The Internet Journal of Dermatology最新文献_第7页

Sinus Headache And Migraine Overlap In A Case Of A Sturge-Weber Syndrome 窦性头痛和偏头痛重叠一例斯特奇-韦伯综合征

The Internet Journal of Dermatology Pub Date : 2008-12-31 DOI: 10.5580/19b3

J. Gulia, S. Yadav, N. Malhotra, C. Dhull

引用次数: 0

Adding Osteopathic Intervention to Albuterol Nebulization in Ambulatory Asthma Exacerbations 在动态哮喘发作时，沙丁胺醇雾化治疗中加入整骨疗法干预

The Internet Journal of Dermatology Pub Date : 2008-12-31 DOI: 10.5580/2527

M. Lee-Wong, M. Karagic, S. Gomez, Anwar C Wilson, D. Resnick

{"title":"Adding Osteopathic Intervention to Albuterol Nebulization in Ambulatory Asthma Exacerbations","authors":"M. Lee-Wong, M. Karagic, S. Gomez, Anwar C Wilson, D. Resnick","doi":"10.5580/2527","DOIUrl":"https://doi.org/10.5580/2527","url":null,"abstract":"Background: Asthma is a chronic obstructive airway disease affecting children and adults world wide. Patients often seek alternative therapies.Objective: We conducted this study to describe osteopathic manipulative treatment (OMT) as an adjunct to traditional therapies in acute asthma exacerbation.Methods: A sample of previously diagnosed asthma patients who were having an acute asthma exacerbation were offered to receive OMT treatment as an adjunct to traditional modalities of treatment for acute exacerbation. Each patient was given an albuterol nebulizer treatment followed by an accepted OMT technique known as “rib raising” maneuver for five minutes. Peak flows were obtained before and after each treatment. Each patient was asked to fill out a symptom score diary rating their asthma symptoms before nebulizer treatment, after nebulizer treatment and after OMT.Results: The data showed an average increase in peak flow rates after nebulizer treatment was 36 L/min with a further average increase in peak flow after OMT of 18 L/min with a net increase of 54 L/min (ANOVA, p<0.05). OMT was not associated with any adverse effects or complaints. Study patients reported that the combined nebulizer and OMT treatments made them feel better than in the past when they were offered only traditional albuterol nebulizer treatments. Conclusion: Patients treated for acute asthma exacerbation with nebulizer treatment followed by osteopathic treatment (rib raising maneuver) showed significant improvement in their overall breathing. Unfortunately, lack of a control group in which there would be nebulizer treatment plus no osteopathic treatment makes it uncertain whether this OMT treatment had more than a placebo effect. However, since more patients request alternative therapies more research in OMT techniques should be considered. Offering osteopathic treatments as adjunct to traditional asthma treatment in an acute setting appears to have no adverse effects and may have psychological benefits.","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121584030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Case of Adult T-cell Leukemia Masquerading as Mycosis Fungoides 成人t细胞白血病伪装成蕈样真菌病1例

The Internet Journal of Dermatology Pub Date : 2008-12-31 DOI: 10.5580/1371

L. Pinter-Brown

{"title":"A Case of Adult T-cell Leukemia Masquerading as Mycosis Fungoides","authors":"L. Pinter-Brown","doi":"10.5580/1371","DOIUrl":"https://doi.org/10.5580/1371","url":null,"abstract":"INTRODUCTION AND INITIAL PRESENTATION This 81 year old Japanese American male presented 9 years ago with a rash that was diagnosed as psoriasis and was treated with 14 weeks of light therapy. Shortly after this therapy a skin biopsy of the right buttock revealed an atypical T-cell infiltrate consistent with mycosis fungoides with the malignant cells positive for CD 2,3,4, and 5 but negative for CD7 and 8. The epidermis showed hyperkeratosis, hyperparakeratosis, and acanthosis and there was a band-like lymphocytic infiltrate in the superficial dermis. Epidermotropism and Pautrier microabscesses with atypical lymphocytes with convoluted nuclei and occasional large cells were noted. T-cell gene rearrangement and HTLV-1 serology were positive. Bone marrow examination was unrevealing. While the patient had not ever been in Japan, his father came from Kyushu. The patient received therapy with PUVA with an initial response, then experienced progression in skin. Treatment with topical BCNU and extracorporeal photopheresis were also rendered; again with initial short-lived responses, then progression of the skin rash. Two years after the initial diagnostic skin biopsy, the patient had a PET scan showing right hilar, axillary, and inguinal adenopathy. The patient began therapy with bexarotene with a complete response in skin and continued on bexarotene in good health for 3 years. He then presented with a hemoglobin of 8.9 and white blood cells of 12,800. CT scanning showed bilateral perihilar alveolar infiltrates, a 1.5 cm density at the right apex of the lung, mediastinal and right hilar adenopathy and splenomegaly with peripheral hypodensities.","PeriodicalId":161194,"journal":{"name":"The Internet Journal of Dermatology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132407105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Long term Complete Response to Denileukin Diftitox and Bexarotene 德尼乐金和贝沙罗汀的长期完全缓解

The Internet Journal of Dermatology Pub Date : 2008-12-31 DOI: 10.5580/164a

M. Duvic, R. Talpur

引用次数: 0

Common Spindle Cell Malignant Neoplasms of the Skin: Differential Diagnosis and Review of the Literature 常见的皮肤梭形细胞恶性肿瘤:鉴别诊断和文献复习

The Internet Journal of Dermatology Pub Date : 2008-12-31 DOI: 10.5580/2211

S. Repertinger, B. Teruya, D. Sarma

引用次数: 2

Folliculotropic Mycosis Fungoides: Response to Bexarotene 嗜滤泡性蕈样真菌病:对贝沙罗汀的反应

The Internet Journal of Dermatology Pub Date : 2008-12-31 DOI: 10.5580/ac1

R. Talpur, M. Duvic