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21.
Romero GA de la Glória Orge Orge M de Farias Guerra MV Paes MG de Oliveira Macêdo V de Carvalho EM 《Acta tropica》2005,93(1):49-56
The antibody response against Leishmania (Leishmania) amazonensis crude antigen was measured through the indirect immunofluorescent assay (IFA) and the immunoenzymatic assay (ELISA) in 114 patients with cutaneous leishmaniasis (CL) in Brazil. Fifty-four patients were infected by Leishmania (Viannia) braziliensis, and 60 patients had L. (V.) guyanensis infection. Patients were comparable by age, sex, disease duration and the Montenegro skin test diameter. L. (V.) braziliensis-infected patients showed significant lower number of ulcerated lesions, greater ulcerated area and higher proportion of lymph node enlargement. Sensitivity of IFA was 79.6% (95% CI 66.1-88.9) and 71.7% (95% CI 58.4-82.2) for L. (V.) braziliensis and L. (V.) guyanensis-infected patients, respectively (P=0.324). Sensitivity of ELISA was 98.2% (95% CI 88.8-99.9) and 85.0% (95% CI 72.9-92.5) for L. (V.) braziliensis and L. (V.) guyanensis-infected patients, respectively (P=0.018). Significant differences were observed in the magnitude of the antibody response before treatment with higher levels detected in L. (V.) braziliensis-infected patients by both serologic techniques. Eighty-four patients had serologic evaluations before and 12 weeks after treatment with meglumine antimoniate, 20 mg/kg/day for 20 days. Significant lower optic density values were observed after treatment with both species independent of cure or failure. Our data showed that L. (V.) braziliensis induces a higher antibody response against L. (L.) amazonensis antigens than L. (V.) guyanensis and that down-modulation of the antibody response occurs shortly during disease evolution after treatment. Moreover the data support the use of ELISA as a better tool for detection of antibodies in CL. 相似文献
22.
《The Indian journal of tuberculosis》2022,69(1):113-119
Cutaneous tuberculosis classically presents as Lupus vulgaris, scrofuloderma, tuberculosis verrucose cutis and tubercular abscess. Hypersensitivity reaction to the bacilli leads to Lichen scrofulosorum and papulonecrotic tuberculids. At the same time, it can have myriad of clinical presentations, many of which are still undescribed. It is important to regularly update ourselves with these unusual manifestations so as to ensure early treatment and reduction of overall morbidity. In this case series tuberculosis manifesting as rapidly progressing diffuse facial granulomas, sporotrichoid tuberculosis, tuberculosis mimicking squamous cell carcinoma, scrofuloderma as tubercular ulcer, lupus vulgaris with nasal septal perforation, lupus vulgaris resembling furuncle, psoriasis, dermatitis and BT Hansen are described in immunocompetent individuals. These cases highlight the importance of recognition of atypical forms of cutaneous tuberculosis to minimize scarring and dissemination of bacilli. 相似文献
23.
Emi Dika Annalisa Patrizi Annalisa Altimari Michelangelo Fiorentino Michelangelo La Placa Elisa Gruppioni 《Cutaneous and ocular toxicology》2015,34(3):251-253
We describe the occurrence of a giant squamous cell carcinoma in a patient receiving vemurafenib for the treatment of late melanoma mestastases. Although the development of keratoacanthomas and squamous cell carcinomas (SCC) has been described during vemurafenib therapy, most of the reported cases are treated with surgical excision. In the present case, SCC regressed after drug withdrawal. 相似文献
24.
25.
《Transfusion and apheresis science》2021,60(4):103157
IntroductionCutaneous leukocytoclastic vasculitis is an inflammatory variant of vasculitis with a variety of causes that only affects the skin. Its pathological manifestations include neutrophil infiltration and nuclear fragmentation. Clinically, it is characterised by a pleomorphic rash, including erythema, purpuric skin lesions, reticulocytosis, necrosis and ulceration. Once formed, local ulcerations are very difficult to heal.Case presentationA 46-year-old female was diagnosed with cutaneous leukocytoclastic vasculitis. The patient’s legs exhibited ulcers with a black eschar on the surface. The largest wound was 4.5 × 4.0 cm and the deepest wound was 1.7 × 1.8 × 1.0 cm. The ulcers had been present for 6 months and did not exhibit signs of healing. Treatment was commenced with platelet-rich plasma, and the wounds healed within 1 month.ConclusionTopical application of autologous platelet-rich plasma gel exerts beneficial effects in cutaneous leukocytoclastic vasculitis with regard to wound size reduction, and it induces granulation tissue formation. Platelet-rich plasma may represent a safe and cost-effective treatment for managing cutaneous wound healing to reduce the length of the recovery period. 相似文献
26.
The tracheocutaneous fistula after tracheostomy is a complex clinical problem. An ideal fistula closure is
still difficult at present though a variety of fistula-closing methods have been reported in the literature. We used a turnover skin flap to cover the fistula. All the procedures were completed at bedside under local anesthesia. The fistula was successfully closed and well healed without complications within 7-9 days. It has been proven that this operation is simple, effective, and safe. 相似文献
27.
IntroductionOdontogenic cutaneous sinus tract is a relatively rare occurrence that can be complicated to diagnose. The presence of a cutaneous lesion is often not even partly associated with a dental etiology because of the less frequency of occurrence in the case of dental symptoms. Consequently, the underlying dental cause is often missed leading to inappropriate diagnosis and treatment.Case presentationHere, we report the case of a 45-year-old man who presented with a persistent lesion of the cervical region. At the time of presentation, the lesion had been present for approximately one year with a gradual increase in size but no specific symptoms. The patient had previously undergone punch resection under local anesthesia, which resulted in a histopathological diagnosis of inverted follicular keratosis. A diagnosis was made of an odontogenic cutaneous sinus tract secondary to chronic apical periodontitis of the left mandibular second molar.DiscussionCutaneous sinus tract in the face and neck is most likely to develop intraorally. Root canal treatment or surgical extractions are the common treatment choices. A previously reported review of 137 cases found that 106 (77%) were treated by extraction and 27 (20%) were treated by surgical or conservative nonsurgical endodontic therapy.ConclusionEarly diagnosis of cutaneous sinus tract using proper aid is responsible for shortening the treatment duration and avoiding unnecessary treatment. 相似文献
28.
Mercy Jelagat Karoney Erastus Kanake Kaumbuki Mathew Kiptonui Koech Lectary Kibor Lelei 《Clinical Case Reports》2015,3(1):39-42
The authors report a case of cutaneous tuberculosis in a 27‐year‐old African male medical intern who contracted primary cutaneous from a needle‐stick injury. Cultures of pus aspirated from the finger initially grew Staphylococcus aureus that led to a delay in the diagnosis. 相似文献
29.
30.
Madelon Novato Ribeiro Maria Inês Fernandes Pimentel Armando de Oliveira Schubach Raquel de Vasconcellos Carvalh?es de Oliveira José Liporage Teixeira Madson Pedro da Silva Leite Monique Fonseca Ginelza Peres Lima dos Santos Mariza Matos Salgueiro Erica de Camargo Ferreira e Vasconcellos Marcelo Rosandiski Lyra Mauricio Naoto Saheki Claudia Maria Valete-Rosalino 《Revista do Instituto de Medicina Tropical de S?o Paulo》2014,56(4):291-296
The favorable outcome of the treatment of a disease is influenced by the
adherence to therapy. Our objective was to assess factors associated with adherence
to treatment of patients included in a clinical trial of equivalence between the
standard and alternative treatment schemes with meglumine antimoniate (MA) in the
treatment of cutaneous leishmaniasis (CL), in the state of Rio de Janeiro. Between
2008 and 2011, 57 patients with CL were interviewed using a questionnaire to collect
socioeconomic data. The following methods were used for adherence monitoring:
counting of vial surplus, monitoring card, Morisky test and modified Morisky test
(without the question regarding the schedule); we observed 82.1% (vial return), 86.0%
(monitoring card), 66.7% (Morisky test) and 86.0% (modified Morisky test) adherence.
There was a strong correlation between the method of vial counting and the monitoring
card and modified Morisky test. A significant association was observed between
greater adherence to treatment and low dose of MA, as well as with a lower number of
people sleeping in the same room. We recommend the use of the modified Morisky test
to assess adherence to treatment of CL with MA, because it is a simple method and
with a good performance, when compared to other methods. 相似文献