Localized tetanus in a child.

The majority of physicians in practice today in developed countries have never seen a case of tetanus. The last pediatric case reported in Canada occurred in 1992. We present the case of a child who had localized tetanus despite previous partial immunization.

Pigmented and hyperkeratotic napkin dermatitis: a liquid detergent irritant dermatitis.

Background: Napkin or diaper dermatitis (DD) is an inflammatory cutaneous eruption limited to the diaper area and common in the first 2 years of life. A number of clinical variants of DD have been identified.

Objective: We report a new variant of DD characterized by papyraceous skin, brownish discoloration and predilection for the depth of folds.

Perianal streptococcal dermatitis associated with guttate psoriasis and/or balanoposthitis: a study of five cases.

Perianal streptococcal dermatitis (PSD) is a recently described cutaneous entity caused by group A beta-hemolytic streptococci. It is characterized by perianal erythema, sometimes associated with functional disturbances. We describe four children (2 boys, 2 girls) who had acute guttate psoriasis and also PSD.

The treatment of metastatic pleural effusion in breast cancer: report of 25 cases.

We report our experience in the treatment of pleural effusion in 25 patients with metastatic breast cancer. Seventeen patients received initial systemic therapy and in 13 of them local intrapleural therapy was subsequently employed; the remaining 8 patients received local therapy only. Several modalities of local treatment were used: intrapleural chemotherapy with thiotepa and 5-fluorouracil; the production of pleural adhesion by the use of chest drainage alone or associated with instillation of sclerosing agents, such as nitrogen mustard or tetracycline.