Does dermatoscopy facilitate the detection and diagnosis of vascular skin lesions? A case–control study

Background During dermatoscope-guided surgical procedures, we noticed that vasculature was easily identified. This study investigated the use of dermatoscopy in detecting and diagnosing vascular skin lesions. Methods We retrieved records of patients with vascular skin lesions who underwent dermatoscopy over a 3 month period, in two outpatient clinics affiliated with a university teaching hospital. Our controls were similar patients where dermatoscopy was not performed. Results Our new findings are: 1, clinical and dermatoscopic examinations diagnosed significantly more patients with vascular skin lesions than clinical examinations alone (risk ratio: 1.36; 95% confidence interval: 1.10–1.67); 2, the detection rate increase was significant for cherry angiomas (p < 0.001), telangiectasias (p < 0.01) and spider angiomas (p < 0.01); 3, qualitatively, dermatoscopy revealed characteristic configurations, hues and colour saturations of the vascular skin lesions; and 4, the first reported dermatoscopic images of focal essential telangiectasia and petechial angioma. Conclusion In our setting, clinical and dermatoscopic examinations significantly facilitated detecting and diagnosing vascular skin lesions, compared to clinical examination alone

Investigation of grapevine areas under climatic stress using high resolution atmospheric modelling: case studies in South Africa and New Zealand

High-resolution atmospheric simulations (500 m) were used to assess viticultural areas under climatic stress in South Africa and New Zealand. The potential areas in which high daytime temperature stress was likely to affect grapevine photosynthesis and grape composition were identified. Results indicated different diurnal temperature variations within the two areas due to synoptic and local environmental factors, often associated with the influence of terrain

The association of smoking and acne in men in Hong Kong and in India: A retrospective case-control study in primary care settings

Previous studies on the association of smoking with acne vulgaris have reported conflicting results. The objective of this study was to investigate such an association. Our setting was three primary care practices in Hong Kong and one primary care practice in India. Patient characteristics in all four practices are similar. All medical records in these practices incorporate a section in which the smoking habits of each patient is routinely documented. We searched our database and retrieved 632 records of patients with acne seen in the previous 5 years. We also retrieved 632 records of age- and sex-matched controls. Fifty-three out of 379 male patients with acne and 25 out of 379 male controls were smokers (P = 0.001; OR, 2.3; 95% CI, 1.4-3.8). Six out of 253 female patients with acne and three out of 253 female controls were smokers (OR, 2.0; 95% CI, 0.5-9.4). We conclude that smoking is likely to bear a positive correlation with acne for men. Our numbers are too small for a definite conclusion to be drawn for females.link_to_subscribed_fulltex