Caterina Foti, Gianluca Calianno, Giorgia Sbarra, Maria Carla Pisani, Francesca Ambrogio, Nicoletta Cassano, Gino Antonio Vena, Paolo Romita
{"title":"Crusted scabies diagnosed in an atopic patient during treatment with upadacitinib.","authors":"Caterina Foti, Gianluca Calianno, Giorgia Sbarra, Maria Carla Pisani, Francesca Ambrogio, Nicoletta Cassano, Gino Antonio Vena, Paolo Romita","doi":"10.1684/ejd.2024.4695","DOIUrl":"10.1684/ejd.2024.4695","url":null,"abstract":"","PeriodicalId":11968,"journal":{"name":"European Journal of Dermatology","volume":"34 3","pages":"311-312"},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Loxosceles rufescens is a spider that may bite humans. To describe the clinical manifestations and treatment of patients with bites caused by L. rufescens, and present scanning electron microscopy of the spider. Twelve patients are described, seven with a confirmed aetiological diagnosis as a sample of the spider was captured. In one case, scanning electron microscopy of the spider was performed. Seven patients presented with a single necrotic ulcer of varying morphology, with a purulent-necrotic bed, located on the neck (one patient), buttock (one patient), thigh (one patient), legs (three patients) and foot (one patient). All patients complained of burning and pain. No systemic symptoms were observed. All patients were treated with sodium hypochlorite solution packs, an equine catalase gel, and polyhexamethylene biguanide cream. Oral analgesics were added. In one patient, oral prednisone was prescribed. Two patients with bacterial superinfections were treated with i.v. piperacillin/tazobactam or i.m. ceftriaxone. All patients recovered within eight weeks, however, a scar developed in five of six patients. The sequence of cutaneous manifestations due to L. rufescens bites is typical. At first, erythema and oedema forms, followed by a vesicle, blister or pustule and, finally, an eschar and scar. Systemic symptoms and signs are rare. To consider this spider as an aetiological agent of necrotic ulcers, it is necessary to capture a sample of the spider, dead or alive, which should then be identified by an expert. Corticosteroids, antibiotics and analgesics are frequently used. Surgery is often necessary.
Loxosceles rufescens 是一种可能咬人的蜘蛛。描述被 L. rufescens 咬伤的病人的临床表现和治疗方法，并展示蜘蛛的扫描电子显微镜。文中描述了 12 名患者，其中 7 人因捕获了蜘蛛样本而确诊病因。在一个病例中，对蜘蛛进行了扫描电子显微镜检查。七名患者表现为形态各异的单发坏死性溃疡，溃疡床呈化脓性坏死，分别位于颈部（一名患者）、臀部（一名患者）、大腿（一名患者）、腿部（三名患者）和足部（一名患者）。所有患者都主诉有烧灼感和疼痛。没有观察到全身症状。所有患者都接受了次氯酸钠溶液包、马过氧化氢酶凝胶和聚六亚甲基双胍乳膏的治疗。此外还添加了口服镇痛剂。一名患者还口服了泼尼松。两名患有细菌性超级感染的患者接受了静脉注射哌拉西林/他唑巴坦或静注头孢曲松的治疗。所有患者均在八周内痊愈，但六名患者中有五名留下了疤痕。恙虫咬伤引起的皮肤表现顺序很典型。首先是红斑和水肿，然后是水泡、水疱或脓疱，最后是焦痂和疤痕。全身症状和体征很少见。要将这种蜘蛛视为坏死性溃疡的病原体，必须捕捉到蜘蛛的样本，无论死活，然后由专家进行鉴定。皮质类固醇、抗生素和止痛药是常用药物。通常需要进行手术。
{"title":"Necrotic ulcers caused by Loxosceles rufescens bites: a report of seven patients and scanning electron microscopy of the spider.","authors":"Stefano Veraldi, Rossana Schianchi, Gianluca Nazzaro","doi":"10.1684/ejd.2024.4700","DOIUrl":"https://doi.org/10.1684/ejd.2024.4700","url":null,"abstract":"<p><p>Loxosceles rufescens is a spider that may bite humans. To describe the clinical manifestations and treatment of patients with bites caused by L. rufescens, and present scanning electron microscopy of the spider. Twelve patients are described, seven with a confirmed aetiological diagnosis as a sample of the spider was captured. In one case, scanning electron microscopy of the spider was performed. Seven patients presented with a single necrotic ulcer of varying morphology, with a purulent-necrotic bed, located on the neck (one patient), buttock (one patient), thigh (one patient), legs (three patients) and foot (one patient). All patients complained of burning and pain. No systemic symptoms were observed. All patients were treated with sodium hypochlorite solution packs, an equine catalase gel, and polyhexamethylene biguanide cream. Oral analgesics were added. In one patient, oral prednisone was prescribed. Two patients with bacterial superinfections were treated with i.v. piperacillin/tazobactam or i.m. ceftriaxone. All patients recovered within eight weeks, however, a scar developed in five of six patients. The sequence of cutaneous manifestations due to L. rufescens bites is typical. At first, erythema and oedema forms, followed by a vesicle, blister or pustule and, finally, an eschar and scar. Systemic symptoms and signs are rare. To consider this spider as an aetiological agent of necrotic ulcers, it is necessary to capture a sample of the spider, dead or alive, which should then be identified by an expert. Corticosteroids, antibiotics and analgesics are frequently used. Surgery is often necessary.</p>","PeriodicalId":11968,"journal":{"name":"European Journal of Dermatology","volume":"34 3","pages":"267-270"},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sanghyuk Yoon, Sun Yeop Lee, Geon-Jong Lee, Jong-Seung Kim, Jin Park, Kyung-Hwa Nam
{"title":"Psoriasis and in situ or invasive non-melanoma skin cancer: a bidirectional Mendelian randomisation study.","authors":"Sanghyuk Yoon, Sun Yeop Lee, Geon-Jong Lee, Jong-Seung Kim, Jin Park, Kyung-Hwa Nam","doi":"10.1684/ejd.2024.4693","DOIUrl":"https://doi.org/10.1684/ejd.2024.4693","url":null,"abstract":"","PeriodicalId":11968,"journal":{"name":"European Journal of Dermatology","volume":"34 3","pages":"314-317"},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Scrofuloderma with extended lymphadenopathy: a rare presentation of tuberculosis mimicking hidradenitis suppurativa.","authors":"Jenny G Chung, Nilesh Morar","doi":"10.1684/ejd.2024.4707","DOIUrl":"10.1684/ejd.2024.4707","url":null,"abstract":"","PeriodicalId":11968,"journal":{"name":"European Journal of Dermatology","volume":"34 3","pages":"334-335"},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sergio Vano-Galvan, Pascal Reygagne, Daniel Fernandes Melo, Victoria Barbosa, Wen-Yu Wu, Hoda Moneib, Bianca Maria Piraccini
Seborrheic Dermatitis of the scalp (SSD) is a chronic and relapsing inflammatory skin condition. Current SSD treatments mainly consist of topical applications of anti-fungals and anti-inflammatory agents. to review information about SSD and to provide dermatologists with practical recommendations for managing adult SSD. Material and methods: Between September and December 2023, an international group of experts in dermatology and hair and scalp disorders met to discuss published data about SD, SSD, dandruff, and management options. A total of 131 manuscripts available from PubMed were analysed, discussed and used for the present consensus. Each author was asked to complete a table listing currently used treatments to treat SSD according to the literature and to their own experience. The authors confirmed their use and regimen and commented on local treatment exceptions. They then agreed on prescription practices and proposed a general treatment approach. Currently, approved therapies to manage moderate and severe forms of SSD do not exist and there is a need for adapted and approved medications that treat efficiently and safely the disease. We propose a treatment algorithm that allows for the treatment of all severity grades of SSD. This algorithm may be completed with local treatment specifications. Despite the lack of approved therapies to manage moderate forms of SSD, a treatment algorithm is proposed and may help prescribers to manage SSD more efficiently.
{"title":"A comprehensive literature review and an international expert consensus on the management of scalp seborrheic dermatitis in adults.","authors":"Sergio Vano-Galvan, Pascal Reygagne, Daniel Fernandes Melo, Victoria Barbosa, Wen-Yu Wu, Hoda Moneib, Bianca Maria Piraccini","doi":"10.1684/ejd.2024.4703","DOIUrl":"10.1684/ejd.2024.4703","url":null,"abstract":"<p><p>Seborrheic Dermatitis of the scalp (SSD) is a chronic and relapsing inflammatory skin condition. Current SSD treatments mainly consist of topical applications of anti-fungals and anti-inflammatory agents. to review information about SSD and to provide dermatologists with practical recommendations for managing adult SSD. Material and methods: Between September and December 2023, an international group of experts in dermatology and hair and scalp disorders met to discuss published data about SD, SSD, dandruff, and management options. A total of 131 manuscripts available from PubMed were analysed, discussed and used for the present consensus. Each author was asked to complete a table listing currently used treatments to treat SSD according to the literature and to their own experience. The authors confirmed their use and regimen and commented on local treatment exceptions. They then agreed on prescription practices and proposed a general treatment approach. Currently, approved therapies to manage moderate and severe forms of SSD do not exist and there is a need for adapted and approved medications that treat efficiently and safely the disease. We propose a treatment algorithm that allows for the treatment of all severity grades of SSD. This algorithm may be completed with local treatment specifications. Despite the lack of approved therapies to manage moderate forms of SSD, a treatment algorithm is proposed and may help prescribers to manage SSD more efficiently.</p>","PeriodicalId":11968,"journal":{"name":"European Journal of Dermatology","volume":"34 S1","pages":"4-16"},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141450165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ken Shiraishi, Yukihiro Miyazaki, Nobushige Kohri, Satoshi Yoshida, Kazuki Yatsuzuka, Jun Muto, Masamoto Murakami, Yasuhiro Fujisawa
{"title":"Chilblains as a non-specific skin eruption in a patient with myelodysplastic neoplasm.","authors":"Ken Shiraishi, Yukihiro Miyazaki, Nobushige Kohri, Satoshi Yoshida, Kazuki Yatsuzuka, Jun Muto, Masamoto Murakami, Yasuhiro Fujisawa","doi":"10.1684/ejd.2024.4680","DOIUrl":"10.1684/ejd.2024.4680","url":null,"abstract":"","PeriodicalId":11968,"journal":{"name":"European Journal of Dermatology","volume":"34 3","pages":"298-300"},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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