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Indian Pediatrics Apr 2004This study was undertaken to determine the pattern of dermatoses in children in south India. All children <14 years presenting to us between May 2001 and June 2002 were...
This study was undertaken to determine the pattern of dermatoses in children in south India. All children <14 years presenting to us between May 2001 and June 2002 were recruited. A total of 2100 children (males -995; females- 1105) with 2144 dermatoses were recorded. Infections and infestations were the most common dermatoses (54.5%) followed by dermatitis and eczema (8.6%), pigmentary disorders (5.7%), insect bite reaction (5.27%), hair and nail disorders (5.2%), miliaria (4.1%), nutritional deficiency disorders (2.8%), urticaria (2.5%), genetic disorders (2.1%), psoriasis (1.4%), collagen vascular disorders (0.5%), hemangiomas (0.5%), drug eruptions (0.3%), pityriasis rosea (0.2%) and others (5.8%). Pyodermas were the most common dermatoses (47.13%) followed by scabies (30.6%) amongst infections and infestations. Atopic dermatitis was noticed only in 3 patients. Insect bite reactions (papular urticaria) (5.27%) and miliaria (4.1%) were attributed to the tropical weather conditions in this coastal area. Genetic disorders including ichthyosis and palmoplantar keratoderma contributed to 2.1% of cases and could be due to the high incidence of consanguinous marriages in this society.
Topics: Adolescent; Age Distribution; Child; Child, Preschool; Eczema; Female; Humans; India; Male; Pyoderma; Referral and Consultation; Scabies; Sex Distribution; Skin Diseases, Infectious
PubMed: 15123866
DOI: No ID Found -
Archives of Disease in Childhood Jan 2004
Topics: Child; Humans; Male; Miliaria; Staphylococcal Scalded Skin Syndrome
PubMed: 14709532
DOI: No ID Found -
Occupational and Environmental Medicine Jun 2002A health survey of three villages (upstream village Rantau Baru and two downstream villages, Sering and Pelalawan) in the vicinity of a pulp and paper mill along the...
OBJECTIVES
A health survey of three villages (upstream village Rantau Baru and two downstream villages, Sering and Pelalawan) in the vicinity of a pulp and paper mill along the Kampar river in the province of Riau, Indonesia was conducted to find whether exposure to the effluents from the mill was related to skin conditions and ill health.
METHODS
A cross sectional survey was carried out of children living in the three villages.
RESULTS
Common skin conditions such as dermatitis, fungal infections, insect bites, and miliaria were found. No significantly increased risk of dermatitis or any illness in general was found with increasing levels of exposure to river water for downstream villages when compared with the upstream village. However, there was an increased risk of diarrhoea in Sering especially with drinking water directly from the river (prevalence rate ratio (PRR) 4.9, 95% confidence interval (95% CI) 0.4 to 63.9). An increased risk was also found within the upstream village Rantau Baru (PRR 2.3, 95% CI 0.9 to 5.8) and downstream village Sering (PRR 1.4, 95% CI 0.4 to 5.2) when children who drank water directly from the river were compared with those who never did. Analysis of the river water also showed physical and chemical variables within the acceptable range except for faecal coliforms (6 MPN/100 ml) found in the sample taken from Sering.
CONCLUSIONS
The effluent from the mill is unlikely to be causing skin conditions and ill health. Diarrhoea may be due to faecal coliform contamination of the water because all raw sewerage is deposited in the river. Community health outreach programmes are being implemented based on these findings.
Topics: Child; Child, Preschool; Cross-Sectional Studies; Dermatitis; Diarrhea; Environmental Exposure; Female; Health Status; Health Surveys; Humans; Indonesia; Industrial Waste; Infant; Infant, Newborn; Male; Paper; Polychlorinated Biphenyls; Prevalence; Proportional Hazards Models; Risk Factors; Rural Health; Skin Diseases; Water Microbiology; Water Pollution, Chemical; Water Supply
PubMed: 12040112
DOI: 10.1136/oem.59.6.373 -
Acta Dermato-venereologica Jan 1999
Topics: Adolescent; Female; Fox-Fordyce Disease; Growth Hormone; Humans; Turner Syndrome
PubMed: 10086869
DOI: 10.1080/000155599750011804 -
Journal of Nuclear Medicine : Official... Jan 1999The aim of this article was to study the physiopathology of tumoral uptake of 111In-pentetreotide using factorial analysis of dynamic series (FADS) and to assess the...
UNLABELLED
The aim of this article was to study the physiopathology of tumoral uptake of 111In-pentetreotide using factorial analysis of dynamic series (FADS) and to assess the usefulness of this analysis in somatostatin receptor scintigraphy.
METHODS
Forty-one patients were included, 24 women and 17 men. After intravenous injection of 111 MBq 111In-pentetreotide, dynamic image acquisition (68 images of 30 s) began in front of the suspected tumoral site: thoracic in 10 patients with medullary carcinoma of the thyroid and 2 patients with bronchogenic carcinoid, and abdominal in 12 cases of midgut carcinoid and 17 cases of other gastroenteropancreatic neuroendocrine tumors. FADS was performed with FAMIS software. Static images were obtained 4 h and 24 h later. For every patient, surgery and/or clinical follow-up (4 y) was used to classify results as true (T) or false (F) positive (P) or negative (N) and to evaluate both the sensitivity of static images and the usefulness of FADS.
RESULTS
Of the 14 cases of carcinoid tumor, 5 patients were TN; 9 patients were TP with static images but only 8 were TP with FADS (a bronchogenic carcinoid of 6 mm was missed). Of the 17 cases of gastroenteropancreatic neuroendocrine tumor, static images were TP in 9 patients, and FADS were TP in 5 of these patients (and 4 FN). Static images and FADS were FN in 4 patients and TN in 3 patients, and in the 2 last patients static images were FP, but FADS were TN. Of the 10 cases of medullary carcinoma of the thyroid, static images and FADS were TN in 1 patient, static images were TP in 3 patients and FADS were TP in 2 of these patients (and 1 FN). In the six last cases, static images were FN, but FADS were FN in 3 patients and TP in 3 patients, showing an infiltrate.
CONCLUSION
FADS demonstrates that tumoral kinetics are similar to those of the spleen. FADS can show a diffuse tumoral uptake corresponding to tumoral infiltrate in medullary carcinoma of the thyroid or in hepatic miliaria, whereas static images were normal or doubtful.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Carcinoid Tumor; Carcinoma, Medullary; Child; Factor Analysis, Statistical; Female; Gastrointestinal Neoplasms; Humans; Indium Radioisotopes; Male; Middle Aged; Neuroendocrine Tumors; Radionuclide Imaging; Radiopharmaceuticals; Receptors, Somatostatin; Somatostatin; Thyroid Neoplasms
PubMed: 9935053
DOI: No ID Found -
Journal of the American Academy of... Jan 1998Eccrine glands are uniquely susceptible to a variety of pathologic processes. Alteration in the rate of sweat secretion manifests as hypohidrosis and hyperhidrosis.... (Review)
Review
Eccrine glands are uniquely susceptible to a variety of pathologic processes. Alteration in the rate of sweat secretion manifests as hypohidrosis and hyperhidrosis. Obstruction of the eccrine duct leads to miliaria. The excretion of drugs into eccrine sweat may be a contributory factor in neutrophilic eccrine hidradenitis (NEH), syringosquamous metaplasia (SSM), coma bulla, and erythema multiforme (EM). Alterations in the electrolyte composition of eccrine sweat can be observed in several systemic diseases, most notably cystic fibrosis. This article summarizes current knowledge of eccrine gland pathophysiology.
Topics: Adult; Blister; Child; Coma; Cystic Fibrosis; Disease Susceptibility; Drug-Related Side Effects and Adverse Reactions; Eccrine Glands; Electrolytes; Erythema Multiforme; Hidradenitis; Humans; Hyperhidrosis; Hypohidrosis; Metaplasia; Miliaria; Sweat; Sweat Gland Diseases
PubMed: 9448199
DOI: 10.1016/s0190-9622(98)70532-8 -
Acta Dermato-venereologica Jan 1997From argument and a few personal observations, the hypothesis has crystallised that the miliaria commonly occurring in unacclimatised Caucasians visiting hot climates is...
From argument and a few personal observations, the hypothesis has crystallised that the miliaria commonly occurring in unacclimatised Caucasians visiting hot climates is caused by exposure to ultraviolet irradiation, by an effect on the cells of the upper epidermis, which eventually allows a split to develop between them and the new stratum corneum that grows up beneath, into which sweat from the disrupted ducts can collect as microcysts. This dehiscence is the probable explanation of sunburn peeling and photo-onycholysis. It is concluded that duct disruption, not blockage or dysfunction, is the immediate cause of the miliarias.
Topics: Apocrine Glands; Epidermis; Humans; Miliaria; Ultraviolet Rays
PubMed: 9059666
DOI: 10.2340/0001555577001003 -
Journal of the American Academy of... Nov 1995Previous studies have indicated that cutaneous bacteria, particularly coagulase-negative staphylococci, play a role in the pathogenesis of miliaria. An accumulation of...
BACKGROUND
Previous studies have indicated that cutaneous bacteria, particularly coagulase-negative staphylococci, play a role in the pathogenesis of miliaria. An accumulation of periodic acid-Schiff (PAS)-positive material has been described as blocking the sweat duct in miliaria. Furthermore, a PAS-positive extracellular polysaccharide substance (EPS) has been identified as a product of some strains of Staphylococcus epidermidis.
OBJECTIVE
We evaluated the relative ability of various species of coagulase-negative staphylococci to induce miliaria with particular reference to the potential role of EPS.
METHODS
We inoculated various strains of coagulase-negative staphylococci on the volar forearms of subjects under an occlusive dressing coupled with thermal stimulation. Ability to induce miliaria as well as microbiologic, histologic, and immunostaining features were evaluated.
RESULTS
Miliaria was induced only with strains of S. epidermidis; other species including S. haemolyticus, S. hominis, S. cohnii, S. saprophyticus, and S. simulans were not capable of inducing miliaria. Moreover, only S. epidermidis strains capable of producing EPS were capable of inducing miliaria.
CONCLUSION
Our data indicate that EPS is the PAS-positive material that obstructs the delivery of sweat to the skin surface in miliaria and therefore demonstrate that the EPS produced by S. epidermidis plays a central role in the pathogenesis of miliaria. Furthermore, in a survey of staphylococcal flora isolated from 68 subjects, EPS-producing strains were found to be common.
Topics: Adolescent; Adult; Colony Count, Microbial; Humans; Immunohistochemistry; Middle Aged; Miliaria; Periodic Acid-Schiff Reaction; Polysaccharides, Bacterial; Skin; Staphylococcus; Staphylococcus epidermidis
PubMed: 7593770
DOI: 10.1016/0190-9622(95)91809-4 -
Acta Dermato-venereologica Apr 1993Two patients with multiple angiokeratomas on genitalia and thighs, one with Fabry's disease and one with Fordyce's disease, were treated with copper vapour laser light...
Two patients with multiple angiokeratomas on genitalia and thighs, one with Fabry's disease and one with Fordyce's disease, were treated with copper vapour laser light of 578 nm wavelength. The result was desirable, with destruction and disappearance of the lesions and minimal scarring and posttreatment hyper- or hypopigmentation.
Topics: Adult; Aged; Aged, 80 and over; Angiokeratoma; Buttocks; Copper; Fabry Disease; Fox-Fordyce Disease; Genitalia, Male; Humans; Laser Therapy; Male; Skin Neoplasms; Thigh; Treatment Outcome
PubMed: 8103260
DOI: 10.2340/0001555573133135 -
Canadian Family Physician Medecin de... Sep 1986Within the pediatric population of their practices, family physicians frequently encounter infants with skin rashes. This article discusses several of the more common...
Within the pediatric population of their practices, family physicians frequently encounter infants with skin rashes. This article discusses several of the more common rashes of infancy: atopic dermatitis, cradle cap, diaper dermatitis and miliaria. Etiology, clinical picture and possible approaches to treatment are presented.
PubMed: 21267297
DOI: No ID Found