Volume 89, Number 6 www.aafp.org/afp American Family Physician 473 An 18-year-old man presented with a threeweek history of a painful, nonpruritic, diffuse eruption involving the face. He had a history of atopic eczema and intermittent asthma flare-ups. There was no family history of atopy. He was not taking any medication. Treatment with oral prednisone one week earlier seemed to aggravate the...

“Empty nose” patients suffer from chronic nasal crusting, dryness, and intermittent bleeding. The most distinctive symptom of ENS is “paradoxical obstruction”in that the patient suffers from difficulty breathing despite a widely patent nasal airway (Sozansky & Houser, 2014). ENS patients describe their feeling of nasal obstruction as constant and continuous: feeling of suffocation, inability or...

1 male was brought to the hospital with severe headache, vomiting and seizures. The illness started with profuse rash predominantly on the trunk, limbs and also on the face two weeks back. The lesions were centripetal and were diagnosed to be chicken pox. The lesions were in crusting stage when the patient developed neurological complaints. His symptoms started with sudden onset of headache whi...

Diet.?Non-vegetarian. Clinical Findings.?Moderately nourished boy. The lesion presented itself as a raised area on the right thigh just below the inguinal region, 4^-" X 34" in size. Edge was hypopigmented. The centre was more raised than the border and had a warty appearance and feel. Moderate amount of crusting in one or two areas near the centre. Similar lesion on the right foot, involving t...

Neurofibroma, a benign peripheral nerve sheath tumor, usually appears together with café-au-lait spots, iris nodules, and other tumors within the scope of neurofibromatosis von Recklinghausen type 1 tumors. A solitary neurofibroma of the eyelid is relatively rare. In this case report, we present a 39-year-old woman who had a lesion on the eyelid crease, previously treated as a chalazion. Due to...

ophionyssus natricis is a purely blood sucking parasite of snakes and of worldwide distribution. infected snakes often exhibit lethargy, pruritus, crusting dermatitis,and behavioral changes. ophionyssus natricis can also attack humans, causing popular vesiculo-bullous eruption of the skin. a 29 years old man working in zoo,sari, mazandaran, iran, presented itchy papullar eruption of the skin. h...

OBJECTIVES/HYPOTHESIS The most typical complaints of patients with nasal septal perforation (SP) are nasal obstruction, crusting, and recurrent epistaxis depending on the size and site of the SP mainly due to disturbed airflow patterns. The objective of the study was to determine the influence of differently localized SPs on intranasal airflow patterns during inspiration by means of numerical s...

The presence of deep-burrowing earthworms can affect soil structure and in®ltration, therefore in ̄uencing agricultural productivity. We investigated the effects of deep-burrowing earthworm species on soil structure at the surface of chisel-plowed or ridge-tilled cropping systems in Pike County, OH, planted to corn (Zea mays L.). Earthworm populations were experimentally manipulated in ®eld encl...