Bleeding related to inadvertent femoral catheter insertion is an infrequent but morbid complication. We report two cases of acute life-threatening bleeding after attempts at femoral vein catheterization. Both patients were morbidly obese, had multiple comorbidities, and were at high risk for surgical intervention. Aggressive resuscitation failed to stabilize the patients. Emergency digital subt...

A review of species of the genus Neopsocopsis Badonnel, 1936 is presented. Four species are redescribed, viz. Neopsocopsis hirticornis (Reuter, 1893), Neopsocopsis quinquedentata (Li & Yang, 1988), Neopsocopsis profunda (Li, 1995), and Neopsocopsis flavida (Li, 1989), as well as the description of one new species, Neopsocopsis convexasp. n. Seven new synonymies are proposed as follows: Pentabla...

Zyderm collagen implant (ZCI), used in the treatment of scarring, soft tissue contour defects, and age lines, has been found to be both efficacious and safe. Over 40,000 individuals have received ZCI, with fewer than 2% showing adverse responses (data on file, Collagen Corporation, Palo Alto, California). ZCI is comprised of highly purified bovine collagen that has undergone partial enzymatic d...

Studies of serum copper and caeruloplasmin were performed in patients with ankylosing spondylitis, systemic sclerosis, and morphea. Mean levels of both were raised significantly in ankylosing spondylitis, with the greatest increases in the worst cases. In patients with systemic sclerosis there was a significant increase in the mean level of caeruloplasmin, but not of copper, although both were ...

Variably acid-fast coccoid forms, suggestive of cell wall deficient forms of mycobacteria, were observed in the dermis in microscopic sections of skin from six patients with generalized scleroderma, 10 patients with localized scleroderma (morphea), and four patients with lichen sclerosus et atrophicus (LSA). These coccoid forms were found within the collagen bundles, around the adnexae (hair sh...

Introduction. Buschke-Ollendorf syndrome (BOS) is an uncommon syndrome characterized by osteopoikilosis and other bone abnormalities, accompanied by skin lesions, most frequently connective tissue nevi. BOS is caused by mutations in the LEMD3 gene, which encodes the inner nuclear membrane protein Man1. We describe a unique case of osteopoikilosis associated with late-onset localized scleroderma...

Resumo Objetivo: O presente artigo é uma revisão do conhecimento atual relativo às terapias somáticas em psiquiatria, com foco em transtornos psiquiátricos resistentes ao tratamento usual. Método: Foi realizada uma pesquisa computadorizada da literatura no Medline utilizando as palavras “eletroconvulsoterapia”, “estimulação magnética transcraniana”, “terapia magnética convulsiva”, “estimulação ...

Radiation-induced morphea (RIM) of the breast is a rare complication of radiotherapy. It is disfiguring, painful and defeats the purpose of achieving a good cosmesis in breast-conservation surgery. This report describes a severe case of RIM in a breast cancer patient together with photographic illustrations of the serial changes over time and histopathology slides. A review of the literature is...