cutaneous


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cutaneous

 [ku-ta´ne-us]
pertaining to the skin.

cu·ta·ne·ous

(kyū-tā'nē-ŭs),
Relating to the skin.
[L. cutis, skin]

cutaneous

(kyo͞o-tā′nē-əs)
adj.
Of, relating to, or affecting the skin.

cu·ta′ne·ous·ly adv.

anthrax

Greek, anthrax, a burning coal, charbon, milzbrand Infectious disease An often fatal bacterial infection which occurs when Bacillus anthracis endospores, primarily of grazing herbivore–cattle, sheep, horses, mules–origin enter via skin abrasions, inhalation, or orally Pathogenesis Anthrax endospores germinate within macrophages, become vegetative bacteria, multiply within the lymphatics, enter the bloodstream and cause massive septicemia Clinical URI-like symptoms, followed by high fever, vomiting, joint pain, SOB, internal and external hemorrhage, hypotension, meningitis, pulmonary edema, shock sudden death; intestinal anthrax is caused by ingestion of contaminated meat; cutaneous anthrax is rare Diagnosis ELISA for capsule antigens–95+% senstivity, for protective antigen–72% sensitivity; detection of exotoxins in blood is unreliable Prevention Prophylaxis–6 wks with doxycycline or ciprofloxacin; vaccination, with anthrax vaccine absorbed; decontamination with aerosolized formalin Management Penicillin, doxycycline; if allergic to penicillin, chloramaphenicol, erythromycin, tetracycline, ciprofloxacin See Bacillus anthracis, Cutaneous anthrax, Industrial anthrax, Inhalation anthrax.
Anthrax, clinical forms
Pulmonary
Almost universally fatal–due to inhalation of anthrax spores which germinate and produce toxins resulting in pleural effusions, hemorrhage, cyanosis, SOB, stridor, shock, death
Inhalation
Anthrax pneumonia, inhalational anthrax, pulmonary anthrax An almost universally fatal form due to inhalation of 1 to 2 µm pathogenic endospores which are deposited in alveoli, engulfed by macrophages and germinate en route to the mediastinal and peribronchial lymph nodes, produce toxins Clinical Mediastinal widening, pleural effusions, fever, nonproductive cough, myalgia, malaise, hemorrhage, cyanosis, SOB, stridor, shock, death, often accompanied by mesenteric lymphadenitis, diffuse abdominal pain, fever
Cutaneous
Once common among handlers of infected animals, eg farmers, woolsorters, tanners, brushmakers and carpetmakers in an era when brushes were from animals Clinical Carbuncle–a cluster of boils, that later ulcerates, resulting in a hard black center surrounded by bright red inflammation; rare cases which become systemic are almost 100% fatal
Gastrointestinal
After ingesting contaminated meat–2 to 5 days; once ingested spores germinate, causing ulceration, hemorrhagic and necrotizing gastroenteritis Clinical Fever, diffuse abdominal pain with rebound tenderness, melanic stools, vomit, fluid and electrolyte imbalances, shock; death is due to intestinal perforation or anthrax toxemia
Oropharyngeal
Uncommon, follows ingestion of contaminated meat Clinical Cervical edema, lymphadenopathy–causing dysphagia, respiratory difficulty
Anthrax meningitis
A rare, usually fatal complication of GI or inhalation anthrax with death occurring 1 to 6 days after onset of illness Clinical Meningeal symptoms, nuchal rigidity, fever, fatigue, myalgia, headache, N&V, agitation, seizures, delirium, followed by neurologic degeneration and death
.

cu·ta·ne·ous

(kyū-tā'nē-ŭs)
Relating to the skin.
[L. cutis, skin]

cutaneous

Pertaining to the skin.

Cutaneous

Pertaining to the skin.

cu·ta·ne·ous

(kyū-tā'nē-ŭs)
Relating to the skin.
[L. cutis, skin]
References in periodicals archive ?
Dr Feroz Shah, who works at Landi Kotal Headquarters Hospital, feared that the growing incidence of cutaneous leishmaniasis, especially among women and children, would become a major public health issue due the stigma attached to it.
DecisionDx-Melanoma is a gene expression profile test that uses an individual patient's tumor biology to predict individual risk of cutaneous melanoma metastasis or recurrence, as well as sentinel lymph node positivity, independent of traditional staging factors, and has been studied in more than 3,100 patient samples.
The cause of this cutaneous pseudolymphoma was suspected to be trauma caused by a leech bite.
The study population was the patients suffering from cutaneous leishmaniasis who report to the skin outpatient department of Combined Military Hospital Peshawar, a tertiary care hospital of Pakistan Army in KPK province.
Table 1 Cutaneous findings, systemic features and laboratory parameters in Systemic Sclerosis (n=54)
Primary Cutaneous Diffuse Large B-Cell Lymphoma, Leg Type
The cutaneous horns are predominantly benign lesions; however, possibility of malignant potential should always be kept in mind.
Conclusion: Combined intra-lesional meglumine antimoniate and cryotherapy is a better option for the treatment of cutaneous leishmaniasis as compared to cryotherapy alone.
CD30+ lymphoproliferative disorders account for 25% to 30% of primary cutaneous lymphomas (1).
Cutaneous tuberculosis is a relatively uncommon, comprising 1-1.5% of all extrapulmonary tuberculosis manifestations, which manifests only in 8.4-13.7% of all tuberculosis cases [1].
An odontogenic cutaneous fistula is one of the many consequences of chronic dental infection and is defined as an abnormal communication between the face and the oral cavity [1].