diagnóstico Diferencial , Orelha Externa , Feminino , Humanos , Testes do EmplastroRESUMO
Onychocola canadensis is an uncommon nondermatophyte mould which can occasionally cause onychomycosis, and rarely, tinea manuum. It typically affects elderly individuals, some of whom have been farmers, in temperate climates. We describe a patient with onychomycosis due to this organism. She failed to respond to a 12-week course of terbinafine 250 mg o.d.