THE OSTIA VENAE HEPATICAE AND THE RETHROHEPATIC ...

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190 ACQUIRED PROGRESSIVE KINKLING OF <strong>THE</strong> HAIR (APKH) Sukamas Suwanwalaikorn, Apichati Sivayathorn, Kleophant Thakerngpol Department of Dermatology and Pathology, Faculty of Medicine Siriraj Hospital, Mahidol University Key words : Alopecia Faculty of Medicine Siriraj Hospital (255) Background : APKH is a rare disorder of scalp hair characterized by rapid onset of tightly curl hair shaft in association with an increasingly coarse texture resembling pubic hair. These may follow by progressive hair loss, which lead to common baldness soon after the event. The main affected areas are in the frontal-parietal and vertex regions which correspond to those usually involve in androgenetic alopecia (AGA). It occurs primarily at or soon after puberty and is more common in males. Hormonal changes may play an important role in pathophysiological events. Methods and patients : We report 2 cases, which demonstrated the changes in hair abnormality believed to be characteristic of APKH. Case I. M.S., 28 year-old woman, complained of progressively hair loss over period of 2 years. She noticed all these abnormalities after childbirth. Case II C.C., 21 year-old man presented with one year history of hair loss. Results : Clinical examination revealed a slight increase in telogen count in the affected area. Light microscope and scanning electron microscope confirmed the presence of alteration in hair shaft diameter with partial twists. Canalicular grooves were seen on its longitudinal axis, together with some broadened and flattened sections. Cross section of the hair showed elliptical or heart-shaped appearances. Blood tests result including sex hormones and copper level were normal. Conclusion : The differential diagnosis of APKH includes all the syndromes of woolly hair, whisker hair, uncombable hair syndrome and all woolly hair occurring as a result of external trauma and drug. This entity may be more common than previously recognized and is probably a prognostic sign heralding severe AGA. (Presented at the Annual Meeting of the Dermatological Society of Thailand, Bangkok, Thailand, 4-5 March 1999)
CLINICAL <strong>AND</strong> MICROBIOLOGIC FINDINGS IN CELLULITIS IN THAI PATIENTS Kanokvalai Kulthanan 1 , Yong Rongrungruang 2 , Aimon Siriporn 1 , Waranya Boonchai 1 , Puan Suthipinittharm 1 , Apichati Sivayathorn 1 , Patcharee Sunthonpalin 1 . 1 Department of Dermatology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. 2 Infectious Division, Department of Internal Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. Key words: Cellulitis, Clinical Features, Microbiologic Study Background: Cellulitis is an inflammation of subcutaneous tissue in which infective, generally bacterial cause is proven or assumed. However, attempts to culture bacteria from lesions are often unsuccessful. Method: One hundred and fifty cases diagnosed as cutaneous cellulitis at Siriraj Hospital between 1992 and 1995 were retrospectively studied. Results: Our study in 150 adult Thai patients with cellulitis showed that the most common site of infection was the lower extremity. Forty two per cent of the patients had history of preceding local trauma. Fever and regional lymphadenopathy were detected in 77.3 per cent and 22.6 per cent respectively. Sixty nine per cent of patients had leukocytosis with a mean neutrophil ratio of 79.7 per cent of patients with underlying diseases predisposed to the infection, 61.6 per cent had positive lesional culture results in contrast to 31.6 per cent in patients without. Needle aspiration and blood gave low positive culture yields. The common organisms detected were S.aureus and Streptococcus group A (83%) in immunocompetent patients. Of immunocompromised patients, in one half of the cases gram negative bacteria were found. Conclusions: This study showed that in immunocompetent patients, the major bacterial isolated in cellulitis were S.aureus and Streptococcus group A. In immunocompromised patients, gram negative bacteria were found in one half. These findings may help in the selection of antimicrobials before the results of bacterial cultures are available or in culture negative cases. (J Med Assoc Thai 1999; 82: 587-92.) 191 (256)
Page 1 and 2: THE OSTIA VENAE HEPATICAE AND THE R
Page 3 and 4: WHEN SHOULD WE ORDER PREOPERATIVE C
Page 5 and 6: toneal lidocaine instillation (Grou
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Page 17 and 18: IMPROVED DETECTION OF RADIOFREQUENC
Page 19 and 20: THE PREVALENCE OF CHLAMYDIA PNEUMON
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Page 23 and 24: COMPARATIVE TREATMENT OF ORAL CANDI
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Page 29 and 30: LASER HAIR REMOVAL AFFECTS SEBACEOU
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Page 37 and 38: 202 Faculty of Medicine Siriraj Hos
Page 39 and 40: 204 PHOTOTESTING IN ORIENTAL PATIEN
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Page 47 and 48: 212 HEMOGLOBINOPATHIES : A COMPARAT
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Page 57 and 58: 222 Characterization of mutations o
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242 months, permitting measurement
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244 The reconstruction was in 44 di
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246 THE MANAGEMENT OF SACROCOCCYGEA
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248 Faculty of Medicine Siriraj Hos
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250 V. Rojvanit TOTAL KNEE ARTHROPL
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252 V. Rojvanit AVOIDNESS AND TREAT
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256 NASOPHARYNGEAL TUBERCULOSIS Che
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260 INTESTINAL PARASITIC INFECTIONS
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272 The 1,020 gm., 19.5 x 18.5 x 5.
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276 Objective : To measure the rela
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280 formula ketogenic diet was used
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282 INTERMEDIATE TERM FOLLOW-UP ON
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292 NEONATAL SCREENING FOR CONGENIT
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294 SENSITIVE AND SIMPLE HPLC ASSAY
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296 (EIA) and the isoform of COX pr
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298 maintenance of local homeostasi
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300 Faculty of Medicinr Siriraj Hos
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314 NORMAL APPEARANCES OF TECHNETIU
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316 that will deliver 2 Gy to the b
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322 THE RELATIONSHIP BETWEEN MYOFAS
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328 Result.At the 5-month postopera
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Mahidol University Annual Research
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336 individuals with SAO and in the
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342 EVALUATION OF MONOCLONAL ANTIBO
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