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Biomedical subjects

E W Herman

Publications and source records attributed to E W Herman.

4 recordsLinked to original sources
PubMed1992

Spatial neglect: new issues and their implications for occupational therapy practice.

Competent clinical practice relies on scientific theory to explain phenomena and to provide the rationale for rehabilitation strategies. Despite research advances and new insights, no unified theory has yet been offered to explain all aspects of the puzzling neglect syndrome. To find clinical relevance for new discoveries, theoretical models have to be integrated into assessment procedures and treatment strategies. The aim of this article is to briefly review recent theories about spatial hemineglect with emphasis on their potential use for practice, assessment strategies, and rehabilitative approaches.

Attention↗
PubMed1981

A distinctive variant of pernio. Clinical and histopathologic study of nine cases.

We describe here nine women who had similar distinctive clinical features that consisted of painful red-to-purple macules, papules, and plaques on the digits, predominantly on the toes. All patients reported that exposure to cold had preceded their symptoms. Histologic study demonstrated a lymphocytic vasculitis, characterized by lymphocytes infiltrating the walls of blood vessels in eight (88%) of nine lesions. This pattern of inflammation is different from the perivascular lymphocytic infiltrate that is common to lupus erythematosus, erythema multiforme, lymphocytic infiltration of the skin (Jessner), and drug eruptions. It also serves to distinguish the disorder from other clinical conditions resembling it, such as cellulitis, herpes simplex infection, and disseminated gonococcemia. To the best of our knowledge, this lymphocytic vasculitis has not been previously described as occurring in pernio. We believe the unique disorder that we are reporting is a common, but infrequently recognized, variant of pernio.

Adult↗
PubMed1980

Syringoma of the vulva: incidence, diagnosis, and cause of pruritus.

Syringoma of the vulva is a rare disorder. The patient presented here is the seventh case in the American literature; she is the only patient with this condition in a series of 1132 women with vulvar disease. Differential diagnosis includes epidermal cyst, cherry hemangioma, angiokeratoma, comedo, soft fibroma, Fox-Fordyce disease, steatocystoma multiplex, and lymphangioma circumstriptum. Although syringoma is usually an incidental finding, the diagnosis should be considered in patients with pruritus vulvae. In such cases, examination of the skin around the eyelids and malar areas where syringoma occurs more commonly may suggest a diagnosis of vulvar syringoma that can be confirmed by histologic examination. Inspection of the vulva in cases with extragenital involvement may lead to a more frequent diagnosis of vulvar syringoma.

Adenoma↗