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consultative dermatology

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https://www.readbyqxmd.com/read/27873736/amber-necklaces-reasons-for-use-and-awareness-of-risk-associated-with-bacterial-colonisation
#1
Pauline Machet, Philippe Lanotte, Bruno Giraudeau, Marie Leperlier, Elsa Tavernier, Annabel Maruani
BACKGROUND: Parents are increasingly placing amber necklaces on their infants or toddlers to prevent teething pain. The use of the necklaces can pose a risk of death by strangulation, however, there are no data on the potential infectious risk linked to bacterial colonisation associated with the necklaces. OBJECTIVES: We aimed to analyse bacterial colonisation of amber necklaces worn by children during hospital consultations. MATERIAL & METHODS: This prospective observational study included all children wearing a teething necklace at consultation in the Paediatric Dermatology and the Paediatric Emergency Department of our hospital from April to December 2014...
November 21, 2016: European Journal of Dermatology: EJD
https://www.readbyqxmd.com/read/27851860/dermatopulmonary-syndrome-associated-with-anti-mda5-antibodies-after-allogeneic-hematopoietic-stem-cell-transplantation
#2
Clémence Lepelletier, Djaouida Bengoufa, Zeltni Lyes, Adèle de Masson, François Chasset, Marie Jachiet, David Michonneau, Marie Robin, Régis Peffault de Latour, Flore Sicre de Fontbrune, Yacine Tandjaoui-Lambiotte, Armand Bensussan, Michel Rybojad, Abdellatif Tazi, Martine Bagot, Gérard Socié, Anne Bergeron, Jean-David Bouaziz
Importance: Chronic graft-vs-host-disease (cGVHD) after allogeneic stem cell transplantation (AHSCT) may resemble autoimmune diseases. Anti-MDA5 (melanoma differentiation-associated gene 5) dermatopulmonary syndrome is a subset of dermatomyositis defined by specific clinical features and detection of anti-MDA5-antibodies in the serum. Objective: To characterize the clinical features of patients who underwent AHSCT and screened positively for anti-MDA5 antibodies...
November 16, 2016: JAMA Dermatology
https://www.readbyqxmd.com/read/27842709/-recommendations-for-patients-on-preparing-for-dermatology-allergology-consultations-evaluation-of-the-information-notice-of-the-french-society-for-dermatology
#3
C Desmond, F Giordano-Labadie, A Barbaud, M Avenel-Audran, J-L Bourrain, N Raison-Peyron, F Truchetet, A Assier, B Milpied
BACKGROUND: Skin patch-tests in dermatology-allergology practice require good preparation. To this end, the dermatology-allergology group of the French Society of Dermatology introduced an information notice informing patients about patch testing procedures. The aim of this study was to evaluate the utility and understanding of the notice. PATIENTS AND METHODS: The information notice was sent out to patients before testing. On the day of the test, a questionnaire was submitted to patients to evaluate their comprehension of the notice...
November 11, 2016: Annales de Dermatologie et de Vénéréologie
https://www.readbyqxmd.com/read/27810017/toenail-paronychia
#4
REVIEW
Adam Lomax, James Thornton, Dishan Singh
Paronychia is an inflammation of the tissues alongside the nail. It may be acute or chronic and can be seen in isolation or in association with an ingrowing toenail. Acute paronychial infections develop when a disruption occurs between the seal of the nail fold and the nail plate, providing a portal of entry for invading organisms. The treatment of paronychia associated with an ingrowing toenail is aimed at treating the causal toenail. In paronychia not associated with an ingrowing toenail, antibiotics may cure an early infection but surgical drainage of an abscess is often required...
December 2016: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/27785707/medical-malpractice-in-dermatology-part-ii-%C3%A2-what-to-do-once-you-have-been-served-with-a-lawsuit
#5
Vidhi V Shah, Marshall B Kapp, Stephen E Wolverton
Facing a malpractice lawsuit can be a daunting and traumatic experience for healthcare practitioners, with most clinicians naïve to the legal landscape. It is crucial for physicians to know and understand the malpractice system and his or her role once challenged with litigation. We present part II of a two-part series addressing the most common medicolegal questions that cause a great deal of anxiety. Part I focused upon risk-management strategies and prevention of malpractice lawsuits, whereas part II provides helpful suggestions and guidance for the physician who has been served with a lawsuit complaint...
December 2016: American Journal of Clinical Dermatology
https://www.readbyqxmd.com/read/27747909/six-years-experience-of-grenz-ray-therapy-for-the-treatment-of-inflammatory-skin-conditions
#6
L Fenton, R S Dawe
BACKGROUND: In 2008, Ninewells Hospital became the first centre in the UK to offer grenz rays as a treatment for inflammatory dermatoses. Since then, 122 courses have been administered for the following conditions; scalp psoriasis (n = 36), nail dystrophies (n = 27), hyperkeratotic eczema/psoriasis (n = 22), palmoplantar pustulosis (n = 9), perianal pruritus (n = 9), warts (n = 4) and other conditions (n = 15). AIM: To review all patients who received grenz rays in order to determine which conditions have been treated successfully and to estimate remission times...
October 16, 2016: Clinical and Experimental Dermatology
https://www.readbyqxmd.com/read/27718160/reappraisal-of-conventional-diagnosis-for-dermatophytes
#7
Marc Pihet, Yohann Le Govic
Dermatophytoses include a wide variety of diseases involving glabrous skin, nails and hair. These superficial infections are a common cause of consultation in dermatology. In many cases, their diagnosis is not clinically obvious, and mycological analysis therefore is required. Direct microscopic examination of the samples using clearing agents provides a quick response to the clinician and is usually combined with cultures on specific media, which must be used to overcome the growth of contaminating moulds that may hamper the recovery of dermatophytes...
October 7, 2016: Mycopathologia
https://www.readbyqxmd.com/read/27712018/prevalence-of-hair-shedding-among-women
#8
Maja Kovacevic, Andy Goren, Jerry Shapiro, Rodney Sinclair, Neal M Lonky, Mirna Situm, Vedrana Bulat, Zeljana Bolanca, John McCoy
Hair shedding in female patients is a frequent complaint in dermatological, endocrinological, and gynecological consults. Previously, the Sinclair Hair Shedding Scale was developed to assess normal versus excessive hair shedding in female pattern hair loss (FPHL) subjects. However, the prevalence of hair shedding in females not suffering from FPHL is unknown. To gain better understanding of hair shedding in the general population, we recruited 300 subjects visiting a public hospital for conditions other than alopecia...
October 6, 2016: Dermatologic Therapy
https://www.readbyqxmd.com/read/27705083/comparing-high-definition-live-interactive-and-store-and-forward-consultations-to-in-person-examinations
#9
Richard Marchell, Craig Locatis, Gene Burges, Richard Maisiak, Wei-Li Liu, Michael Ackerman
BACKGROUND: There is little teledermatology research directly comparing remote methods, even less research with two in-person dermatologist agreement providing a baseline for comparing remote methods, and no research using high definition video as a live interactive method. OBJECTIVE: To compare in-person consultations with store-and-forward and live interactive methods, the latter having two levels of image quality. METHODS: A controlled study was conducted where patients were examined in-person, by high definition video, and by store-and-forward methods...
October 5, 2016: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
https://www.readbyqxmd.com/read/27699456/diagnosis-and-management-of-skin-and-soft-tissue-infections-in-the-intensive-care-unit-a-review
#10
Jason P Burnham, John P Kirby, Marin H Kollef
PURPOSE: To review the salient features of the diagnosis and management of the most common skin and soft tissue infections (SSTI). This review focuses on severe SSTIs that require care in an intensive care unit (ICU), including toxic shock syndrome, myonecrosis/gas gangrene, and necrotizing fasciitis. METHODS: Guidelines, expert opinion, and local institutional policies were reviewed. RESULTS: Severe SSTIs are common and their management complex due to regional variation in predominant pathogens and antimicrobial resistance patterns, as well as variations in host immune responses...
October 3, 2016: Intensive Care Medicine
https://www.readbyqxmd.com/read/27695866/evaluation-of-hygiene-habits-cross-sectional-study
#11
Manuel António Campos, Ana Cristina Sousa, Paulo Varela, Armando Baptista
Introduction: It is well known that adequate hygiene is important for health. Even though this topic has drawn the attention of the media, little or no scientific investigation has been done. Methods: We performed a comparative questionnaire-based cross-sectional study in three groups: patients attending a dermatology outpatient clinic, patients attending an internal medicine consultation, and community members. Results: We analyzed a total of 446 questionnaires (249 from dermatology patients, 98 from internal medicine patients, and 99 from the community group)...
September 2016: Acta Dermatovenerologica Alpina, Panonica, et Adriatica
https://www.readbyqxmd.com/read/27686648/telehealth-interventions-for-reducing-waiting-lists-and-waiting-times-for-specialist-outpatient-services-a-scoping-review
#12
Liam J Caffery, Mutaz Farjian, Anthony C Smith
We undertook a scoping review of the published literature to identify and summarise key findings on the telehealth interventions that influence waiting times or waiting lists for specialist outpatient services. Searches were conducted to identify relevant articles. Articles were included if the telehealth intervention restructured or made the referral process more efficient. We excluded studies that simply increased capacity. Two categories of interventions were identified - electronic consultations and image-based triage...
September 28, 2016: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/27684717/why-quality-of-life-measurement-is-important-in-dermatology-clinical-practice-an-expert-based-opinion-statement-by-the-eadv-task-force-on-quality-of-life
#13
A Y Finlay, M S Salek, D Abeni, L Tomás-Aragonés, O D van Cranenburgh, A W M Evers, G B E Jemec, D Linder, L Manolache, S E Marrón, C A C Prinsen, P Susitaival, P V Chernyshov
The aim of this study was to describe the many ways in which quality of life (QoL) measurement may potentially be advantageous in routine clinical dermatology practice. Thirteen members of the EADV Task Force on Quality of Life, eight dermatologists, three health psychologists, one epidemiologist and one pharmacoepidemiologist, independently listed all of the ways they thought this may be advantageous. A total of 108 different ways of using QoL information in clinical practice were suggested (median per participant = 8, range = 4-15), and were classified into 20 descriptive groups...
September 29, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/27681584/dermatological-emergencies-evolution-from-2008-to-2014-and-perspectives
#14
C Isnard, S Ingen-Housz-Oro, L Fardet, E Matteodo, S Duval, F Hemery, M Khellaf, T-A Duong, O Chosidow, P Wolkenstein
BACKGROUND: Our dermatological department includes a dermatological emergency unit (DEU) whose activity has grown in recent years. OBJECTIVES: An audit to characterize the activity of our DEU and its evolution in terms of medical demographics of the area. METHODS: We collected the following data from administrative services: number of patients consulting each year in the DEU and in the general emergency unit (GEU) of our hospital between 2008 and 2014; daily and seasonal activity of the DEU; occurrence of a second event in the department and proportion of patients from the DEU who were hospitalized and why...
September 29, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/27681388/association-between-pediatric-psoriasis-and-waist-to-height-ratio-in-the-absence-of-obesity-a-multicenter-australian-study
#15
Andrew Lee, Saxon D Smith, Esther Hong, Sarah Garnett, Gayle Fischer
Importance: Increasing evidence suggests that psoriasis poses a cardiometabolic risk in children, as in adults. The best way to screen for this has not yet been established. Waist-to-height ratio (WtHR) can easily identify children with increased central adiposity and is a simpler alternative to body mass index (BMI) that does not require growth charts or percentiles. Having a WtHR of 0.5 or greater is associated with future cardiovascular risk. Objective: To determine whether children with psoriasis are more likely to have increased WtHR, obesity, and metabolic syndrome relative to children without psoriasis...
September 28, 2016: JAMA Dermatology
https://www.readbyqxmd.com/read/27677412/vitiligo-on-black-skin-epidemiological-and-clinical-aspects-in-dermatology-cotonou-benin
#16
Bérénice Dégboé, Félix Atadokpèdé, Bayaki Saka, Hugues Adégbidi, Christiane Koudoukpo, Hubert Yédomon, Florencia do Ango-Padonou
BACKGROUND: Vitiligo is unsightly on darkly pigmented skin and leads important stigmatization because of the mix-up with leprosy. PATIENTS AND METHODS: We analyzed retrospectively the epidemiological and clinical patterns of vitiligo on darkly pigmented skin between 1988 and 2008 in the Department of Dermatology in Cotonou (Benin). The diagnosis was made based on the clinical characteristics of vitiligo. RESULTS: Two hundred and forty-six patients were seen, representing 0...
September 28, 2016: International Journal of Dermatology
https://www.readbyqxmd.com/read/27672414/gender-differences-in-self-assessed-health-related-quality-of-life-in-children-with-atopic-dermatitis
#17
Pavel V Chernyshov, Roger C Ho, Fiorella Monti, Anna Jirakova, Svitlana S Velitchko, Jana Hercogova, Erica Neri
BACKGROUND: Atopic dermatitis has a significant impact on quality of life of children and families. OBJECTIVE: It is important to assess gender differences in health-related quality of life in children with atopic dermatitis in order to effectively use health-related quality of life results. METHODS: Children 5- to 16-years of age with atopic dermatitis from Italy, Singapore, Czech Republic, and Ukraine were divided into two groups (boys and girls)...
August 2016: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/27663926/tinea-on-a-tattoo
#18
Alexandru Oanţă, Marius Irimie
In the last twenty years, the prevalence of individuals with tattoos in the general population has increased in Europe (1) as well as in Australia (2) and the United States of America (3). A series of complications such as acute inflammatory reactions, allergic contact dermatitis (4,5), photoinduced, lichenoid, and granulomatous reactions (6, 7), pseudolymphoma (8), pseudoepitheliomatous hyperplasia (9), skin infections (6), and skin cancers (10) may occur on tattoos. Infectious complications on tattoos include bacterial infections (pyoderma, leprosy, syphilis, cutaneous tuberculosis, mycobacteriosis) (11-14), viral infections (molluscum contagiosum, warts, herpes simplex, hepatitis B and C) (15-17), and fungal infections (sporotrichosis, dermatophytosis) (18,19)...
August 2016: Acta Dermatovenerologica Croatica: ADC
https://www.readbyqxmd.com/read/27646742/inpatient-dermatology-consultation-in-patients-with-hematologic-malignancies
#19
Elisabeth H Tracey, Amy Forrestel, Misha Rosenbach, Robert G Micheletti
No abstract text is available yet for this article.
October 2016: Journal of the American Academy of Dermatology
https://www.readbyqxmd.com/read/27623329/-ovarian-carcinoid-tumor-responsible-of-permanent-facial-erythrosis-and-flushings-during-sexual-intercourse
#20
B Talvande, A Dorange, M Lecouflet, M Le Nezet, B Kianifard, H Maillard, M Duquenne
INTRODUCTION: Ovarian neuroendocrine tumors are extremely rare. In the ovary, the term of neuroendocrine tumor is usually related to carcinoid tumors although it may be sometimes applied to neuroendocrine carcinomas of non-small cells or small cells cancers usually occurring in the lungs. These carcinoid tumors may develop de novo or from other tumors including teratomas. CASE REPORT: We report a patient who presented with an ovarian carcinoid tumor developed, near or from a dermoid cyst, which was original by its mode of discovery in the dermatology department...
September 9, 2016: La Revue de Médecine Interne
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