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Monographs of Topical Drugs that Have Caused Contact Allergy/Allergic Contact Dermatitis
Published in Anton C. de Groot, Monographs in Contact Allergy, 2021
A 36-year-old man, with a long history of atopic dermatitis of the neck, chest and arms, complained of an exacerbation on his neck after applying 0.05% clobetasone butyrate ointment. Patch tests were positive to the ointment and clobetasone butyrate 0.05%, 0.01% and 0.005% pet. at D7 only. It was emphasized that late readings at D7 are essential with testing corticosteroids (2). Another 36-year-old male patient suffered from pruritus ani for many years. He had been treated with various preparations, and the pruritus now had become worse when using a corticosteroid cream and a corticosteroid combination cream. When patch tested, he reacted to the combination product containing clobetasone butyrate, oxytetracycline and nystatin. Ingredient patch testing was positive only to clobetasone butyrate 2% pet. (3).
Pruritus Ani
Published in Peter Sagar, Andrew G. Hill, Charles H. Knowles, Stefan Post, Willem A. Bemelman, Patricia L. Roberts, Susan Galandiuk, John R.T. Monson, Michael R.B. Keighley, Norman S. Williams, Keighley & Williams’ Surgery of the Anus, Rectum and Colon, 2019
Shahab A. Siddiqi, Arifa M. Siddika
Pruritus ani (PA) is defined as intense chronic itching of the perianal skin and is classified as idiopathic when no apparent cause is found. PA is one of those symptoms that can be managed by a variety of clinicians, mostly general practitioners, dermatologists and colorectal surgeons. Unfortunately, like irritable bowel syndrome and chronic pain syndromes, there is an underestimation of how significantly PA can affect quality of life. In addition, due to a relative lack of scientific understanding, many clinicians are not empathetic towards this patient group. At worst, some clinicians consider that patients are in some way to blame for their condition, especially when available therapies have not been successful.
Gastrointestinal system
Published in Aida Lai, Essential Concepts in Anatomy and Pathology for Undergraduate Revision, 2018
Pruritus ani Causes: – threadworm infection– anorectal fistula/fissure– candidiasis– psoriasis– poor hygieneSymptoms: – itching– perineal pain– tenesmus– bleeding per rectum
Biofeedback in patients with ileoanal pouch dysfunction: a specialist centre experience
Published in Scandinavian Journal of Gastroenterology, 2018
Jonathan P. Segal, Heyson Chan, Brigitte Collins, Omar D. Faiz, Susan K. Clark, Ailsa L. Hart
We identified 26 patients who had ileoanal pouch related problems and underwent biofeedback. Sixteen (62%) patients had predominately incontinence symptoms, eight (31%) had evacuatory disorder symptoms, one (4%) had abdominal pain and one (4%) had pruritus ani. There were nine (57%) patients who had objective follow-up data with a pre- and post-biofeedback objective questionnaire relating to faecal continence and five (63%) who had objective follow-up data with a pre- and post-biofeedback objective questionnaire related to evacuatory disorders and these are presented as a sub-analysis. The median number of biofeedback sessions was 2 (range 1–6). The median length of follow-up was 3 months (range 1–6). Baseline characteristics are shown in Table 1.
Contributions of Avicenna to surgery and anesthesiology
Published in Acta Chirurgica Belgica, 2020
Avicenna also discussed anorectal diseases including haemorrhoids, fecal incontinence, perianal abscess and fistula, rectal prolapse, fissure, and pruritus ani in the third volume of the Canon of Medicine. He proposed several treatments for them like dietary regimens, natural and herbal drugs as well as surgical methods [38].