RESUMO
Topical levofloxacin has been used safely, but it can induce life-threatening hypersensitivities. We report a case of anaphylactic shock caused by levofloxacin eye drops during the treatment of a corneal injury, confirmed by a prick test. Reported cases of hypersensitivity to levofloxacin and its racemate ofloxacin eye drops are also summarized.
RESUMO
BACKGROUND: Traumatic skin tears often occur in patients with dystrophic skin. Closing them with adhesive skin closures is useful for patients with a healthy flap, but occasionally fails to cover the entire defect. We describe a simple technique to perform mini patch grafting on the remaining raw surface without damaging healthy skin. DISCUSSION: The skin flap is spread out and fixed with adhesive skin strips to minimize defects first. Small pieces of skin are obtained by trimming the edges of the skin flap with curved tip scissors. They are placed on the defect with free spaces of 3 to 5 mm between each of the grafts. Then the whole wound is covered with a dressing and gauze pads. Healing of the ulcer could be markedly promoted with little enlargement of the skin defect. CONCLUSIONS: Small pieces of skin trimmed out from the edge of skin flap can be used as a mini patch graft that remarkably enhances healing of remaining open surface.
Assuntos
Pele/lesões , Fita Cirúrgica/tendências , Cicatrização , Anestésicos Locais/uso terapêutico , Epinefrina/uso terapêutico , Primeiros Socorros/métodos , Humanos , Transplante de Pele/métodos , Transplante de Pele/normas , Lesões dos Tecidos Moles/cirurgia , Fita Cirúrgica/normas , Vasoconstritores/uso terapêuticoRESUMO
We report a case of refractory Fusarium paronychia in a 42-year-old man with Behçet's disease receiving oral cyclosporin and corticosteroid. Symptoms resembling candidal paronychia of his little finger could not be cured by topical ketoconazole and oral terbinafine. The pathogen was identified as Fusarium solani species complex by gene analysis, and was multiple drug resistant. The case eventually resolved by occlusive dressing therapy with 0.5% amorolfine cream for 3 months.
Assuntos
Antifúngicos/administração & dosagem , Fusariose/tratamento farmacológico , Dermatoses da Mão/tratamento farmacológico , Onicomicose/tratamento farmacológico , Adulto , Síndrome de Behçet/complicações , Síndrome de Behçet/tratamento farmacológico , Fusariose/etiologia , Fusariose/microbiologia , Fusarium/efeitos dos fármacos , Fusarium/genética , Fusarium/isolamento & purificação , Dermatoses da Mão/etiologia , Dermatoses da Mão/microbiologia , Humanos , Imunossupressores/efeitos adversos , Masculino , Morfolinas/administração & dosagem , Curativos Oclusivos , Onicomicose/etiologia , Onicomicose/microbiologiaRESUMO
BACKGROUND: Pictures of skin lesions are usually recorded with a camera equipped with a ring-type electric flash. In some cases the photographs do not reproduce the image perceived by the naked eye. OBJECTIVE: To investigate the quality of photographs taken with the ring-type electric flash. METHODS: Photographs of skin lesions and an experimental skin model were taken under different illumination conditions including a standard light source, full-spectrum fluorescent ceiling lights and the ring-type electric flash. RESULTS: Images taken under illumination with a standard light source box resembled those perceived by the naked eye. The full-spectrum fluorescent ceiling lights produced adequate results. Pictures taken with the ring-type electric flash showed some deficiencies including reduction in contrast, loss of shading and excess reflection. CONCLUSIONS: The ring-type electric flash is not an ideal device for recording skin lesions. An illumination device compatible with a standard light source should be employed to yield maximum fidelity.
