Journal of the American Academy of Dermatology
-
J. Am. Acad. Dermatol. · Feb 2004
Review Case Reports Randomized Controlled Trial Clinical TrialSubcutaneous and cerebral cysticercosis.
Cysticercosis is a human infestation, which is considered the most common cause of seizures worldwide. The subcutaneous lesions can help in the diagnosis of neurocysticercosis. ⋯ The imaging examinations showed a massive central nervous system involvement. Physicians must be aware of the importance of subcutaneous nodule examination for the diagnosis of neurocysticercosis.
-
J. Am. Acad. Dermatol. · Feb 2004
Review Case ReportsFuruncular myiasis caused by Dermatobia hominis, the human botfly.
Myiasis is a common travel-associated dermatosis. Travelers to many parts of Central and South America are susceptible to infestation by Dermatobia hominis. Despite the common name of human botfly, D hominis infests a broad range of mammals and is a severe pest to economically important farm animals in endemic regions. ⋯ He had a locally painful, firm furuncular lesion with a central pore that drained serosanguineous exudates. The patient applied an occlusive ointment and recovered the larva after it emerged. In this report we discuss the life cycle of D hominis, the differential diagnosis, and therapeutic approaches.
-
J. Am. Acad. Dermatol. · Feb 2004
Clinical TrialTreatment of cutaneous sarcoidosis with thalidomide.
Although systemic corticosteroids are effective against cutaneous sarcoidosis, alternative therapies are needed. ⋯ Thalidomide efficacy and tolerance in patients with cutaneous sarcoidosis merits further evaluation in a controlled trial.
-
J. Am. Acad. Dermatol. · Feb 2004
Case ReportsVulvar melanoma: diffuse melanosis and metastasis to the placenta.
Mucocutaneous melanoma, including vulvar melanoma, is rare and has a worse prognosis and higher recurrence rate than traditional cutaneous melanoma. Diffuse cutaneous melanosis is another rare clinical presentation of metastatic melanoma. It is essential for dermatologists to be alerted to rare presentations of melanoma, to facilitate early detection. ⋯ The genitalia should be included in routine total body skin examinations. Pregnant women with generalized melanosis may be at increased risk for placental metastasis of melanoma. Pregnancy does not alter the incidence or prognosis of melanoma; however, patients with a poor prognosis or high recurrence risk should be informed of potential pregnancy complications associated with melanoma recurrence or metastasis.