Biomedical subjects

P Blecher

Publications and source records attributed to P Blecher.

6 recordsLinked to original sources

PubMed1995

Tolerance to different toilet paper preparations: toxicological and allergological aspects.

BACKGROUND AND DESIGN: A controlled open trial was performed in 40 individuals suffering from chronic perianal eczema. Various toilet paper preparations representing the conventional type made of pure cellulose, the recycled and the moist type were investigated using the patch test as were allergens possibly related to toilet paper. In addition, a chronic use test and a repeated rubbing test were performed with a conventional and a recycled toilet paper preparation. RESULTS: A total of 20 patients could be evaluated in full. A variety of reactions were seen in the patch test, most of which were of the allergic type. Allergens included many different chemical entities, e.g. preservatives used in moist toilet paper such as Kathon CG and Euxyl K 400. In a volunteer allergic to Euxyl K 400, allergy to the moist toilet paper regularly used by him was established. After discontinuation of its application, perianal dermatitis disappeared. In the repeated rubbing test at the forearm, 10 volunteers showed a reaction with the recycled paper preparation while no such reaction was seen upon the application of the conventional type of toilet paper. The validity of these findings was corroborated by corresponding results in the use test. CONCLUSION: There is clearly a potential for allergic reactions to components of moist toilet paper and reactions to recycled toilet paper presumably irritant by nature. These irritant reactions are probably caused by the rough texture of current paper types and do not reflect the presence of potentially toxic ingredients such as metal salts.

Adult↗

PubMed1994

[Hyperhidrosis].

Explore the source record for details and available documents.

Enalapril↗

PubMed1991

Topical liposome drugs to come: what the patent literature tells us. A review.

Drug-containing liposomes for topical use in dermatology have been devised during the last 10 years. Most recently the clinical superiority to a conventional gel of a topical glucocorticosteroid liposome preparation for eczema has been demonstrated. To get more insight from what may be expected from future liposome preparations for topical treatment, the pertinent patent literature has been reviewed.

Administration, Cutaneous↗

PubMedDate not supplied

Quantitative assessment of the efficacy of oral ketoconazole for oral candidosis in HIV-infected patients.

Fifteen male patients with manifest oral candidosis due to Candida albicans, suffering from AIDS-related complex (ARC) or full-blown AIDS, were investigated both clinically and microbiologically before and about 1 and 4 weeks after 7 to 10 days of treatment with 200 mg ketoconazole p.o. per day. Candida albicans was quantitated in mouthwash fluid. The antimicrobial susceptibility of the Candida albicans isolates was assessed using the IC30 test. In the short term, clinical cure was obtained in 87%, mycological cure in 53%. In the long term, the corresponding figures were 56 and 9%, respectively. Eradication of Candida albicans was not possible if IC30 values exceeded 256 micrograms ml-1. While pretreatment counts of Candida albicans in those patients also taking zidovudine did not differ from those in the rest of the study population, both the clinical and the mycological efficacy of ketoconazole seem to be higher both in the short and the long term when administered together with zidovudine. In consideration of the high relapse rate after about 4 weeks, an interval treatment protocol with oral ketoconazole is proposed.

AIDS-Related Opportunistic Infections↗

PubMedDate not supplied

Dermatophytes on the feet of HIV-infected patients: frequency, species distribution, localization and antimicrobial susceptibility.

Skin scrapings from the toe clefts, soles and nail plates of 138 HIV-infected patients at various stages were examined for the presence of dermatophytes using both microscopy and culture. Dermatophytes, in particular Trichophyton rubrum, could be grown in 58 cases (42%). Although cultures were more often positive in late stages of disease, there was no close correlation with the clinical stage or the T4/T8 ratio. Susceptibility to itraconazole, but not to other antimycotics, was correlated with the immune status (P < 0.05). Pedal dermatophyte infection does not seem to be a major problem in HIV infection.

Adult↗

PubMedDate not supplied

A new combined diagnostic approach to clinically and microscopically suspected onychomycosis unproven by culture.

In clinical practice the suspicion of onychomycosis in a diseased nail plate is not infrequently substantiated by microscopic evaluation of scrapings using a KOH preparation but not by culture. As this may be partly due to inadequate sampling an alternative sampling method may in principle be beneficial. Based on good anecdotal reports of high-speed fraising this method was used in 24 patients. If culture again proved negative high-speed fraising was repeated in conjunction with nail biopsy. In the majority of cases high-speed fraising provided specimens allowing culture of the causative organism. If not, nail biopsy was of additional help. As repeated high-speed fraising is a non-invasive non-laborious method it can be advocated as an additional routine step in the diagnosis of clinically and microscopically suspected onychomycosis initially unproven by culture. Microscopic examination of a biopsy should be considered if material obtained by repeated high-speed fraising does not reveal fungi upon culture.

Dermabrasion↗