Publications by authors named "R S Flowers"

Herpes zoster (HZ) is a cutaneous viral disease that typically presents with a dermatomal vesicular eruption. Immunosuppressed patients are more likely to have atypical HZ involving chronic ulceration and disseminated distribution, making diagnosis a challenge. The current report describes a unique case of HZ in a woman with systemic lupus on immunosuppressive therapy manifesting as persistent lower extremity ulceration with diffuse dermal and endothelial infection and secondary panniculitis without epidermal involvement.

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The Snowball Earth hypothesis predicts global ice cover; however, previous descriptions of Cryogenian (720-635 Ma) glacial deposits are limited to continental margins and shallow marine basins. The Tavakaiv (Tava) sandstone injectites and ridges in Colorado, USA, preserve a rare terrestrial record of Cryogenian low-latitude glaciation. Injectites, ridges, and chemically weathered crystalline rock display features characteristic of fluidization and pervasive deformation in a subglacial environment due to glacial loading, fluid overpressure, and repeated sand injection during meltwater events.

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Article Synopsis
  • The study compares the effectiveness of home-based vs. office-based phototherapy for psoriasis, highlighting that while office therapy is cost-effective, it’s often hard to access compared to the more patient-preferred home therapy, which lacks sufficient clinical data, especially for those with darker skin.
  • Conducted across 42 dermatology practices in the US, the trial involved 783 participants aged 12 and older with psoriasis, who were randomly assigned to either home or office phototherapy for 12 weeks, followed by another 12 weeks of observation.
  • Results showed that home phototherapy led to better skin clearance and quality of life improvements, with 32.8% of participants achieving clear skin compared to
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Article Synopsis
  • Erythema elevatum diutinum is a rare skin condition characterized by long-lasting inflammation of blood vessels and significant scarring in its later stages.
  • The article discusses a case involving a 23-year-old woman who has Crohn's disease but was in remission when she developed this skin condition, which is unusual as most cases are associated with active Crohn's.
  • This report is important as it highlights a rare presentation of the condition, providing insights for diagnosing and managing similar cases in the future.
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