Quadrant distribution of basal cell nevi.
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Biomedical subjects
Publications and source records attributed to H Beerman.
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A case is presented of an adult male patient with a heavily calcified multilocular renal cyst (Permann's tumor), transposition of the inferior vena cava and reversed rotation (malrotation) of the bowel. Because of the synchronous embryological development of the forementioned structures, a possible congenital etiology of the multilocular renal cyst is suggested.
All patients are undoubtedly parasitized by hair follicle mites (D. brevis and/or D. folliculorum). Recovery of these may trigger or exacerbate phobias, so they should not be demonstrated on primary presentation. As adjunct treatment for all patients, one can recommend avoidance of long-term topical sterate or corticosteroid preparations, followed by use of daily lavage with soap and water. This is doubly important in sensitive or phobic patients, because ubiquitous demodecids may increase from 'normal' (greater than 5 per pilosebaceous complex) demodiciasis to marked (less than 10 mites) demodicosis. Evidence of phobia should, provisionally, be labelled with the nonperjorative term symbiophobia (herein coined for "fear of association with organisms"), and the causative organisms, if present, treated. Nonremission of phobias, despite counselling and treatment, should be referred to a sensitive, competent, medically trained psychiatrist.