Comments for D e r m L i v e

Comment on Nail … when to cut? by dr.kamal hussein saleh consultant cosmetic surgeon al emadi hospital

dr.kamal hussein saleh consultant cosmetic surgeon al emadi hospital — Tue, 30 Jun 2009 11:01:32 +0000

To prevent recurrence wedge excision include the matrix of the affected site

Comment on Nail … when to cut? by Dr hisham

Dr hisham — Mon, 29 Jun 2009 02:51:08 +0000

i think cautersiation is necessary at this stage after the lateral nail is removed. and the nail is grossly swollen, i would culture any discharge too…and trea accodrdingly, but the most important thing is teach the patient how to cut te nail properly..

Comment on black tongue by Dr.HUDA

Dr.HUDA — Wed, 27 May 2009 09:43:21 +0000

THis IS most probably racial ,please ask about family history . we are seeing many with this presentation and we advice for follow up 3-6 month for any changes.
Thanks

Comment on POLL: Can potent steroids cause atrophy in vitliginous patches? by Reema Saati

Reema Saati — Thu, 01 Jan 2009 07:15:34 +0000

yes Isee atrophy

Comment on diabetic with ulcers by dr. mohammed alshamrani

dr. mohammed alshamrani — Fri, 19 Dec 2008 16:09:26 +0000

it can be explained by both mechanisms but vasculopathy is the expected to be the reason in this case.. it has to be managed for both pathological mechanisms and pt home circumstances like immobility and immunity state

Comment on diabetic with ulcers by Dr.Nidal Dabbour

Dr.Nidal Dabbour — Fri, 05 Dec 2008 13:40:48 +0000

The vasculopathy explains the acral skin involvement but not the one on the knee, so propably a deep skin biopsy involving the fat tissue should be done to exclude tachyphylaxis and if negative autoimmune ( antiphospholipids ) and coagulopathy investigations ( factor C ,S and 3) should be done.

Comment on diabetic with ulcers by dr.kamal hussein saleh-consultant cosmetic surgeon-al emadi hospital-qatar

dr.kamal hussein saleh-consultant cosmetic surgeon-al emadi hospital-qatar — Fri, 05 Dec 2008 07:26:56 +0000

I think this case have both vasculaer and coagulapthy at the same time.
for treatment of ulceration the patient need frequent wound excision with local treatment by proacutase spray and skin gel (ionic hydrogel)t.d.s,we should correct hydration of the patient with good control of blood suger,the patient my need heamatologist to deal with coagulapathy,slso protection from pressur sores by using air bed

Comment on trichomegaly a side effect or not? by dr.kamal hussein saleh-consultant cosmetic surgeon-al emadi hospital-qatar

dr.kamal hussein saleh-consultant cosmetic surgeon-al emadi hospital-qatar — Mon, 03 Nov 2008 07:29:34 +0000

the benefit s of the side effects of many drugs, could be the new way to regonize all the useful side effects of all the medicines that we use in our clinic,that will be helpful to treat new condtions that not related to the orginal target.as the minoxidil that used 1st as anti hypertesive drug!!!!!!!!!!!!!!.

Comment on when to biopsy? by dermis111

dermis111 — Fri, 24 Oct 2008 22:25:13 +0000

hi
the lesion resolved actualy in 3 weeks. so it was just trauma. it doesnt hurt to be obsessive with these lesions though!
thannks

Comment on when to biopsy? by ny resident

ny resident — Fri, 24 Oct 2008 02:55:58 +0000

As for this acral lesion dermoscopy could easily guide your clincial decision making:

1)if the lesion is pigmented or simply blood
2)if its blood–>trauma, no worries
3)no blood, pigment–> is the pigment in the furrows or rigdes (furrows are fine, rigdes worrisome)
4)is the pigment, symmetric, uniform

simplified; but this type of dermoscopic algorithm would help your dx