Skin Ulcer
Leg Ulcer
Pfiesteria piscicida
Bandages, Hydrocolloid
Skin
Stomach Ulcer
Peptic Ulcer
Protozoan Infections, Animal
Fish Diseases
Pressure Ulcer
Necrosis
Peptic Ulcer Hemorrhage
Peptic Ulcer Perforation
Skin Diseases
Skin Aging
Treatment of cutaneous ulcers with benzoyl peroxide. (1/481)
Benzoyl peroxide, a powerful organic oxidizing agent, was applied topically according to a carefully developed technique to cutaneous ulcers of different types. The healing time was shortened greatly by the rapid development of healthy granulation tissue and the quick ingrowth of epithelium. Exceptionally large pressure ulcers with deep cavities, undercut edges and sinus tracts were sucessfully treated, as were stasis ulcers of long duration resistant to all other therapy. There were only 13 treatment failures among the 133 cases. The slow, sustained release of oxygen by benzoyl peroxide was though to be responsible for the success. The only complications were contact irritant dermatitis in 3% and contact allergic dermatitis in 2% of patients treated. (+info)Flank ulcer in a patient with primary antiphospholipid syndrome. (2/481)
A 32-year-old woman had a recurrent shallow ulcer on the flank. A biopsy specimen showed thromboses in the dermal vessels and she was found to have circulating antiphospholipid antibody with no associated systemic disease. A clean ulcer developed on the flank of a patient with primary antiphospholipid syndrome is considered to be a rarely encountered/unusual presentation of this syndrome. (+info)Implantable spinal cord stimulator to treat the ischemic manifestations of thromboangiitis obliterans (Buerger's disease). (3/481)
Thromboangiitis obliterans (Buerger's disease) is a segmental inflammatory vasculitis that involves the small-sized and medium-sized arteries, veins, and nerves. It is causally related to tobacco use. The diagnosis is usually made on the basis of the presence of distal arterial disease in individuals who smoke and in whom other disease entities have been excluded. The most effective treatment for Buerger's disease is smoking cessation. Without strict adherence to tobacco avoidance, disease progression is likely. Methods to control ischemic pain include medications, sympathectomy, or surgical revascularization. The effect of sympathectomy is unpredictable, and the chances of a successful revascularization procedure are rare because distal target vessels often are extensively diseased. Herein, we describe a patient whose condition did not respond to the usual conservative therapy but did respond dramatically to the implantation of a permanent spinal cord stimulator. Although these devices have been used for more than 20 years in various other peripheral arterial diseases, their use in Buerger's disease has been limited. (+info)Emergence of a unique group of necrotizing mycobacterial diseases. (4/481)
Although most diseases due to pathogenic mycobacteria are caused by Mycobacterium tuberculosis, several other mycobacterial diseases-caused by M. ulcerans (Buruli ulcer), M. marinum, and M. haemophilum-have begun to emerge. We review the emergence of diseases caused by these three pathogens in the United States and around the world in the last decade. We examine the pathophysiologic similarities of the diseases (all three cause necrotizing skin lesions) and common reservoirs of infection (stagnant or slow-flowing water). Examination of the histologic and pathogenic characteristics of these mycobacteria suggests differences in the modes of transmission and pathogenesis, though no singular mechanism for either characteristic has been definitively described for any of these mycobacteria. (+info)Emergence of related nontoxigenic Corynebacterium diphtheriae biotype mitis strains in Western Europe. (5/481)
We report on 17 isolates of Corynebacterium diphtheriae biotype mitis with related ribotypes from Switzerland, Germany, and France. Isolates came from skin and subcutaneous infections of injecting drug users, homeless persons, prisoners, and elderly orthopedic patients with joint prostheses or primary joint infections. Such isolates had only been observed in Switzerland. (+info)Unilateral gestational macromastia--an unusual presentation of a rare disorder. (6/481)
Macromastia (mammary gigantism) is an uncommon clinical entity. Macromastia occurring during pregnancy (gestational macromastia) is rare. A case of unilateral gestational macromastia is reported which required reduction mammoplasty. We documented hyperprolactinaemia in the patient. This case report is particularly interesting because, to our knowledge, no such case has previously been reported. (+info)Immune cells are required for cutaneous ulceration in a swine model of chancroid. (7/481)
Cutaneous lesions of the human sexually transmitted genital ulcer disease chancroid are characterized by the presence of intraepidermal pustules, keratinocyte cytopathology, and epidermal and dermal erosion. These lesions are replete with neutrophils, macrophages, and CD4(+) T cells and contain very low numbers of cells of Haemophilus ducreyi, the bacterial agent of chancroid. We examined lesion formation by H. ducreyi in a pig model by using cyclophosphamide (CPA)-induced immune cell deficiency to distinguish between host and bacterial contributions to chancroid ulcer formation. Histologic presentation of H. ducreyi-induced lesions in CPA-treated pigs differed from ulcers that developed in immune-competent animals in that pustules did not form and surface epithelia remained intact. However, these lesions had significant suprabasal keratinocyte cytotoxicity. These results demonstrate that the host immune response was required for chancroid ulceration, while bacterial products were at least partially responsible for the keratinocyte cytopathology associated with chancroid lesions in the pig. The low numbers of H. ducreyi present in lesions in humans and immune-competent pigs have prevented localization of these organisms within skin. However, H. ducreyi organisms were readily visualized in lesion biopsies from infected CPA-treated pigs by immunoelectron microscopy. These bacteria were extracellular and associated with necrotic host cells in the epidermis and dermis. The relative abundance of H. ducreyi in inoculated CPA-treated pig skin suggests control of bacterial replication by host immune cells during natural human infection. (+info)Comparative analysis of PCR versus culture for diagnosis of ulceroglandular tularemia. (8/481)
PCR and culture were comparatively evaluated for their abilities to demonstrate Francisella tularensis in wound specimens from tularemia patients during an outbreak in Sweden in 1998. For transport of the specimens used for PCR, a buffer solution containing a nuclease inhibitor was used, and for transport of the specimens used for culture, a commercial transport system was selected after experimental comparison of various systems. Of 40 patients with culture- and/or serology-verified ulceroglandular tularemia, PCR detected F. tularensis DNA in 30 (75%) patients, whereas culture detected bacterial growth in 25 (62%) patients. Compared to data from a previous study, the present inclusion of a nuclease inhibitor in the transport medium did not improve the sensitivity of the PCR, whereas the sensitivity of the culture procedure was significantly increased by selection of the system used for transport. Among eight patients with clinically suspected tularemia but with negative serology and culture, specimens from four patients showed detectable DNA. In three of these patients the diagnosis was verified by the demonstration of an F. tularensis-specific T-cell response in vitro. In conclusion, PCR was more sensitive than culture for demonstration of F. tularensis in wound specimens. Besides, we showed that tularemia may proceed without development of serum antibodies, and in these patients, PCR may be of special importance for verification of the diagnosis. (+info)A skin ulcer is a defined as a loss of continuity or disruption of the skin surface, often accompanied by inflammation and/or infection. These lesions can result from various causes including pressure, venous or arterial insufficiency, diabetes, and chronic dermatological conditions. Skin ulcers are typically characterized by their appearance, depth, location, and underlying cause. Common types of skin ulcers include pressure ulcers (also known as bedsores), venous leg ulcers, arterial ulcers, and diabetic foot ulcers. Proper evaluation, wound care, management of underlying conditions, and prevention strategies are crucial in the treatment of skin ulcers to promote healing and prevent complications.
A leg ulcer is a chronic wound that occurs on the lower extremities, typically on the inner or outer ankle. It's often caused by poor circulation, venous insufficiency, or diabetes. Leg ulcers can also result from injury, infection, or inflammatory diseases such as rheumatoid arthritis or lupus. These ulcers can be painful, and they may take a long time to heal, making them prone to infection. Proper diagnosis, treatment, and wound care are essential for healing leg ulcers and preventing complications.
"Pfiesteria piscicida" is a species of microscopic, potentially toxic algae (dinoflagellate) that can cause harmful impacts to marine life and humans. It was first identified in the late 1980s in estuarine waters along the Atlantic coast of the United States. This species has a complex life cycle involving several distinct morphological stages, including both free-living cells and colonies that attach to surfaces.
Pfiesteria piscicida is capable of producing potent toxins that can affect the central nervous system, skin, and gills of fish, leading to mass mortalities in affected areas. The algae can also negatively impact other marine organisms, such as zooplankton and shellfish. In humans, exposure to Pfiesteria piscicida or its toxins can cause a variety of health effects, including skin irritation, respiratory issues, and cognitive impairments. However, more research is needed to fully understand the potential human health impacts associated with this species.
It's important to note that Pfiesteria piscicida is not always toxic, and its toxicity seems to be related to specific environmental conditions and life cycle stages. Nonetheless, due to its potential for causing harm, it is closely monitored in areas where it has been found, and research continues to better understand its ecology, biology, and impacts on marine ecosystems and human health.
Hydrocolloid bandages are a type of dressing used in wound care. They consist of an outer waterproof layer and an inner hydrophilic layer made of materials such as gelatin, pectin, or carboxymethylcellulose. When the bandage comes into contact with moisture from the wound, it forms a gel that helps to maintain a moist environment, which can promote healing.
Hydrocolloid bandages are useful for managing a variety of wound types, including partial-thickness burns, pressure ulcers, and diabetic foot ulcers. They can help to protect the wound from external contaminants, reduce pain and discomfort, and provide sustained release of medications such as analgesics or antibiotics.
One advantage of hydrocolloid bandages is that they can be left in place for several days at a time, which can reduce the frequency of dressing changes and minimize trauma to the wound bed. However, it's important to monitor the wound regularly to ensure that it is healing properly and to check for signs of infection or other complications.
In medical terms, the skin is the largest organ of the human body. It consists of two main layers: the epidermis (outer layer) and dermis (inner layer), as well as accessory structures like hair follicles, sweat glands, and oil glands. The skin plays a crucial role in protecting us from external factors such as bacteria, viruses, and environmental hazards, while also regulating body temperature and enabling the sense of touch.
A stomach ulcer, also known as a gastric ulcer, is a sore that forms in the lining of the stomach. It's caused by a breakdown in the mucous layer that protects the stomach from digestive juices, allowing acid to come into contact with the stomach lining and cause an ulcer. The most common causes are bacterial infection (usually by Helicobacter pylori) and long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs). Stomach ulcers may cause symptoms such as abdominal pain, bloating, heartburn, and nausea. If left untreated, they can lead to more serious complications like internal bleeding, perforation, or obstruction.
A duodenal ulcer is a type of peptic ulcer that develops in the lining of the first part of the small intestine, called the duodenum. It is characterized by a break in the mucosal layer of the duodinal wall, leading to tissue damage and inflammation. Duodenal ulcers are often caused by an imbalance between digestive acid and mucus production, which can be exacerbated by factors such as bacterial infection (commonly with Helicobacter pylori), nonsteroidal anti-inflammatory drug use, smoking, and stress. Symptoms may include gnawing or burning abdominal pain, often occurring a few hours after meals or during the night, bloating, nausea, vomiting, loss of appetite, and weight loss. Complications can be severe, including bleeding, perforation, and obstruction of the duodenum. Diagnosis typically involves endoscopy, and treatment may include antibiotics (if H. pylori infection is present), acid-suppressing medications, lifestyle modifications, and potentially surgery in severe cases.
Gangrene is a serious and potentially life-threatening condition that occurs when there is a loss of blood flow to a specific area of the body, resulting in tissue death. It can be caused by various factors such as bacterial infections, trauma, diabetes, vascular diseases, and smoking. The affected tissues may become discolored, swollen, and emit a foul odor due to the accumulation of bacteria and toxins.
Gangrene can be classified into two main types: dry gangrene and wet (or moist) gangrene. Dry gangrene develops slowly and is often associated with peripheral arterial disease, which reduces blood flow to the extremities. The affected area turns black and shriveled as it dries out. Wet gangrene, on the other hand, progresses rapidly due to bacterial infections that cause tissue breakdown and pus formation. This type of gangrene can spread quickly throughout the body, leading to severe complications such as sepsis and organ failure if left untreated.
Treatment for gangrene typically involves surgical removal of the dead tissue (debridement), antibiotics to control infections, and sometimes revascularization procedures to restore blood flow to the affected area. In severe cases where the infection has spread or the damage is irreversible, amputation of the affected limb may be necessary to prevent further complications and save the patient's life.
A peptic ulcer is a sore or erosion in the lining of your stomach and the first part of your small intestine (duodenum). The most common causes of peptic ulcers are bacterial infection and long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, or naproxen.
The symptoms of a peptic ulcer include abdominal pain, often in the upper middle part of your abdomen, which can be dull, sharp, or burning and may come and go for several days or weeks. Other symptoms can include bloating, burping, heartburn, nausea, vomiting, loss of appetite, and weight loss. Severe ulcers can cause bleeding in the digestive tract, which can lead to anemia, black stools, or vomit that looks like coffee grounds.
If left untreated, peptic ulcers can result in serious complications such as perforation (a hole through the wall of the stomach or duodenum), obstruction (blockage of the digestive tract), and bleeding. Treatment for peptic ulcers typically involves medications to reduce acid production, neutralize stomach acid, and kill the bacteria causing the infection. In severe cases, surgery may be required.
Protozoan infections in animals refer to diseases caused by the invasion and colonization of one or more protozoan species in an animal host's body. Protozoa are single-celled eukaryotic organisms that can exist as parasites and can be transmitted through various modes, such as direct contact with infected animals, contaminated food or water, vectors like insects, and fecal-oral route.
Examples of protozoan infections in animals include:
1. Coccidiosis: It is a common intestinal disease caused by several species of the genus Eimeria that affects various animals, including poultry, cattle, sheep, goats, and pets like cats and dogs. The parasites infect the epithelial cells lining the intestines, causing diarrhea, weight loss, dehydration, and sometimes death in severe cases.
2. Toxoplasmosis: It is a zoonotic disease caused by the protozoan Toxoplasma gondii that can infect various warm-blooded animals, including humans, livestock, and pets like cats. The parasite forms cysts in various tissues, such as muscles, brain, and eyes, causing mild to severe symptoms depending on the host's immune status.
3. Babesiosis: It is a tick-borne disease caused by several species of Babesia protozoa that affect various animals, including cattle, horses, dogs, and humans. The parasites infect red blood cells, causing anemia, fever, weakness, and sometimes death in severe cases.
4. Leishmaniasis: It is a vector-borne disease caused by several species of Leishmania protozoa that affect various animals, including dogs, cats, and humans. The parasites are transmitted through the bite of infected sandflies and can cause skin lesions, anemia, fever, weight loss, and sometimes death in severe cases.
5. Cryptosporidiosis: It is a waterborne disease caused by the protozoan Cryptosporidium parvum that affects various animals, including humans, livestock, and pets like dogs and cats. The parasites infect the epithelial cells lining the intestines, causing diarrhea, abdominal pain, and dehydration.
Prevention and control of these diseases rely on various measures, such as vaccination, chemoprophylaxis, vector control, and environmental management. Public awareness and education are also essential to prevent the transmission and spread of these diseases.
"Fish diseases" is a broad term that refers to various health conditions and infections affecting fish populations in aquaculture, ornamental fish tanks, or wild aquatic environments. These diseases can be caused by bacteria, viruses, fungi, parasites, or environmental factors such as water quality, temperature, and stress.
Some common examples of fish diseases include:
1. Bacterial diseases: Examples include furunculosis (caused by Aeromonas salmonicida), columnaris disease (caused by Flavobacterium columnare), and enteric septicemia of catfish (caused by Edwardsiella ictaluri).
2. Viral diseases: Examples include infectious pancreatic necrosis virus (IPNV) in salmonids, viral hemorrhagic septicemia virus (VHSV), and koi herpesvirus (KHV).
3. Fungal diseases: Examples include saprolegniasis (caused by Saprolegnia spp.) and cotton wool disease (caused by Aphanomyces spp.).
4. Parasitic diseases: Examples include ichthyophthirius multifiliis (Ich), costia, trichodina, and various worm infestations such as anchor worms (Lernaea spp.) and tapeworms (Diphyllobothrium spp.).
5. Environmental diseases: These are caused by poor water quality, temperature stress, or other environmental factors that weaken the fish's immune system and make them more susceptible to infections. Examples include osmoregulatory disorders, ammonia toxicity, and low dissolved oxygen levels.
It is essential to diagnose and treat fish diseases promptly to prevent their spread among fish populations and maintain healthy aquatic ecosystems. Preventative measures such as proper sanitation, water quality management, biosecurity practices, and vaccination can help reduce the risk of fish diseases in both farmed and ornamental fish settings.
Wound healing is a complex and dynamic process that occurs after tissue injury, aiming to restore the integrity and functionality of the damaged tissue. It involves a series of overlapping phases: hemostasis, inflammation, proliferation, and remodeling.
1. Hemostasis: This initial phase begins immediately after injury and involves the activation of the coagulation cascade to form a clot, which stabilizes the wound and prevents excessive blood loss.
2. Inflammation: Activated inflammatory cells, such as neutrophils and monocytes/macrophages, infiltrate the wound site to eliminate pathogens, remove debris, and release growth factors that promote healing. This phase typically lasts for 2-5 days post-injury.
3. Proliferation: In this phase, various cell types, including fibroblasts, endothelial cells, and keratinocytes, proliferate and migrate to the wound site to synthesize extracellular matrix (ECM) components, form new blood vessels (angiogenesis), and re-epithelialize the wounded area. This phase can last up to several weeks depending on the size and severity of the wound.
4. Remodeling: The final phase of wound healing involves the maturation and realignment of collagen fibers, leading to the restoration of tensile strength in the healed tissue. This process can continue for months to years after injury, although the tissue may never fully regain its original structure and function.
It is important to note that wound healing can be compromised by several factors, including age, nutrition, comorbidities (e.g., diabetes, vascular disease), and infection, which can result in delayed healing or non-healing chronic wounds.
A pressure ulcer, also known as a pressure injury or bedsore, is defined by the National Pressure Injury Advisory Panel (NPIAP) as "localized damage to the skin and/or underlying soft tissue usually over a bony prominence or related to a medical or other device." The damage can be caused by intense and/or prolonged pressure or shear forces, or a combination of both. Pressure ulcers are staged based on their severity, ranging from an initial reddening of the skin (Stage 1) to full-thickness tissue loss that extends down to muscle and bone (Stage 4). Unstageable pressure ulcers are those in which the base of the wound is covered by yellow, tan, green or brown tissue and the extent of tissue damage is not visible. Suspected deep tissue injury (Suspected DTI) describes intact skin or non-blanchable redness of a localized area usually over a bony prominence due to pressure and/or shear. The area may be preceded by tissue that is painful, firm, mushy, boggy, warmer or cooler as compared to adjacent tissue.
Necrosis is the premature death of cells or tissues due to damage or injury, such as from infection, trauma, infarction (lack of blood supply), or toxic substances. It's a pathological process that results in the uncontrolled and passive degradation of cellular components, ultimately leading to the release of intracellular contents into the extracellular space. This can cause local inflammation and may lead to further tissue damage if not treated promptly.
There are different types of necrosis, including coagulative, liquefactive, caseous, fat, fibrinoid, and gangrenous necrosis, each with distinct histological features depending on the underlying cause and the affected tissues or organs.
Peptic ulcer hemorrhage is a medical condition characterized by bleeding in the gastrointestinal tract due to a peptic ulcer. Peptic ulcers are open sores that develop on the lining of the stomach, lower esophagus, or small intestine. They are usually caused by infection with the bacterium Helicobacter pylori or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs).
When a peptic ulcer bleeds, it can cause symptoms such as vomiting blood or passing black, tarry stools. In severe cases, the bleeding can lead to shock, which is a life-threatening condition characterized by a rapid heartbeat, low blood pressure, and confusion. Peptic ulcer hemorrhage is a serious medical emergency that requires immediate treatment. Treatment may include medications to reduce stomach acid, antibiotics to eliminate H. pylori infection, and endoscopic procedures to stop the bleeding. In some cases, surgery may be necessary to repair the ulcer or remove damaged tissue.
Peptic ulcer perforation is a serious and sightful gastrointestinal complication characterized by the penetration or erosion of an acid-peptic ulcer through the full thickness of the stomach or duodenal wall, resulting in spillage of gastric or duodenal contents into the peritoneal cavity. This leads to chemical irritation and/or bacterial infection of the abdominal cavity, causing symptoms such as sudden severe abdominal pain, tenderness, rigidity, and potentially life-threatening sepsis if not promptly diagnosed and treated with surgical intervention, antibiotics, and supportive care.
Skin diseases, also known as dermatological conditions, refer to any medical condition that affects the skin, which is the largest organ of the human body. These diseases can affect the skin's function, appearance, or overall health. They can be caused by various factors, including genetics, infections, allergies, environmental factors, and aging.
Skin diseases can present in many different forms, such as rashes, blisters, sores, discolorations, growths, or changes in texture. Some common examples of skin diseases include acne, eczema, psoriasis, dermatitis, fungal infections, viral infections, bacterial infections, and skin cancer.
The symptoms and severity of skin diseases can vary widely depending on the specific condition and individual factors. Some skin diseases are mild and can be treated with over-the-counter medications or topical creams, while others may require more intensive treatments such as prescription medications, light therapy, or even surgery.
It is important to seek medical attention if you experience any unusual or persistent changes in your skin, as some skin diseases can be serious or indicative of other underlying health conditions. A dermatologist is a medical doctor who specializes in the diagnosis and treatment of skin diseases.
Skin aging, also known as cutaneous aging, is a complex and multifactorial process characterized by various visible changes in the skin's appearance and function. It can be divided into two main types: intrinsic (chronological or natural) aging and extrinsic (environmental) aging.
Intrinsic aging is a genetically determined and time-dependent process that results from internal factors such as cellular metabolism, hormonal changes, and genetic predisposition. The primary features of intrinsic aging include gradual thinning of the epidermis and dermis, decreased collagen and elastin production, reduced skin cell turnover, and impaired wound healing. Clinically, these changes present as fine wrinkles, dryness, loss of elasticity, and increased fragility of the skin.
Extrinsic aging, on the other hand, is caused by external factors such as ultraviolet (UV) radiation, pollution, smoking, alcohol consumption, and poor nutrition. Exposure to these environmental elements leads to oxidative stress, inflammation, and DNA damage, which accelerate the aging process. The main features of extrinsic aging are coarse wrinkles, pigmentary changes (e.g., age spots, melasma), irregular texture, skin laxity, and increased risk of developing skin cancers.
It is important to note that intrinsic and extrinsic aging processes often interact and contribute to the overall appearance of aged skin. A comprehensive approach to skincare should address both types of aging to maintain healthy and youthful-looking skin.
Skin neoplasms refer to abnormal growths or tumors in the skin that can be benign (non-cancerous) or malignant (cancerous). They result from uncontrolled multiplication of skin cells, which can form various types of lesions. These growths may appear as lumps, bumps, sores, patches, or discolored areas on the skin.
Benign skin neoplasms include conditions such as moles, warts, and seborrheic keratoses, while malignant skin neoplasms are primarily classified into melanoma, squamous cell carcinoma, and basal cell carcinoma. These three types of cancerous skin growths are collectively known as non-melanoma skin cancers (NMSCs). Melanoma is the most aggressive and dangerous form of skin cancer, while NMSCs tend to be less invasive but more common.
It's essential to monitor any changes in existing skin lesions or the appearance of new growths and consult a healthcare professional for proper evaluation and treatment if needed.
Buruli ulcer is a neglected tropical disease caused by the bacterium Mycobacterium ulcerans. It mainly affects the skin and occasionally the bones and joints. The infection typically begins with a painless nodule or papule that may progress to a large, painful ulcer with undermined edges if left untreated. In severe cases, it can lead to permanent disfigurement and disability. Buruli ulcer is primarily found in rural areas of West and Central Africa, but also occurs in other parts of the world including Australia, Asia, and South America. It is transmitted through contact with contaminated water or soil, although the exact mode of transmission is not fully understood. Early diagnosis and treatment with antibiotics can cure the disease and prevent complications.