Subject(s)
Chilblains/pathology , Free Tissue Flaps/adverse effects , Hand/surgery , Skin Transplantation/adverse effects , Adult , Aged, 80 and over , Chilblains/diagnosis , Chilblains/etiology , Chilblains/prevention & control , Cold Climate/adverse effects , Female , Free Tissue Flaps/transplantation , Humans , Microcirculation/physiologyABSTRACT
This article summarizes recommendations reached following a systematic literature review and expert consensus on the diagnosis and management of cutaneous squamous cell carcinomas in people with epidermolysis bullosa. The guidelines are intended to help inform decision making by clinicians dealing with this complex complication of a devastating disease.
Subject(s)
Carcinoma, Squamous Cell/therapy , Epidermolysis Bullosa/complications , Skin Neoplasms/therapy , Amputation, Surgical/methods , Artificial Limbs , Carcinoma, Squamous Cell/diagnosis , Carcinoma, Squamous Cell/prevention & control , Consensus , Humans , Lymphatic Metastasis , Minimally Invasive Surgical Procedures/methods , Neoplasm Metastasis , Neoplasm Staging , Pain/prevention & control , Practice Guidelines as Topic , Psychotherapy/methods , Retinoids/therapeutic use , Sentinel Lymph Node Biopsy/methods , Skin Neoplasms/diagnosis , Skin Neoplasms/prevention & control , Terminal Care/methods , Wound Closure TechniquesSubject(s)
Bone Neoplasms/surgery , Glomus Tumor/surgery , Hand/surgery , Osteoma, Osteoid/surgery , Adult , Humans , Male , Middle Aged , Plastic Surgery Procedures/methodsABSTRACT
A new classification of fingertip injuries is presented. The PNB classification separates the injury into its effect on the three components of the fingertip: pulp, nail and bone. This provides a three digit number that accurately describes the injury. This new classification can be used to record and document injuries, without having to resort to lengthy description. It could also be used to provide detailed instructions for treatment and indications for referral. Examples of the application of the classification are given.
Subject(s)
Finger Injuries/classification , Amputation, Traumatic/classification , Humans , Nails/injuriesABSTRACT
Absence of the right superior caval vein has been shown by postmortem studies of infants and children to be associated with histological abnormalities of the sinus node. We report the case of a 32-yr-old man who presented with syncope due to disease of the sinus node and was found to have absence of the right superior caval vein. He was successfully managed with implantation of an epicardial atrioventricular sequential pacemaker.
