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Previous Trauma (previous + trauma)
Selected AbstractsIdiopathic post-traumatic dermatitis at the site of recent joint replacementCONTACT DERMATITIS, Issue 1 2008S. M. Bewsher Idiopathic dermatitis over the site of previous trauma is a recognized but infrequently reported phenomenon that provides a diagnostic dilemma. Careful investigation is needed in order to exclude other rare and/or treatable causes. [source] Orofacial trauma and rugby in France: epidemiological surveyDENTAL TRAUMATOLOGY, Issue 4 2003Michèle Muller-Bolla Abstract ,,,A stratified epidemiological survey was carried out among the best French rugby players to assess the prevalence of trauma to the lower or middle part of the face (TLMPF) and the frequency at which the mouthguards (MGs) were worn. The 1140 randomized players (elite 1, elite 2 and national 1 clubs) filled in the same form anonymously. The variables were first subjected to univariate analysis (Chi-square, anova). Secondly, they were included in a multivariate model (logistic regression). Some 29.57% of players had already been affected by a TLMPF. The risk increased for the oldest forward players. It also increased with the number of yearly competitions and number of hours of weekly training. Some 64.3% of players used a MG. The frequency at which it was worn increased with the number of yearly competitions, for those who had experinced a previous trauma and for the pack players who had been playing for a long time. [source] Cranial fasciitis of childhoodINTERNATIONAL JOURNAL OF DERMATOLOGY, Issue 2 2003Margarita Larralde MD A 2-month-old boy was seen at our pediatric dermatology department with a history of a tumoral lesion of the scalp since his birth. On examination he had a single, ovoid, firm, 2 × 1.8-cm painless subcutaneous mass on the temporal left calvarium, covered by normal skin (Fig. 1). It had experienced explosive growth in the preceding 2 weeks. There was no history of previous trauma in the area. The remainder of the examination was normal. Roentgenographic studies of the skull revealed a soft-tissue mass without involvement of the underlying bone. Ultrasonography of the lesion showed it to be an echolucid tumor. With the presumed diagnosis of dermoid cyst we sent the patient for surgical removal. At surgery, the lesion did not have the typical surgical appearance of a cyst. The histopathologic exam of the specimen was interpreted as cranial fasciitis of childhood (Fig. 2). Immunohistochemistry showed diffuse positivity for vimentin and muscle actin. After 1 year the patient is free of lesions. Figure 1. Lesion at the temporal left calvarium Figure 2. Proliferation of loosely arranged spindle cells in a loose myxoid stroma (H&E stain, × 40) [source] Pseudotumoral encapsulated fat necrosis with diffuse pseudomembranous degenerationJOURNAL OF CUTANEOUS PATHOLOGY, Issue 8 2004F. Felipo An extraordinary case of encapsulated fat necrosis characterized by its large size, diffuse formation of pseudomembranes, and tendency to recur after excision is reported. A 67-year-old Caucasian woman suffering from morbid obesity was admitted for diagnosis and surgical treatment of a soft tissue mass showing a longest diameter of 14 cm and lying adjacently to the scar from previous appendicectomy. Histopathologic features were consistent with a nodular-cystic encapsulated fat necrosis with diffuse pseudomembranous transformation. Eight months after surgery, a new larger mass (longest diameter of 18 cm) sharing identical histopathologic features appeared in the same location. Encapsulated fat necrosis is a well-defined entity even though several names have been proposed for this condition, including mobile encapsulated lipoma, encapsulated necrosis, or nodular-cystic fat necrosis. Its pathogenesis seems to be related to ischemic changes secondary to previous trauma. It may occasionally show degenerative changes, including dystrophic calcifications and presence of pseudomembranes. To our knowledge, these are the first reported cases of encapsulated fat necrosis presenting as lesions of such size and showing diffuse formation of pseudomembranes; these particular features made diagnosis difficult and led to consideration of a wide range of potential diagnostic possibilities. This case expands the clinico-pathologic spectrum of membranocystic fat necrosis, including the potential ability of this subcutaneous fatty tissue abnormality to recur after surgical excision. [source] Healing of hymenal injuries in prepubertal and adolescent girls: a descriptive studyCHILD: CARE, HEALTH AND DEVELOPMENT, Issue 1 2008Richard Reading Healing of hymenal injuries in prepubertal and adolescent girls: a descriptive study . McCannJ., MiyamotoS., BoyleC. & RogersK. ( 2007 ) Pediatrics , 119 , e1094 , e1106 . DOI: 10.1542/peds.2006-0964. Objective, The objective of this study was to identify the healing process and outcome of hymenal injuries in prepubertal and adolescent girls. Methods, This multicentre, retrospective project used photographs to document the healing process and outcome of hymenal trauma that was sustained by 239 prepubertal and pubertal girls whose ages ranged from 4 months to 18 years. Results, The injuries that were sustained by the 113 prepubertal girls consisted of 21 accidental or noninflicted injuries, 73 secondary to abuse, and 19 ,unknown cause' injuries. All 126 pubertal adolescents were sexual assault victims. The hymenal injuries healed at various rates and except for the deeper lacerations left no evidence of the previous trauma. Abrasions and ,mild' submucosal haemorrhages disappeared within 3,4 days, whereas ,marked' haemorrhages persisted for 11,15 days. Only petechiae and blood blisters proved to be ,markers' for determining the approximate age of an injury. Petechiae resolved within 48 h in the prepubertal girls and 72 h in the adolescents. A blood blister was detected at 34 days in an adolescent. As lacerations healed, their observed depth became shallower and their configuration smoothed out. Of the girls who sustained ,superficial', ,intermediate,' or ,deep' lacerations, 15 of 18 prepubertal girls had smooth and continuous appearing hymenal rims, whereas 24 of 41 adolescents' hymens had a normal, ,scalloped' appearance and 30 of 34 had no disruption of continuity on healing. The final ,width' of a hymenal rim was dependent on the initial depth of the laceration. No scar tissue formation was observed in either group of girls. Conclusions, The hymenal injuries healed rapidly and except for the more extensive lacerations left no evidence of a previous injury. There were no significant differences in the healing process and the outcome of the hymenal injuries in the 2 groups of girls. [source] Adamantinoma associated with botryomycosis: the first report of this rare association after traumaCLINICAL & EXPERIMENTAL DERMATOLOGY, Issue 4 2008W. I. Al-Daraji Summary A 27-year-old man presented with swelling and inflammation of his right tibia, which had been present for nearly 3 years. It apparently was associated with an injury that was sustained to the right leg when it was struck against a tree stump, which had led to immediate swelling. There were no other symptoms and no history of fever or weight loss. The right tibia was swollen to twice the size of the left and the skin was indurated with numerous crusted lesions and some sinus-like areas, but no ulceration of the skin surface was apparent. We report for the first time to our knowledge a unique case of both botryomycosis and adamantinoma in the right tibia of the same patient at an area of previous trauma. Pathologists, clinicians and radiologists should be aware that both lesions can occur together. Although both botryomycosis and adamantinoma usually have a history of trauma, as in our patient, a causal relationship will need more cases to establish a possible link. [source] | ||||||||||