Zoon's Balanitis - Update of Clinical Spectrum and Management.

Zoon's balanitis or balanitis plasmacellularis circumscripta is a chronic inflammatory disorder of the genital mucosa that can affect both males and females (Zoon's vulvitis). It is not a sexually transmitted disease but can still cause anxiety to the patients because of its chronic nature. Hence, proper diagnosis and early management are necessary. It is a clinical mimicker of other commoner genital dermatoses and is mostly a diagnosis of exclusion when other diseases have been ruled out. It is characterised by a well-demarcated shiny erythematous patch or plaque over the genital mucosa. Histopathological examination becomes necessary when we are unable to differentiate it from premalignant lesions. It reveals lozenge-shaped keratinocytes with siderophages, haemorrhages and variable plasma cell infiltrate in the dermis. Dermoscopy shows spermatozoa-like, convoluted vessels with structureless red orange areas. Response to topical therapy alone is not always satisfactory. However, lasers and surgical management can provide long-term remission.

Role of Vitalstim® In The Management Of Patients With Dysphagia: A MiniReview.

Dysphagia defined as difficulty in swallowing, can result from multiple causes including, Stroke, head injury, Alzheimer, Dementia, Muscular dystrophy, Cerebral Palsy etc. It is associated with neuro-muscular impairments in different age groups. VitalStim® therapy is a relatively new approach to treat dysphagia. It provides neuromuscular electrical stimulation (NMES) of the involved muscles to improve the function of swallowing. This review summarizes the usefulness of VitalStim® in dysphagia, and barriers in its use in Pakistan.

Vascular anomalies: updates and our understanding / 中华整形外科杂志

We briefly reviewed the most significant advance in the field of hemangioma and vascular malformation from the second half of 2016 to the first quarter of 2018. Breakthroughs in basic research, genetic discoveries and animal model development have significantly contributed to the classification, diagnosis, differential diagnosis, and treatment of vascular anomalies including surgical treatment, endovascular therapies, laser treatment and drug therapies. Here, we have discussed important discoveries and innovative hypotheses in infantile hemangioma, congenital hemangioma, KHE/TA, port-wine stain, venous malformation, lymphatic malformation, arteriovenous malformation and etc. Together, we have proposed future directions to help shaping this field.