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Implications of Poor Feeding on Displaced Children in Adamawa Camp in Nigeria 营养不良对尼日利亚阿达马瓦难民营流离失所儿童的影响
Pub Date : 2017-06-15 DOI: 10.11648/J.IJCD.20170103.12
R. Adamu
The paper examines the implications of poor feeding on the displaced children by Boko Haram in North Eastern region of Nigeria using Adamawa camp as a unit of analysis. The paper used secondary data such as text books, journals and newspapers. The findings shows that most of the displaced children in Adamawa camp are in serious pathetic problems due to the way they left their houses without any adequate preparation as a result of the activities of Boko Haram insurgence, analysis of their camp situation indicate that some of them lack money to purchase basic necessity of life and the food provided lacks basic ingredient for growth and development of child as a result is creating problems to the survival of the displaced children leading to illness and death of many of them. Recommendations were made on how to improve the situation in the camp.
本文以阿达马瓦难民营为分析单位,考察了博科圣地组织在尼日利亚东北部地区造成的流离失所儿童饮食不良的影响。该论文使用了二手数据,如教科书、期刊和报纸。调查结果显示,阿达马瓦难民营的大多数流离失所儿童都有严重的可悲问题,因为他们离开家园时没有做好任何准备,这是博科圣地叛乱活动的结果。对他们营地情况的分析表明,其中一些人没有钱购买基本生活必需品,所提供的食物缺乏儿童生长发育的基本成分,因此给流离失所儿童的生存造成了问题,导致许多儿童生病和死亡。就如何改善难民营的情况提出了建议。
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引用次数: 5
Hypopigmentation After Local Corticosteroid Injection for De Quervain Tenosynovitis 局部注射皮质类固醇治疗脱黑素性腱鞘炎后色素减退
Pub Date : 2017-05-26 DOI: 10.11648/J.IJCD.20170102.14
Xuejian Wang
The clinical presentation hypopigmentation is a rare complication after intralesional injection of triamcinolone acetonide. A 32-year-old female, yellow race, visited our dermatology department for a hypopigmented patch in right dorsum of her right thumb. The lesion developed after injection of an intralesional corticosteroid. The patient was diagnosed with hypopigmentation secondary to the triamcinolone injection. Three months after injection, her hypopigmentation showed improvement upon physical examination. Hypopigmentation is a very rare side effect of intralesional triamcinolone injection, which may be associated with gender. The mechanism is unknown, need for further study.
临床表现为局部注射曲安奈德后的罕见并发症。一名32岁女性,黄种人,因右拇指右背色素沉着而到我们皮肤科就诊。病灶是在局部注射皮质类固醇后形成的。患者被诊断为曲安奈德注射后继发的色素沉着。注射后3个月,体检发现色素沉着有所改善。色素沉着是局部注射曲安奈德的一种非常罕见的副作用,可能与性别有关。其作用机制尚不清楚,有待进一步研究。
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引用次数: 3
Langerhans Cell Histiocytosis: Letterer - Siwe Disease Interest of Dermatological Signs for Diagnosis 朗格汉斯细胞组织细胞增多症:字母- Siwe病的皮肤科症状诊断的兴趣
Pub Date : 2017-05-18 DOI: 10.19070/2332-2977-1700030
H. Elmahi, A. Lahlou, S. Gallouj
Langerhans cell histiocytosis (LCH) is a rare disorder that involves the clonal proliferation of the Langerhans cells. LCH is often diagnosed in childhood, but any age group can be affected, from infancy through adulthood [1]. The cause of this disease is unknown, although many possibilities have been explored. The clinical presentation is highly variable. The severity and prognosis depend on the type and extent of organ involvement [3]. The disease classically presents with three syndromes namely Eosinophilic granuloma, Letterer-Siwe disease and Hand-Schuller-Christian disease [4]. Letterer-Siwe disease is the most common and serious of these entities, affecting mainly infants up to two years of age [5]. We present a case of this rare disease, diagnosed after dermatological examination, highlighting its typical aspects.
朗格汉斯细胞组织细胞增生症(LCH)是一种罕见的疾病,涉及朗格汉斯细胞的克隆性增殖。LCH通常在儿童时期被诊断出来,但从婴儿期到成年期,任何年龄组都可能受到影响。这种疾病的原因尚不清楚,尽管已经探索了许多可能性。临床表现变化很大。其严重程度和预后取决于器官受累的类型和程度。该病典型表现为三种综合征,即嗜酸性肉芽肿、letter - siwe病和Hand-Schuller-Christian病。letter - siwe病是这些疾病中最常见和最严重的,主要影响两岁以下的婴儿。我们提出一个病例这种罕见的疾病,诊断后皮肤科检查,突出其典型方面。
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引用次数: 0
Thyroid Dysfunction in Libyan Vitiligo Patients 利比亚白癜风患者的甲状腺功能障碍
Pub Date : 2017-04-27 DOI: 10.19070/2332-2977-SI02002
El-Dibany Sa, El-Sherif Na
Background: Vitiligo is an acquired depigmenting disorder due to destruction of melanocytes, many hypotheses have been suggested for its pathogenesis. One of these hypotheses suggest that there are autoimmune and endocrine dysfunction involvement. The involvement of vitiligo with thyroid autoimmune diseases, with the increased prevalence of auto antibodies including thyroid auto antibodies in vitiligo support the hypothesis. Patients and Methods: 50 Libyan patients under same age and gender with vitiligo, and 50 controls . Patients were excluded if they had a history of thyroid, or other autoimmune diseases. Data on age, onset of illness, duration and disease activity were determined . Serum T3, T4, TSH , and antibodies to TPO and TG were measured in both vitiligo patients & controls. All patients and control subjects underwent thyroid ultrasonography. Results: Fifty patients with vitiligo and their 50 matched controls were studied. More than half of the patients (52%) were females and 48% were males, their mean of age was 40 ± 11 years, and the duration of vitiligo was 11± 9 years. Vitiligo vulgaris type was the most common form seen in 68% of the patients, and 42% reported at least one family member affected with vitiligo. Family history of thyroid disorder was seen in 20% of the patients. Thyroid functional abnormalities were significantly seen more in patients than control subjects. The frequency of TG and TPO thyroid autoantibodies was significantly higher in vitiligo patients than in healthy controls (P < 0.01). Abnormal thyroid ultrasound study was seen in 18 (36%) of the patients compared to 6 (12%) of the control subjects (P < 0.05). Conclusion: Our findings pointed to a significant association between vitiligo and thyroid autoimmunity and showed that testing the level of thyroid autoantibodies is relevant in vitiligo patients.
背景:白癜风是一种由黑色素细胞破坏引起的获得性脱色疾病,关于其发病机制提出了许多假说。其中一种假设认为与自身免疫和内分泌功能紊乱有关。白癜风与甲状腺自身免疫性疾病的关系,以及白癜风患者自身抗体(包括甲状腺自身抗体)患病率的增加支持了这一假设。患者和方法:50例年龄和性别相同的利比亚白癜风患者,50例对照。如果患者有甲状腺病史或其他自身免疫性疾病,则排除在外。确定了年龄、发病、病程和疾病活动度等数据。测定白癜风患者和对照组的血清T3、T4、TSH以及TPO和TG抗体。所有患者及对照组均行甲状腺超声检查。结果:对50例白癜风患者及其50例对照进行了研究。患者中女性占52%,男性占48%,平均年龄40±11岁,病程11±9年。寻常型白癜风在68%的患者中最为常见,42%的患者报告至少有一名家庭成员患有白癜风。20%的患者有甲状腺疾病家族史。患者甲状腺功能异常明显多于对照组。白癜风患者甲状腺自身抗体TG、TPO阳性率明显高于正常对照组(P < 0.01)。甲状腺超声异常18例(36%),对照组6例(12%),差异有统计学意义(P < 0.05)。结论:我们的研究结果指出白癜风与甲状腺自身免疫之间存在显著关联,并且表明检测甲状腺自身抗体水平与白癜风患者相关。
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引用次数: 0
Case Reports on Juvenile Xanthogranuloma and Brief Review of Literature 青少年黄色肉芽肿病例报告及文献综述
Pub Date : 2017-03-31 DOI: 10.11648/j.ijcd.20170102.11
S. Pradhan, Shuang Chen, Lin Xiong
Juvenile xanthogranuloma is an unusual, self-limiting dermatological disorder occurring especially in infants, late childhood and rarely in adults. It belongs to the broad group of non-Langerhans cell histiocytosis. It usually appears as solitary or multiple papules, macules or nodules several millimeters in diameter with the head and neck being the most common site of involvement and vulva being the rare site. We report two cases of juvenile xanthogranuloma in an 18 months old female and 18 months old male. The female presented with three yellow papules measuring 2-3 mm in diameter around vulva region since 4 months. Similarly, the male presented with multiple tan-orange color macules on head and forehead measuring 3-4mm in diameter since 6 months. In both the cases, a biopsy without total excision was performed. The clinical and histopathological evaluation confirmed the diagnosis of juvenile xanthogranuloma. In childhood, juvenile xanthogranuloma is necessary to differentiate from another probable differential diagnosis by biopsy.
青少年黄色肉芽肿是一种罕见的,自限性皮肤病,尤其发生在婴儿,儿童晚期,很少发生在成人。它属于非朗格汉斯细胞组织细胞增多症的广泛组。它通常表现为单发或多发丘疹、斑疹或结节,直径几毫米,最常见的受累部位为头颈部,外阴少见。我们报告两例青少年黄色肉芽肿在一个18个月大的女性和18个月大的男性。4个月以来,女性外阴周围出现3个直径2-3毫米的黄色丘疹。同样,6个月以来,男性头部和前额出现多个直径3-4mm的棕橙色斑点。在这两个病例中,都进行了活检,但没有完全切除。临床及组织病理学检查证实为幼年型黄色肉芽肿。在儿童时期,幼年黄色肉芽肿是必要的,以区分与其他可能的鉴别诊断活检。
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引用次数: 3
Guillain-Barré Syndrome Following a Malignant Varicella in Immunocompetent Adult 免疫功能正常成人恶性水痘后格林-巴勒综合征
Pub Date : 2017-03-10 DOI: 10.19070/2332-2977-1700028
Elmahi H, B. H, Issoual K, Gallouj S
A 62-year-old man of Moroccan origin, without pathological history, was hospitalized at the Intensive Care Unit for a GBS With respiratory distress, appeared 7 days after the onset of a generalized erythematous-vesicular eruption, pruriginous evolving in a febril context. The dermatological examination found multiple erosions covered with haemorrhagic crises, diffuse on the body (Figures 1 and 2). Clinically evoking the diagnosis of chickenpox as the history revealed that his wife had a varicella confirmed by a dermatologist two weeks before his symptomatology. A study of nerve conduction had confirmed polyneuropathic inflammatory demyelinator Acute. A biological and radiological evaluation (thoracic, brain scan) were without abnormality.
一名62岁摩洛哥裔男子,无病理史,因GBS入住重症监护室,出现呼吸窘迫,发病7天后出现全身红斑-水疱性皮疹,伴发热性瘙痒。皮肤检查发现多处糜烂,覆盖出血危机,散布在全身(图1和2)。临床提示水痘诊断,因为病史显示他的妻子在他出现症状前两周被皮肤科医生确诊患有水痘。神经传导的研究证实了急性多神经性炎症性脱髓鞘。生物学和影像学检查(胸部、脑部扫描)均无异常。
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引用次数: 0
Keratosis Follicularis Spinulosa Decalvans: A New Observation 斑纹毛囊性角化病:一种新的观察
Pub Date : 2017-02-10 DOI: 10.19070/2332-2977-1700027
H. Elmahi, S. Elloudi, S. Gallouj, F. Mernissi, M. Rimani
Scarring alopecia in association with follicular hyperkeratosis is the primary characteristic of keratosis pilaris atrophicans (KPA). It affects mainly the face and scalp and can be inflammatory in nature [1]. Widespread KP can also be seen. keratosis pilaris atrophicans is a group of cutaneous disorders that may represent a spectrum of 1 disease. Differences in localization and the degree of inflammation and atrophy have been used to distinguish these various disorders [1]. They are genetic disorders with different modes of inheritance. Heterogeneity in the mode of inheritance exists not only between different types of KPA but also within 1 type, such as keratosis follicularis spinulosa decalvans (KFSD) [1, 2]. The pathogenesis is not known, but abnormal follicular keratinization has been suggested.
与毛囊性角化过度相关的瘢痕性脱发是萎缩性角化病(KPA)的主要特征。它主要影响面部和头皮,本质上可能是炎症[1]。广泛的KP也可以看到。萎缩性角化病是一组皮肤疾病,可能代表一种疾病的谱。不同部位以及炎症和萎缩程度的差异已被用来区分这些不同的疾病[1]。它们是遗传方式不同的遗传病。遗传方式的异质性不仅存在于KPA的不同类型之间,也存在于同一类型内,如毛囊性棘状角化病(KFSD)[1,2]。发病机制尚不清楚,但异常滤泡角化已提出。
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引用次数: 0
Ecthyma Gangrenosum without Pseudomonas Bacteraemia in an Immunocompetent Healthy Adult 无假单胞菌菌血症的免疫正常成人坏疽性湿疹
Pub Date : 2017-02-02 DOI: 10.19070/2332-2977-SI02001
El-Sherif Na, El-Mangush Im, El-Dibany Sa
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引用次数: 1
Helpful clinical features for differential diagnosis of palmoplantar pustulosis and pompholyx 对掌足底脓疱病和跖水肿鉴别诊断的临床特征
Pub Date : 2017-01-01 DOI: 10.1016/j.jaad.2016.02.220
S. Jang, Min Woo Kim, H. S. Park, H. Yoon, Soyun Cho
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引用次数: 1
Dapsone in the Treatment of Epidermolysis Bullosa Acquisita Long - Term Follow - Up 氨苯砜治疗获得性大疱性表皮松解症的长期随访
Pub Date : 2016-12-27 DOI: 10.19070/2332-2977-1600026
El Mahi, F. Mernissi
A 54 years old, chronic smoker, admitted to our department for itching bullous dermatosis lasting for 2 weeks. Clinical examination revealed clear strained vesicular bubbles based on an erythematous skin, grouped like rosette, clear and hemorrhagic bubble flaccid and tense., sitting at the neck, forearms, elbows, hands, knees, feet, navel hives plates at the forearm, trunk, periorbital erosions, erosions of the hard palate, erosive cheilitis (Figures 1,2,3,4). Nikolski was negatf. The histology and immunofluorecence confirmed diagnosis of EBA, and the patient was treated with colchicine and oral steroids, without improvement , then, was treated with methotrexate without any improvement. Then, we opted for dapsone, with good wound healing with a decline of 2 years. Discussion
患者54岁,长期吸烟,因瘙痒大疱性皮肤病住院2周。临床检查显示基于红斑皮肤的清晰的紧张水泡,簇集成玫瑰花状,清晰的出血性气泡松弛紧张。,坐在颈部,前臂,肘部,手,膝盖,脚,前臂,躯干,眶周糜烂,硬腭糜烂,糜烂性舌炎(图1,2,3,4)。尼古斯基是否定的。组织学和免疫荧光证实诊断为EBA,患者给予秋水仙碱和口服类固醇治疗,无改善,随后给予甲氨蝶呤治疗,无改善。然后,我们选择氨苯砜,伤口愈合良好,下降2年。讨论
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引用次数: 0
期刊
Journal of Clinical Dermatology
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