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Biomedical subjects

Jeffrey J Meffert

Publications and source records attributed to Jeffrey J Meffert.

10 recordsLinked to original sources

Biological warfare from a dermatologic perspective.

Biological warfare agents have been used in this century by both organized armed forces and terrorist organizations. Beset with many problems that limit their tactical value on the battlefield, such "weapons of mass destruction" have tremendous terror appeal. Unusual presentations or clustering of diseases associated with biowarfare might alert the clinician that an attack has occurred. The clinical presentations, current recommended treatments, and preventive measures of agents such as anthrax, smallpox, plague, and the viral hemorrhagic fevers are discussed, as well as some of the issues that have been raised as authorities are considering how and when to resume smallpox vaccinations. References focus on current Internet web sites, which will provide up-to-date information and advice for allergists with immunization questions or who feel they might have encountered a patient with one of these diseases.

Biological Warfare↗

A different kind of residency--a different kind of resident.

The military dermatologist requires a set of job skills beyond that of the civilian dermatologist. When military dermatologists complete their training, they must be prepared to function in remote locations with limited subspecialty support. Military dermatologists must be competent in the broad range of disciplines that encompass dermatology and have special expertise in tropical and environmental dermatology. They also must maintain a broad knowledge of biological and chemical agents. Three US military training programs currently exist. The largest, in San Antonio, Texas, was formed in 1996 when Wilford Hall Medical Center and Brooke Army Medical Center merged their resources and residents to create a single large program. The contributions of military dermatologists are discussed in the context of how the joint Army/Air Force program is structured to meet a broad set of needs.

Curriculum↗

Keratosis punctata of the instep.

We present a case of keratosis punctata involving the instep of both feet in addition to palmar and plantar creases, a finding not previously reported to our knowledge. We also discuss a closely related entity, keratosis punctata palmaris et plantaris (KPPP), and why we believe our case does not simply represent a variant of keratosis punctata of the palmar creases (KPPC).

Adult↗

Photo quiz. Red ear.

Explore the source record for details and available documents.

Diagnosis, Differential↗

Lichen sclerosus: an atypical presentation.

We describe the case of a 66-year-old Hispanic man with an atypical presentation of lichen sclerosus (LS). The unusual presentation included bilateral axilla involvement (not previously reported to our knowledge), scrotal involvement (not common in men, despite common vulvar involvement in women), and an uncommonly thick plaque on his back.

Administration, Topical↗