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Biomedical subjects

S W Levy

Publications and source records attributed to S W Levy.

11 recordsLinked to original sources

Amputees: skin problems and prostheses.

Once lower-extremity amputees become accustomed to wearing an artificial limb, they want to continue using it. Of considerable concern to the dermatologist, prosthetist, and the entire clinical team is prevention of any disorder that might return such patients to crutches or bed rest. The importance of early recognition and treatment of skin lesions on the stump of amputees cannot be overemphasized. Heavy demands are placed on the stump skin by the artificial limb. Even a minor skin eruption may, through neglect or mistreatment, become an extensive disorder that will seriously threaten the amputee's mental, social, and economic rehabilitation.

Adult↗

Bullous impetigo. Occurrence of localized scalded skin syndrome in an adult.

The localized form of staphylococcal scalded skin syndrome, bullous impetigo, occurs commonly in children but rarely in adults. We will describe a case of bullous impetigo in an adult which developed while the patient was receiving short-term therapy with orally administered corticosteriods. Scalded skin syndrome in this case was characterized by isolation of phage group 2 staphylococci from intact bullae and by the presence of an intraepidermal, subgranular cleavage plane in histological sections. Features that differentiate the localized form of scalded skin syndrome from generalized forms include the presence of dermal infiltrate and the absence of cutaneous erythema and tenderness. On the basis of available experimental evidence, the rarity of both localized and generalized scalded skin syndrome in adults can be attributed to immunologic competence or enhanced capacity of adults to metabolize the staphylococcal exfoliatin.

Diagnosis, Differential↗