A Kiani; M Ahmari; MR Rezvani Far
Volume 9, Issue 2 , 2006, , Pages 154-158
Abstract
Background and aim: Melasma is an acquired, symmetric hyperpigmentation, specially in sun-exposed skin. Disorders of thyroid gland result from processes that stimulate the overproduction or underproduction of thyroid hormones. This study was performed to assess the association of melasma with thyroid ...
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Background and aim: Melasma is an acquired, symmetric hyperpigmentation, specially in sun-exposed skin. Disorders of thyroid gland result from processes that stimulate the overproduction or underproduction of thyroid hormones. This study was performed to assess the association of melasma with thyroid disorders.Materials and Methods: This case-control study was performed on 45 non-pregnant women between 20-50 years with and without melasma. Thyroid hormones and autoantibodies including T3, T4, TSH, anti TPO and anti TG were measured by ELISA in both groups.Results: In patients with melasma, the frequency of thyroid disorders was 37.8% versus 11.1% in the control group (P=0.013,OR=4.8,95% CI=1.60-14.7). The mean level of TSH, anti TPO and anti TG in control patients was lower than in patients but the difference was not significant.Conclusion: Melasma is associated with thyroid disorders specially hypothyroidism and autoimmune disorders.
MH Davami; A Kiani; M Salimi; E Farhadi
Volume 8, Issue 4 , 2005, , Pages 311-315
Abstract
Myiasis is the invasion of animal or human tissues by the larval stage of flies (Diptera). It is an accidental infestation in human. In this report a rural fifty-six-year old patient with myiasis on the scalp is presented. He was referred to clinic with a mass on his left temporo-occipital area. There ...
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Myiasis is the invasion of animal or human tissues by the larval stage of flies (Diptera). It is an accidental infestation in human. In this report a rural fifty-six-year old patient with myiasis on the scalp is presented. He was referred to clinic with a mass on his left temporo-occipital area. There was no history of trauma to his head or presence of ulcer on his scalp. In physical examination an ulcer sized 2×3 centimeters full of larvae was observed. The diagnosis of myiasis was made. Larvae were removed, tetanus vaccine was inoculated and oral antibiotics were prescribed. Parasitological examination determined the causative agent as chrysomya bezziana.
Sh Enshaieh; A Kiani; A Yazdani
Volume 6, Issue 3 , 2003, , Pages 19-23
Abstract
Background: It seems that psychological factors have important role in beginning or exacerbation of psoriasis. On the other hand, psoriasis negatively impacts quality of lives of the patients. Objective: To determine the frequency of depression and anxiety disorders in psoriatic patients. Patients and ...
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Background: It seems that psychological factors have important role in beginning or exacerbation of psoriasis. On the other hand, psoriasis negatively impacts quality of lives of the patients. Objective: To determine the frequency of depression and anxiety disorders in psoriatic patients. Patients and Methods: In this descriptive study we evaluated 83 psoriatic patients referred to dermatologic clinics in Isfahan from 1379 to 1380. Beck and zoonge questionnaires were completed by the patients to evaluate depression and anxiety, respectively. Analysis of data was done by SPSS program with 95% confidence interval. Results: The frequency of depression in the patients was 69.9%. The most common type of depression was “Relative depression” (26.5%). The frequency of anxiety in psoriatic patients was 20.5%. These figures are higher than that reported in general population in Isfahan. Conclusion: The frequencies of depression and anxiety disorders in psoriatic patients were higher than general population. There was a direct correlation between the duration of disease and the prevalence of depression and anxiety disorders.
F Iraji; A Kiani; Sh Shahidi; R Vahabi
Volume 4, Issue 4 , 2001, , Pages 29-33
Abstract
Background: Warts are common in renal allograft recipients (RAR) with reported incidence of 24% to 100%. These patients also demonstrate an accelerated malignant transformation of warts. Although in immunocompetent patients, the histology of common warts is quite predictable, this is not so in RAR. Objective: ...
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Background: Warts are common in renal allograft recipients (RAR) with reported incidence of 24% to 100%. These patients also demonstrate an accelerated malignant transformation of warts. Although in immunocompetent patients, the histology of common warts is quite predictable, this is not so in RAR. Objective: The purpose of this study was to evaluate the histopathologic findings of warty lesions in RAR. Patients and Methods: We examined 55 RARs for warty lesions. We took biopsy specimens from lesions that clinically appeared to be common warts and evaluated their histopathologic features. Results: Among 55 RARs, 17 cases (30.9%) had warty lesions, and among 50 biopsied lesions, 47 lesions (94%) showed changes of verruca vulgaris and only 3 Lesions (6%) showed warts with dysplasia. No malignant transformation was reported. All patients were under treatment with prednisolone, cyclosporin and azathioprine. The median time passed from transplantation was 49 months. Conclusion: We couldn’t find evidence of dysplasia or malignancy in most verrucous lesions of RAR. This maybe due to relatively short time passed from transplantation in our patients.
Sh Enshaieh; A Kiani
Volume 4, Issue 3 , 2001, , Pages 38-43
Abstract
Bloom’s syndrome (BS) is a rare, autosomal recessive disease characterized by short stature, erythematous skin lesions with photosensitivity, hypo- and hyperpigmentation and recurrent bacterial infections due to immune deficiency. We report a 13-year old girl with erythema and telangiectasia in ...
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Bloom’s syndrome (BS) is a rare, autosomal recessive disease characterized by short stature, erythematous skin lesions with photosensitivity, hypo- and hyperpigmentation and recurrent bacterial infections due to immune deficiency. We report a 13-year old girl with erythema and telangiectasia in butterfly distribution on face, photosensitivity, multiple café au lait spots on trunk and extremities, short stature, characteristic faces consisting of a narrow prominent nose, relatively hypoplastic malar areas and receding chin with a long narrow head, and a history of recurrent otitis media. Her history and clinical features were compatible with BS.
F Fatemi; A Kiani
Volume 4, Issue 3 , 2001, , Pages 44-49
Abstract
Acne agminata is a chronic, self-limiting popular eruption, symmetrically distributed in the central portion of the face, healing with scarring. We report a 25 years-old man, who was treated as acne vulgaris and lupus vulgaris but without improvement. According to clinical presentation and histopathologic ...
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Acne agminata is a chronic, self-limiting popular eruption, symmetrically distributed in the central portion of the face, healing with scarring. We report a 25 years-old man, who was treated as acne vulgaris and lupus vulgaris but without improvement. According to clinical presentation and histopathologic findings, the diagnosis of acne agminata was made. We treated the patient successfully with oral prednisolone, 30 mg/day, tapered in 3 months. No recurrence was observed in the follow-up.
A Kiani; F Iraji; F Shariati
Volume 3, Issue 2 , 2000, , Pages 39-42
Abstract
Cutaneous leishmaniasis may present as unusual manifestations in renal transplant patients receiving immunosuppressive therapy. This misleading presentation, may delay the diagnosis and treatment. Moreover special caution must be taken in renal transplant recipients because of possible interactions between ...
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Cutaneous leishmaniasis may present as unusual manifestations in renal transplant patients receiving immunosuppressive therapy. This misleading presentation, may delay the diagnosis and treatment. Moreover special caution must be taken in renal transplant recipients because of possible interactions between antimony compounds and cyclosporine metabolites. We report a 45-year old man with 5 years history of kidney transplantation receiving immunosuppressive drugs who had an extensive, painful ulcer on the left and upper side of his chest. Laboratory evaluation confirmed the diagnosis of cutaneous leishmaniasis. The patient was treated successfully with a 3-week period of intramuscular Glucantime.
Sh Enshaieh; A Kiani
Volume 3, Issue 1 , 1999, , Pages 11-15
Abstract
Background: Cutaneous Leishmaniasis is one of the most common parasitic diseases in Isfahan, the scar of it could be found in the majority of residents of some areas of city. This disease can affect all age groups but it is more common in children in endemic and hyperendemic areas. Objective: The purpose ...
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Background: Cutaneous Leishmaniasis is one of the most common parasitic diseases in Isfahan, the scar of it could be found in the majority of residents of some areas of city. This disease can affect all age groups but it is more common in children in endemic and hyperendemic areas. Objective: The purpose of this study was to evaluate clinical features of cutaneous leishmaniasis in children less than 12 years old in Isfahan. Patients and Methods: We studied 656 cases younger than 12 years among 2000 patients referred to “Center of Leishmaniasis” in Isfahan, from October 96 to October 97. The diagnosis of cutaneous leishmaniasis was confirmed by direct smear in all cases. Results: Among 2000 patients, 656 cases (32.8%) were less than 12 years old, 53.4% of them were male and 46.6% were female. Most of the lesions were papules (28.4%), and the most common site of involvement was face (38.6%). The number of lesions ranged from 1 to 20, but most of the patients had only one lesion (46.3%).