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Related Concept Videos

Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
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Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
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Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
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Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
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This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
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Murine Oropharyngeal Aspiration Model of Ventilator-associated and Hospital-acquired Bacterial Pneumonia
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Idiopathic pyostomatitis-pyodermatitis vegetans with nasal obstruction: A case report.

Talia M Katz1, Arnon M Katz2

  • 1Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.

SAGE Open Medical Case Reports
|March 23, 2023
PubMed
Summary

Pyostomatitis-pyodermatitis vegetans is a rare skin condition presenting as pustules and plaques. This case report details an unusual presentation in an otherwise healthy individual, highlighting diagnostic and management considerations for this uncommon dermatosis.

Keywords:
Pyostomatitis-pyodermatitis vegetansinflammatory bowel diseasemucocutaneous dermatosisperipheral blood eosinophilia

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Area of Science:

  • Dermatology
  • Immunology

Background:

  • Pyostomatitis-pyodermatitis vegetans is a rare mucocutaneous dermatosis with unknown causes.
  • It typically manifests as pustules and vegetating plaques on oral mucosa and skin.
  • Often associated with systemic conditions like inflammatory bowel disease.

Observation:

  • A 48-year-old male presented with facial erythematous eroded plaques.
  • Histopathology showed a mixed inflammatory infiltrate with peripheral eosinophilia.
  • The patient had no history of inflammatory bowel disease or other systemic illness.

Findings:

  • The case presented uniquely without associated systemic conditions.
  • Systemic corticosteroids provided temporary relief, requiring high doses for sustained effect.
  • This highlights the varied clinical spectrum of pyostomatitis-pyodermatitis vegetans.

Implications:

  • This case emphasizes the importance of clinical assessment and histopathology in diagnosing rare dermatoses.
  • It expands the understanding of pyostomatitis-pyodermatitis vegetans, particularly in healthy individuals.
  • Further research is needed to elucidate the etiology and optimize treatment for this condition.