Interdigital pilonidal sinus: An occupational disease of pet groomers / The Health Sciences Journal

INTRODUCTION@#Interdigital pilonidal sinus is an acquired condition secondary to penetration of hair fragments into the skin of the web spaces of the hands commonly observed in hairdressers, and occasionally, among pet groomers. Local literature reports or guidelines to ensure practice of protective measures for this population of workers are currently lacking.@*CASE SUMMARY@#A 24-year old pet groomer consulted due to occasional white hair strands emerging from two openings in the third interdigital space of his dominant hand. Histopathologic examination of the sinus tract showed an acanthotic, hyperplastic epidermis with scale crust, and nodular dermal infiltrates composed of epithelioid histiocytes, plasma cells, lymphocytes, and eosinophils. Transepidermal extrusion of polarizable hair cortical material was also evident establishing the diagnosis of an interdigital pilonidal sinus. Sinusectomy and debridement with healing by secondary intention resulted in an optimal wound closure and full motion of the affected hand after one week and minimal scarring with no recurrence after seven months.@*CONCLUSION@#Surgical excision followed by proper wound care is essential to avoid recurrence. In conclusion, since interdigital pilonidal disease is a rare condition, awareness among physicians would lead to accurate diagnosis, optimal treatment, and proper patient education.

Efficacy and safety of monopolar radiofrequency for the improvement of facial skin laxity and rhytides: A systematic review of clinical trials / The Health Sciences Journal

INTRODUCTION: There is a consistent increase in the interest and demand for non-invasive modalities toimprove facial skin laxity and rhytides. Monopolar radiofrequency is one of such non-invasive modalities.This systematic review aimed to determine the efficacy and safety of monopolar radiofrequency inimproving facial rhytides and skin laxity.METHODS: Clinical studies that assessed the efficacy of monopolar radiofrequency to address clinicallyobservable facial rhytides and skin laxity were included. Outcome measures included improvementin rhytides and skin laxity as documented by patient satisfaction scores, and investigator and third-personobserver ratings based on clinical photographs and clinical scales.RESULTS: Three studies involving 29 participants were included in this review. All studies reported 25-50% improvement in facial rhytides and skin laxity. Participants from the three studies were satisfiedwith the results. Transient erythema was reported in several patients.CONCLUSION: Monopolar radiofrequency appears to be beneficial and safe for patients with facialrhytides and skin laxity. However, the evidence is inconclusive due to problems in the methodologicalquality of each trial and the heterogeneity of the studies included in this review.