Dermatologic clinics
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Lyme disease is a multisystem disorder caused by the spirochete Borrelia burgdorferi. It is transmitted to human and animal hosts primarily by ticks of the Ixodes ricinis complex. Recognition of its characteristic skin and eye manifestations facilitates diagnosis and treatment.
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The principles and techniques of providing topical and regional anesthesia to the eye are presented in this article. Potential complications and their treatments are outlined, with special emphasis placed on the characteristics of the oculocardiac reflex.
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Ocular trauma is not uncommon. Because the tissues associated with visual function are delicate and remarkably specialized, care of ocular injuries is best left to well-trained specialists. Initial care, however, is often simply common sense. Irrigation of chemical burns, sterile techniques, and procedures that salvage tissue are good general principles.
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Dermatologic clinics · Jul 1992
ReviewOculocutaneous manifestations of the erythema multiforme/Stevens-Johnson syndrome/toxic epidermal necrolysis spectrum.
Although they were once believed to be distinct diseases, many observers currently consider erythema multiforme, Stevens-Johnson syndrome, and toxic epidermal necrolysis to represent a mild-to-severe continuum of the same process. Each shares certain clinical, histologic, and etiologic characteristics; among the latter two are frequent ocular involvement. Because long-term ophthalmic sequelae may be catastrophic, early recognition and therapy of this acute oculocutaneous disease spectrum are critically important.
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This article has attempted to summarize the various causes of vulvar pruritus and present a framework for evaluating these patients. Although not all patients have a readily classifiable disorder, symptomatic treatment and reassurance can provide considerable patient relief. There is no easy answer, yet the recognition that the process is treatable, if not curable, should provide encouragement for both patients and their physicians.