Publications by authors named "B R Paulger"

Sebaceous carcinoma is a rare, aggressive cutaneous malignancy most commonly arising from the periocular area. Extraocular locations of sebaceous carcinomas, particularly outside of the head and neck region, are rare and not well-described. We report a case of an 89-year-old Caucasian female with sebaceous carcinoma of the right wrist.

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Ixekizumab is an injectable monoclonal antibody against IL-17A approved by the US Food and Drug Administration for the treatment of plaque psoriasis, psoriatic arthritis, and ankylosing spondylitis. We present what we believe is the first case of herpes zoster (shingles) in a patient 12 weeks after starting ixekizumab for presumed erythrodermic psoriasis. It is important to be aware of potential side effects of immunomodulatory medications, particularly those that are new to the market.

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Article Synopsis
  • Raynaud’s phenomenon is a condition where blood vessels in fingers and toes react excessively to cold and stress, potentially linked to other diseases like scleroderma or lupus.
  • Treatment mainly involves lifestyle changes, with medications like calcium channel blockers used if necessary.
  • A report discusses a patient whose severe Raynaud’s symptoms improved after receiving botulinum toxin (BTX-A) injections, with no return of symptoms after five years.
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We describe a 2-year-old African-American boy with a 4-month history of gradually worsening unilateral edema that was initially noted on his left hand and then approximately 2 weeks later on his left lower extremity. In addition, linear hypopigmented patches were noted along the left forearm and leg, with no appreciable scarring or induration. The edema on the left-hand side of his body progressed so that he developed tense bullae on his left hand.

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Pityriasis rubra pilaris (PRP) is a rare skin condition that is of unknown etiology. We present an unusual case of a patient with PRP as the sole initial manifestation of hepatocellular cancer. The course of the patient's illness and management of this case is discussed.

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