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Showing posts from June, 2019

Rowell Syndrome Presenting as Stevens - Johnson Syndrome / Toxic Epidermal Necrolysis

Stevens-Johnson syndrome and toxic epidermal necrolysis are severe forms of cutaneous adverse drug reaction often due to medication. Rarely these cutaneous manifestations can be the firstpresentation of systemic lupus erythematosus and more rarely in its Rowell Syndrome form. We report a case of a 32-year-old patient who had a clinical presentation of TEN toxidermia and based on several clinical and biological criteria, the diagnosis of Rowell syndrome was established with adequate management of the patient. Kindly go through the link for full article https://medwinpublishers.com/CDOAJ/CDOAJ16000181.pdf

Psoriasis

It's new for all. We are just one trial away to cure psoriasis. Human body jaws can move left to right then no reaction of body. If Jaws move turn right to body suffer psoriasis. In any accidental cause when Jaws turn right to left then trigeminal nerves and it branches stretch. Trigeminal nerves pull bones and other skin layer of body, because of this process back bone, spine misalign it cause Inflammation, depression, soreness, anxiety all as a result of psoriasis. Kindly go through the link for full article https://medwinpublishers.com/CDOAJ/CDOAJ16000180.pdf  

Removing the Invisible Barrier to Medical Resources for Individuals with Leprous Histories: Report from a Communitybased Clinic in Japan

Japan has long had a Leprosy Prevention Law. The experience of compulsory segregation often damaged patients’ selfesteem, causing most to break off their family relations. Even after their disease was cured, individuals with a history of leprosy were made to live in a restricted society. When sick, these individuals often don’t want to visit a clinic because they fear disclosure of their leprous history. We set up our clinic to serve as a gateway to medical resources for these individuals, through collaboration with medical social workers. We have several medical specialists, one of whom has many years of experience in working with patients with leprosy. Our clinic actively manages 54 patients, with 2 deaths to date. The average age of the 52 living patients is 78.4 (62–99) years old. Majority of the patients had lepromatous leprosy (LL), followed by borderline leprosy. The disability rates for upper- and lower-extremities and lateral part of the eyes are very high. Patient’s biggest ...

Socio-Demographic Profile of HIV-Positive Mothers under the B + Option Followed by Mother-To-Child Transmission Prevention Sites in Bangui City, Central African Republic

Introduction: According to the data of the mother-to-child transmission program with the B + option in 2015, only 28% of HIV-positive pregnant women benefited from an antiretroviral (ARV) intervention to reduce the risk of mother-tochild Transmission. The aim of this work was to study the demographic profile of HIV-positive mothers under the B + option in the sites of Bangui. Material and Methods: This was a cross-sectional, retrospective, descriptive study, from January 1st to December 31, 2017 in five sites for the prevention of mother-to-child transmission in the city of Bangui in the Central African Republic. The study population consisted of all HIV-positive pregnant women followed under the B + option during the year 2017 and meeting the criteria defined during the period of our study. Results: A total of 293 HIV-positive pregnant women have been identified. The average age was 30 years with extremes of 17 and 43 years. The 25 – 35 year-old pregnants were the most affected, eith...

Studies of the Risk Factors for HIV Transmission from Mothers Who are Seropositive under B+ Option to Children in the Mother- To-Child Transmission Prevention Sites of the City of Bangui

Introduction: According to the 2016 program data, in pregnant women, the prevalence of HIV infection in Central African Republic was 3.8% with a mother-to-child transmission rate of 6.2%. A program to prevent the transmission of HIV from mother to child has been set up throughout the country. Despite these interventions, the number of infected infants continues to increase. It is in this context that we have proposed to study the rate prevalence of transmission of HIV from mother-to-child under the B + option and to identify the main risk factors associated with it. Material and methods: This was a cross-sectional study, from 1st January to 31st December 2017 in five mother-to-child transmission prevention sites(MCTPS) in the city of Bangui. The study population consisted of all infants born to HIVpositive mothers followed under the B + option, and to whom the polymerase chain reaction (PCR) screening test was conducted between the 6th Life Week and 18 months. Results: 293 infants wer...

A Paget's disease Case of Breast without Underlying Carcinoma

Paget's disease of the breast is a rare type of cancer of the nipple-areola complex which is characterized by eczematous lesions. It is often associated with an underlying in-situ or invasive carcinoma but it is not a must. Paget’s disease might be misdiagnosed as nipple eczema and this may cause a delay in the diagnosis. A 65-year old female patient admitted to our department with a 1-year history of erythema and swelling which started over the left nipple and spread to the areola. The patient used topical steroid treatment which was unsuccessful. In her medical history, there was total right mastectomy operation for diagnosed ductal carcinoma. The patient presented with no active palpable mass at left breast or lymph nodes on both sides at that moment. Dermatological examination revealed sharp bordered, erythematous, mildly squamated, 2x3 cm in diameter, solitary plaque lesion located on left nipple. Radiological imaging showed no abnormalities. Histopathological examination and...

Epidemiology of Vitiligo among Libyan Adult Patients

Background: Vitiligo is a common disease with autoimmune etiology. The chronic nature of disease, long term treatment, lack of uniform effective therapy and unpredictable course of disease is usually very demoralizing for patients suffering from vitiligo. Aim of the study: To review the demographic data among Libyan vitiligo patients. Patients and methods: 150 patients above the age of 16 years attended vitiligo clinic in Al Jamhoria hospital; Benghazi - Libya during the period of one year were exposed to detailed disease history and thorough dermatological examination. Results: Our study showed that slightly higher proportion of vitiligo in females (61.3%) as compared to males (38.7%). The mean age for patients was 34year and mean duration was 10 years. Positive family history elicited in (26%) of patients and stress was the commonest aggravating factor which represent (84%). Clinically, vitiligo vulgaris represent the commonest morphological pattern(35%), nearly half of patients (48...

A Rare Tumor of the Scalp

The Trichilemmal carcinoma (TC) is a rare skin adnexal malignant tumor that develops from the outer root sheath of hair follicles or most often from a trichilemmal cyst, after multiple trauma and / or iterative inflammations. We report the case of a 64-year-old patient who consulted for a scalp tumor, evolving progressively for 2 years. Kindly go through the link for full article https://medwinpublishers.com/CDOAJ/CDOAJ16000174.pdf