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Related Concept Videos

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Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.     
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The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
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Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
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Toxidromes: Clinical Features01:30

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Toxidromes are specific patterns of symptoms resulting from toxic substance exposure. They help in the identification and treatment of poisoning. The symptoms of each toxidrome group indicate poisoning by a certain class of chemicals or drugs.1. Sympathomimetic: Stimulates the sympathetic nervous system. Symptoms include agitation, increased heart rate (HR), blood pressure (BP), respiratory rate (RR), temperature, and pupil size. Drugs like cocaine and amphetamines, along with tremors and...
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Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
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Prosopagnosia, also known as face blindness, is the inability to recognize faces. In severe cases, individuals with prosopagnosia may not recognize close family members, including parents and spouses, by their faces. For instance, someone with prosopagnosia might walk past their child in a crowd, only realizing their mistake upon noticing their child's distinctive backpack or favorite jacket. Prosopagnosia specifically impairs facial recognition, while the recognition of other objects or...
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Related Experiment Video

Updated: Feb 28, 2026

Stimulation of Stem Cell Niches and Tissue Regeneration in Mouse Skin by Switchable Protoporphyrin IX-Dependent Photogeneration of Reactive Oxygen Species In Situ
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Facial pseudochromhidrosis induced by lead.

Sabyasachi Majumdar1, Anup Kr Bhattacharya1

  • 1Skin Institute & School of Dermatology, New Delhi, India.

Indian Journal of Dermatology, Venereology and Leprology
|June 16, 2017
PubMed
Summary

A girl developed dark facial pigmentation, initially suspected to be from malaria treatment. Investigation revealed it was caused by applying lead pencil powder, an unusual case of pseudochromhidrosis.

Area of Science:

  • Dermatology
  • Toxicology

Background:

  • Facial pigmentation can have various causes, including medication side effects.
  • Distinguishing exogenous from endogenous causes is crucial for diagnosis.

Observation:

  • A young girl presented with dark blue-black smoky facial pigmentation.
  • Patient initially attributed pigmentation to chloroquine therapy for malaria.

Findings:

  • Histology showed yellow-brown granules in the stratum corneum.
  • Observation revealed the patient applied lead pencil powder to her face.

Implications:

  • This case highlights an unusual presentation of pseudochromhidrosis.
  • It underscores the importance of thorough patient history and observation in diagnosis.

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