ABSTRACT
Androgenetic alopecia is an important and common cause for baldness. Despite recent advances, the drug therapy of this condition remains unsatisfactory. Surgical hair restoration is the only permanent method of treating this condition. Introduction of recent techniques such as follicular unit transplantation have improved the cosmetic results and patient satisfaction. This article discusses the latest trends in hair restoration surgery.
Subject(s)
Alopecia/etiology , Anesthesia , Hair/transplantation , Hair Follicle/transplantation , Humans , Postoperative Complications/etiologySubject(s)
Humans , Male , Skin/pathology , Leukemia, Lymphocytic, Chronic, B-Cell/pathology , Exanthema , PruritusABSTRACT
Vitiligo, a common depigmenting disorder, of possible autoimmune etiology, is generally managed by use of PUVA therapy and steroids. Surgery has been increasingly used in recent years for patients with stable lesions which are resistant to medical therapy, and is now recognized as a useful form of treatment. We report our experience in thirteen patients treated with surgery. Various surgical techniques were tried in these patients, as follows; Suction blister grafting in five patients, thin thiersch grafting in six patients and punch grafting in two patients. A total of 35 patches, amounting to about 140sq.cm have been treated. These patients have been followed up to a maximum of 3 years. The results show excellent take of the graft in nearly 94% of lesions. Very few complications were seen. Recurrence of lesions was noted in one patient. Donor area showed only mild pigmentation in all cases. Our xperience shows that suction blister grafting is best suited for small areas and for face. Thin thiersch grafting is recommended for larger areas. Punch grafting, the easiest of these Methods, is best used as an adjuvant to PUVA therapy. The article discusses details of the study with a review of the literature
Subject(s)
Humans , PUVA Therapy , Vitiligo/etiology , Skin Transplantation/methodsABSTRACT
Contact Dermatitis is a common cause for morbidity among skin patients and patch testing constitutes the most important method for diagnosis of contact dermatitis.Proper diagnosis of contact dermatitis involves knowledge of the offending allergen, occupation of the patient and appropriate patch testing. This article reviews the subject in the light of our experience in Oman
Subject(s)
Humans , Dermatitis, Contact/physiopathology , Patch Tests/methods , Allergens , Dermatitis, Contact/etiologyABSTRACT
Seven cases of cutaneous T-cell lymphomas studied during the period 1990-1995 in Oman are described. There were four cases of mycosis fungoides, and three cases of nonmycosis T-cell lymphomas. The clinical presentations were varied, and often needed multiple biopsies and immunostudies. Recent diagnostic tools of cutaneous T-cell lymphomas are of great help. For proper management, proper clinical follow-up and clinicopathological correlation are necessary