Publications by authors named "Piotr Brzezinski"

45 Publications

Gross and Micro-Anatomical Study of the Cavernous Segment of the Abducens Nerve and Its Relationships to Internal Carotid Plexus: Application to Skull Base Surgery.

Brain Sci 2021 May 16;11(5). Epub 2021 May 16.

Department of Normal and Clinical Anatomy, Chair of Anatomy and Histology, Medical University of Lodz, ul. Żeligowskiego 7/9, 90-752 Łódź, Poland.

The present study aims to provide detailed observations on the cavernous segment of the abducens nerve (AN), emphasizing anatomical variations and the relationships between the nerve and the internal carotid plexus. A total of 60 sides underwent gross-anatomical study. Five specimens of the AN were stained using Sihler's method. An additional five specimens were subjected to histological examination. Four types of AN course were observed: a single nerve along its entire course, duplication of the nerve, division into separate rootlets at the point of contact with the cavernous part of the internal carotid artery (ICA), and early-branching before entering the orbit. Due to the relationships between the ICA and internal carotid plexus, the cavernous segment of the AN can be subdivided into a carotid portion located at the point of contact with the posterior vertical segment of the cavernous ICA and a prefissural portion. The carotid portion of the cavernous AN segment is a place of angulation, where the nerve always directly adheres to the ICA. The prefissural portion of the AN, in turn, is the primary site of fiber exchange between the internal carotid plexus and either the AN or the lateral wall of the cavernous sinus.
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http://dx.doi.org/10.3390/brainsci11050649DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8156379PMC
May 2021

Microsurgical Anatomy of the Inferomedial Paraclival Triangle: Contents, Topographical Relationships and Anatomical Variations.

Brain Sci 2021 May 4;11(5). Epub 2021 May 4.

Department of Normal and Clinical Anatomy, Chair of Anatomy and Histology, Medical University of Lodz, 90-752 Łódź, Poland.

The inferomedial triangle is one of the two surgical triangles in the paraclival subregion of the skull base. It is delineated by the posterior clinoid process, the dural entrance of the trochlear nerve and the dural entrance of the abducens nerve. The aim of the present article is to describe the anatomical variations within the inferomedial triangle. Measurements of the triangle's borders and area were supplemented by detailed observations of the topographical anatomy and various arrangements of its contents. Nine adult cadaveric heads (18 sides) and 28 sagittal head sections were studied. The mean area of the inferomedial triangle was estimated to be 60.7 mm. The mean lengths of its medial, lateral and superior borders were 16.1 mm, 11.9 mm and 10.4 mm, respectively. The dorsal meningeal artery was identified within the inferomedial triangle in 37 out of 46 sides (80.4%). A well-developed petrosphenoidal ligament of Grüber was identified within the triangle on 36 sides (78.3%). Although some structures were variable, the constant contents of the inferomedial triangle were the posterior petroclinoid dural fold, the upper end of the petroclival suture, the gulfar segment of the abducens nerve and the posterior genu of the intracavernous internal carotid artery.
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http://dx.doi.org/10.3390/brainsci11050596DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8147798PMC
May 2021

Malignant Degeneration of Scars.

Cancer Manag Res 2020 19;12:10297-10302. Epub 2020 Oct 19.

Department of Epidemiology, Faculty of Medicine, "Grigore T. Popa" University of Medicine and Pharmacy, Iași, Romania.

"Marjolin's ulcer" is known as malignant degeneration of ancient burn scars, but both words can induce misdiagnosis. Malignant degeneration of scarring tissue can occur and can vary in its clinical, histological manifestations and its pre-existing skin lesions. We present several cases to substantiate our observations. "Marjolin's ulcer" is not synonym to an ulceration appeared on an old burn scar, transformed into squamous cell carcinoma.
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http://dx.doi.org/10.2147/CMAR.S274470DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7585506PMC
October 2020

Immunomodulatory drugs alone and adjuvant to surgery for hidradenitis suppurativa/acne inversa-A narrative review.

Dermatol Ther 2020 11 25;33(6):e13877. Epub 2020 Jul 25.

Faculty of Health, University Witten/Herdecke, Witten, Germany.

Hidradenitis suppurativa/acne inversa (HS/AI) is one of the most debilitating dermatoses with a strong negative impact on every dimension of quality of life. Treatment is dependent on the severity of clinical manifestations and comorbidities. While anti-inflammatory and antimicrobial approaches are recommended for mild and moderate stages, immunomodulatory drugs have gained increasing interest in all stages of HS/AI. We reviewed the available data on this subject in a narrative review and included not only substances with published final outcome but those where either the ongoing trials or experience from case report. Furthermore, we investigated combined surgical therapy and immunomodulatory drugs and raised specific questions to be answered in controlled settings. This aspect seems to be underrepresented. The first approved medical treatment for HS/AI is adalimumab. Other cytokine, interleukin, Janus kinase and C5a inhibitors and antagonists are under investigation. IL-1 inhibitors and antagonists may become an option for mild to moderate HS/AI, while most of the other medical compounds target moderate to severe HS/AI. Despite medical efforts with immunomodulatory agents, surgery remains a cornerstone of efficient HS/AI therapy. Better outcome in advanced disease might be achieved by combining drug therapy and surgery, but more systematic clinical trials are necessary for the optimal combination.
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http://dx.doi.org/10.1111/dth.13877DOI Listing
November 2020

Anatomical variations and innervation patterns of the superior oblique muscle.

Ann Anat 2020 Jul 25;230:151522. Epub 2020 Apr 25.

Department of Normal and Clinical Anatomy, Chair of Anatomy and Histology, Medical University of Lodz, Poland.

Goal: The location and anatomical relationships of the superior oblique muscle make surgical intervention difficult. The aim of the present paper was therefore to supplement existing anatomical descriptions of this muscle. Its anatomical variability is particularly emphasized, including variations in muscle and tendon size and details of the innervation pattern.

Materials And Methods: The study was conducted on 78 orbits from 39 adult human cadavers of both sexes (18 males and 21 females). The roof and upper part of the medial and lateral walls of the orbit were carefully removed, which allowed the superior oblique muscle and trochlear nerve to be exposed along their entire course. Sihler's stain was applied to visualize the intramuscular distribution of the trochlear nerve.

Results: The length of the muscle between the origin and trochlea ranged from 37.8 to 56.5mm, the length of the tendinous expansion ranged from 16.3 to 22.8mm, and the width of the scleral insertion of the muscle's tendon ranged from 5.4 to 9.6mm. In two cadavers, accessory muscular slips connecting the levator palpebrae superioris muscle to the trochlea of the superior oblique muscle were present unilaterally. The distance from the level of the trochlea attachment to the anteriormost endings of the intramuscular branches varied from 17.2 to 21.5mm.

Conclusions: The intramuscular nervous branches of the trochlear nerve form a tree-like pattern. Unexpected anatomical variations such as accessory muscular bands could be relevant during orbital imaging or surgeries.
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http://dx.doi.org/10.1016/j.aanat.2020.151522DOI Listing
July 2020

Crusted (Norwegian) scabies as a strong marker of adult T-cell leukemia/lymphoma in HTLV-1 infection.

Clin Case Rep 2019 Mar 31;7(3):474-476. Epub 2019 Jan 31.

Department of Dermatology, Venereology and Allergology Medical University of Gdansk Gdansk Poland.

We present a rare case of crusted scabies in an human T-cell lymphotropic virus type 1 (HTLV-1) infected woman prior to onset of adult T-cell leukemia/lymphoma (ATL). We highlight the importance of this rare form of scabies as a prediagnostic sign of ATL, requiring high suspicion and monitoring of possible symptoms for early detection of ATL.
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http://dx.doi.org/10.1002/ccr3.1983DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406217PMC
March 2019

Trichodynia Silenced Effectively with Propranolol.

Int J Trichology 2019 Jan-Feb;11(1):41-42

Department of Dermato-Physiology, Apollonia University Iasi, Iasi, Romania.

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http://dx.doi.org/10.4103/ijt.ijt_8_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6385513PMC
March 2019

Aesthetic dermatology: What's new, what's true?

Dermatol Ther 2019 07 4;32(4):e12623. Epub 2018 Sep 4.

Faculty of Mathematics and Natural Sciences, Institute of Biology and Environmental Protection, Pomeranian Academy, Slupsk, Poland.

Aesthetic dermatology (AD) is a rapidly growing subspecialty of dermatology. The acceptance of AD in scientific community and the society is associated with its competence, efficiency, and seriousness. This review highlights some recent developments toward new tools, techniques, and understanding in the field of AD. Analyzing the specific needs of patients and assessing the effect by objective measurements is important for further progress. For long time ignored, white adipose tissue has gained increasing interest in biology and rejuvenation. Characterization of dermal and subcutaneous white adipose tissue has made progress. The interaction of hyaluronic acid and calcium hydroxyl apatite (CaHA) fillers with adipocytes could be responsible for clinical efficacy. New developments of oral collagen treatment and highly diluted CaHA to contour the body outside the face will be discussed. Submental contouring using purified desoxycholic acid is another new development.
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http://dx.doi.org/10.1111/dth.12623DOI Listing
July 2019

Iatrogenic metrorrhagia after the use of itraconazole for onychomycosis.

Indian J Pharmacol 2017 Nov-Dec;49(6):470-471

Department of Dermatology, Nicolina Medical Centre, Apollonia University, "P.Poni" Research Institute of Macromolecular Chemistry, Lasi, Romania.

We present first case report on itraconazole, a drug very commonly used for onychomycosis, used along with simvastatin that caused metrorrhagia. The suggested probable mechanism is the inhibition of steroidogenesis, especially estrogens that resulted in low-estrogen breakthrough bleeding. This article emphasizes the importance of drug interaction check prior the initiation of onychomycosis treatment.
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http://dx.doi.org/10.4103/ijp.IJP_838_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892030PMC
October 2018

The value of metastasectomy in stage IV cutaneous melanoma.

Wien Med Wochenschr 2019 Oct 6;169(13-14):331-338. Epub 2018 Mar 6.

Faculty of Mathematics and Natural Sciences, Institute of Biology and Environmental Protection, Pomeranian Academy, 76-200, Slupsk, Poland.

Cutaneous melanoma is an aggressive neoplasia of melanocytes. Prognosis is dependent on tumor stage. Stage IV melanoma is characterized by the occurrence of distant metastases. Response of metastases to classical chemotherapy is limited and toxicity of treatment is high. In recent years, new developments in immunotherapy and targeted therapies improved prognosis of stage IV melanoma patients with better tolerability of treatment. There is no dispute about surgical treatment of primary melanoma. But what is the value of metastasectomy in the era of new systemic treatments? This review aims to discuss available data for surgical removal of distant metastases for several organs and tissues. The available evidence suggests that for selected patients with possible complete resection of all tumor metastases, metastasectomy remains an effective treatment option with a benefit in overall survival.
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http://dx.doi.org/10.1007/s10354-018-0630-6DOI Listing
October 2019

Discreet Monilethrix: Mutation on the Example of Polish Families.

Int J Trichology 2017 Apr-Jun;9(2):90-91

Faculty of Mathematics and Natural Sciences, Institute of Biology and Environmental Protection, Pomeranian Academy, 76-200 Slupsk, Poland.

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http://dx.doi.org/10.4103/ijt.ijt_72_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5551316PMC
August 2017

Adverse effects of isotretinoin: A large, retrospective review.

Dermatol Ther 2017 Jul 14;30(4). Epub 2017 Mar 14.

Department of Geriatrics, Healthy Ageing Research Centre (HARC), Medical University of Lodz, Pl. Hallera 1, Lodz, 90-647, Poland.

Acne is a very common and disfiguring disease that affects mostly adolescents and, to some extent, adults. The objective of our study was to estimate the adverse effects after isotretinoin by treatment of 3,525 patients due to acne vulgaris in a 5-year observation. Retrospective, comparative study was carried out in Poland and Romania from January 2012 to August 2016. Inclusion criteria into this study were moderate, severe, and nodulocystic inflammatory acne vulgaris. Exclusion criteria were mild acne, pregnant, and lactating women. Statistical analysis was carried out using T test and Chi square. All patients were treated with oral isotretinoin. Patient age ranged from 13-35 years. Dry lips was the most commonly reported adverse effect, affecting 100% of users, followed by xerosis (94.97%) and facial erythema (66.21%). Of all adverse effects, psychiatric symptoms accounted for 25.16%; eye lesions accounted for 8.96%. In lab investigations an increase in the level of total cholesterol and serum triglycerides was observed. This study documents the adverse effect profile of isotretinoin in a large number of patients collected over a period of 4 years. Side effects were mild and well tolerated and did not necessitate stopping the treatment. However, it is important to educate patients about this potential consequence.
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http://dx.doi.org/10.1111/dth.12483DOI Listing
July 2017

Superficial basal cell carcinoma treated with 70% trichloroacetic acid applied topically: a case study.

Clin Cosmet Investig Dermatol 2017 23;10:67-69. Epub 2017 Feb 23.

Department of Pathology, University of Medicine and Pharmacy of Targu-Mures, Targu-Mures, Romania.

Background: Basal cell carcinoma (BCC) is the most common form of skin cancer, affecting millions of people worldwide. The treatment concept for BCCs is the surgical one, but it is costly, as such, searching for alternative medical therapeutics is justified.

Aim: To highlight the efficacy of high concentration (70%) trichloroacetic acid (TCA) as a choice therapy for low-risk BCC.

Method And Patient: Authors present, for the first time, the use of a high concentration TCA applied once a week for 2 consecutive weeks with a toothpick, on a patient with BCC on the right preauricular area.

Results: On examination 4 weeks later, the lesion was not clinically and dermatoscopically evidenced.

Conclusion: High concentration TCA could be an effective and safe, non-invasive choice of therapy for low-risk BCC, easy to perform, not expensive, with good cosmetic results, especially for patients who are not likely to undergo invasive or expensive treatments.
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http://dx.doi.org/10.2147/CCID.S127040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5327847PMC
February 2017

Report of a Rare Case of Alopecia Areata Coexisting with Trichotillomania.

Int J Trichology 2016 Jan-Mar;8(1):32-4

Department of Dermato-Physiology, Apollonia University Iasi, Strada Muzicii nr 2, Iasi-700399, Romania; Nicolina Medical Center, Institute of Macromolecular Chemistry, Apollonia University, "Petru Poni," Iasi, Romania.

Alopecia areata (AA) is a common dermatological disease characterized by patchy areas of nonscarring alopecia. Trichotillomania (TT) is an expression of obsessive-compulsive disorder defined by the urge to pull out his/her hair. We describe a case of AA coexisting with TT. A 6-year-old male child presented with a localized patch of hair loss in the occipital area of 2 years duration. Dermoscopy revealed numerous exclamation mark hairs along with signs of scratching and bleeding. A detailed medical anamnesis and thorough examination of the child during the consultation put in evidence TT.
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http://dx.doi.org/10.4103/0974-7753.179388DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4830171PMC
April 2016

Simuliosis--a dermatosis caused by black flies.

Allergol Int 2016 Apr 4;65(2):217-218. Epub 2016 Jan 4.

Department of Pathology, University of Medicine and Pharmacy of Tirgu Mures, Tirgu Mures, Romania.

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http://dx.doi.org/10.1016/j.alit.2015.11.005DOI Listing
April 2016

Diabetic dermopathy ("shin spots") and diabetic bullae ("bullosis diabeticorum") at the same patient.

Pak J Med Sci 2015 Sep-Oct;31(5):1275-6

Prof. Anca Chiriac, MD, PhD. Department of Dermatology, University Apollonia, Nicolina Medical Center, "P.Poni" Research Institute, Iasi, Romania.

We present a diabetic patient with associated two diabetic dermatoses: diabetic dermopathy ("shin spots") and diabetic bullae. A 34-year-old man, with long history of diabetes mellitus, hypertension, and moderate obesity presented to Dermatology Unit for diagnosis of his skin lesions. On clinical examination multiple, light brown, irregular patches, with atrophic scars and crusts over large bullae were observed on the anterior aspect of both legs.
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http://dx.doi.org/10.12669/pjms.315.7521DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4641298PMC
December 2015

Noninvasive Treatment of Pyogenic Granulomas in Young Children with Topical Timolol and Trichloroacetic Acid.

J Pediatr 2016 Feb 14;169:322-322.e1. Epub 2015 Nov 14.

Department of Pathology, University of Medicine and Pharmacy of Tirgu Mures, Tirgu Mures, Romania.

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http://dx.doi.org/10.1016/j.jpeds.2015.10.047DOI Listing
February 2016

Ulcerated Hemangioma - Surveillance Only.

Folia Med (Plovdiv) 2015 Jan-Mar;57(1):75-7

Department of Dermatology, 6th Military Support Unit, Ustka, Poland

Infantile hemangiomas are reported in 10-12% of children less than 1 year of age, with ulceration in about 5-13% of cases. Little is known about the mechanism of this disease and explanations are still being looked for. We present a 4-month-old female infant with haemangioma on the left buttock; the hemangioma was noticed at 2 weeks of age, progressively enlarging and ulcerated.
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http://dx.doi.org/10.1515/folmed-2015-0023DOI Listing
December 2015

Why Is Tinea an Annular Lesion With Centrifugal Growth?

Int J Surg Pathol 2015 Dec 17;23(8):652-3. Epub 2015 Sep 17.

University of Medicine and Pharmacy of Tirgu Mures, Tirgu Mures, Romania.

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http://dx.doi.org/10.1177/1066896915606972DOI Listing
December 2015

Treatment of Postherpetic Neuralgia Using Narrow Band Ultraviolet B Radiation (UVB).

Maedica (Bucur) 2015 Sep;10(3):276-279

Department of Dermato-Physiology, Apollonia University, Iasi, Romania.

Postherpetic neuralgia (PHN) is a common complication of herpes zoster, frequently unresponsive to most available treatment. The disease is especially difficult to manage in elderly people and has a great impact on the quality of life of patients. Narrow band ultraviolet B radiation may play a role in the prevention and treatment of PHN. Present paper describes a case of a 59 year-old female patient, diagnosed with ophthalmic herpes zoster and postherpetic neuralgia, with positive results using narrow UVB.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5327833PMC
September 2015

Eosinophilia--A rare possible adverse reaction during anti-tumor necrosis factor-alpha therapy for psoriasis.

J Dermatolog Treat 2016 2;27(2):110-3. Epub 2015 Sep 2.

i Department of Dermatology , University of Medicine and Pharmacy "Gr. T. Popa" Iasi , Romania.

The current use of tumor necrosis factor (TNF)-alpha inhibitors in rheumatological, dermatological and gastroenterological diseases has increased considerably in recent years. Different reports have been communicated regarding specific risks and side effects during treatment with TNF-alpha inhibitors. Eosinophilia has been linked to TNF-alpha inhibitors by several recent reports, although it is not listed as a possible adverse reaction in the product information of the drug. The aim of the present study was to evaluate the eosinophil count in patients diagnosed with psoriasis and treated with adalimumab. Based on the results of the present study, eosinophilia remains a rare adverse reaction during psoriasis treatment with TNF-alpha antagonists.
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http://dx.doi.org/10.3109/09546634.2015.1079299DOI Listing
September 2016

A human case of strangles (equine distemper) with skin lesions.

Indian J Dermatol Venereol Leprol 2016 Mar-Apr;82(2):198-200

Department of Dermatology, 6th Military Support Unit, Ustka, Poland.

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http://dx.doi.org/10.4103/0378-6323.162320DOI Listing
December 2016

Topical malic acid in combination with citric acid: an option to treat recalcitrant warts.

Dermatol Ther 2015 Nov-Dec;28(6):336-8. Epub 2015 Jul 14.

Department of Dermatology, 6th Military Support Unit, Ustka, Poland.

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http://dx.doi.org/10.1111/dth.12262DOI Listing
October 2016

Common psychocutaneous disorders in children.

Neuropsychiatr Dis Treat 2015 9;11:333-7. Epub 2015 Feb 9.

Gr T Popa University of Medicine and Pharmacy, Iași, Romania.

The prevalence of psychosomatic disorders among dermatological patients is high but frequently unreported because of difficulties in diagnosing and treating this patient group. Psychiatric and psychological factors may play different roles in the pathogenic mechanism of some skin diseases. The mainstay of diagnosis and treatment is the differentiation between skin disorders associated with psychiatric illness and those of a purely psychiatric nature. Dermatologists and psychiatrists should be aware of this pathology and work together as a team to resolve difficult cases, especially in children. The present paper highlights the psychocutaneous diseases most frequently seen by dermatologists in pediatric population.
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http://dx.doi.org/10.2147/NDT.S78522DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4332316PMC
February 2015

Radiator-induced erythema ab igne in 8-year-old girl.

Rev Chil Pediatr 2014 Apr;85(2):239-40

The cutaneous lesion of erythema ab Igne are characterized by a reticulate erythema, hyperpigmentation, fine scaling, epidermal atrophy and telangiectasias, and reticulated erythema. We report a case of erythema ab igne on the hands of a 8-year-old girl, induced by classic homemade radiator.
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http://dx.doi.org/10.4067/S0370-41062014000200015DOI Listing
April 2014

Aplasia cutis congenita of the scalp--what are the steps to be followed? Case report and review of the literature.

An Bras Dermatol 2015 Jan-Feb;90(1):100-3

Nicolina Medical Center, Iasi, Romania.

Aplasia cutis congenita is a rare malformation characterized by localized congenital absence of the skin. It rarely occurs on the trunk and limbs, and can occur in isolation or as part of a heterogeneous group of syndromes. We report a case of a 4-day-old boy with a 5.6-cm- diameter tumor, with a central crust, non-indurate and no inflammatory rim; localized on the scalp and a small, atrophic hairless scar appeared 6 months later (approximately 5 cm in length) at the site of the previous tumor.
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http://dx.doi.org/10.1590/abd1806-4841.20153078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4323704PMC
July 2015

Chloronychia: green nail syndrome caused by Pseudomonas aeruginosa in elderly persons.

Clin Interv Aging 2015 14;10:265-7. Epub 2015 Jan 14.

Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.

Green nails, also known as chloronychia or green nail syndrome, are characterized by green discoloration of the nail plate (greenish-yellow, greenish-brown, greenish-black), proximal chronic non-tender paronychia, and distolateral onycholysis. The cause is Pseudomonas aeruginosa infection of the nail plate in persons whose hands are constantly exposed to water, soaps, and detergents or are subject to mechanical trauma, especially in the elderly. Green or black coloration of the nails should raise suspicion for Pseudomonas infection and be treated with an oral quinolone (ciprofloxacin), particularly in aged patients. We present three cases of green nails in elderly persons.
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http://dx.doi.org/10.2147/CIA.S75525DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4298286PMC
September 2015

Malignant degeneration of scars in elderly people (Marjolin's ulcers).

Int Wound J 2016 Oct 20;13(5):1047-8. Epub 2015 Jan 20.

Department of Dermato-Physiology, Apollonia University Iasi, Iasi, Romania.

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http://dx.doi.org/10.1111/iwj.12407DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7950155PMC
October 2016

Not French manicure but onycholysis.

Dermatol Online J 2014 Sep 16;20(9). Epub 2014 Sep 16.

Nicolina Medical Center, Iasi, Romania.

French manicure, a simple and elegant manicure style, caught the public's attention by the 19th century in French nail salons. Now this style has spread all over the world and is the first choice of 80% of women in the USA and Europe. It consists of a natural, pink, beige, or nude base tipped with pure white at the distal end.Onycholysis is a disease of the nails characterized by separation of the nail plate from the nail bed, with variable causes. We present 2 cases of onycholysis that resemble the beautiful and elegant French manicure.
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September 2014

Psoriasis and tuberculosis binomial distribution?

J Res Med Sci 2014 May;19(5):477

Department of Dermatology, 6 Military Support Unit, Ustka, Poland.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4116583PMC
May 2014
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