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Antúnez-Estudillo E, Riera Tur L, Caballero García A. Perichondritis and auricular cellulitis related to piercings as first manifestation of monkeypox. Acta Otorrinolaringol Esp (Engl Ed) 2024; 75:129-132. [PMID: 38220050 DOI: 10.1016/j.otoeng.2024.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 09/29/2023] [Indexed: 01/16/2024]
Abstract
INTRODUCTION Pinna infections are usually due to Staphylococcus aureus infection. It is common for the patient to have had an earring in the area of infection. Monkeypox infection has gone from being an endemic infection to a worldwide health emergency. CASE SUMMARY In this article we present five cases of monkeypox earring infection of the pinna and what common features we have seen that differentiate them from Staphylococcus aureus infection. DISCUSSION Symptoms of monkeypox include general malaise, fever with uni- or bilateral lymphadenopathy, and then the appearance within one or two days of skin lesions, we want to alert he otolaryngologist and the medical society to the possibility the diagnostic possibility of monkeypox in patients with an auricular perichondritis.
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Affiliation(s)
- Encarnación Antúnez-Estudillo
- Department of Otolaryngology, Puerta del Mar University Hospital, Cádiz, Spain; Biomedical Research and Innovation Institute of Cádiz (INiBICA), Cádiz, Spain.
| | - Laura Riera Tur
- Department of Otolaryngology, Puerta del Mar University Hospital, Cádiz, Spain; Biomedical Research and Innovation Institute of Cádiz (INiBICA), Cádiz, Spain
| | - Andrés Caballero García
- Department of Otolaryngology, Puerta del Mar University Hospital, Cádiz, Spain; Biomedical Research and Innovation Institute of Cádiz (INiBICA), Cádiz, Spain
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Uddin S, Terry J. Migraine Symptoms Induced by an Auricular Piercing in a 27-Year-Old Female: A Case Report. Case Rep Neurol 2024; 16:36-40. [PMID: 38327543 PMCID: PMC10849747 DOI: 10.1159/000536132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 01/03/2024] [Indexed: 02/09/2024] Open
Abstract
Introduction Migraines are common and debilitating, and have high direct and indirect costs. They can be difficult to treat, and many patients make use of alternative medicine techniques. One of these is acupuncture applied to locations on the auricle thought to modulate migraine symptoms. Some patients obtain piercings in these locations in hopes of relieving their symptoms; however, the literature does not address the possibility of migraine symptoms being worsened or even induced by such piercings. Case Presentation We present a case of a 27-year-old female with a history of transient hemiplegia without headaches who developed headaches, visual disturbances, and nausea after a piercing of the inferior crus of her left antihelix (known as a rook piercing). No abnormalities were found on workup, and symptoms were treated with supportive care. After removing the piercing 9 months later, the patient's symptoms resolved. Conclusion The mechanism linking the piercing with the migraine symptoms is unclear, but may involve modulation of trigeminal or vagal pain pathways, as both of these cranial nerves innervate this area of the auricle. Regardless, in patients presenting with migraine symptoms, history and physical exam should not overlook piercings as potential contributory factors.
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Affiliation(s)
- Sophia Uddin
- Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland Medical Center, Baltimore, MD, USA
| | - Jordan Terry
- Department of Computer Science, University of Maryland, College Park, MD, USA
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Blay M, Hasler R, Nicastro R, Pham E, Weibel S, Debbané M, Perroud N. Body modifications in borderline personality disorder patients: prevalence rates, link with non-suicidal self-injury, and related psychopathology. Borderline Personal Disord Emot Dysregul 2023; 10:7. [PMID: 36859368 PMCID: PMC9979398 DOI: 10.1186/s40479-023-00213-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Accepted: 02/09/2023] [Indexed: 03/03/2023] Open
Abstract
BACKGROUND Borderline Personality Disorder (BPD) is a potentially severe personality disorder, characterized by difficulties in emotion regulation and control of behaviors. It is often associated with non-suicidal self-injury (NSSI). Borderline personality features have also been linked to body modifications (BMs). However, the prevalence of BMs, the link between BMs and NSSI, and between BMs and several psychopathology dimensions (e.g. borderline severity, emotion regulation, impulsivity …) remains understudied in patients with BPD. This study aims to fill this gap, and to provide further evidence on the link between NSSI and BMs. METHODS We used data from a psychiatric outpatient center located in Switzerland (n = 116), specialized in the assessment and treatment of BPD patients. Patients underwent several semi-structured interviews and self-report psychometric scales at the arrival, and the data were retrospectively analyzed. RESULTS We found that 70.69% of the patients had one piercing or more, and 69.83% were tattooed. The total score of body modifications and the total number of piercings score of piercings were significantly positively associated with NSSI and the SCID BPD total score. The association with the SCID score was mainly driven by the "suicide and self-damaging behaviors" item and the "chronic feeling of emptiness" item. A significant association was found between total number of piercings and emotion dysregulation. On the other hand, the self-reported percentage of body covered by tattoos score was specifically associated with the sensation seeking subscale of the UPPS-P. CONCLUSION This study provides evidence on the prevalence of BMs in BPD patients, and on the link between BMs and NSSI in this population, suggesting a role of emotion regulation in the link between both constructs. These results also suggests that tattoos and piercings may be differentially linked to specific underlying psychological mechanisms. This calls for further considerations of body modifications in the assessment and care of BPD patients.
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Affiliation(s)
- Martin Blay
- ADDIPSY, Outpatient Addictology and Psychiatry Center, Santé Basque Développement Group, Lyon, France. .,Claude Bernard University Lyon 1, Lyon, France.
| | - Roland Hasler
- Service of Psychiatric Specialties, Department of Mental Health and Psychiatry, University Hospitals of Geneva, Geneva, Switzerland
| | - Rosetta Nicastro
- Service of Psychiatric Specialties, Department of Mental Health and Psychiatry, University Hospitals of Geneva, Geneva, Switzerland
| | - Eléonore Pham
- Service of Psychiatric Specialties, Department of Mental Health and Psychiatry, University Hospitals of Geneva, Geneva, Switzerland
| | - Sébastien Weibel
- Department of Psychiatry, University Hospitals of Strasbourg, Strasbourg, France.,Inserm u1114, Strasbourg, France
| | - Martin Debbané
- Developmental Clinical Psychology Research Unit, Faculty of Psychology and Educational Sciences, University of Geneva, Geneva, Switzerland.,Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - Nader Perroud
- Service of Psychiatric Specialties, Department of Mental Health and Psychiatry, University Hospitals of Geneva, Geneva, Switzerland.,Department of Psychiatry, University of Geneva, Geneva, Switzerland
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Franchi T, Patterson A. Rare Intraoperative Finding of the Spinal Accessory Nerve Piercing a Fenestration in the Internal Jugular Vein: A Case Report and Review of the Modern Literature. J Maxillofac Oral Surg 2023; 22:262-264. [PMID: 36703653 PMCID: PMC9871109 DOI: 10.1007/s12663-021-01613-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2021] [Accepted: 06/29/2021] [Indexed: 01/29/2023] Open
Abstract
Variations in the anatomy of venous structures in the neck are not uncommon, but fenestrations are extremely unusual. Here, we report a rare case of the spinal accessory nerve piercing a fenestration in the internal jugular vein, found during elective neck dissection of a patient undergoing hemiglossectomy. Further, we present a literature review of recent previously published cases of this intraoperative finding. This paper is intended to provide readers with an appreciation for this particularly rare variation and to highlight its existence to surgeons who perform neck dissection. This knowledge is important in order to minimise the possibility of intraoperative damage.
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Affiliation(s)
- Thomas Franchi
- The Medical School, The University of Sheffield, Beech Hill Road, Sheffield, S10 2RX UK
| | - Alan Patterson
- Department of Oral and Maxillofacial Surgery, The Rotherham NHS Foundation Trust, Moorgate Road, Rotherham, S60 2UD UK
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Scatigna M, Masotta V, Cesarini V, Renzetti P, Petrucci C, Lancia L, Leuter C. Sociocultural overview and predisposing factors of body art in a health promotion perspective: survey on a sample of Italian young adults. Ann Ig 2022; 34:439-452. [PMID: 35060994 DOI: 10.7416/ai.2021.2497] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Background The body art (tattoos, body piercing and other aesthetic practices) is increasing at global level and involves different aspects of public health, from epidemiological feature to cultural and psychosocial determinants and regulatory issues. The study is aimed at estimating the prevalence of tattooed and pierced in youth, focusing on emerging profiles. Study design A cross-sectional study has been conducted on 575 students at the first year of degree courses of an Italian University. Methods Students were asked to fill an online questionnaire. Logistic regression models were evaluated in order to identify predictive factors and determinants of practice (tattoos, piercing, body art). Results The 41.9% of participants underwent at least one body art intervention, with a higher prevalence in females. Multivariate logistic regression suggested an association of body art practice with type of school and university course, as well as lifestyle characteristics (smoking, alcohol abuse). In addition, the intention to undergo to body art intervention in the future appeared significantly higher in women and more frequent in apparently 'protected' categories such as medical students and non-problematic alcohol users. Conclusions The study confirmed the importance of the surveillance and social and behavioural research on body art practice and suggested different health promotion perspectives, such as early intervention towards adolescents and late intervention towards young adults belonging to lesser risky population groups.
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Affiliation(s)
- M Scatigna
- Department of Life, Medicine and Environmental Sciences, University of L'Aquila, Italy
| | - V Masotta
- Department of Life, Medicine and Environmental Sciences, University of L'Aquila, ItalyV
| | - V Cesarini
- Department of Life, Medicine and Environmental Sciences, University of L'Aquila, Italy
| | - P Renzetti
- Department of Life, Medicine and Environmental Sciences, University of L'Aquila, Italy
| | - C Petrucci
- Department of Life, Medicine and Environmental Sciences, University of L'Aquila, Italy
| | - L Lancia
- Department of Life, Medicine and Environmental Sciences, University of L'Aquila, Italy
| | - C Leuter
- Departmental Faculty of Medicine and Surgery, Campus Bio-Medico University of Rome, Italy
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Sindoni A, Valeriani F, Protano C, Liguori G, Romano Spica V, Vitali M, Gallè F. Health risks for body pierced community: a systematic review. Public Health 2022; 205:202-215. [PMID: 35339940 DOI: 10.1016/j.puhe.2022.01.035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 01/20/2022] [Accepted: 01/23/2022] [Indexed: 12/28/2022]
Abstract
OBJECTIVE Body piercing is defined as the penetration of jewellery into openings made in different body areas. In the last decades, it has become increasingly common in the general population. The aim is to analyse the available literature about complications from body piercing for contributing to raise the awareness towards this issue and to plan and perform appropriate prevention interventions. STUDY DESIGN This is a systematic review. METHODS The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used to perform this systematic review; the protocol was registered with PROSPERO [CRD42020177972]. PubMed, Scopus and Web of Science were searched from database inception to April 2020, and articles in English language reporting a proven association between piercings and health risks were included, and their quality were assessed by adequate quality assessment tools. RESULTS A total of 4748 studies were found, and after duplicates removal and screening, 84 articles were included. Studies dealing with microbiological effects reported these complications both locally and at distant sites as a result of the spreading of the primary site infection: mastitis, endocarditis, glomerulonephritis, cephalic tetanus, viral hepatitis, HIV, cerebellar brain abscess and toxic shock syndrome. In addition, bleeding, gingival recession, dental injuries, contact dermatitis, granulomatous dermatitis, keloid, fibroma and basal cell carcinoma were reported. CONCLUSIONS Health authorities should promote educational campaigns to spread the knowledge on health risks related to piercings. Besides, piercers are often not adequately aware of all the possible adverse effects due to piercings because their professional training differs among countries. It is therefore advisable to provide periodical upgrade of their education in this field.
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Affiliation(s)
- A Sindoni
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.
| | - F Valeriani
- Department of Movement, Human, and Health Sciences, University of Rome Foro Italico, 00135, Rome, Italy.
| | - C Protano
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.
| | - G Liguori
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, 80133, Naples, Italy.
| | - V Romano Spica
- Department of Movement, Human, and Health Sciences, University of Rome Foro Italico, 00135, Rome, Italy.
| | - M Vitali
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, 00185, Rome, Italy.
| | - F Gallè
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope, 80133, Naples, Italy.
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Steger J, Patzke I, Berlet M, Ficht S, Eblenkamp M, Mela P, Wilhelm D. Design of a force-measuring setup for colorectal compression anastomosis and first ex-vivo results. Int J Comput Assist Radiol Surg 2021; 16:1335-1345. [PMID: 33891254 PMCID: PMC8295116 DOI: 10.1007/s11548-021-02371-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2021] [Accepted: 04/06/2021] [Indexed: 12/03/2022]
Abstract
Purpose The introduction of novel endoscopic instruments is essential to reduce trauma in visceral surgery. However, endoscopic device development is hampered by challenges in respecting the dimensional restrictions, due to the narrow access route, and by achieving adequate force transmission. As the overall goal of our research is the development of a patient adaptable, endoscopic anastomosis manipulator, biomechanical and size-related characterization of gastrointestinal organs are needed to determine technical requirements and thresholds to define functional design and load-compatible dimensioning of devices. Methods We built an experimental setup to measure colon tissue compression piercing forces. We tested 54 parameter sets, including variations of three tissue fixation configurations, three piercing body configurations (four, eight, twelve spikes) and insertion trajectories of constant velocities (5 mms−1, 10 mms−1,15 mms−1) and constant accelerations (5 mms−2, 10 mms−2, 15 mms−2) each in 5 samples. Furthermore, anatomical parameters (lumen diameter, tissue thickness) were recorded. Results There was no statistically significant difference in insertion forces neither between the trajectory groups, nor for variation of tissue fixation configurations. However, we observed a statistically significant increase in insertion forces for increasing number of spikes. The maximum mean peak forces for four, eight and twelve spikes were 6.4 ± 1.5 N, 13.6 ± 1.4 N and 21.7 ± 5.8 N, respectively. The 5th percentile of specimen lumen diameters and pierced tissue thickness were 24.1 mm and 2.8 mm, and the 95th percentiles 40.1 mm and 4.8 mm, respectively. Conclusion The setup enabled reliable biomechanical characterization of colon material, on the base of which design specifications for an endoscopic anastomosis device were derived. The axial implant closure unit must enable axial force transmission of at least 28 N (22 ± 6 N). Implant and applicator diameters must cover a range between 24 and 40 mm, and the implant gap, compressing anastomosed tissue, between 2 and 5 mm.
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Affiliation(s)
- Jana Steger
- Research Group Minimally Invasive Interdisciplinary Therapeutical Intervention (MITI), Klinikum Rechts der Isar of Technical University of Munich, Munich, Germany. .,Chair of Medical Materials and Implants, Department of Mechanical Engineering and Munich School of BioEngineering, Technical University of Munich, Munich, Germany.
| | - Isabella Patzke
- Research Group Minimally Invasive Interdisciplinary Therapeutical Intervention (MITI), Klinikum Rechts der Isar of Technical University of Munich, Munich, Germany.,Chair of Medical Materials and Implants, Department of Mechanical Engineering and Munich School of BioEngineering, Technical University of Munich, Munich, Germany
| | - Maximilian Berlet
- Research Group Minimally Invasive Interdisciplinary Therapeutical Intervention (MITI), Klinikum Rechts der Isar of Technical University of Munich, Munich, Germany.,Clinic and Policlinic for Surgery, Faculty of Medicine, Klinikum Rechts der Isar of Technical University of Munich, Munich, Germany
| | - Stefanie Ficht
- Chair of Medical Materials and Implants, Department of Mechanical Engineering and Munich School of BioEngineering, Technical University of Munich, Munich, Germany
| | - Markus Eblenkamp
- Chair of Medical Materials and Implants, Department of Mechanical Engineering and Munich School of BioEngineering, Technical University of Munich, Munich, Germany
| | - Petra Mela
- Chair of Medical Materials and Implants, Department of Mechanical Engineering and Munich School of BioEngineering, Technical University of Munich, Munich, Germany
| | - Dirk Wilhelm
- Research Group Minimally Invasive Interdisciplinary Therapeutical Intervention (MITI), Klinikum Rechts der Isar of Technical University of Munich, Munich, Germany.,Clinic and Policlinic for Surgery, Faculty of Medicine, Klinikum Rechts der Isar of Technical University of Munich, Munich, Germany
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8
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Conti A, Bin P, Casella C, Capasso E, Fedeli P, Salzano FA, Terracciano L, Piras M. Piercing and Tattoos in Adolescents: Legal and Medico-legal Implications. Open Med (Wars) 2018; 13:148-152. [PMID: 29675481 PMCID: PMC5906624 DOI: 10.1515/med-2018-0023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Accepted: 03/02/2018] [Indexed: 01/10/2023] Open
Abstract
Non-therapeutic body modification interventions are permitted within the limits of the use of one’s own body that can be specified in the legal system. The authors take into consideration Italian regulation on tattooing and piercing, in particular in relation to adolescents.
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Affiliation(s)
- Adelaide Conti
- Department of Surgery, Radiology and Public Health, Public Health and Humanities Section, University of Brescia - Centre of Bioethics Research (with the contribution of IRCCS "S. Giovanni di Dio - Fatebenefratelli"), P.le Spedali Civili, 1, 25123, Brescia, Italy
| | - Paola Bin
- Department of Surgery, Radiology and Public Health, Public Health and Humanities Section, University of Brescia Italy -Forensic Medicine Institute, 25123, Brescia, Italy
| | - Claudia Casella
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini 5, 80131, Naples, Italy
| | - Emanuele Capasso
- Department of Advanced Biomedical Sciences, University of Naples, Section of Legal Medicine, Via Sergio Pansini 5, 80131, Naples, Italy
| | - Piergiorgio Fedeli
- Jurisprudence School, University of Camerino, Via A. D'Accorso 16, 62032, Camerino (MC), Italy
| | - Francesco Antonio Salzano
- Department of Medicine, Surgery and Dentistry "Salernitan Medical School", University of Salerno, Salerno, Italy
| | - Lucia Terracciano
- Department of Advanced Biomedical Sciences, University of Naples "Federico II", Via Sergio Pansini 5, 80131, Naples, Italy
| | - Mauro Piras
- Department of Surgery, Radiology and Public Health, Public Health and Humanities Section, University of Brescia - Centre of Bioethics Research (with the contribution of IRCCS "S. Giovanni di Dio - Fatebenefratelli"), P.le Spedali Civili, 1, 25123, Brescia, Italy
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Ventolini G, Tsai P, Moore LD. C. dubliniensis in an immunocompetent patient with metal lingual frenulum piercing. Med Mycol Case Rep 2016; 14:27-29. [PMID: 28018842 PMCID: PMC5176124 DOI: 10.1016/j.mmcr.2016.11.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2016] [Revised: 11/23/2016] [Accepted: 11/24/2016] [Indexed: 11/25/2022] Open
Abstract
Candida spp. are opportunistic unicellular fungi, known to cause oral, vaginal, lung and occasionally systemic infections. Characteristically, they colonize the oral cavity, the mucosal surfaces of the cheek, palate, and tongue. Usually harmless, oral Candidas may become pathogenic under immunosuppressive conditions, dentures presence, or salivary flow impairment. Accurate species identification is important because C. dubliniensis can rapidly develop fluconazole resistance. We report C. dubliniensis in an immunocompetent patient with a metal lingual frenulum piercing.
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Affiliation(s)
- Gary Ventolini
- Texas Tech University Health Sciences Center at the Permian Basin, 701 W 5th Street, Odessa, TX 79763, USA
| | - Peihsuan Tsai
- Texas Tech University Health Sciences Center at the Permian Basin, 701 W 5th Street, Odessa, TX 79763, USA
| | - Lee David Moore
- Texas Tech University Health Sciences Center at the Permian Basin, 701 W 5th Street, Odessa, TX 79763, USA
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Bellaud G, Canestri A, Gallah S, Merlant M, Cousseau S, Lebrette MG, Slama L, Pialoux G. Bacterial chondritis complications following ear piercing. Med Mal Infect 2016; 47:26-31. [PMID: 27596713 DOI: 10.1016/j.medmal.2016.07.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2016] [Accepted: 07/19/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND Body piercing has become widespread and is associated with increased complications. Post-piercing chondritis may lead to severe residual deformity. We aimed to report case patients presenting with post-piercing chondritis in our department and to describe clinical features and treatment. PATIENTS AND METHODS We conducted a retrospective study of patients presenting with post-piercing chondritis in the infectious disease department of Tenon Hospital, Paris, France. RESULTS We included 21 patients. Fifteen bacteriological cultures were positive (7 Pseudomonas aeruginosa, 5 Staphylococcus aureus, and three other). Dual intravenous antibiotic therapy was administered to 13 patients for a median duration of six days [2-8], replaced by an oral antibiotic therapy for a median duration of 15 days [7-40]. Eight patients received oral antibiotic monotherapy for 10 days [7-30]. Median duration of antibiotic therapy was 16 days. Earring removal was performed for 18 patients. No ear deformity or general complication was reported. CONCLUSION Transcartilaginous ear piercing may lead to infectious complications or deformity. In case of chondritis, early administration of an antibiotic therapy active against P. aeruginosa and S. aureus is recommended. Specific guidelines are needed.
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Affiliation(s)
- G Bellaud
- Infectious diseases department, Pierre-et-Marie-Curie University, Tenon Hospital, Paris, France; Infectious diseases department, Tenon Hospital, Paris, France.
| | - A Canestri
- Infectious diseases department, Tenon Hospital, Paris, France
| | - S Gallah
- Department of bacteriology, Tenon Hospital, Paris, France
| | - M Merlant
- Infectious diseases department, Tenon Hospital, Paris, France
| | - S Cousseau
- Infectious diseases department, Tenon Hospital, Paris, France
| | - M G Lebrette
- Infectious diseases department, Tenon Hospital, Paris, France
| | - L Slama
- Infectious diseases department, Tenon Hospital, Paris, France
| | - G Pialoux
- Infectious diseases department, Pierre-et-Marie-Curie University, Tenon Hospital, Paris, France; Infectious diseases department, Tenon Hospital, Paris, France.
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Alet JM, Abi-Chahla ML, Pelissier P. Complications after microdermal piercing in the hand: Report of two cases. ACTA ACUST UNITED AC 2015; 34:324-5. [PMID: 26498993 DOI: 10.1016/j.main.2015.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2015] [Revised: 07/11/2015] [Accepted: 07/18/2015] [Indexed: 10/22/2022]
Affiliation(s)
- J-M Alet
- Service de chirurgie plastique et chirurgie de la main, centre François-Xavier-Michelet, CHU de Bordeaux-Pellegrin, 4, place Amélie-Raba-Léon, 33000 Bordeaux, France.
| | - M-L Abi-Chahla
- Service de chirurgie plastique et chirurgie de la main, centre François-Xavier-Michelet, CHU de Bordeaux-Pellegrin, 4, place Amélie-Raba-Léon, 33000 Bordeaux, France.
| | - P Pelissier
- Service de chirurgie plastique et chirurgie de la main, centre François-Xavier-Michelet, CHU de Bordeaux-Pellegrin, 4, place Amélie-Raba-Léon, 33000 Bordeaux, France.
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12
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Yamaguchi H, Kabashima-Kubo R, Bito T, Sakabe JI, Shimauchi T, Ito T, Hirakawa S, Hirasawa N, Ogasawara K, Tokura Y. High frequencies of positive nickel/cobalt patch tests and high sweat nickel concentration in patients with intrinsic atopic dermatitis. J Dermatol Sci 2013; 72:240-5. [PMID: 24035598 DOI: 10.1016/j.jdermsci.2013.07.009] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2013] [Revised: 07/29/2013] [Accepted: 07/29/2013] [Indexed: 11/30/2022]
Abstract
BACKGROUND Atopic dermatitis (AD) is classified into extrinsic AD with high serum IgE levels and impaired barrier, and intrinsic AD with low serum IgE levels and unimpaired barrier. Intrinsic AD has a lower frequency of FLG mutations and a higher frequency of circulating Th1 cells, implying that non-protein antigens, represented by metals, may be an exacerbation factor in intrinsic AD. OBJECTIVE To investigate metal allergy in intrinsic AD. METHODS Enrolled in this study were 86 Japanese AD patients seen in three university hospitals, consisting of 55 extrinsic and 31 intrinsic AD patients. Patch testing was performed, focusing on nickel, cobalt, and chrome, in parallel with other 14 metals. FLG mutations were analyzed in 49 patients (extrinsic, 29; intrinsic, 20). In 17 patients (extrinsic, 12; intrinsic, 5), sweat was collected from the forearms by exercise, and the concentration of nickel was fluorometrically measured. RESULTS Nickel, cobalt, and chrome were the major positive metals. Intrinsic AD showed significantly higher percentages of positive reactions than extrinsic AD to nickel (intrinsic 41.9% vs extrinsic 16.4%, P=0.019) and cobalt (38.7% vs 10.9%, P=0.005). There was no significant difference between FLG mutation-bearing and non-bearing patients. The concentration of nickel was higher in the sweat of intrinsic AD than extrinsic AD patients (333.8 vs 89.4ng/g, P=0.0005) and inversely correlated with serum IgE levels. CONCLUSIONS Nickel and cobalt allergy may be involved in intrinsic AD. Given that the metals are excreted through sweat, intrinsic AD might be exaggerated by highly metal-containing sweat.
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Affiliation(s)
- Hayato Yamaguchi
- Department of Dermatology, Hamamatsu University School of Medicine, Japan
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