RESUMO
A 25-year-old black woman had a deformed right great toe. X-ray examination revealed extensive lytic change in the distal phalanx, to which technetium uptake was limited. The amputation specimen revealed a benign chondroid syringoma in the subungual tissue that penetrated and permeated the bone. Chondroid syringoma is rare in the foot, and we present what we believe is the first such immunohistochemically confirmed case involving bone.
Assuntos
Adenoma Pleomorfo/patologia , Neoplasias Ósseas/patologia , Doenças do Pé/patologia , Hallux/patologia , Adulto , Feminino , Humanos , Doenças da Unha/patologiaRESUMO
Presented as a new modality, the Cryo/Cuff system incorporates a combination of hydrostatic pressure and cold to reduce post-traumatic pain and edema. It was hypothesized that this combination would also significantly reduce postoperative pain and edema. A sample population of 25 participants who were scheduled to have bilateral foot surgery was selected. Baseline circumference was determined preoperatively. Instruction and demonstration of the apparatus was given to the participants; an ice cap was used on the left foot as a control. The system is designed as a boot to be worn over the foot and ankle. Attached to the boot by a tube is a reservoir containing water and ice. Elevation of the reservoir may provide up to 40 mm. of mercury pressure. Study data gathered incorporated both evaluation by calculation of standard deviation above or below circumference mean as well as two subjective modes of patient assessment. Eighty percent of study participants experienced a reduction of pain and swelling at the first and subsequent postoperative visits. The Cryo/Cuff system appears to be an effective modality in the facilitation of the postoperative recovery process.
Assuntos
Crioterapia , Edema/terapia , Pé/cirurgia , Dor Pós-Operatória/terapia , Complicações Pós-Operatórias/terapia , Adolescente , Adulto , Feminino , Humanos , Pressão Hidrostática , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Resultado do TratamentoRESUMO
An 8-week, double-blind, vehicle-controlled study was conducted to determine the effectiveness of topical capsaicin 0.075% cream in relieving pain associated with diabetic neuropathy. Patients were selected who experienced moderate to very severe pain, which interfered with sleep or activities on a daily basis, and who were unresponsive or intolerant to conventional therapy. The results after 8 weeks showed a statistically significant difference in favor of the capsaicin-treated patients, with 90% of these patients improved. The results of this study indicate that topical capsaicin 0.075% cream is safe and effective in managing painful diabetic neuropathy.