phenylephrine-hydrochloride and Syphilis

Topics: Blood Protein Electrophoresis; Cilia; Diagnosis, Differential; Granuloma; Granuloma, Lethal Midline; Granulomatosis with Polyangiitis; Herpes Simplex; Humans; Kidney Transplantation; Leishmaniasis, Mucocutaneous; Leprosy; Lysosomes; Microscopy, Electron; Mycoses; Nasal Polyps; Nose; Postoperative Complications; Prognosis; Respiratory Tract Diseases; Rhinitis; Rhinoscleroma; Sarcoidosis; Syphilis; Transplantation, Homologous; Tuberculosis; Tuberculosis, Laryngeal

Topics: Adult; Anti-Bacterial Agents; Cheek; Contact Tracing; Humans; Injections, Intramuscular; Male; Nose; Penicillin G Benzathine; Physical Examination; Primary Health Care; Sexual and Gender Minorities; Skin Ulcer; Syphilis; Tongue Diseases; Treatment Outcome

The saddle nose resembles a saddle, i.e., with a concave, often flattened dorsum and an apparent cephalic rotation of the nasal tip. The concavity may be present in the osseous or cartilaginous dorsum, or both. The saddle nose deformity can be divided into congenital, postinfection, postsurgical, and traumatic types. Congenital saddle nose deformity is rare, often accompanying midfacial deficiency malformation syndromes. The advent of antimicrobial therapy has helped restrict the incidence of syphilitic or leprotic saddle nose to the nonindustrialized nations. Postsurgical saddle nose deformity occurs most often as a result of the overzealous septorhinoplasty. The most common type of saddle nose deformity may be traumatic. The authors use Kazanjian and Converse's characterization of the true saddle nose as one in which the bony and/or cartilaginous portions are depressed and the projection of the nose is generally preserved. This article describes the saddle nose deformity and its etiology and proposes a management technique with minimal complications.

Topics: Adolescent; Adult; Bone Substitutes; Bone Transplantation; Cartilage; Craniofacial Abnormalities; Female; Humans; Leprosy; Male; Middle Aged; Nasal Bone; Nasal Septum; Nose; Nose Deformities, Acquired; Rhinoplasty; Rotation; Skull Fractures; Syphilis; Treatment Outcome

Topics: Adult; Chancre; Humans; Male; Nose; Syphilis

Topics: Aged; Chronic Disease; Female; Humans; Nose; Nose Diseases; Syphilis

Topics: Humans; Male; Middle Aged; Nasal Cavity; Nose; Nose Diseases; Prostheses and Implants; Prosthesis Design; Syphilis

Topics: Adult; Female; Humans; Male; Nose; Nose Deformities, Acquired; Nose Neoplasms; Rhinoplasty; Syphilis

Topics: Diagnosis, Differential; History; History, 15th Century; Humans; Leprosy; Medicine in the Arts; Nose; Nose Deformities, Acquired; Poland; Sculpture; Syphilis

Topics: Humans; Lupus Vulgaris; Nose; Nose Deformities, Acquired; Rhinoplasty; Syphilis; Syphilis, Congenital; Tuberculosis

Topics: Chronic Disease; Headache; Humans; Nose; Nose Neoplasms; Otolaryngology; Pain; Paranasal Sinus Neoplasms; Paranasal Sinuses; Rhinitis; Rhinitis, Atrophic; Sinusitis; Syphilis; Tuberculosis

Topics: Humans; Nose; Nose Diseases; Syphilis

Topics: Humans; Medical Records; Nose; Nose Diseases; Syphilis

Topics: Diagnosis, Differential; Disease; Humans; Nose; Nose Diseases; Paranasal Sinus Diseases; Paranasal Sinuses; Syphilis; Tuberculosis

Topics: Humans; Nasal Cavity; Nose; Palate; Paranasal Sinuses; Syphilis; Syphilis, Congenital

In reply to a questionnaire, 51 cases of extragenital chancres in physicians were reported by 32 contributors. Thirty-five of these lesions occurred on the fingers, six inside the nose, one on an eyelid and one on an arm. Otolaryngologists and medical students, interns and residents were affected most commonly. Examination of patients, deliveries, pelvic examinations, needle punctures and tonsillectomies seemed to be the most dangerous procedures in this regard. Since such lesions in physicians frequently are diagnosed as pyogenic or malignant lesions and so treated, the importance of a high index of suspicion for syphilis is stressed.

Topics: Chancre; Dangerous Behavior; Delivery, Obstetric; Eyelids; Female; Fingers; Gynecological Examination; Humans; Mental Disorders; Needles; Nose; Pregnancy; Students, Medical; Surveys and Questionnaires; Syphilis; Tonsillectomy

Topics: Granuloma; Humans; Nose; Nose Diseases; Syphilis

Topics: Disease; Humans; Nasal Cavity; Nose; Nose Diseases; Paranasal Sinus Diseases; Physical Examination; Syphilis; Syphilis, Congenital

Topics: Humans; Nasal Septum; Nose; Syphilis

Topics: Humans; Nose; Syphilis

Topics: Humans; Nasal Septum; Nose; Nose Diseases; Plastic Surgery Procedures; Syphilis

Topics: Humans; Neck; Nose; Pharynx; Syphilis

Topics: Humans; Nose; Nose Diseases; Respiratory Tract Infections; Syphilis

Topics: Humans; Lip; Mouth Mucosa; Nose; Nose Diseases; Syphilis

Topics: Condylomata Acuminata; Humans; Neoplasms, Connective Tissue; Nose; Pelvic Neoplasms; Skin Neoplasms; Syphilis; Syphilis, Cutaneous