A comparative study of treatments of head with 25% ben benzyl benzoate to 1% gamma benzene hexachloride

 This study was conducted  to  estimate  the  prevalence  of  head lice  in  primary  school  children  and  to  compare the  efficacy  of  25%  benzyl  benzoate  versus  1% gamma  benzene  hexachloride  (1%  lindane).  The   prevalence  rate  was  31.58%  (66  out  of  209).  Eighteen  out  of  24  (75%)  were  cured  when  they  were  treated  by  25%  benzyl  benzoate.  Twenty-six  out  of  thirty  (86.67%)  were  cured  when  they  were  treated  by  1% lindane.  There  was  no  statistical  significant  difference  between  the  two  pesticides  for  treatment  head  lice  (P\>0.05,  Chi-square  test).  The  doctors  can  choose  one  of  the  two  pesticides  for  treatment  head  lice. 

Chrug-Strauss Syndrome; A Case Report and Review of Literature

 Churg-Strauss syndrome (CSS) is a rare syndrome, but steroid responsive systemic vasculitis.  The major presentation compose of asthma, cutaneous vasculitis, abdominal pain and mononeuritis multiplex.  We reported a case of Churg-Strauss Syndrome and review related iterature. A 41 year-old married Thai male patient had history of asthma 8 months ago. Two months later, he had recurrent asthmatic attack with hemoptysis, abdominal pain, diarrhea and generalized purpura.  Five months after that he had progressive paresthesia and weakness all extremities and unable to walk by himself.  The physical examination showed atrophy of both intrinsic hand muscles, muscle powers were grade 4/5.  Deep tendon reflexes were decreased and there was asymmetrical impairment of sensation of both hands and feet.  The results of investigation revealed eosinophilia, high ESR. Nerve biopsy showed acute demyelinating and axonopathy.  He improved after steroid treatment. CSS is more common in male than female.  All patients have asthma, systemic vaculitis and eosinophilia.  CSS has the multisystem involvement, monoeuritis multiplex, abdominal pain cutaneous vasculitis.  heart failure and arthritis.  Diagnosis base on criteria four of six; asthma, eosinophilia\> 10%, neuropathy, nonfixed pulmonarty infiltration, paranasal sinus abnormality and extra vascular eosinophils.  CSS usually respond to steroid treatment. We report a case of CSS and review related literature 

Sweet’s syndrome-A case report

Acute febrile neutrophilic dermatosis (Sweet’s syndrome) is an uncommon, recurrent skin disease of unknown etiology characterized by painful inflammatory plagues with fever, arthralgia and leucocytosis.  Many associated systemic diseases were reported.  In this report we described a classical case of Sweet’s syndrome in association with Salmonella empyema and tuberculous lymphadenitis.  Diagnostic approaches, clinical course and outcome were discussed in detail.