exudates and Skin-Ulcer

Sézary syndrome is a rare form of primary cutaneous T cell lymphoma. It is a distinct systemic variant of mycosis fungoides, marked by erythroderma, lymphadenopathy and circulating cerebriform lymphocytes in the peripheral blood. We report a case of Sézary syndrome in a 61-year-old Malay man with a five-year history of indurated plaques, ulcers and tumours on the head and trunk, with characteristic findings on physical examination, skin biopsy, electron microscopy, immunophenotyping and peripheral blood film. A literature review on Sézary syndrome is presented.

Topics: Biopsy; Face; Humans; Immunophenotyping; Malaysia; Male; Middle Aged; Physical Examination; Sezary Syndrome; Skin Ulcer

The primary aim was to determine the productivity increase using digital imagery for better documentation and analysis. A case series was done in a specialised care centre with patients managed with advanced dressings and using state-of-the-art smartphone technology for documentation to save costs and time.. Wounds were cleansed and debrided before using the application to photograph, document, measure and analyse the wounds. The smartphone app was oriented parallel to the plane of the wound, where possible, to obtain accurate measurements. A longitudinal study report was generated for each wound and showed the progress of the wound healing until the wound was closed.. A sample size of 60 patients consisting of wounds from different locations, and a total of 203 measurements and analyses were conducted over a period of seven months. The wound monitoring app proved to be effective for wound monitoring and required less than two hours' training. A report summary of wounds recorded could also be generated automatically through the dashboard. All 60 patients' cases were automatically recorded, measured and presented into reports for use in clinical analysis. There was a significant time savings (27 hours per day for a specialised care centre with 10 nurses) increase over manual wound documentation and measuring methods.. The app provided a non-contact, easy to use, reliable and accurate smart wound management solution for clinicians and physicians to track wound healing in patients. The app could also be used by patients and caregivers for home monitoring of their wounds.

Topics: Adult; Aged; Aged, 80 and over; Cost-Benefit Analysis; Diabetic Foot; Female; Humans; Malaysia; Male; Middle Aged; Skin Ulcer; Smartphone; Telemedicine; Wound Healing

We performed a cross-sectional study of the demography, clinical and laboratory features of patients with systemic sclerosis patients followed up in our centre from 1984 to 2007. There were 23 cases with the majority of them (96%) being female. They have a mean age of 50.3 years and a mean disease duration of 6.02 (SD 5.82) years. Our patients comprised of multi-ethnic groups with predominantly Chinese (52%), Sarawak natives (35%) and Malays (13%). They have a mean lag time to diagnosis of 24.8 (SD 34.8) months. All the patients have sclerodermatous skin changes with 16(70%) having diffuse scleroderma and 7(30%) having limited scleroderma. The common clinical manifestations found in our patients were Raynaud's phenomenon (91%), sclerodactyly (65%), digital ulcers (52%) and pulmonary fibrosis (52%). There was low incidence of pulmonary hypertension (13%) and renal involvement (4%). The majority of our patients (67%) have positive ANA with 33% positive Scl-70. The majority received calcium channel blockers (87%), aspirin (48%) and low-dose prednisolone (48%). One patient developed adenocarcinoma of the lung on follow-up. This study demonstrated the rarity of systemic sclerosis in our centre with considerable lag time to diagnosis in our patients. Diffuse cutaneous systemic scleroderma is more common in our centre with rare pulmonary hypertension and renal involvement.

Topics: Age of Onset; Autoantibodies; Calcium Channel Blockers; Cross-Sectional Studies; Female; Hospitals, Public; Humans; Hypertension, Pulmonary; Malaysia; Male; Middle Aged; Pulmonary Fibrosis; Raynaud Disease; Scleroderma, Diffuse; Scleroderma, Limited; Scleroderma, Systemic; Skin Ulcer

A 12-year old girl presented with an unusual problem of recurrent discharging multiple skin sinuses on her right anterior and posterior chest wall for a year. There was ipsilateral lower lobe pneumonia and imaging showed multiple abscesses in her lower back muscles bilaterally. A purulent fluid was aspirated from her back muscles and the histology examination showed sulphur granules with gram positive branched filaments. She responded well to the treatment for actinomycosis with penicillin and doxycycline.

Topics: Actinomycosis; Bronchoalveolar Lavage Fluid; Child; Doxycycline; Female; Humans; Lung Diseases; Malaysia; Muscle, Skeletal; Penicillins; Pseudomonas aeruginosa; Skin Ulcer; Staphylococcus aureus; Tomography, X-Ray Computed

Topics: Bacteremia; Child; Child, Preschool; Chromobacterium; Fatal Outcome; Female; Gram-Negative Bacterial Infections; Humans; Infant; Malaysia; Male; Shock, Septic; Skin Ulcer

Topics: Acne Vulgaris; Eczema; Humans; Impetigo; Malaysia; Pharmacopoeias as Topic; Pruritus; Rural Health; Scabies; Skin Diseases; Skin Ulcer; Tinea; Urticaria; Warts