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Tender scalp

Petra Zimmermann, Andrea Duppenthaler
BACKGROUND: A cephalhaematoma is usually a benign condition which resolves spontaneously. Nevertheless, there is a small risk of primary or secondary infection and diagnosis of this condition is challenging. The purpose of this article is to summarise risk factors, clinical criteria, pathogenesis, appropriate investigations and treatment methods for infected cephalhaematomas in infants. CASE PRESENTATION: A 5-week-old infant presented with fever and a non-tender cephalhaematoma without local signs of inflammation...
November 4, 2016: BMC Infectious Diseases
Megan E Hume, Peter M Fernandes, Kirsty MacLean, Euan McRorie, Richard Davenport
We describe a retired physician who presented with visual disturbance and systemic symptoms. The presence of general malaise, headache and scalp tenderness, with raised inflammatory markers, suggested that giant cell arteritis (GCA) was the likely diagnosis. Rapid response to initial steroid therapy and histological evidence of inflammation in the temporal artery supported this diagnosis. The character of these visual symptoms was, however, atypical for GCA. The patient, who had heart valve disease, subsequently deteriorated and developed further symptoms warranting investigation of bacterial endocarditis...
October 25, 2016: BMJ Case Reports
Kurt de Vlam, Lotus Mallbris, Annette Szumski, Heather Jones
OBJECTIVES: We evaluated whether scalp psoriasis (PsO) is associated with psoriatic arthritis (PsA) severity and/or with treatment response to etanercept. METHODS: Patients with moderate-to-severe PsO and active PsA received etanercept 50 mg once weekly for 24 weeks. Patients were stratified according to whether scalp PsO was present at baseline. Demographics and disease characteristics were compared at baseline and after 12 and 24 weeks of treatment with etanercept...
August 31, 2016: Clinical and Experimental Rheumatology
N Martins, J Polido-Pereira, A M Rodrigues, F Soares, P Batista, J A Pereira da Silva
Giant Cell Arteritis (GCA) is a large vessels vasculitis that is typically characterised by headache, scalp tenderness, jaw claudication and visual disturbances. Temporal arteries color Doppler ultrasonography (CDUS) is a sensitive and non-invasive image technique used in the diagnosis of this disease. This work highlights the importance of CDUS in the diagnostic workup of GCA and also demonstrates it´s usefullness in the evaluation and documentation of the response to corticosteroids therapy in an atypical case of ACG...
April 2016: Acta Reumatológica Portuguesa
Miriam S Bettencourt
OBJECTIVE: To describe the safety, tolerability, and efficacy of treatment of actinic keratosis on the scalp with two consecutive, once-daily applications of ingenol mebutate gel, 0.05%. DESIGN: Retrospective chart review. SETTING: Community dermatology practice. PARTICIPANTS: Male patients (N=78) with a long history of recurrent and relapsed scalp actinic keratosis. MEASUREMENTS: This chart review extracted non-identifying information on patients' medical history, pertinent history of actinic keratosis and skin cancer, and prior actinic keratosis treatments...
March 2016: Journal of Clinical and Aesthetic Dermatology
E Meriglier, R Belhadj Chaidi, O Debouverie, L Luca, P Roblot
INTRODUCTION: Giant cell arteritis most commonly involves the external carotid branches. Although they are less typical, extra-cephalic forms have also been reported. CASE REPORT: We report the case of a 59-year-old female patient who developed bilateral, painful breast nodules with fever and altered general status since two months. Two weeks later, she presented frontal headache and scalp tenderness. A colour duplex ultrasound of the temporal artery showed a halo sign...
August 2016: La Revue de Médecine Interne
Don Gilden, Maria A Nagel
PURPOSE OF REVIEW: Giant cell arteritis (GCA) is a severe form of vasculitis in the elderly. The recent discovery of varicella zoster virus (VZV) in the temporal arteries and adjacent skeletal muscle of patients with GCA, and the rationale and strategy for antiviral and corticosteroid treatment for GCA are reviewed. RECENT FINDINGS: The clinical features of GCA include excruciating headache/head pain, often with scalp tenderness, a nodular temporal arteries and decreased temporal artery pulsations...
July 2016: Current Opinion in Rheumatology
Shinichi Kawai, Hitoshi Tsugu, Yoko Hirata, Hiroshi Abe, Tooru Inoue, Kazuki Nabeshima, Koichi Takano
Calvarial intraosseous schwannoma is very rare bone tumor. Herein we report the case of a 24-year-old woman with an intraosseous schwannoma of the right frontoparietal bone. The patient had a minor head trauma caused by a traffic accident. The patient was examined by a brain computed tomography (CT) and accidentally found a calvarial bone tumor. On local examination, there was no scalp swelling and tenderness. Magnetic resonance imaging (MRI) showed isointensity of the tumor within the brain cortex on T1-weighted image (WI) and high intensity on T2-WI...
May 2016: No Shinkei Geka. Neurological Surgery
Nádia Martins, Joaquim Polido-Pereira, Ana Maria Rodrigues, Fátima Soares, Paulo Batista, José Alberto Pereira da Silva
Giant Cell Arteritis (GCA) is a large vessels vasculitis that is typically characterised by headache, scalp tenderness, jaw claudication and visual disturbances. Temporal arteries color Doppler ultrasonography (CDUS) is a sensitive and non-invasive image technique used in the diagnosis of this disease. This work highlights the importance of CDUS in the diagnostic workup of GCA and also demonstrates it´s usefullness in the evaluation and documentation of the response to corticosteroids therapy in an atypical case of ACG...
November 16, 2015: Acta Reumatológica Portuguesa
Fei Sun, Sha Ma, Wenjie Zheng, Xinping Tian, Xiaofeng Zeng
A retrospective study was performed on 70 giant cell arteritis (GCA) patients in Peking Union Medical College Hospital (PUMCH). The aim of this study was to describe the clinical features of these Chinese GCA patients and explore the possible associated factors for severe ischemic manifestations. Medical charts of all patients were reviewed, and the demographic, clinical, and laboratory data were analyzed. The mean age at disease onset was 65.2 years old, and the ratio of male to female was 1:1. Fever and headache were most prominent symptoms at onset, which occurred in 51...
March 2016: Medicine (Baltimore)
José Hernández-Rodríguez, Giuseppe Murgia, Irama Villar, Elías Campo, Sarah L Mackie, Aruna Chakrabarty, Elizabeth M A Hensor, Ann W Morgan, Carme Font, Sergio Prieto-González, Georgina Espígol-Frigolé, Josep M Grau, Maria C Cid
The extent of inflammatory infiltrates in arteries from patients with giant-cell arteritis (GCA) have been described using different terms and definitions. Studies investigating the relationship between GCA histological features and clinical manifestations have produced controversial results. The aims of this study were to characterize and validate histological patterns in temporal artery biopsies (TABs) from GCA patients, to explore additional histological features, including the coexistence of different patterns, and also to investigate the relationship of the inflammatory patterns with clinical and laboratory features...
February 2016: Medicine (Baltimore)
A Tulin Mansur, Gulsen T Demirci, M Adnan Uzunismail, Semsi Yildiz
Follicular hair unit extraction (FUE) is becoming a popular type of hair transplantation recently. Kaposi's varicelliform eruption (KVE) is an uncommon skin emergency due to cutaneous dissemination of several types of viruses, most notably herpes virus, over the lesions of preexisting skin disorders. A 34-year-old man visited our dermatology outpatient clinic with a blistering, itchy and tender eruption on his head and body. He had undergone follicular FUE for androgenic alopecia 12 days previously, and 5 days after the procedure, umbilicated and/or hemorrhagic vesiculopustules appeared firstly on the occipital scalp skin where the hair units were taken...
January 2016: Dermatology Practical & Conceptual
Don Gilden, Maria A Nagel
PURPOSE OF REVIEW: Giant cell arteritis (GCA) is a serious disease and the most common cause of vasculitis in the elderly. Here, studies describing the recent discovery of varicella zoster virus (VZV) in the temporal arteries of patients with GCA are reviewed. RECENT FINDINGS: GCA is characterized by severe headache/head pain and scalp tenderness. Many patients also have a history of vision loss, jaw claudication, polymyalgia rheumatica, fever, night sweats, weight loss, and fatigue...
June 2016: Current Opinion in Infectious Diseases
Yang Zhou, Michael L Morgan, Sumayya J Almarzouqi, Patricia Chevez-Barrios, Andrew G Lee
A 75-year-old woman with new onset headaches and left vision loss, temporal scalp tenderness, and jaw claudication was found to have biopsy-proven giant cell arteritis (GCA). Despite treatment and improvement with prednisone, she later developed left orbital apex syndrome, and an orbital biopsy revealed aspergillosis. After antifungal treatment, extraocular motility improved although vision in the left eye remained no light perception. Clinicians should be aware that fungal orbital apex disease may mimic or complicate steroid-treated GCA...
June 2016: Journal of Neuro-ophthalmology: the Official Journal of the North American Neuro-Ophthalmology Society
Markus E Huth, Marco D Caversaccio
A 39-year-old white man presented with a swollen left upper eyelid secondary to progressive acute bacterial rhinosinusitis (ABRS). Physical examination found a 40% reduction in vision in the left eye and right-sided erythematous temporal swelling with tenderness to palpation. Computed tomography revealed the presence of an inflammatory lesion in the left orbit. Duplex ultrasonography demonstrated a thrombotic occlusion in the right superficial temporal vein (STV). For treatment of the complicated ARBS, the patient received intravenous antibiotics and underwent surgery...
August 2015: Ear, Nose, & Throat Journal
Mehmet Tokmak, Erdinc Ozek, Celal Iplikçioğlu
BACKGROUND: Chronic intradiploic hematoma was first described by Chorbski and Davis in 1934. To date, only twelve cases have been reported in the literature. Chronic intradiploic hematomas have also been described as non-neoplastic cysts of the diploe, traumatic cysts, and giant cell repetitive granulomas. The term chronic intradiploic hematoma was coined by Sato et al. in 1994. CASE DESCRIPTION: Case 1: a 16-year-old male presented with a non-tender scalp swelling on the right fronto-orbital region...
November 2015: Neurocirugía
Joseph G Christenbury, Michael A Klufas, Theodor C Sauer, David Sarraf
An 82-year-old man presented with acute, painless vision loss in the left eye associated with headaches, jaw claudication, and scalp tenderness. Clinical examination and fluorescein angiography confirmed the diagnosis of a central retinal artery occlusion of the left eye. Spectral-domain optical coherence tomography (OCT) of the left eye showed paracentral acute middle maculopathy (PAMM), and OCT angiography showed severe attenuation of the deep capillary plexus. This is the first case report of OCT angiography of PAMM associated with central retinal artery occlusion confirming the presence of ischemia of the deep retinal capillary plexus...
May 2015: Ophthalmic Surgery, Lasers & Imaging Retina
T F Imran, S Helfgott
OBJECTIVES: The classical presentation of giant cell arteritis (GCA) includes the new onset of headache, scalp tenderness, facial pain or jaw claudication in an older patient. Many patients with GCA have features consistent with the diagnosis of polymyalgia rheumatic (PMR) and nearly all have elevated markers of inflammation such as the erythrocyte sedimentation rate (ESR) or the serum C-reactive protein (CRP). Respiratory and ear-nose-throat (ENT) signs and symptoms such as cough, tongue infarction, trismus, hearing loss and facial swelling are less commonly described, yet they may be the initial presentation of GCA...
March 2015: Clinical and Experimental Rheumatology
Youyuan Shi, Jie Liu
The patient, female, 27 years old. The scalp neoplasm had been found at her right temple 10 years ago. At first, the size of the tumor was just like a soybean, and did not grow obviously in the past nine and a half years. But the tumor increased fast in these six months, almost as large as the pigeon egg now. The physical examination showed that: A spherical tumor locates in the right temple near the right ear; the size of the tumor is 3 cm X 4 cm X 3 cm; the surface is smooth, no tenderness, no obvious mobile base, skull defect not touched...
January 2015: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Michael D Kornberg, John N Ratchford, Rathan M Subramaniam, John C Probasco
A 67-year-old man presented with several days of progressive, painless left eye vision loss. He reported mild jaw claudication but denied headache, scalp tenderness or constitutional symptoms. Examination revealed palpable temporal arteries, blurring of the left optic disc, and 20/100 vision in the left eye with mild relative afferent pupillary defect. Inflammatory markers were sent, and methylprednisolone was initiated for presumptive giant cell arteritis (GCA). Erythrocyte sedimentation rate was normal, however, and C reactive protein was only mildly elevated, prompting further investigation...
April 9, 2015: BMJ Case Reports
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