Journal of the American Academy of Dermatology
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J. Am. Acad. Dermatol. · Dec 1988
ReviewAn approach to patient assessment and preparation in cutaneous oncology.
An outline of the many phases of preoperative evaluation of the dermatologic surgery patient is presented. Special emphasis is given to patient assessment and to patient preparation. The purpose of this review is not to create a compendium of steps that one must slavishly perform before each surgical procedure. Instead, it represents an effort to emphasize the importance of adequate preoperative evaluation and to discuss some of the subtleties that may be overlooked by the dermatologic surgeon.
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Fifteen children who had foot dermatitis were evaluated by examinations with potassium hydroxide and fungal cultures. In eight cases dermatophyte infection was identified. Tinea pedis in prepubertal children is more common than previously reported.
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A 27-year-old woman with active but stable myasthenia gravis developed pemphigus while she was pregnant. Therapeutic abortion performed for personal reasons was followed by clinical and serologic improvement in her immunobullous disease. ⋯ As with another immunobullous disease, herpes gestationis (bullous pemphigoid of pregnancy), hormonal factors appear to induce pemphigus. Although myasthenia gravis and pemphigus have been reported during pregnancy, this is the first instance of coexisting myasthenia gravis and pemphigus in a pregnant woman.
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Perforating pseudoxanthoma elasticum is a rare disorder that can occur in skin lesions associated with hereditary pseudoxanthoma elasticum and as a localized acquired cutaneous form. The localized lesion usually occurs in a periumbilical location in obese, multiparous black women. Here we report an additional case of periumbilical perforating pseudoxanthoma elasticum and discuss its potential relationship to systemic disease (hereditary pseudoxanthoma elasticum).
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Eight patients are described with both vitiligo and nail abnormalities. Two had additional autoimmune disorders but these did not develop at the same time as the nail abnormality. Both had thyrotoxicosis. The proposed association with certain autoimmune disorders is discussed.