Lipedematous alopecia and lipedematous scalp are two similar unusual conditions mostly affecting healthy black women. The purpose of our study was to report three cases of this condition with emphasis on clinical and ...Lipedematous alopecia and lipedematous scalp are two similar unusual conditions mostly affecting healthy black women. The purpose of our study was to report three cases of this condition with emphasis on clinical and histologic findings, and to review the literature on the subject. The study includes clinical, echo- graphic, and histologic findings of 3 patients, complemented with a literature review. Two cases of lipedematous alopecia and one of lipedematous scalp in 3 white women had echo-graphic confirmation of an increased subcutaneous layer. The presence of ectatic lymphatic vessels in the two cases with hair loss was particularly emphasized. Our findings suggest a lessened role of racial factors, but confirms the sex implications in these related conditions, and stress the potential significance of lymphangiectatic vessels in the development of alopecia in these patients.展开更多
Aims: To evaluate the efficacy and biotolerance of the Adal-1 adhesive for muscle sealing in strabismus surgery. Methods: 27 eyes were included in the study: 17 in the control group and 10 in the study group. Surgery ...Aims: To evaluate the efficacy and biotolerance of the Adal-1 adhesive for muscle sealing in strabismus surgery. Methods: 27 eyes were included in the study: 17 in the control group and 10 in the study group. Surgery was performed on the recession of the horizontal rectus muscles. In the control group the muscle was joined to the sciera by a Vicryl 7/0 suture. In the study group, the Adal-1 adhesive was used instead. The efficacy of the sealing of the muscle to the sclera and the biotolerance of the surrounding tissues were evaluated. Results: The muscular recession in the control group was 8.17 (SD 2.38) with displacement of the sealing point of 0.02 (1.7) mm. In the group sealed with adhesive, the muscular recession was 9.09 (3.08)-and the displacement was 0.15 (1.56) mm, with no significant differences between the techniques (p < 0.05). The inflammation of the surrounding tissues in the immediate postoperative period was greater with the suture technique (p >0.05), but there were no differences in the other postoperative periods (MannWhitney U test). Conclusion: Adal-1 was an effective and safe alternative to sutures inmuscle recession for strabismus surgery in this study.展开更多
The autosomal recessive form of type I pseudohypoaldosteronism (PHA-1) is an unusual disorder characterized by aldosterone resistance at the target organs, which leads to an excessive loss of sodium chloride through u...The autosomal recessive form of type I pseudohypoaldosteronism (PHA-1) is an unusual disorder characterized by aldosterone resistance at the target organs, which leads to an excessive loss of sodium chloride through urine, sweat and saliva, among other secretions. Such a high concentration of salt in the sweat during the depletive crises directly causes inflammation and damage in the eccrine structures, with cutaneous lesions similar to those appearing in miliaria rubra. We report an autosomal recessive PHA-1 in a 4-year-old girl, with cutaneous lesions mimicking miliaria rubra, that improved after treatment with astringent solutions and avoidance of profuse sweating.展开更多
文摘Lipedematous alopecia and lipedematous scalp are two similar unusual conditions mostly affecting healthy black women. The purpose of our study was to report three cases of this condition with emphasis on clinical and histologic findings, and to review the literature on the subject. The study includes clinical, echo- graphic, and histologic findings of 3 patients, complemented with a literature review. Two cases of lipedematous alopecia and one of lipedematous scalp in 3 white women had echo-graphic confirmation of an increased subcutaneous layer. The presence of ectatic lymphatic vessels in the two cases with hair loss was particularly emphasized. Our findings suggest a lessened role of racial factors, but confirms the sex implications in these related conditions, and stress the potential significance of lymphangiectatic vessels in the development of alopecia in these patients.
文摘Aims: To evaluate the efficacy and biotolerance of the Adal-1 adhesive for muscle sealing in strabismus surgery. Methods: 27 eyes were included in the study: 17 in the control group and 10 in the study group. Surgery was performed on the recession of the horizontal rectus muscles. In the control group the muscle was joined to the sciera by a Vicryl 7/0 suture. In the study group, the Adal-1 adhesive was used instead. The efficacy of the sealing of the muscle to the sclera and the biotolerance of the surrounding tissues were evaluated. Results: The muscular recession in the control group was 8.17 (SD 2.38) with displacement of the sealing point of 0.02 (1.7) mm. In the group sealed with adhesive, the muscular recession was 9.09 (3.08)-and the displacement was 0.15 (1.56) mm, with no significant differences between the techniques (p < 0.05). The inflammation of the surrounding tissues in the immediate postoperative period was greater with the suture technique (p >0.05), but there were no differences in the other postoperative periods (MannWhitney U test). Conclusion: Adal-1 was an effective and safe alternative to sutures inmuscle recession for strabismus surgery in this study.
文摘The autosomal recessive form of type I pseudohypoaldosteronism (PHA-1) is an unusual disorder characterized by aldosterone resistance at the target organs, which leads to an excessive loss of sodium chloride through urine, sweat and saliva, among other secretions. Such a high concentration of salt in the sweat during the depletive crises directly causes inflammation and damage in the eccrine structures, with cutaneous lesions similar to those appearing in miliaria rubra. We report an autosomal recessive PHA-1 in a 4-year-old girl, with cutaneous lesions mimicking miliaria rubra, that improved after treatment with astringent solutions and avoidance of profuse sweating.
