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Journal of Medical Case Reports Sep 2011Clothing can be a cause of occupational dermatitis. Frequent causes of clothing-related dermatological problems can be the fabric itself and/or chemical additives used...
INTRODUCTION
Clothing can be a cause of occupational dermatitis. Frequent causes of clothing-related dermatological problems can be the fabric itself and/or chemical additives used in the laundering process, friction from certain fabrics excessively rubbing the skin, or heat retention from perspiration-soaked clothing in hot working environments. To the best of our knowledge, these are the first reported cases of miliaria rubra associated with prolonged use of flame resistant clothing in the medical literature.
CASE PRESENTATION
We report 18 cases (14 men and 4 women, with an age range of 19 to 37 years) of moderate to severe skin irritation associated with wearing flame resistant clothing in hot arid environments (temperature range: 39 to 50°C, 5% to 25% relative humidity). We describe the medical history in detail of a 23-year-old Caucasian woman and a 31-year-old African-American man. A summary of the other 16 patients is also provided.
CONCLUSIONS
These cases illustrate the potential serious nature of miliaria with superimposed Staphylococcus infections. All 18 patients fully recovered with topical skin treatment and modifications to their dress ensemble. Clothing, in particular blend fabrics, must be thoroughly laundered to adequately remove detergent residue. While in hot environments, individuals with sensitive skin should take the necessary precautions such as regular changing of clothing and good personal hygiene to ensure that their skin remains as dry and clean as possible. It is also important that they report to their health care provider as soon as skin irritation or rash appears to initiate any necessary medical procedures. Miliaria rubra can take a week or longer to clear, so removal of exposure to certain fabric types may be necessary.
PubMed: 21939537
DOI: 10.1186/1752-1947-5-474 -
Indian Journal of Dermatology 2010The under-five population is a unique and vulnerable component of our society that always demands special attention.
INTRODUCTION
The under-five population is a unique and vulnerable component of our society that always demands special attention.
AIMS
Our present work aimed to study the seasonal variation, age-wise variation and distribution of lesions of common dermatoses of this age group.
MATERIALS AND METHODS
We clinically studied all fresh cases attending the skin OPD of our hospital for one month each from summer, rainy season and winter. Total number of patients was 879.
RESULTS
The top six skin diseases in our study were impetigo, miliaria, scabies, furunculosis, seborrheic dermatitis and papular urticaria. On statistical analysis, scabies and seborrheic dermatitis were more prevalent during winter while impetigo, furunculosis and miliaria were more during summer and rainy season. Papular urticaria was more frequent in the rainy season. Seborrheic dermatitis predominantly affected the infants while impetigo, furunculosis, miliaria and popular urticaria were commoner in older age groups.
CONCLUSION
Distribution of lesions of common dermatoses will help diagnose difficult cases and extensive evaluation of the body parts which, by virtue of being commonly affected, are must-examine sites in under-five children.
PubMed: 20418977
DOI: 10.4103/0019-5154.60351 -
Journal of Evolutionary Biology Jun 2010The brood parasitic common cuckoo Cuculus canorus consists of gentes, which typically parasitize only a single host species whose eggs they often mimic. Where multiple...
The brood parasitic common cuckoo Cuculus canorus consists of gentes, which typically parasitize only a single host species whose eggs they often mimic. Where multiple cuckoo gentes co-exist in sympatry, we may expect variable but generally poorer mimicry because of host switches or inter-gens gene flow via males if these also contribute to egg phenotypes. Here, we investigated egg trait differentiation and mimicry in three cuckoo gentes parasitizing great reed warblers Acrocephalus arundinaceus, marsh warblers Acrocephalus palustris and corn buntings Miliaria calandra breeding in close sympatry in partially overlapping habitat types. The three cuckoo gentes showed a remarkable degree of mimicry to their three host species in some but not all egg features, including egg size, a hitherto largely ignored feature of egg mimicry. Egg phenotype matching for both background and spot colours as well as for egg size has been maintained in close sympatry despite the possibility for gene flow.
Topics: Animals; Birds; Eggs; Phenotype; Species Specificity
PubMed: 20345810
DOI: 10.1111/j.1420-9101.2010.01982.x -
Dermatology (Basel, Switzerland) 2009
Topics: Adolescent; Adult; Fathers; Female; Fox-Fordyce Disease; Humans; Male; Nuclear Family; Pedigree; Risk Factors
PubMed: 19060475
DOI: 10.1159/000182271 -
American Family Physician Jun 2008
Topics: Adult; Female; Fox-Fordyce Disease; Humans
PubMed: 18619083
DOI: No ID Found -
Actas Dermo-sifiliograficas Mar 2008Fox-Fordyce disease is a rare skin condition characterized by the presence of multiple pruritic follicular papules in areas rich in apocrine glands, such as the axillae,... (Review)
Review
Fox-Fordyce disease is a rare skin condition characterized by the presence of multiple pruritic follicular papules in areas rich in apocrine glands, such as the axillae, mammary areolae, or genital regions. There is a high degree of variability in the histological findings seen in Fox-Fordyce disease. In addition to those described as typical of this entity, such as dilation of the infundibulum and hyperkeratosis and spongiosis of the infundibular epithelium, many other histological changes can be observed. We report the case of a 21-year-old woman with Fox-Fordyce disease and highlight the importance of perifollicular xanthomatosis as a key histological finding in the diagnosis of the disease.
Topics: Adult; Female; Fox-Fordyce Disease; Humans; Xanthomatosis
PubMed: 18346437
DOI: No ID Found -
American Family Physician Jan 2008Rashes are extremely common in newborns and can be a significant source of parental concern. Although most rashes are transient and benign, some require additional... (Review)
Review
Rashes are extremely common in newborns and can be a significant source of parental concern. Although most rashes are transient and benign, some require additional work-up. Erythema toxicum neonatorum, acne neonatorum, and transient neonatal pustular melanosis are transient vesiculopustular rashes that can be diagnosed clinically based on their distinctive appearances. Infants with unusual presentations or signs of systemic illness should be evaluated for Candida, viral, and bacterial infections. Milia and miliaria result from immaturity of skin structures. Miliaria rubra (also known as heat rash) usually improves after cooling measures are taken. Seborrheic dermatitis is extremely common and should be distinguished from atopic dermatitis. Parental reassurance and observation is usually sufficient, but tar-containing shampoo, topical ketoconazole, or mild topical steroids may be needed to treat severe or persistent cases.
Topics: Exanthema; Humans; Infant, Newborn; Prognosis
PubMed: 18236822
DOI: No ID Found -
Revista de Salud Publica (Bogota,... 2007Actively searching for leprosy, other skin diseases and BCG vaccination scars amongst school children from Agua de Dios, the municipality having the highest prevalence...
OBJECTIVE
Actively searching for leprosy, other skin diseases and BCG vaccination scars amongst school children from Agua de Dios, the municipality having the highest prevalence of leprosy in Colombia.
METHODS
A clinical examination of the children was carried out by nurses, interns, general practitioners and experts on leprosy. Skin smear tests and skin biopsies were performed when the clinical findings suggested leprosy. Anti-phenolic glycolipid antibodies in blood were determined in special cases.
RESULTS
86 % of the 2 844 school children were examined; 833 had skin diseases and 16 % of these required evaluation by specialists. Four new cases of paucibacillary leprosy, two indeterminate and two primary polyneuritic cases were found. Pediculosis capitis, pityriasis alba, tinea versicolor, hypopigmented nevus, insect bites and miliaria were frequently detected. BCG vaccination scars were absent in 387 children; following several logistical problems, they were vaccinated. Four children had signs of childhood abuse. An 11-year-old girl presented hypopigmented mycosis fungoides. All diseases and conditions found were treated. The community received information regarding the results, emphasising the importance of an early diagnosis of leprosy.
CONCLUSIONS
The incidence of leprosy found (16/10,000) was 123 times higher than the rest of the country's incidence. It is advisable to continue clinical examinations in Agua de Dios and research into risk factors for acquiring leprosy.
Topics: Adolescent; Catchment Area, Health; Child; Colombia; Female; Humans; Leprosy; Male; Mass Screening; Prevalence; Skin Diseases; Students
PubMed: 18026607
DOI: 10.1590/s0124-00642007000300011 -
Dermatology Online Journal Jul 2004Atopic dermatitis (AD) is a common eczematous skin condition; as many as 10-17 percent of all children are affected, and 35-60 percent of affected patients manifest... (Review)
Review
Atopic dermatitis (AD) is a common eczematous skin condition; as many as 10-17 percent of all children are affected, and 35-60 percent of affected patients manifest symptoms manifest during the first year of life. Treatment principles for AD in young children involve conservative measures such as avoidance of hot water and environmental irritants, combined with liberal use of emollients after bathing. Low potency topical corticosteroids (TCS) are the current standard of therapy for AD in young children, reserving mid- and high-potency TCS for severe disease. However, complications of long-term use of TCS include skin atrophy, stria formation, telangiectasia, hypopigmentation, secondary infections, steroid acne, allergic contact dermatitis, and miliaria. The pediatric population is also at increased risk for systemic absorption because of their high ratio of skin surface to body mass. Systemic absorption may result in hypothalamic-pituitary-adrenal axis suppression and ultimately growth retardation. Although most topical and systemic corticosteroids are not approved by the Food and Drug Administration for use in children less than 2 years of age, conservative treatment often fails in this age group and frequently patients are treated with TCS, antibiotics, and antihistamines.
Topics: Administration, Cutaneous; Adrenal Cortex Hormones; Anti-Bacterial Agents; Dermatitis, Atopic; Dose-Response Relationship, Drug; Drug Evaluation; Drug Utilization Review; Emollients; Female; Histamine H1 Antagonists; Humans; Immunosuppressive Agents; Infant; Male; Ointments; Pain; Pruritus; Retrospective Studies; Tacrolimus; Treatment Outcome
PubMed: 15347484
DOI: No ID Found -
Gastroenterologie Clinique Et Biologique 2004Malignant melanoma of uveal or cutaneous origins are diseases which may run a fulminant metastatic course immediately or after a prolonged disease-free period. The liver...
Malignant melanoma of uveal or cutaneous origins are diseases which may run a fulminant metastatic course immediately or after a prolonged disease-free period. The liver is the most common initial site of metastatic involvement. Nevertheless, hepatic metastatic miliaria spread is rare. In these cases, morphological studies are normal and only biological abnormalities including icteric cholestasis and hepatocellular insufficiency may suggest this diagnosis. We report two cases of hepatic metastatic miliaria from malignant melanoma diagnosed by percutaneous liver biopsy.
Topics: Aged; Aged, 80 and over; Biopsy; Cholestasis, Intrahepatic; Diagnosis, Differential; Female; Humans; Liver Failure; Liver Neoplasms; Male; Melanoma; Middle Aged; Skin Neoplasms; Uveal Neoplasms
PubMed: 15243393
DOI: 10.1016/s0399-8320(04)95016-6