Subject(s)
Mouth Mucosa , Palate, Hard , Stomatitis/etiology , Syphilis/diagnosis , Adult , Diagnosis, Differential , Humans , MaleSubject(s)
Carcinoma in Situ/pathology , Dermatitis/etiology , Dermatitis/therapy , Paget Disease, Extramammary/pathology , Skin Neoplasms/pathology , Aged , Aged, 80 and over , Carcinoma in Situ/surgery , Dermatitis/pathology , Diagnosis, Differential , Groin , Humans , Male , Paget Disease, Extramammary/surgery , Skin Neoplasms/surgeryABSTRACT
Psoriasis was already mentioned in the Corpus Hippocratium and only 1842 was it possible to separate this entity from lepromatous skin manifestations. Psoriasis is rather common and the prevalence in northern countries ranges between 1-2%. Psoriasis is an inherited disorder but the clinical manifestations depend on several triggers such as infections, drugs and stress. The clinical presentation is characterized by silvery scales on an erythematous ground. The management of psoriatic patients needs a broad experience. The objective degree of disease activity as well as the subjective aspects of the disease need to be taken in account. The therapeutic modalities used in the treatment of psoriasis can be compared with a symbolic ladder. At the beginning of the ladder emollients are to be mentioned. Ascending the ladder, different topical treatments can be used such as steroids or vitamin D and the more severe forms do need systemic treatments such as ultraviolet therapy, eventually combined with a photosensitizer, retinoids or methotrexate and even cyclosporine. In special cases treatment as an outpatient is not possible and then hospitalisation in a dermatologic unit is necessary.
Subject(s)
Psoriasis/therapy , Anti-Inflammatory Agents/administration & dosage , Anti-Inflammatory Agents/adverse effects , Combined Modality Therapy , Dermatologic Agents/administration & dosage , Dermatologic Agents/adverse effects , Humans , Immunosuppressive Agents/administration & dosage , Immunosuppressive Agents/adverse effects , PUVA Therapy , Psoriasis/etiology , Steroids , Ultraviolet TherapyABSTRACT
Unilateral or bilateral femoral nerve functional deficiency deficit occurs as a rare iatrogenic complication of gynaecological abdominal or vaginal surgery. Self-retaining abdominal retractors, that exert a constant pressure on the femoral nerve during the operation, are the most frequent cause. This situation occurs especially, if retractors of unsuitable size are used on very slender patients with thin abdominal walls. The favourable prognosis of the femoral nerve sensory and motor deficiencies can be complicated by damage to the knee joint resulting from leg muscle paresis. A personal observation and a literary review on sensomotor paresis after gynaecological abdominal surgery are discussed.
