Publications by authors named "Gesine Hansel"

Article Synopsis
  • Deep trichophytosis, an uncommon fungal infection affecting the beard area (sycosis barbae), can be caused by various fungi, often without direct animal contact.
  • An 80-year-old male with severe sycosis barbae showed no improvement with standard antibiosis; advanced testing revealed Trichophyton verrucosum as the causative agent.
  • Treatment with oral terbinafine led to complete remission, highlighting the importance of modern nucleic acid amplification techniques (NAAT) for accurate diagnosis and increased sensitivity in detecting dermatophytes.
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Chronic ergotism is a rare cause of limb ischemia. In this case report, the authors present a 62-year-old woman with history of long-term use of ergotamine alkaloids for the treatment of menstrual pain, who developed a severe painful disease initially misdiagnosed as systemic sclerosis (scleroderma) for 3 decades. She presented with a combination of acral gangrene, foot ulcer, renal obstruction, mild pulmonary fibrosis, and reduced esophageal motility.

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Leg ulcers are common. They cause a substantial burden to the patient and society. However, there is no need for therapeutic nihilism.

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