Cases reported "Facial Dermatoses"

Filter by keywords:



Filtering documents. Please wait...

1/18. Treatment of cutaneous leishmaniasis with 20% paromomycin ointment.

    Cutaneous leishmaniasis is an infectious disease caused by flagellate protozoa of the genus Leishmania. In Mediterranean countries, the most common causative agents are Leishmania (L.) major, L. infantum and L. tropica. In croatia, cutaneous leishmaniasis is a rare disease, the last case being reported in 1988. Our patient was a 5-year-old boy with a left cheek skin lesion in the form of papule with central exulceration, hyperkeratotic crust and erythema of a 6-month duration. The diagnosis of cutaneous leishmaniasis was based on history data (stay in the southernmost region of croatia and multiple mosquito bites), light microscopic histology (dense infiltrates of large histiocytes with extracellular bodies), and positive montenegro (leishmanin) test. A new therapy with aminosidine (paromomycin), an aminoglycoside antibiotic, in the form of ointment at a concentration of 20%, was for the first time used in croatia. Four-week therapy resulted in complete regression of the skin lesions with residual hyperpigmentation. During therapy, no local or systemic side effects were observed. Thus, topical therapy with paromomycin could be considered an efficient therapeutic alternative in the management of cutaneous leishmaniasis.
- - - - - - - - - -
ranking = 1
keywords = leishmaniasis
(Clic here for more details about this article)

2/18. Cutaneous leishmaniasis.

    The incidence of leishmaniasis is increasing globally due to population and environmental changes. Ease of worldwide travel and immigrant populations means that the UK surgeon is more likely to encounter cutaneous lesions. Two cases are presented and treatment options discussed.
- - - - - - - - - -
ranking = 0.62500615178614
keywords = leishmaniasis, world
(Clic here for more details about this article)

3/18. Erythematous-edematous-infiltrative plaque on the face: cutaneous angio-lupoid leishmaniasis.

    The present report deals with an unusual clinical presentation of cutaneous leishmaniasis occurring in an atopic subject and discusses the possible pathogenetic mechanisms with particular attention to the role of nitric oxide in the immunological control against intracellular parasites. The altered balance between TH1 and TH2, typical of atopy, with consequent production of IL-4, might contribute to the high susceptibility to opportunistic infections and to the unusual clinical presentation. Moreover the laxity of the tissue and the great vascularization may enhance cutaneous expression of the Leishmania infestation, producing new aspects which add to the difficulty of diagnosis.
- - - - - - - - - -
ranking = 0.625
keywords = leishmaniasis
(Clic here for more details about this article)

4/18. erythema multiforme due to contact with weeds: a recurrence after patch testing.

    erythema multiforme (EM) as a complication of patch testing (PT) is rare. A 52-year-old woman with a 13-year history of episodes of EM, after contact with weeds during home gardening, had had no recent history of herpes simplex, other infection, drug ingestion or vaccination. On examination, EM lesions were distributed on the exposed skin. 5 weeks after complete resolution, PT and photopatch testing (PPT) were done with fresh plants she brought in. She was PT with a standard series and the Hermal-Trolab plants, woods, tars, balsams and flavors series. Intradermal testing, with a 3 reaction to mixed weed pollens, was done 3 weeks later. Specific IgE to weed pollens class 1 (CAP-Pharmacia) was detected. Eczematous PT reactions were obtained with fresh leaves: common chickweed (stellaria media caryophyllaceae), dandelion (taraxacum officinale Compositae), field-milk thistle (sonchus arvensis Compositae) and white clover (trifolium repens Leguminosae). Photoaggravation was seen to common chickweed and dandelion. Positive PT was also seen with alantolactone. By the 4-day reading, a typical EM had commenced, coming up to quite the same extent as seen on admission. There was no photosensitivity (UV skin tester, K. Waldmann). In the essential oil obtained from common chickweed, thin layer chromatography (TLC) revealed the well-known contact allergens borneol, menthol, linalool, 1,8-cineole, and other terpenes such as epoxy-dehydro-caryophyllene, monoterpene alcohol-ester and caryophyllene. Up to now, no data on essential oil in stellaria media (common chickweed) have been reported. It can be concluded that EM developed due to contact with weeds, and recurred after patch testing. Neither blistering nor eczematous lesions have been seen on her skin, making this case very unusual. As far as the world literature is concerned, this is only the 4th report of EM developing in association with patch testing.
- - - - - - - - - -
ranking = 6.1517861402784E-6
keywords = world
(Clic here for more details about this article)

5/18. Disseminated mucocutaneous leishmaniasis resulting from chronic use of corticosteroid.

    Mucocutaneous leishmaniasis is a granulomatous disease clinically characterized by ulcerated skin and mucosal lesions whose clinical manifestations can regress spontaneously, but with possible long subclinical evolution. The course of the disease is often related to the host immune response. The purpose of this article is to describe the clinical and microscopic findings of cutaneous and mucosal lesions of mucocutaneous leishmaniasis in a patient who presented an unusual form of the disease associated with an immunosuppressive state.
- - - - - - - - - -
ranking = 0.75
keywords = leishmaniasis
(Clic here for more details about this article)

6/18. A new rural focus of cutaneous leishmaniasis caused by leishmania tropica in kenya.

    We have identified a new rural focus of cutaneous leishmaniasis caused by leishmania tropica in Muruku sublocation, Salama location, Laikipia district, Rift Valley province, kenya. Based on a few available case histories, previous reports of L. tropica in kenya indicated a tentative geographical distribution. Recently 6 indigenous Kenyans from the new focus, who had never travelled outside kenya, developed cutaneous lesions on the face and/or extremities found to contain Leishmania by culture and smear. Most of the patients manifested the typical 'urban' dry sore which grew slowly into a nodule measuring 2 x 1 cm to 9.5 x 3 cm, and after some months formed a central crust surrounded by small satellite papules. After treatment with Pentostam (sodium stibogluconate), about 40% of the sores failed to heal completely, either scarring centrally with fulminating papules at the edges and spreading peripherally, or healing but then recrudescing at the edge of the scar. Stationary-phase promastigotes from culture isolates were analysed by cellulose acetate electrophoresis. Isoenzyme profiles of 6 isolates were compared with those of world health organization reference strains using 12 enzyme loci; they were indistinguishable from those of 2 L. tropica reference strains. All 6 case sites lay within a radius of 4 km. Several other suspected cases from the same area are being investigated.
- - - - - - - - - -
ranking = 0.625
keywords = leishmaniasis
(Clic here for more details about this article)

7/18. Acute allergic contact dermatitis due to para-phenylenediamine after temporary henna painting.

    The use of temporary natural henna painting for body adornment and hair dyeing is very common in several countries of the Indian subcontinent, middle east, and North africa, and the fad is spreading in other parts of the world. Several cases of para-phenylenediamine (PPD) contaminated, temporary traditional/natural henna induced sensitization and acute allergic reaction have been reported, along with occasional serious long term and rare fatal consequences. We report here a 17-year-old girl with blisters over her hands of five-days duration that appeared within 72 hours of applying a temporary henna paint to her hands during a social occasion. Similar lesions were noted on her face. She had previously applied black henna only once, a year earlier without developing any lesions. Clinical diagnosis of acute allergic contact dermatitis (ACD) was made. After a short course of oral corticosteroids, topical mometasone furaote 1.0% cream, and oral antihistamines, the lesions healed completely over the next four weeks leaving post-inflammatory hypopigmentation. Patch testing done with standard European battery, PPD 1% in petrolatum, and commercially available natural henna powder revealed a 3 reaction to PPD at 48 hours. No reaction was seen at the natural henna site. awareness of the condition among physicians and the public and regulation regarding warnings of the risks of using such products is urgently warranted.
- - - - - - - - - -
ranking = 6.1517861402784E-6
keywords = world
(Clic here for more details about this article)

8/18. Disseminated cutaneous leishmaniasis.

    Disseminated cutaneous leishmaniasis DCL is a condition rarely seen in the middle east. We report a case of disseminated cutaneous leishmaniasis in a 60-years-old lady. The patient first presented 1996 with an initial lesion, which started on the butterfly area of the face and spread, probably due to immunosuppression, to involve the whole face. The lesions consisted of nodules, which did not ulcerate. The histology showed abundance of macrophages filled with amastigotes L-D bodies. The patient was started on oral zinc sulphate 10 mg/kg in 3 divided doses daily. The condition showed gradual improvement. Repeated biopsies showed upgrading of the histopathological picture. After 6-months of treatment there was complete clearance of the condition. The patient was followed up for 6-years with no recurrence. However, she presented with a new lesion on the butterfly area again in February 2003. The biopsy again showed abundance of macrophages filled with amastigotes L-D bodies. A 4-months course of zinc sulphate 10 mg/kg in 3 divided doses daily resulted in complete clearance of the lesions. zinc sulphate might represent a new treatment for this condition that has no adequate treatment until now.
- - - - - - - - - -
ranking = 0.75
keywords = leishmaniasis
(Clic here for more details about this article)

9/18. Mucocutaneous leishmaniasis presenting as facial cellulitis.

    We report a case of mucocutaneous leishmaniasis caused by Leishmania viannia braziliensis. Despite several courses of both oral and intravenous antibiotics no improvement was seen. This case highlights the importance of taking a thorough history, including details of recent travel, and considering rarer causes when no improvement with antibiotics is seen. Our patient was infected with a particularly virulent strain and destruction of the mucous membranes is not uncommon. Rapid diagnosis and treatment are therefore crucial.
- - - - - - - - - -
ranking = 0.625
keywords = leishmaniasis
(Clic here for more details about this article)

10/18. Eosinophilic folliculitis in hiv-infected women: case series and review.

    BACKGROUND AND OBJECTIVE: Dermatologic conditions are often presenting signs of hiv infection and may be the sole cause of morbidity in patients who have otherwise stable hiv disease. Eosinophilic folliculitis is a pruritic, follicular eruption that typically manifests late in the course of hiv infection. Most published reports of eosinophilic folliculitis have been in hiv-infected men. In those reports, a characteristic truncal distribution was present, with involvement of the head, neck, and upper extremities commonly seen as well. The objective of this study was to better characterize the presentation of eosinophilic folliculitis in women. methods: We conducted a retrospective chart review of six hiv-seropositive women with eosinophilic folliculitis previously seen in our dermatology clinics. We also reviewed the literature for cases of eosinophilic folliculitis in women and for clinical and therapeutic aspects of the condition, particularly in women. RESULTS: In our case series, we found that eosinophilic folliculitis in women may predominantly affect the face and mimic acne excoriee. A review of the literature of hiv-associated eosinophilic folliculitis in women supports these findings. Regarding treatment, many therapies are available, but none is uniformly effective. CONCLUSION: Given the dramatic rise in the incidence of hiv infection in women, who now represent nearly 50% of adults living worldwide with hiv/AIDS, a heightened awareness of hiv-related dermatoses in women is essential. hiv-associated eosinophilic folliculitis should be considered in the differential diagnosis of chronic, pruritic, papular facial eruptions in females.
- - - - - - - - - -
ranking = 6.1517861402784E-6
keywords = world
(Clic here for more details about this article)
| Next ->


Leave a message about 'Facial Dermatoses'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.