Chronic Inducible Urticaria: Part II

Physical urticaria (PU) is a subgroup of acquired, chronic inducible urticaria which is associated with a known physical trigger. In PU, the symptoms are induced by exogenous physical triggers, such as friction, pressure, vibration, cold, heat, or solar radiation. All the PUs may manifest with both wheals and angioedema at the sites of the triggers with the exceptions that urticaria factitia (UF) (symptomatic dermatographism) presents with wheals only and pressure urticaria presents with angioedema only. More than one form of physically induced urticarias can be present in one patient

Dermatitis Herpetiformis

Dermatitis herpetiformis is an autoimmune skin disease, which is strongly related to coeliac disease. Moreover, some authors accept it as the skin manifestation of coeliac disease. It is a chronic, recurrent disease with polymorphic skin eruptions and pruritus. Dermatitis herpetiformis is a disease of the young adults mostly, but can be seen at any age. It is characterized by papules, vesicles, excoriations, and urticarial plaques clinically. Histopathological examination reveals subepidermal separation, and with this finding, it needs to be differentiated from linear IgA bullous dermatitis and bullous pemphigoid. In this case, direct immunofluorescence is helpful. Granular deposition of IgA is pathognomonic for dermatitis herpetiformis. Dermatitis herpetiformis can accompany other autoimmune disorders such as type I diabetes mellitus, thyroid diseases, vitiligo, and collagen tissue diseases. Dermatitis herpetiformis is, usually, successfully treated with dapsone and gluten-free diet

Case Report: A rare cause of oral bullae: Angina bullosa hemorrhagica

© 2017 Cinar SL et al.Angina bullosa hemorrhagica (ABH) is a benign disorder of the oral cavity. Clinically, oral, blood-filled blisters are seen. To give a proper diagnosis, one should rule out any other cause. We aim to present this case in order to emphasize this rare cause of oral bullae which is necessary to be differentiated from many serious dermatological and hematological disorders

NUTRITIVE VALUE OF MEDITERRANEAN SHRUBS

Nutritive values of the leaves of Mediterranean shrubs Quercus coccifera, Calicotome villosa, Rhamnus oleoides ssp. graecus, Pistacia terebinthus, Paliurus spina-christi and Phillyrea latifolia, and Leuceana leucocephala, an introduced species were studied. These shrubs were hand harvested from three plots established in the experimental field at before flowering, flowering and bear fruit stages. The nutritive values were evaluated in terms of the chemical composition, dry matter (DM), organic matter (OM), relative feed value (RFV), dry matter intake (DMI) as well as digestible dry matter (DDM).Maturity had a significant effect on the chemical composition, DM, OM and estimated parameters (DDM, DMI and RFV) of the leaves of the shrub species. Neutral detergent fiber (NDF), acid detergent fiber (ADF) and condensed tannin (CT) contents increased with increasing maturity whereas the crude protein decreased. DM and estimated parameters also decreased with increasing maturity. CP, ADF, NDF, Ash and CT contents ranged from 6.4 to 33.3%, from 6.9 to 39.1%, from 10.1 to 50.5%, from 2.9 to 6.8% and from 0.7 to 15.8%, respectively. The OM and DM ranged from 93.2 to 97.1% and from 28.5 to 70.8%, respectively. The digestibility DM, DM intake and RFV ranged from 58.4 to 83.5%, from 2.4 to 11.9% and from 107.7 to 769.3, respectively ADF, NDF and condensed tannin contents of the leaves of the shrub species harvested at bear fruit stage were significantly higher than those harvested at before flowering and flowering stages, while CP contents and estimated parameters of the leaves of the shrub species harvested at flowering stage were significantly higher than those harvested at before flowering and bear fruit stages. The biplot analysis indicated negative correlation of CP content with OM and DM, whereas it is positively correlated with CT and ash contents. On the other hand, ADF was positively correlated with NDF, whereas it is negatively correlated with estimated parameters. The shrub species harvested at the proper stage of maturity offers considerable potential as high quality forage for ruminants during critical period in the semi arid and arid regions.Nutritve values of the leaves of Mediteranean shrubs Quercus cocifera, Calicotome vilosa, Rhamnus oleoides sp.graecus, Pistacia terebinthus, Paliurus pina-christi and Philyrea latifolia, and Leuceana leucocephala, an introducedspecies were studied. These shrubs were hand harvested from thre plots established in the xperimental field at beforeflowering, flowering and bear fruit stages. The nutritve values were valuated in terms of the chemical compositon, drymater (DM), organic mater (OM), relative fed value (RFV), dry mater intake (DMI) as wel as digestible dry mater(DDM).Maturity had asignifcant efect on the chemical compositon, DM, OM and estimated parameters (DDM, DMIand RFV) of the leaves of the shrub species. Neutral detergent fiber (NDF), acid detergent fiber (ADF) and condensedtanin (CT) contents increased with increasing maturity whereas the crude protein decreased. DM and estimatedparameters also decreased with increasing maturity. CP, ADF, NDF, Ash and CT contents ranged from 6.4 to 3.3%,from 6.9 to 39.1%, from 10.1 to 50.5%, from 2.9 to 6.8% and from 0.7 to 15.8%, respectively. The OM and DM rangedfrom 93.2 to 97.1% and from 28.5 to 70.8%, respectively. The digestibilty DM, DM intake and RFV ranged from 58.4to 83.5%, from 2.4 to 1.9% and from 107.7 to 769.3, respectively ADF, NDF and condensed tanin contents of theleaves of the shrub species harvested at bear fruit stage were signifcantly higher than those harvested at before floweringand flowering stages, while CP contents and estimated parameters of the leaves of the shrub species harvested atflowering stage were signifcantly higher than those harvested at before flowering and bear fruit stages. The biplotanalysi indicated negative corelation of CP content with OM and DM, whereas it is positvely corelated with CT andash contents. On the other hand, ADF was positvely corelated with NDF, whereas it is negatively corelated withestimated parameters. The shrub species harvested at he proper stage of maturity ofers considerable potential as highquality forage for uminants during critcal period in the semi arid and arid regions.</p

Case report. Candida lusitaniae peritonitis in a patient on continuous ambulatory peritoneal dialysis

We report a case of Candida lusitania peritonitis in continuous ambulatory peritoneal dialysis. Since fluconazole therapy was not successful in this patient, the peritoneal catheter was removed and antifungal therapy continued, and the patient was then converted to haemodialysis. This treatment protocol was successful. We suggest that early peritoneal catheter removal should be considered in such cases

Effect of anterior uveitis in Behçet's disease on neutrophil to lymphocyte ratio

AIM: To investigate the effect of anterior uveitis in Behçet's disease(BD)on neutrophil to lymphocyte ratio(NLR).<p>METHODS:Retrospective research. The patients who were admitted to Kayseri Training and Research Hospital between 2004-2013 and fulfilled the BD criteria are accepted in the study. The records of 735 patients with BD were screened and 135 of them were taken to the study. Sixty-eight of them had anterior uveitis, the rest(<i>n</i>=67)did not have any ophthalmological pathology. The patients' total blood counts were taken at the same visit that anterior uveitis was noted. Then the neutrophil to lymphocyte ratio were calculated.<p>RESULTS:In the anterior uveitis group the mean NLR was 2.55±0.96. In the ophthalmologically normal group it was 1.67±0.50. NLR was determined higher in the anterior uveitis group(<i>P</i><0.05).<p>CONCLUSION: The NLR is found higher in the Behçet's disease with anterior uveitis patients when compared with the ophthalmologically normal patients

A new combination therapy in severe acute pancreatitis-hyperbaric oxygen plus 3-aminobenzamide

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.Objectives: This study was designed to evaluate effects of hyperbaric oxygen (HBO) plus 3-aminobenzamide (3-AB) cotreatment on tissue oxidative stress parameters (TOSp), tissue histopathology scores (THSc), and bacterial translocations (Bact-Trans) in an experimental model of severe acute pancreatitis (AP). Methods: Seventy-five Sprague-Dawley rats were randomized into 5 groups. Group 1 received sham. Severe AP was induced by intraductal taurocholate infusion and then group 2 received saline, group 3 received 3-AB, group 4 received 3-AB plus HBO, and group 5 received HBO. 3-Aminobenzamide (10 mg/kg per day, once daily, intraperitoneal) and saline (1 mL/kg) were started right after the induction, whereas HBO (2,8 atm pressure, BID, 90 minutes each) was started at the sixth hour. The rats were euthanized at the 54th hour, and TOSp, THSc, and Bact-Trans were studied.Results: In treatment groups 3 and 5, Bact-Trans (P < 0.05, P < 0.05), TOSp (P < 0.05, P < 0.05), and THSc (P < 0.001, P < 0.001) were significantly lower than controls. In addition to these findings, group 4 (cotreatment) showed the most significant effect on Bact-Trans and THSc (P < 0.001, P < 0.001) and also better in TOSp (P < 0.02).Conclusions: Poly(ADP-ribose) polymerase inhibition by 3-AB and HBO treatment alone was effective in the course of severe AP, and favorable with cotreatment because of the improved cascades of inflammatory process by different aspects