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3.
Cleve Clin J Med ; 68(3): 256-61, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11263854

ABSTRACT

Although telogen effluvium, or shedding-the most common type of diffuse hair loss in both women and men-is usually self-limiting, the condition may become chronic if the trigger is not identified and corrected. The authors discuss the physiologic and emotional triggers, clinical presentation, diagnosis, and management strategies, including the importance of patient education and reassurance.


Subject(s)
Drug-Related Side Effects and Adverse Reactions , Hair/drug effects , Hair/growth & development , Hypotrichosis/etiology , Adrenal Cortex Hormones/therapeutic use , Adult , Alopecia/chemically induced , Alopecia/etiology , Alopecia/therapy , Androgen Antagonists/therapeutic use , Diet , Female , Hair/physiology , Hair Follicle/drug effects , Hair Follicle/physiology , Humans , Hypotrichosis/chemically induced , Hypotrichosis/therapy , Male , Patient Education as Topic
4.
Dermatol Nurs ; 13(4): 269-72, 277-8, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11917783

ABSTRACT

Hair loss is a common problem in men and women. Correct diagnosis of hair disorders is complex and requires evaluation of clinical presentation, history, physical examination, and laboratory tests. Hair loss may be categorized as hair shaft abnormalities, permanent alopecia, or nonpermanent alopecia. Nonpermanent alopecia, the most common type, includes androgenetic alopecia, telogen effluvium, alopecia areata, and traction alopecia. The hallmark of this group is the possibility of complete regrowth with adequate treatment.


Subject(s)
Alopecia , Alopecia/etiology , Alopecia/pathology , Alopecia/therapy , Female , Hair/abnormalities , Hair/pathology , Humans , Male
5.
Braz J Infect Dis ; 4(5): 255-61, 2000 Oct.
Article in English | MEDLINE | ID: mdl-11063557

ABSTRACT

Histoplasmosis is caused by the dimorphic fungus Histoplasma capsulatum. It manifests by the presence of fever as the only symptom in most individuals. The disease may present as self-limited pneumonia, or as an hematogenous widespread fungal infection with a potentially fatal outcome in elderly individuals and people with compromised T-cell mediated immunity. Here, we report a case of disseminated cutaneous histoplasmosis in a patient with AIDS. The patient was a 33 year old male homosexual, intravenous drug user, who had been diagnosed with HIV infection 5 years earlier. He was in good health, but had erythematous papules and pustules in the skin of the scalp, face, back, thighs, abdomen, palms, and soles. He was placed on anti-retroviral therapy, fluconazole for mucosal candidiasis, trimethoprim/sulfamethoxazole for pneumocystis prophylaxis, and antibiotics for the skin pustules. The skin lesions improved remarkably within 14 days. He was discharged and soon lost to follow-up. After his discharge, skin biopsy and fungal culture results revealed H. capsulatum. He was seen again 1 year later. The interim history revealed that he had taken fluconazole 100 mg/day for 1 month and fluconazole 150 mg/week for 7 months. He had not continued anti-retroviral therapy, nor taken other antifungal drugs. The clinical evolution of the disease was exceptional in that there was disappearance of all the skin lesions attributed to histoplasmosis with fluconazole. Although itraconazole remains the drug of choice for histoplasmosis. Cutaneous histoplasmosis should be considered in the differential diagnosis of atypical cutaneous lesions in individuals infected with HIV.


Subject(s)
AIDS-Related Opportunistic Infections/diagnosis , Dermatomycoses/diagnosis , Histoplasma/isolation & purification , Histoplasmosis/diagnosis , Adult , Dermatomycoses/microbiology , Histoplasmosis/microbiology , Humans , Male
6.
Braz. j. infect. dis ; 4(5): 255-261, Oct. 2000. ilus
Article in English | LILACS | ID: lil-314768

ABSTRACT

Histoplasmosis is caused by the dimorphic fungus Histoplasma capsulatum. It manifests by the presence of fever as the only symptom in most individuals. The disease may present as self-limited pneumonia, or as an hematogenous widespread fungal infection with a potentially fatal outcome in elderly individuals and people with compromised T-cell mediated immunity. Here, we report a case of disseminated cutaneous histoplasmosis in a patient with AIDS. The patient was a 33 year old male homosexual, intravenous drug user, who had been diagnosed with HIV infection 5 years earlier. He has in good health, but had erythematous papules and pustules in the skin of the scalp, face, back, thighs, abdomen, palms, and soles. He was placed on anti-retroviral therapy, fluconazole for mucosal candidiasis, trimethoprim/sulfamethoxazole for pneumocystis prophylaxis, and antibiotics for the skin pustules. The skin lesions improved remarkably within 14 days. He was discharged and soon lost to follow-up. After his discharge, skin biopsy and fungal culture results revealed H. capsulatum. He was seen again 1 year later. the interim history revealed that he had taken fluconazole 100 mg/day for 1 month and fluconazole 150 mg/week for 7 months. He had not continued anti-retroviral therapy, nor taken other antifungal drugs. The clinical evolution of the disease was exceptional in that there was disappearance of all the skin lesions attributed to histoplasmosis with fluconazole. Although itraconazole remains the drug of choice for histoplasmosis. Cutaneous histoplasmosis should be considered in the differential diagnosis of atypical cutaneous lesions in individuals infected with HIV.


Subject(s)
Humans , Male , Adult , Antiviral Agents , Histoplasmosis , HIV , Itraconazole , Acquired Immunodeficiency Syndrome/complications , Diagnosis, Differential
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