Plantar Molluscum Contagiosum in an Adult Patient

2016 ◽  
Vol 106 (3) ◽  
pp. 235-236 ◽  
Author(s):  
Anıl Gülsel Bahalı ◽  
Ozlem Su ◽  
Dilek Bıyık Ozkaya ◽  
Kadriye Sallahoglu ◽  
Pelin Yıldız ◽  
...  
Keyword(s):  
Viral Infection ◽  
Adult Patient ◽  
Skin Surface ◽  
Molluscum Contagiosum ◽  
Unusual Presentation ◽  
Genital Region ◽  
The Face ◽  
Atypical Presentations ◽  
Plantar Area ◽  
Immunocompetent Patients

Molluscum contagiosum is a viral infection of the skin. It may occur anywhere on the skin surface but is most common in skinfolds, on the face, and in the genital region. Atypical presentations are usually seen in conditions with altered immunity, but they may occur in immunocompetent patients as well. We present a case of an unusual presentation of molluscum contagiosum lesions (multiple normal and one giant) on the plantar area of the foot in an adult.

scholarly journals Dermoscopic rosettes as a clue for atypical molluscum contagiosum

2020 ◽  
Vol 35 (4) ◽  
Author(s):  
Javier Sánchez-Bernal ◽  
Mariano Ara-Martín ◽  
Isabel Abadías-Granado ◽  
Oriol Yélamos
Keyword(s):  
Viral Infection ◽  
Clinical Features ◽  
Molluscum Contagiosum ◽  
Diagnostic Challenge ◽  
Amorphous Structures ◽  
Central Pore ◽  
Atypical Presentations

Molluscum contagiosum (MC), a frequent viral infection, is generally easy to diagnose because of its characteristic clinical features. However, atypical presentations can be a diagnostic challenge for clinicians. Dermoscopy has helped in this cases by showing a characteristic dermoscopic pattern composed of a central pore or umbilication in conjunction with polylobular white to yellow amorphous structures, surrounded by linear or branched vessels (‘red crown”). However, additional dermoscopic patterns can be found. Herein we present two MC cases where rosettes were seen on dermoscopy

scholarly journals An Unusual Presentation of a Massive Pulmonary Embolism with Misleading Investigation Results Treated with Tenecteplase

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
David Migneault ◽  
Zachary Levine ◽  
François de Champlain
Keyword(s):  
Pulmonary Embolism ◽  
Case Reports ◽  
Massive Pulmonary Embolism ◽  
Unusual Presentation ◽  
Test Results ◽  
Diagnostic Challenge ◽  
Bedside Echocardiography ◽  
The Face ◽  
Contrast Angiography ◽  
Atypical Presentations

Background. There is no foolproof strategy to identify a pulmonary embolism (PE) in the emergency department, and atypical presentations are common. Negative test results may mislead physicians away from the diagnosis of PE.Objectives. The current report aims to raise awareness of an unusual presentation of massive PE and its diagnosis and management, in the face of limited evidence in the scientific literature.Case Reports. We report the case of a patient with a negative D-Dimer and a negative Computed Tomography contrast angiography of the chest who was diagnosed twenty-seven hours later with a massive PE, as suggested by a bedside echocardiography. The patient was successfully treated with tenecteplase (TNK).Conclusions/Summary. Pulmonary embolism frequently presents atypically and is often a diagnostic challenge. There is limited literature about the treatment of massive PE. Further research on bedside echocardiography for diagnosing PE in unstable patients is warranted. In addition, further study into new thrombolytic agents like tenecteplase in the context of massive and submassive PE is warranted.

The Difference in Facial Movement Between the Medial and the Lateral Midface: A 3D Skin Surface Vector Analysis

2021 ◽  
Author(s):  
David L Freytag ◽  
Michael G Alfertshofer ◽  
Konstantin Frank ◽  
Dmitry V Melnikov ◽  
Nicholas Moellhoff ◽  
...  
Keyword(s):  
3D Imaging ◽  
Functional Anatomy ◽  
Skin Surface ◽  
Facial Movements ◽  
Anatomic Location ◽  
Objective Evidence ◽  
The Face ◽  
Functional Boundary ◽  
The Mean ◽  
The Difference

Abstract Background Our understanding of the functional anatomy of the face is constantly improving. To date, it is unclear whether the anatomic location of the line of ligaments has any functional importance during normal facial movements such as smiling. Objectives It is the objective of the present study to identify differences in facial movements between the medial and lateral midface by means of skin vector displacement analyses derived from 3D imaging and to further ascertain whether the line of ligaments has both a structural and functional significance in these movements. Methods The study sample consisted of 21 healthy volunteers (9 females & 12 males) of Caucasian ethnic background with a mean age of 30.6 (8.3) years and a mean BMI of 22.57 (2.5) kg/m 2. 3D images of the volunteers’ faces in repose and during smiling (Duchenne type) were taken. 3D imaging-based skin vector displacement analyses were conducted. Results The mean horizontal skin displacement was 0.08 (2.0) mm in the medial midface (lateral movement) and was -0.08 (1.96) mm in the lateral midface (medial movement) (p = 0.711). The mean vertical skin displacement (cranial movement of skin toward the forehead/temple) was 6.68 (2.4) mm in the medial midface whereas it was 5.20 (2.07) mm in the lateral midface (p = 0.003). Conclusions The results of this study provide objective evidence for an antagonistic skin movement between the medial and the lateral midface. The functional boundary identified by 3D imaging corresponds to the anatomic location of the line of ligaments.

Squash cytology: A simple, bedside test for quick diagnosis of atypical presentations of Molluscum Contagiosum

2021 ◽  
Author(s):  
Ishan Agrawal ◽  
Arunima Ray ◽  
Bhabani S. T. P. Singh ◽  
Surabhi Singh ◽  
Bikash Ranjan Kar
Keyword(s):  
Molluscum Contagiosum ◽  
Bedside Test ◽  
Atypical Presentations ◽  
Simple Bedside

Unusual presentation of relapsing neutrophilic dermatosis limited to the face

2014 ◽  
Vol 41 (7) ◽  
pp. 661-662 ◽  
Author(s):  
Takahiro Arita ◽  
Tomoko Nomiyama ◽  
Jun Asai ◽  
Hideya Takenaka ◽  
Miyuki Fukuoka ◽  
...  
Keyword(s):  
Unusual Presentation ◽  
Neutrophilic Dermatosis ◽  
The Face

ENANTHEMS ASSOCIATED WITH UNCOMMON VIRAL SYNDROMES

PEDIATRICS ◽  
1968 ◽  
Vol 41 (5) ◽  
pp. 873-882
Author(s):  
Marjorie L. Forman ◽  
James D. Cherry
Keyword(s):  
Viral Infection ◽  
Laboratory Findings ◽  
Foot And Mouth ◽  
Clinical Diagnoses ◽  
The Face

Viral studies were done on 37 patients with enanthems and 17 well persons during the summer and fall of 1966; two-thirds of each group were 3 years old or less. Twenty-nine (84%) of the ill patients and 3 (18%) of the control patients had evidence of viral infection. Although all ill patients were referred to us because of an enanthem, it is significant that the oral signs were often only part of broader disease. The most common concurrent sign was exanthem, found in 17 of 37 ill patients. Six of 11 patients with Coxsackie A4 infection had rash which began with or after defervescence as red macules and papules on the face and trunk and lasted 1 to 4 days before disappearing or becoming vesicular. The vesicular lesions persisted 1 to 2 weeks. Exanthem was also present in Coxsackie B2 and A5-12 associated illnesses. Of 10 patients infected with Coxsackie A 16 virus, 6 had significant submandibular adenopathy, and 2 of 5 with exanthem had urticaria. In several ill patients laboratory findings were unexpected in view of clinical diagnoses. This was particularly true with herpetic stomatitis and incomplete hand, foot, and mouth syndrome.

scholarly journals Linear porokeratosis over the face: An unusual presentation

2016 ◽  
Vol 17 (3) ◽  
pp. 218
Author(s):  
Anupam Das ◽  
Dibyendu Basu ◽  
Indrashis Podder
Keyword(s):  
Unusual Presentation ◽  
The Face
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