What is This Itchy Rash?
Discussion Atopic dermatitis (AD) has a prevalence of 3-5% in the overall U.S. population but is increasing with an estimated 10-15% lifetime risk in childhood. It is even more common in children of color with a prevalence in African-American/black children of 17% and Hispanic children of 14%. Health care utilization data also appears to support more severe disease in children of color also. Atopic dermatitis or eczema is a common dermatological skin problem which characteristically is a pruritic, papular eruption with erythema. Like most papulosquamous eruptions it often occurs in intertrigenous areas in people with allergic constitutions or with a family history of atopy. Sometimes atopic dermatitis is described as the “itch that rashes.” Rubbing and scratching can lead to excoriation and, over time, lichenification. There can also be secondary infections or changes to the skin pigmentation (hyper- or hypo-) in affected areas. AD does not have scale which occurs in other papulosquamous eruptions such as psoriasis or tinea. Emollients for skin rehydration are a mainstay of treatment. Topical steroids are commonly used to decrease inflammation in affected areas. Immunosuppressants such as tacrolimus are also used in some cases. Common differential diagnoses include contact dermatitis, keratosis pilaris, nummerular dermatitis, psoriasis, scabies, seborrhea and tinea corporis, but others can also be considered depending on age and circumstances. A more extensive d...
Publication date: Available online 12 July 2020Source: Indian Heart JournalAuthor(s): Yash Paul Sharma, Kewal Kanabar, Krishna Santosh, Ganesh Kasinadhuni, Darshan Krishnappa
Publication date: Available online 11 July 2020Source: Indian Heart JournalAuthor(s): Vihang Shah, Aniruddha Vyas, Ankeet Dedhia, Neeta Bachani, Yash Lokhandwala
Publication date: Available online 12 July 2020Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Suzanne R. Kochis, David W. Cooke, Jennifer Dantzer, Robert Wood, Corinne Keet
Publication date: Available online 12 July 2020Source: The Journal of Allergy and Clinical Immunology: In PracticeAuthor(s): Jessica Galant-Swafford, Bob Geng, Sydney Leibel, Praveen Akuthota, Suzanne Tucker, Matejka Cernelc-Kohan, Robert Sheets, Javan Nation, Akilah A. Jefferson
Authors: Shanshal M Abstract Dermatologists around the world are still doing their best to report more cutaneous manifestations of the emerging COVID-19 infection. New-onset acute or relapsing chronic urticaria may result from the body's overreacting inflammatory response to infection. The cytokine storm hits different organs in the body, including the skin, leading to activation and degranulation of mast cells with resultant urticaria. Low-dose systemic steroids combined with antihistamines can combat the COVID-19 inflammatory insult and play a role in the control of COVID-19 related severe urticarial attack. ...
CONCLUSIONS: Cataract is the most critical complication in children with uveitis at presentation and raised intraocular pressure occurs at follow-up, perhaps attributed to the treatment. Maculopathy is the most common cause of blindness in these children. PMID: 32649841 [PubMed - as supplied by publisher]
Publication date: Available online 11 July 2020Source: Research in Veterinary ScienceAuthor(s): Emily A. Sundman, Munashe Chigerwe, Laszlo M. Hunyadi
Hi! It seems like most of this forum is pretty quiet as of late. I'm hoping there are at least some people out there who are still browsing this rather "sleepy" forum. Anyone applying this year? Any helpful tips/recommendations about programs would be awesome.
This article examines clinical factors associated with catheter-related bloodstream infections incidence. METHODS: In this retrospective, single-center study, 413 patients undergoing extracorporeal treatments between 1 February 2014 and 31 January 2017 with 560 central venous catheters were recruited. Clinical parameters, such as gender, age, kidney disease status, diabetes, immunosuppression, and vintage dialysis, were collected at study entry. An incidence rate ratio (95% confidence interval) was calculated to assess the association between catheter-related bloodstream infections incidence rate and each clinical vari...
Authors: Miniksar DY, Özdemir M Abstract BACKGROUND: Although the effect of obsessive-compulsive disorder (OCD) on sleep is not well-known, recent studies suggest an association between OCD and sleep quality. AIMS: We aimed to assess sleep quality in children and adolescents with OCD and to seek its association with OCD symptoms and OCD severity. METHODS: All of the subjects were assessed using DSM 5 and affective disorders and schizophrenia for school-age children - present and lifetime version, which is based on DSM-IV. The Yale-Brown obsessive-compulsive scale and children's Yale-Brown obsessive-com...
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