Lichen planus is a common inflammatory autoimmune disease of unknown etiology that commonly affects the skin and mucous membranes. Isolated conjunctival lichen planus is an exceptional condition that ...most commonly involves the eyelids, conjunctiva, and cornea, leading to severe scarring, and is clinically indiscernable from other causes of cicatricial conjunctivitis.
Les tumeurs conjonctives cutanées sont des tumeurs dermiques et/ou hypodermiques relativement fréquentes. Elles sont dominées par les tumeurs bénignes. A travers une série de 121 cas, nous avons ...étudié le profil épidémiologique, anatomopathologique et évolutif de ces tumeurs. C'est une étude rétrospective réalisée au service d'anatomie pathologique du CHU Mohammed VI de Marrakech entre 2004 et 2012. Il s'agit de 121 patients. La moyenne d’âge était de 36 ans (1-80ans). Le sex-ratio H/F était de 1,12. La tumeur avait un aspect nodulaire dans 90% des cas. Le membre inférieur était la localisation la plus fréquente (30,5%). L’étude anatomopathologique a porté sur un matériel biopsique dans 100% des cas. Soixante-neuf pour cent de ces tumeurs étaient bénignes. Elles étaient représentées essentiellement par les tumeurs vasculaires, suivies par les tumeurs fibreuses et fibro-histiocytaires. Trente et un pour cent des tumeurs étaient malignes. Il s'agissait essentiellement de tumeurs fibreuses et fibro-histiocytaires, suivies de tumeurs vasculaires. L’étude immunohistochimique était réalisée dans 2cas. Le traitement chirurgical était entrepris dans 73% des cas. L’évolution était précisée dans 19% des cas avec une évolution favorable dans 13% des cas. Un cas de décès et 2 cas de récidive étaient notés. Les tumeurs conjonctives cutanées bénignes sont de bon pronostic, mais posent un problème majeur de nosologie et de classification. D'autre part, la prise en charge diagnostique et thérapeutique ainsi que l’évaluation pronostique des sarcomes cutanés restent difficiles.
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WHAT AN ITCHYINTERGLUTEALCLEFT CAN HIDE Faras, Soumaya; Boubnane, Ibtissam; Aboudourib, Meryem ...
International journal of advanced research,
03/2023, Volume:
11, Issue:
3
Journal Article
Open access
Scabiesis a contagiousubiquitousectoparasitosis, with exclusive human-to-human transmission, It usuallypresentswith herpes, papulo-vesicles, nodules, and intense pruritus at night, which cause pain ...and disturbedsleep in the affectedindividuals.Dermoscopy, a non-invasiveopticalmagnifying technique, has been used to aid in the diagnosis of scabies in recentyears, as in the case of our patient, aged 57, whopresented an atypicalfeatures of scabies, he was treatedwithantiycotics and thendermocorticoids, but thanks to dermoscopy, the diagnosiswasrectified.
Sir, Psoriasis is a chronic inflammatory skin condition affecting roughly 2% of the population. Erythrodermic psoriasis (EP) is its rare and severe variant 1. It is characterized by acute flare-ups ...induced by various factors, yet some reports have described the onset or flare-up of EP induced by vaccination. To our knowledge, only two such cases following COVID-19 vaccination have been reported. Herein, we report a case of an EP flare-up after COVID-19 vaccination. A 47-year-old male was referred by our emergency department with diffuse erythema, desquamation, fever, and a poor general condition, arising ten days after the reception of the first dose of the Sinopharm vaccine. He had a history of plaque psoriasis, yet used only topical treatments. He denied any past vaccination-related reaction, recent medication changes, or recent infection. A physical examination revealed diffuse erythema and desquamation on the entire body (Fig. 1a). Initial laboratory investigation revealed hyperglycemia and incidentally discovered diabetes. A COVID-19 PCR test was negative and the peripheral blood smear was normal. He had no history of malignancy and the tumor marker tests were negative. Histopathology was also compatible with erythrodermic psoriasis. He was, thus, diagnosed with the exacerbation of erythrodermic psoriasis associated with the administration of CoronaVac. We commended methotrexate and local treatment with very good improvement.
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In pemphigus, there still is no consensus on parameters mesuring clinically the disease severity. The aim of this study is to use the Japanese severity index in Moroccan patients with pemphigus.
...Multicenter prospective study from September 2007 to September 2009 including consecutive patients with confirmed pemphigus. We used the Japenese severity index for pemphigus. For each patient, the score was calculated at diagnosis and at 6 months of follow-up and correlated to type of pemphigus; mean dosage of corticosteroids and clinical statuts at 6 months: dead or not.
Fifty six patients were included, 20 men and 36 women, mean age 46.62 ± 15.9 years. At diagnosis, the mean initial score was 7.7 + 2.36; at six months, it was 1.61 + 1.83. The score variation at 6 months and inclusion was 6.19 ± 2.18 for deep pemphigus and 5.43 ± 2.85 for superficial pemphigus (p = 0,3 non significant). At six months, 4 patients were dead: their initial score was 11 + 1.41 while the initial score in the 52 patients was 7.4±2.03 (p = 0,001, significant). Data showed no correlation between initial severity scores and cumulative dosage of corticosteroids at 6 months (Pearson coefficient of correlation 0.144; p = 0.580).
In this study, initial severity scores for pemphigus were high and decreased at 6 months of treatment. Both deep pemphigus and superficial pemphigus were severe as their score variation was similar. Japenese severity score is useful for Moroccan patients with pemphigus.
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This study evaluated students’ perceptions about providing feedback and identified their preferred feedback methods. The study design comprised quantitative and qualitative approaches to ensure a ...better understanding of students’ perceptions and increase the study’s validity. A structured questionnaire was distributed in five higher education institutions (HEIs) in Oman, followed by a focus group discussion (FGD). A total of 614 students responded to the questionnaire. The quantitative data were analyzed using descriptive statistics, and the qualitative data were analyzed using thematic text analysis. It was observed that although students understand the importance of feedback, they feel that the methods can be improved. Furthermore, HEIs did not share the outcomes with the students, and therefore, students believed that HEIs were not considering their comments. Whilst students preferred anonymous online surveys, they believed that inperson meetings would be even more useful. This paper looked at how the educational well-being of students in Oman can be improved through the development of methods of seeking feedback from institutions. Additionally, this result can be applied worldwide to improve feedback mechanisms.