Abstracts
Athletes (Boil)
Athletes
Sports activities expose the skin to a variety of risk factors that can affect an athlete's performance. The sports physical therapist must be able to identify and properly manage dermatological problems encountered by athletes. Common dermatological conditions resulting from mechanical, infectious, environmental, and sexual factors are presented. Discussion of etiology, signs and symptoms, treatment options, and preventative measures are intended to guide the physical therapist in making appropriate decisions regarding skin disorders.
Eiland G & Ridley D: Dermatological problems in the athlete. J Orthop Sports Phys Ther, 1996 Jun, 23:6, 388-402.
Cellulitis
Cellulitis
Cellulitis of the buttock after hip surgery is rarely reported, but raises concern about possible infection of the implant. In view of this we have investigated the frequency of previous hip surgery in patients with cellulitis of the hip and/or buttock and assessed for any predisposing factors.
The assumed portals of entry were gluteal fold intertrigo, tinea pedis, psoriatic plaque and a carbuncle of the buttock.
Infectious cellulitis of the hip or buttock following hip surgery can occur secondary to impaired lymphatic drainage, a few weeks up to several years after surgery, without there being any infection of the orthopaedic implant.
Studer-Sachsenberg EM et al., Cellulitis after hip surgery: long-term follow-up of seven cases. Br J Dermatol, 1997 Jul, 137:1, 133-6.
Staph'
Staph'
A gram-positive coagulase-positive coccus was isolated from purulent drainage from the carbuncle of a pediatric patient. It shows characteristics typical of Staphylococcus aureus with the exception that catalase activity could not be found.
Lee N et al., A case of carbuncle caused by a catalase-negative strain of staphylococcus aureus. Diagn Microbiol Infect Dis, 1996 Apr, 24:4, 221-3.
Vitamin C (Boil)
Vitamin C
Studied the effects of "vitamin C" treatment were in a patient with a history of recurrent furunculosis who showed altered neutrophil functions.
Neutrophils play a critical role in host defense against a variety of microbial pathogens. Vitamin C plays a role in the physiology of neutrophils.
Chemotaxis, phagocytosis, and superoxide generation of the patient's neutrophils were significantly lower than those of the matched control. Treatment with vitamin C (500 mg/day) for 30 days caused a dramatic clinical response and a significant improvement of all three neutrophil functions to values similar to those of the controls.
This patient had a temporary defect in neutrophil functions. The treatment with vitamin C probably prevented neutrophil "oxidation", thus contributing to recovery of neutrophil function and arrest of furunculosis.
Levy R & Schlaeffer F: Successful treatment of a patient with recurrent furunculosis by vitamin C: improvement of clinical course and of impaired neutrophil functions. Int J Dermatol, 1993 Nov, 32:11, 832-4.
Vitamin C (2)
Vitamin C (2)
Studied the effect of vitamin C treatment on 23 patients with a history of recurrent furunculosis with negative nasal cultures was.
Neutrophil functions (chemotaxis, phagocytosis, or superoxide generation) of 12 patients were significantly lower than those of the matched controls.
In this group, treatment with vitamin C (1 g/day) caused a dramatic clinical response as well as a significant improvement of neutrophil functions, reaching values similar to those of the controls.
Two patients remained vitamin C-dependent. In the patients with normal neutrophil functions, vitamin C treatment neither affected neutrophil activity nor caused a clinical response.
Patients "suffering" from recurrent furunculosis with defective neutrophil functions may be treated successfully with vitamin C, contributing to both neutrophil function recovery and a dramatic clinical response.
Levy R et al: Vitamin C for the treatment of recurrent furunculosis in patients with imparied neutrophil functions. J "Infect" Dis, 1996 Jun, 173:6, 1502-5.
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