Hibiclens keratitis and the TCA masque: reply.
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Biomedical subjects
Publications and source records attributed to B I Resnik.
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The majority of cutaneous injuries seen in victims struck by lightning are superficial and heal without sequelae. Common cutaneous findings associated with lightning strike include punctate full-thickness burns, linear charring, and contact burns from overlying metal objects. Branching or ferning marks are an uncommon and unusual cutaneous manifestation. These ferning patterns are called Lichtenberg figures. Similar-appearing electrical phenomena were first noted by an 18th-century physicist of the same name. A case report with review of the literature is presented. The histopathologic features of the figures are described for the first time.
BACKGROUND: Traditional trichloroacetic acid (TCA) peel results are often unpredictable. "Hot spots," delayed healing, and scarring are not uncommon. OBJECTIVE: To reveal how the TCA Masque, used alone or in combination with Jessner's solution, helps minimize some of these problems while retaining efficacy. RESULTS: The masque's ease of application and its easily visualized one-time application have produced effective, safe, and predictable outcomes. The skin peels uniformly. CONCLUSIONS: The masque is also versatile since it is available in 11% and 16.9% strengths and can be applied thickly or spread thinly on the face, neck, arms, etc. When used alone, dyschromia and fine wrinkles are eliminated; the skin appears freshened. When used in combination with Jessner's and 16.9% TCA Masque a medium depth peel is achieved.
Treatment of eumycetoma, both medical and surgical, is difficult and often unsuccessful. We describe a case of maduromycosis, 18 years in duration, with significant improvement after 6 months of itraconazole therapy.
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Procedural side effects and complications of chemical peeling should be considered as distinct entities. They are best managed by careful preoperative screening and operative technique and attentive surgical follow-up in the first postoperative week.
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