Dermoscopic Features of Giant Molluscum Contagio Contagiosum in a Patient with Acquired Immunodeficiency Syndrome

Giant molluscum contagiosum (MC) is a peculiar variant of the disease with the presence of multiple or single lesions larger than 5 mm. In contrast to typical molluscum contagiosum, dermoscopic features of giant lesions have been poorly described, and none of the reports included multiple giant lesions in an immunocompromised patient. We present a patient with acquired immunodeficiency syndrome diagnosed with multiple giant molluscum contagiosum along with the dermoscopic features of this entity

Reactivation of hepatitis B virus infection in a seafarer: an omitted problem of maritime medicine

Infection with hepatitis B virus (HBV), despite the implementation of extensive preventive measures, hasremained one of the biggest health problems worldwide. There are still people not covered by the compulsoryvaccination programme and carriers of an actively replicating virus among professionally activeseafarers. The article is based on a case report of a seafarer with life-threatening reactivation of long-termuncontrolled HBV infection that resulted in decompensated cirrhosis and liver transplant. The case showsclinical aspects of chronic hepatitis B and contributes to discussion about HBV infection with regard toseafarers. The article also analyses the current legal regulations and guidelines in terms of preventingnew infections and detecting people already infected with HBV. Considering the specific nature of workon seagoing ships, it is justified to recognise the seafaring as a profession with a high risk of HBV infection.Monitoring the course of the disease can prevent reactivation of inflammatory process and seriousconsequences of chronic hepatitis B during a cruise. The elementary issue is specific prophylaxis, that is,covering the unvaccinated persons with the vaccination programme. The prevalence of HBV infection andthe specifics of the seafarer labour market require development of new international regulations, whichwill unify Pre-Employment Medical Examination (PEME) protocols and take into consideration compulsoryvaccination