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Biomedical subjects

J F Arterberry

Publications and source records attributed to J F Arterberry.

5 recordsLinked to original sources

Low-dose methotrexate as an adjunctive therapy with surgery for ectropion complicating dermatomyositis.

We describe the clinical and histopathologic features of a 44-year-old woman who developed bilateral lower eyelid ectropion and upper lid entropion presumably secondary to dermatomyositis. A variety of inflammatory, infiltrative and/or scarring dermatoses have been associated with ectropion. Chronic inflammation, poikilodermatous change and mucinous infiltration of the eyelids due to dermatomyositis are the postulated mechanisms leading to ectropion in our patient. This case is unique in that neither dermatomyositis nor papular mucinosis has previously been reported as a cause of ectropion. Also interesting was the adjunctive effect of methotrexate therapy.

Adult↗

The pathogenesis of canalicular laceration.

Canalicular lacerations are seen commonly in ophthalmic practice, but the pathogenesis of canalicular lacerations has not been explored. The authors retrospectively reviewed 25 cases of canalicular laceration seen at their institutions. Only 4 patients (16%) had injuries attributable to direct trauma; the remaining 21 patients (84%) had diffuse trauma or trauma to the eyelid remote from the canaliculus. The authors postulate that, in many of their cases, canalicular "lacerations" resulted from indirect trauma, where the eyelid was ruptured when it was stretched acutely to the point of avulsion. Two experimental models were derived to test this hypothesis. The results suggest that the canalicular portion of the eyelid is a particularly vulnerable location, and that injuries morphologically similar to canalicular "lacerations" occur predictably if the eyelid is traumatized indirectly or diffusely to the point of rupture.

Adolescent↗

Soft tissue intranasal foreign bodies.

Soft tissue intranasal foreign bodies usually present as a well-defined syndrome in children 1 1/2 to 3 years of age who develop a chronic unilateral, purulent, fetid, unexplained rhinorrhea because the foreign material is not discovered in the nose on routine examination. Four cases are presented to document for the first time the anatomic location of soft tissue intranasal foreign bodies which become lodged in the anterior-superior aspect of the nasal cavity between the anterior edge of the middle turbinate and the bridge of the nose. No recurrence has been noted following removal of this material with the hemostat advanced superiorly inside the anterior border of the nose. One case with persistent rhinorrhea developed pneumonia and generalized body odor.

Female↗

Acute myocardial infarction after fluorescein angiography.

A 68-year-old man with a history of previous myocardial infarction and peripheral vascular disease had an acute myocardial infarction 30 minutes after the injection of intravenous fluorescein for fundus angiography. The situational stress or phenylephrine dilating drops could have contributed to the complication.

Acute Disease↗