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Biomedical subjects

A D Wilmshurst

Publications and source records attributed to A D Wilmshurst.

5 recordsLinked to original sources

Radial artery aneurysm in a case of neurofibromatosis.

Vasculopathy as part of the syndrome of neurofibromatosis is well recognised, although rarely identified clinically. A recent report describes a case with rupture of an aneurysm of the superficial femoral artery. We present a case of radial artery aneurysm, a previously unreported complication of neurofibromatosis affecting the upper limb.

Aneurysm↗

Immediate placement of tissue expanders in the management of large excisional defects on the face.

Where excision of a facial lesion leaves a defect too large for local flap reconstruction, tissue expansion is frequently a more desirable option than a skin graft, providing as it does tissue which exactly matches that which has been lost. For malignant skin lesions where removal should not be delayed by preliminary expansion of the flap, the expander can be placed simultaneously with tumour excision thus keeping the reconstruction to two stages. A temporary skin graft is employed in the interim. Our experience with this approach in five patients with large facial malignancies is presented and discussed.

Aged↗

The toxic shock syndrome in burned children.

Seven cases of presumed Toxic Shock Syndrome (TSS), occurred in burned children admitted to the Regional Burn Unit at St Andrew's Hospital, Billericay. Four patients died, and three caused concern. 30 per cent of Staphylococcus aureus isolates available for retrospective study were found to be toxin producing. On reviewing children in this age group admitted between September 1982 and April 1984 we feel that a form of TSS has occurred commonly, in some cases where the burned area was less than 5 per cent. Certain recommendations are made.

Burns↗