Association of natural killer cell dysfunction and recurrent Stevens-Johnson syndrome in a pediatric patient.

Stevens-Johnson syndrome (SJS) is a debilitating condition involving the skin and mucous membranes. It is commonly the result of adverse drug reactions but can also be caused by infections. A predisposition to recurrent viral infections, such as in the case of natural killer (NK) cell dysfunction, may manifest with virally induced SJS.

Hyoid bone syndrome: a retrospective review of 84 patients treated with triamcinolone acetonide injections.

Objectives: We present a cohort of patients with hyoid bone syndrome who were treated with injections of triamcinolone acetonide (40 mg/mL), in order to raise awareness of this condition, validate its existence, and demonstrate the efficacy of this treatment.

Methods: We performed a retrospective chart review of patients who were given a diagnosis of and treated for hyoid bone syndrome by the senior author (A.D.

Statins and sepsis: good bullet, disappearing target.

Despite several decades of research and phenomenal advances in technology and therapeutics, sepsis remains a catastrophic enigma. As a frequent cause of death, sepsis now rivals acute myocardial infarction. The longstanding therapeutic principles of early antibiotics use and supportive care have been difficult to improve upon.

Chronic psoas syndrome caused by the inappropriate use of a heel lift.

Heel lifts are commonly recommended for patients to manage the pain and discomfort of leg length discrepancies. However, used inappropriately, orthotics can create additional pain instead of alleviating it. In the case described, a 79-year-old male physician used a recommended heel lift for a perceived leg length discrepancy after right hip arthroplasty.

Postsclerotherapy pigmentation. Is serum ferritin level an accurate indicator?

Background: Human beings have suffered and sought treatment for disease of veins as early as the recordings of the old testament. The use of irritating sclerosing agents have been and are widely used today to treat varicose veins and telangiectasia. One of the most common and cosmetically significant side effects of sclerosing agents is varying degrees of hyperpigmentation.

Ambulatory phlebectomy using the tumescent technique for local anesthesia.

Background: Ambulatory phlebectomy is a cosmetically elegant procedure that provides outpatient office-based surgical removal of large truncal varicose veins. The process of local anesthetic infiltration using traditional means is a time-consuming process that can be painful, and carries with it the inherent risk of accidental intravascular injection.

Objective: To introduce the tumescent technique for local anesthesia as it relates to the procedure of ambulatory phlebectomy and discuss the benefits of this form of anesthesia.

Arthroscopic treatment of an avulsion fracture of the intercondylar eminence of the tibia. Case report.

Multiple methods exist for reduction and fixation of an intercondylar eminence fracture of the tibia. Modes of treatment are based on the amount of displacement of the fracture. This article describes an arthroscopic technique as an alternative treatment method in a younger patient population.

Telangiectasia macularis eruptiva perstans.

Telangiectasia macularis eruptiva perstans (TMEP) is a rare form of mastocytosis. It appears most frequently in adults and only occasionally will affect young children or infants. In this disease, multiple brownish-red confluent macules and telangiectasias develop, primarily on the trunk.

Adult nasolacrimal duct obstruction.

Tear production resulting from obstruction of the nasolacrimal duct is a common ophthalmic problem. The diagnosis and treatment of this condition require a thorough understanding of the lacrimal apparatus and its ocular and nasal relationships. Idiopathic or primary acquired nasolacrimal duct obstruction is a syndrome of unknown etiology.

Apert's syndrome (acrocephalosyndactyly) in a patient with hyperhidrosis.

Apert's syndrome, also known as acrocephalosyndactyly, is a rare type of premature craniofacial synostosis characterized by the clinical triad of cranial and facial malformations along with syndactyly of the hands and feet. Acne vulgaris involving atypical sites such as the upper extremities constitutes the dermatologic hallmark of this rare genodermatosis. We report a patient who demonstrates the classic findings of Apert's syndrome.

The sign of Leser-Trélat associated with adenocarcinoma of the rectum.

The authors report a case of the sign of Leser-Trélat occurring in a patient with primary adenocarcinoma of the rectum. The patient demonstrated the sign several months before the internal malignancy was discovered. Although the majority of patients with the sign have an underlying adenocarcinoma of the gastrointestinal tract, relatively few cases have been reported with the rectum as the primary site.

Superficial fungal infections. Topical and oral treatment of common types.

Superficial fungal infections are common dermatologic conditions, and patients often visit primary care physicians for evaluation. Diagnosis can be established with direct microscopic examination, fungal culture, and Wood's light examination. Some infections (eg, tinea corporis, tinea cruris, tinea pedis, pityriasis versicolor) are often successfully treated with a topical antifungal alone.

Alopecia of myxedema: clinical response to levothyroxine sodium.

Noncicatricial alopecia resulting from myxedema developed in a 58-year-old woman. We report the response of her alopecia to treatment with levothyroxine sodium and review the literature on the subject.

Large mediastinal mass secondary to an aortocoronary saphenous vein bypass graft aneurysm.

A case of a 62-year-old man with a large mediastinal mass who had undergone aortocoronary bypass grafting 17 years earlier is presented. Computed tomography showed a 13-cm extrinsic cystic mass believed to represent a pericardial cyst or teratoma. Intraoperatively, the patient was noted to have an aneurysm of his right coronary artery bypass graft.

Acute uvulitis in combination with acute epiglottitis: a case presentation.

Acute uvulitis in adults is a rare condition, especially when associated with acute epiglottitis. Watchful monitoring of the airway, usually in the intensive care unit, is recommended. Along with appropriate antibiotics and steroids, we recommend all patients with acute uvulitis have a lateral radiograph of the neck to rule out acute epiglottitis.

Mucoepidermoid carcinoma of the larynx.

Mucoepidermoid carcinoma of the larynx is an uncommon malignancy. Nearly all cases are found in middle-aged and elderly men. Most cases arise in the supraglottis.