6 Preventions of patch infection
Patch infection is difficult to treat and probably requires reoperation, which is expensive and severely affects the lifequality of patients. Therefore, the prevention of patch infection obtains preferable clinical results. Many strategies and measures have been employed to reduce the occurrence rate of patch infection.
6.1 Prophylactic application of antibiotic herniorrhaphy as a cleaning surgery
The prophylactic use of antibiotics is controversial. In view of orthopedic implant experience, many scholars recommended the use
Oral lesions are highly correlated with the occurrence and development of many diseases. In addition, the treatment of systemic diseases may aggravate oral focal infections, affect the life quality of patients, interfere with the treatment of systemic diseases, and even cause systemic infection in serious cases. Treatment strategies for systemic diseases may induce or aggravate oral local lesion infections. In specific, administration of oral antiepileptic drugs and immunosuppressive drugs may induce gingivitis, radiotherapy or chemotherapy for malignant tumors may cause oral mucositis, long-term use of bisphosphonates for inhibition of tumor bone metastasis or prevention of osteoporosis may cause osteonecrosis of the jaw, and allogeneic hematopoietic stem cell transplantation may cause oral rejection reactions.
Iulia Ioana Roman, Meda Sandra Orasan, Andrei Coneac, Elena Mihaela Marina, Alexandra Dana Pop and Remus Ioan Orasan
Psoriasis vulgaris is a chronic inflammatory dermatosis with major impact on patients’ life quality. The etiopathogenesis is multifactorial, depending on complex interactions between genetic and environmental factors. We present the case of two female patients, identical twins of 33 years old, suffering from psoriasis vulgaris since childhood. Patient A developed specific lesions of psoriasis at the age of 7 and patient B started to develop psoriasis lesions on the scalp two years later. At the age of 31, patient A was diagnosed with psoriatic arthritis. Laboratory test results were within the normal ranges for both patients. Hormonal and immunological determinations revealed the presence of a high level of antithyroidperoxidase antibody in patient A and increased level of prolactin in patient B. Ultrasonographic assessment of the thyroid detected the presence of bilateral micronodules in the first subject. Knowing that early onset psoriasis is associated with the presence of Human Leukocyte Antigen Cw6(HLA-Cw6), we aimed to confirm this hypothesis for our subjects. Although HLA-Cw6 is the most frequent mutation in psoriasis patients and it is present in about two-thirds of the tested subjects,the genetic results for both patients were negative, strengthening the fact that other factors, the environmental one and the hormonal disorders had an important role in their psoriasis pathogenesis. Under these conditions, we emphasize the importance of including a hormonal evaluation approach of psoriasis patients in order to diagnose and treat pathologies that may be related with disease exacerbations
Mohammad Ahmad Abdalla, Mohammad Shahatha Nayaf and Sura Zahim Hussein
A, Wikas S. Pruritic Urticarial Papules and Plaques of Pregnancy Occurring Postpartum. Cutis J. 2015;95:344-7.
11. Parsad D, Pandhi R, Dogra S, Kanwar AJ, Kumar B. Dermatology LifeQuality Index score in vitiligo and its impact on the treatment outcome. Br J Dermatol. 2003;148:373-4.
12. Lips P. Worldwide status of vitamin D nutrition. J Steroid Biochem Mol Biol.2010;121(1):297-300.
13. Felton SJ. Concurrent beneficial (vitamin D production) and hazardous (cutaneous DNA damage) impact of low-level summer sunlight exposures. Br J Dermatol. 2016