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A 3-year-old boy presented with an unusual combination of indurated skin, sclerotic plaques with lichenification, and yellowish papules. Histopathology revealed diffuse dermal mucin deposits, and laboratory tests showed a positive throat culture for Group A streptococcus and elevated serum anti-streptolysin titers. An 10-day course of oral amoxicillin was associated with near-complete resolution of all dermatological findings within 4 months.

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To ASLO or Not to ASLO: Utility of the ASLO Test in Dermatology.

Isr Med Assoc J

April 2024

Department of Dermatology, Rambam Health Care Campus, Haifa, Israel, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Article Synopsis
  • Group A Streptococcus (GAS) infections can lead to various skin diseases, and diagnosing such conditions often involves checking for signs of prior GAS infections using ASLO tests.
  • A study of 152 patients who underwent ASLO testing revealed that 29% tested positive, with psoriasis and erythema nodosum showing the highest correlation with positive ASLO results.
  • The findings suggest that while it's unclear how ASLO applies to all skin diseases, it may be particularly useful in diagnosing psoriasis, as all subtypes of psoriasis presented with positive ASLO results.
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Background: Acute urticaria (AU) may be associated with atopy, but the relationship between atopic status and the clinical features of the disease has not been fully described.

Objectives: The aim of the study was to determine the proportion of atopy in AU patients and to see whether atopy is related to the clinical characteristics of AU and whether it has an impact on the outcome of the disease.

Materials And Method: A retrospective analysis of patients with AU was performed.

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Autoantibodies have been detected in leprosy patients, indicating that infection with M. leprae may lead to autoimmune disorders. However, whether autoimmune response last until patients are cured is unknown.

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The exact aetiology of pityriasis lichenoides chronica (PLC) remains unknown. While phototherapy is the most investigated therapeutic modality, azithromycin has been used scarcely. The aim of this study is to evaluate the therapeutic efficacy of azithromycin in the treatment of PLC compared to NB-UVB and evaluating the presence of streptococcal infection as a possible etiological factor in PLC patients.

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