BACKGROUND Due to improved care, more and more children born with spina bifida in rural Kenya are surviving into adulthood. This improved survival has led to significant challenges in their lifestyles, especially the need to ensure pressure ulcer prevention and treatment. Malignant degeneration of pressure ulcers in spina bifida patients is very rare. The author describes the clinical presentat...

Linear morphea is a distinct form of morphea that occurs as a linear band usually with a single unilateral distribution. The lower extremities are most often involved. This dermatosis appears as a linear induration not necessarily related to the derm induration. We report herein a case of 20-year-old Iranian girl who had a linear sclerotic patch on right lower extremity with clinical and ...

Background: Risk of developing latent tuberculosis infection increases in medical students with their higher exposure to TB care facilities. Objective: To study the prevalence among attending professional degrees MBBS, BDS, MD, MS, MDS at King George’s Medical University, India. Methods: This was carried out Tuberculin skin testing and active cases were excluded. A standard dose 0.1?mL purified...

The purpose of this study was to evaluate the efficacy ofthe BCG vaccine in the fIrst 60 days of life in inducing delayed-type hypersensitivity (DTH), and to evaluate the reliability of the Mantoux test in comparison with the BCG test for detecting DTH. A study was done in 885 healthy, well nourished infants 5 to 7 months old from rural areas of the Urumieh province, who received BCG immun...

Ten years ago, a 49-year-old white patient presented with a reticulated erythema and induration of her abdominal skin. Over the next 5 years, the erythema and induration progressed to include the skin over her lower extremities, chest, back, and upper extremities. With the onset of new lesions, she frequently experienced pruritus and tenderness at the areas of involvement. She also noted decrea...

The "biker's nodule" is a rarely appearing perineal nodular induration of the cyclist. Repeated microtrauma to the subcutaneous fatty tissue or collageneous tissue, caused by pressure or vibration which the bicycle's saddle exerts on the perineal region, leads to collagenous degeneration, myxoid alteration and pseudocyst formation. Because of the painful subcutaneous nodules the patient is ofte...