RESUMO
We describe the incidental clearance of preexisting tinea versicolor skin infection with the treatment of oral isotretinoin therapy for acne vulgaris.
Assuntos
Isotretinoína/administração & dosagem , Tinha Versicolor/tratamento farmacológico , Administração Oral , Adolescente , Humanos , MasculinoRESUMO
Treatment of plantar warts is often difficult and may be painful, often employing destructive treatment modalities. We report the successful treatment of a patient with a large plantar wart using Imiquimod 5% cream under occlusion with a 40% salicylic acid pad. This combination treatment modality likely allows successful delivery of Imiquimod through the thick skin on the plantar surface. Once penetrated, an anti-viral state is created by upregulating specific cytokines to eradicate the human papilloma virus (HPV).
Assuntos
Aminoquinolinas/administração & dosagem , Pé/patologia , Ácido Salicílico/administração & dosagem , Verrugas/tratamento farmacológico , Administração Tópica , Adulto , Quimioterapia Combinada , Pé/virologia , Humanos , MasculinoRESUMO
Treatment of plantar warts is often difficult and may be painful, often employing destructive treatment modalities. We report the successful treatment of a patient with a large plantar wart using Imiquimod 5% cream under occlusion with a 40% salicylic acid pad. This combination treatment modality likely allows successful delivery of Imiquimod through the thick skin on the plantar surface. Once penetrated, an anti-viral state is created by upregulating specific cytokines to eradicate the human papilloma virus (HPV).
Assuntos
Aminoquinolinas/administração & dosagem , Pé/patologia , Ácido Salicílico/administração & dosagem , Verrugas/tratamento farmacológico , Administração Tópica , Adulto , Quimioterapia Combinada , Pé/virologia , Humanos , Imiquimode , MasculinoRESUMO
BACKGROUND: Postsurgical wound management is traditionally a choice between intraoperative surgical repair or healing by secondary intention. We describe a technique that combines intraoperative and postoperative surgical repair with granulation. OBJECTIVE: Delayed closure with repeated directional suturing was evaluated as an alternative closure technique for large wounds. METHODS: Sixty patients had surgical defects partially closed intraoperatively with postoperative staged closures over 2 to 4 weeks. Only those wounds that could not be closed intraoperatively without vascular compromise or anatomic disfigurement were treated. RESULTS: All wounds were closed using skin from the same anatomic unit. Complications were minimal, and the results were acceptable to both the patients and the surgeon. CONCLUSION: Delayed closure with repeated directional suturing is a reasonable alternative when primary closure is not possible or when it would cause anatomic disfigurement.
