A Report of Two Cases of Solid Facial Edema in Acne

Solid facial edema (SFE) is a rare complication of acne vulgaris. To examine the clinical features of acne patients with solid facial edema, and to give an overview on the outcome of previous topical and systemic treatments in the cases so far published.; We report two cases from Switzerland, both young men with initially papulopustular acne resistant to topical retinoids.; Both cases responded to oral isotretinoin, in one case combined with oral steroids. Our cases show a strikingly similar clinical appearance to the cases described by Connelly and Winkelmann in 1985 (Connelly MG, Winkelmann RK. Solid facial edema as a complication of acne vulgaris. Arch Dermatol. 1985;121(1):87), as well as to cases of Morbihan's disease that occurs as a rare complication of rosacea.; Even 30 years after, the cause of the edema remains unknown. In two of the original four cases, a potential triggering factor was identified such as facial trauma or insect bites; however, our two patients did not report such occurrencies. The rare cases of solid facial edema in both acne and rosacea might hold the key to understanding the specific inflammatory pattern that creates both persisting inflammation and disturbed fluid homeostasis which can occur as a slightly different presentation in dermatomyositis, angioedema, Heerfordt's syndrome and other conditions

The importance of antecedent vegetation and drought conditions as global drivers of burnt area

The seasonal and longer-term dynamics of fuel accumulation affect fire seasonality and the occurrence of extreme wildfires. Failure to account for their influence may help to explain why state-of-the-art fire models do not simulate the length and timing of the fire season or interannual variability in burnt area well. We investigated the impact of accounting for different timescales of fuel production and accumulation on burnt area using a suite of random forest regression models that included the immediate impact of climate, vegetation, and human influences in a given month and tested the impact of various combinations of antecedent conditions in four productivity-related vegetation indices and in antecedent moisture conditions. Analyses were conducted for the period from 2010 to 2015 inclusive. Inclusion of antecedent vegetation conditions representing fuel build-up led to an improvement of the global, climatological out-of-sample R2 from 0.579 to 0.701, but the inclusion of antecedent vegetation conditions on timescales ≥1 year had no impact on simulated burnt area. Current moisture levels were the dominant influence on fuel drying. Additionally, antecedent moisture levels were important for fuel build-up. The models also enabled the visualisation of interactions between variables, such as the importance of antecedent productivity coupled with instantaneous drying. The length of the period which needs to be considered varies across biomes; fuel-limited regions are sensitive to antecedent conditions that determine fuel build-up over longer time periods (g1/44 months), while moisture-limited regions are more sensitive to current conditions that regulate fuel drying

Quantifying the Importance of antecedent fuel-related vegetation properties for burnt area using random forests

The seasonal and longer-term dynamics of fuel accumulation affect fire seasonality and the occurrence of extreme wildfires. Failure to account for their influence may help to explain why state-of-the-art fire models do not simulate the length and timing of the fire season or interannual variability in burnt area well. We investigated the impact of accounting for different timescales of fuel production and accumulation on burnt area using a suite of random forest regression models that included the immediate impact of climate, vegetation, and human influences in a given month and tested the impact of various combinations of antecedent conditions in four productivity-related vegetation indices and in antecedent moisture conditions. Analyses were conducted for the period from 2010 to 2015 inclusive. Inclusion of antecedent vegetation conditions representing fuel build-up led to an improvement of the global, climatological out-of-sample R 2 from 0.579 to 0.701, but the inclusion of antecedent vegetation conditions on timescales ≥ 1 year had no impact on simulated burnt area. Current moisture levels were the dominant influence on fuel drying. Additionally, antecedent moisture levels were important for fuel build-up. The models also enabled the visualisation of interactions between variables, such as the importance of antecedent productivity coupled with instantaneous drying. The length of the period which needs to be considered varies across biomes; fuel-limited regions are sensitive to antecedent conditions that determine fuel build-up over longer time periods (∼ 4 months), while moisture-limited regions are more sensitive to current conditions that regulate fuel drying