Biomedical subjects

Brian N Streams

Publications and source records attributed to Brian N Streams.

3 recordsLinked to original sources

PubMed2003

A modified running subcuticular suturing technique for the closure of defects after Mohs micrographic surgery.

BACKGROUND: The running subcuticular suturing technique is useful for the closure of surgical defects with minimal tension. OBJECTIVE: To determine the safety and efficacy of a modified running subcuticular suturing technique for the closure of facial wounds produced by Mohs micrographic surgery. METHODS: Five patients between the ages of 58 and 92 years, each with one Mohs defect on the face, were studied. One half of each defect was repaired with simple interrupted sutures, and the other half was repaired using the modified running subcuticular technique. RESULTS: There were no major differences in cosmetic outcome of the surgical sites at suture removal and at 1-week and 3-month follow-up examinations. No surgical complications occurred in any of the patients studied. CONCLUSION: We demonstrate that the modified running subcuticular suturing technique may be a safe and effective alternative for the primary, layered closure of defects from Mohs micrographic surgery.

Aged↗

PubMed2003

Clinical and pathologic features of nephrogenic fibrosing dermopathy: a report of two cases.

Nephrogenic fibrosing dermopathy is a rare, recently described fibrotic skin condition that primarily affects patients with a history of renal disease. We describe 2 patients on hemodialysis with the characteristic clinical and pathologic features. Nephrogenic fibrosing dermopathy should be distinguished from other fibrotic disorders, such as scleromyxedema, systemic sclerosis, and eosinophilic fasciitis

Adult↗

PubMed2003

Mid-dermal elastolysis.

Mid-dermal elastolysis (MDE), which presents as fine wrinkling of the skin or perifollicular papules, is extremely rare. This entity is distinguished from other elastolytic disorders by its characteristic bandlike loss of elastic fibers limited to the mid dermis. We report a case of MDE that developed gradually in an otherwise healthy woman without prior cutaneous disease. The current theories on the pathogenesis of MDE also are discussed.

Adult↗