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Pediatric dermatology.

Dr. Baruch presents some of the most common pediatric lower extremity skin conditions seen in clinical practice. The conditions that he discusses appear to be relatively easy to diagnose in the early stages; however, some of them, such as contact dermatitis and atopic dermatitis, may be hard to distinguish from one another. I have to admit that I have never seen lichen planus in the pediatric age group; I will need to keep looking. I agree with Dr. Baruch that classification of lesions into either the primary and secondary groups will aid in diagnosis and treatment. It also seems that the ever-present verrucae is the most common pediatric condition seen in our office, and we have taken similar steps in treating this condition with blunt dissection with excellent results.

Adolescent↗

[Epicutaneous testing with a standard series. Results in 12,026 patients].

From 1977 to 1983, 12,026 patients were given patch tests with a standard series of substances. A total of 4,494 (37.4%) had positive patch-test reactions to one or more allergens; the average number of positive reactions was 1.85. The most frequent reactions were due to nickel sulphate (positive reactions in 9.2% of those tested), fragrance mix (8.9%), balsam of Peru (6.3%), cobalt chloride (4.7%), potassium dichromate (4.3%) and wool alcohols (4.3%). Women showed significantly more positive reactions than men to nickel sulphate, cobalt chloride, wool alcohols, and parabens and significantly fewer positive reactions than men to potassium dichromate, PPD mix, and epoxy resin. Younger patients showed significant more positive reactions to nickel sulphate and cobalt chloride; middle-aged patients reacted more to potassium dichromate, paraphenylendiamine, formaldehyde and thiuram mix; elderly patients reacted to balsam of Peru, wool alcohols, caine mix, neomycin sulfate, benzocaine, colophony, clioquinol, mafenide, parabens, and gentamycin sulfate.

Adult↗

[Comments on the incidence of contact allergy].

Analysis of positive patch testing during the last years revealed increased occurrence of contact allergy against arnica. Our investigations were done at the Department of Dermatology of the General Hospital, Linz. We take the view that the frequency of this contact allergy represents the consequence of using household remedies containing arnica.

Allergens↗

Cutaneous crystal cholesterol emboli.

One case of cutaneous cholesterol emboli is described. In patients affected with severe arteriosclerosis of the abdominal aorta, cholesterol crystals may become detached from an atheromatous plaque and result in micro emboli ensuing skin lesions (livedo reticularis, nodules, purple toes, ulcerations, distal gangrene) on the lower extremities. Histopathologic study is required for diagnosis: the lumens of the arterioles were extensively occluded by macrophagic granuloma which surrounded cholesterol crystals.

Cholesterol↗

Erythema elevatum diutinum.

First described by Hutchinson in 1878, erythema elevatum diutinum (EED) is a rare disease characterized by persistent red, raised nodules and plaques in a symmetrical, acral distribution. The disease occurs equally in the sexes, primarily in the 30- to 60-year age group. We report a representative case of EED which responded to current agents, and briefly review the status of the disease.

Adult↗