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Background Objectives Animals Materials and Methods Results Conclusions and Clinical Relevance Hospital‐related dermatological conditions are well‐studied and reported in human medicine. However, studies about these dermatological disorders in veterinary medicine are lacking.To report the incidence, type and distribution of hospital‐acquired skin lesions (HASL) in dogs, and to investigate risk factors that may be associated with their development.Hospitalised client‐owned dogs with HASL and a control group of hospitalised dogs without skin lesions.Prospective clinical evaluation of all HASL and dermatological tests, when indicated, were performed, over 6 months. A variety of potentially predisposing factors also were recorded.Thirty‐one dogs with HASL and a matched control group of 60 hospitalised dogs without skin lesions were included. The incidence of HASL was 11.2% (31 of 278). The most common lesion was erythema in 74.2% of dogs (23 of 31) and the most affected area was the abdomen in 58.1% (18 of 31) of dogs. Faecal and/or urinary incontinence was identified as an important risk factor for the development of skin lesions during hospitalisation (odds ratio 14.445, 95% confidence interval 1.444–144.479, p = 0.023). Immobilisation and changes in body temperature also may play a role in the development of such lesions in dogs.Faecal and/or urinary incontinence was found to be an important factor in the development of HASL. The impact of HASL on patient outcomes and the prevention of these lesions requires further investigation. [ABSTRACT FROM AUTHOR]

Background: Skin diseases are severe diseases. Identification of these severe diseases depends upon the abstraction of atypical skin regions. The segmentation of these skin diseases is essential to rheumatologists in risk impost and for valuable and vital decision‐making. Skin lesion segmentation from images is a crucial step toward achieving this goal—timely exposure of malignancy in psoriasis expressively intensifies the persistence ratio. Defies occur when people presume skin diseases they have without accurately and precisely incepted. However, analyzing malignancy at runtime is a big challenge due to the truncated distinction of the visual similarity between malignance and non‐malignance lesions. However, images' different shapes, contrast, and vibrations make skin lesion segmentation challenging. Recently, various researchers have explored the applicability of deep learning models to skin lesion segmentation. Materials and methods: This paper introduces a skin lesions segmentation model that integrates two intelligent methodologies: Bayesian inference and edge intelligence. In the segmentation model, we deal with edge intelligence to utilize the texture features for the segmentation of skin lesions. In contrast, Bayesian inference enhances skin lesion segmentation's accuracy and efficiency. Results: We analyze our work along several dimensions, including input data (datasets, preprocessing, and synthetic data generation), model design (architecture, modules), and evaluation aspects (data annotation requirements and segmentation performance). We discuss these dimensions from seminal works and a systematic viewpoint and examine how these dimensions have influenced current trends. Conclusion: We summarize our work with previously used techniques in a comprehensive table to facilitate comparisons. Our experimental results show that Bayesian‐Edge networks can boost the diagnostic performance of skin lesions by up to 87.80% without incurring additional parameters of heavy computation. [ABSTRACT FROM AUTHOR]

Atopic dermatitis (AD) is still a demanding challenge in clinical practice. Type 2 inflammation is the most common inflammatory pathway in children and adolescents with AD. Anti‐inflammatory drugs, mainly corticosteroids (CS) and immunomodulant agents are the primary therapeutic approach to dampening type 2 inflammation. However, AD patients may require long‐term high CS doses or drug combinations with possibly significant adverse effects to achieve and maintain disease control. In this regard, the advent of biologics constituted a breakthrough in managing this condition. Dupilumab is a monoclonal antibody directed against the IL‐4 receptor α‐subunit (IL‐4Rα), antagonizing both IL‐4 and IL‐13 and is approved for pediatric severe AD. This review presents and discusses the most recent published studies on dupilumab in children and adolescents with AD. There is convincing evidence that dupilumab is safe and effective in managing AD. It can reduce skin lesions and associated itching, reduce the need for additional medications, and improve disease control and quality of life. However, a thorough diagnostic pathway is mandatory, especially considering the different AD phenotypes. The ideal eligible candidate is a child or adolescent with AD requiring systemic treatment because of severe clinical manifestations and impaired quality of life. [ABSTRACT FROM AUTHOR]

Introduction: Azathioprine hypersensitivity can occasionally present as Sweet‐like syndrome, a dose‐independent side effect characterized by the unanticipated onset of macules, papules, and pustules. Case presentation: A 35‐year‐old woman with systemic lupus erythematosus presented with complaints of generalized maculopapular rash, facial swelling, and bilateral lower extremity edema with a duration of 4 days and a 2‐day history of constitutional symptoms within 2 weeks of the beginning of azathioprine therapy to treat existing lupus nephritis (class 2/3). Discussion: Patients who experience azathioprine hypersensitivity syndrome can present with erythema nodosum, small‐vessel vasculitis, acute generalized exanthematous pustulosis, Sweet syndrome, and nonspecific dermatosis. The following signs and symptoms are used as criteria to diagnose drug‐induced Sweet syndrome: (a) abrupt onset of painful erythematous plaques, (b) histopathological evidence of dense neutrophilic infiltrate without evidence of leukocytoclastic vasculitis, (c) temperature higher than 39.7°C, (d) temporal relationship between drug ingestion and clinical presentation, and (e) temporal resolution of lesions after drug withdrawal. Our patient met three out of five criteria and was diagnosed with Sweet‐like syndrome. Conclusion: Our case highlights the uncommonly presented azathioprine‐induced Sweet‐like syndrome that occurs abruptly after the commencement of the offending drug. This diagnosis can be established through basic laboratory workup and skin biopsy findings. [ABSTRACT FROM AUTHOR]

Skin disease recognition is one of the essential topics in the medical industry. Detecting skin disease from appearance can be difficult due to the similar appearance of skin lesions. In some cases, such as the monkeypox virus, the illness must be quickly determined, and the patients must be isolated to reduce the spreading of the disease. This study aims to create a deep learning‐based automated intelligent mobile application to detect skin disease. First, different small‐size pretrained networks are trained for skin lesion image classification. Then, the most suitable network from the viewpoint of both performance and mobile compatibility is transformed into the TensorFlow Lite format. Finally, a mobile application is created on the Android platform that utilizes the smartphone's camera to obtain images and uses TensorFlow Lite to make predictions. The proposed system produces 74.27% classification accuracy for seven classes on a combined dataset. It produces comparable/better results compared to the literature. Owing to the proposed system, the patients can make a preliminary diagnosis of their lesions using their smartphones. Thus, risky patients can be encouraged to visit the hospital for a definitive diagnosis. In addition, the mobile application can avoid undue stress and false alarms. [ABSTRACT FROM AUTHOR]

Herein we review the applicability of reflectance confocal microscopy to pediatric dermatologists as well as the barriers that must be overcome to adopt this technology. [ABSTRACT FROM AUTHOR]

Fusarium, a common fungus, emerges as a pathogen in severely immunocompromised patients. We present a series of patients who developed invasive fusariosis (IF) during admission to an acute leukaemia ward: an outbreak of 12 cases in June and July 2018, followed by four sporadic cases until 2021. No case was reported earlier. All patients were clustered in the same location with indoor air and water installations found to be contaminated with Fusarium spp. thus a nosocomial outbreak was assumed. Following the water installation replacement, the number of Fusarium cases dramatically dropped to one or two isolated instances per year in the same location. All 16 patients had acute leukaemia and developed IF during severe neutropenia following induction therapy. IF diagnosis was based on positive blood cultures (14 patients) and/or on tissue biopsies (3 patients). The median time from admission to the IF onset was 20 days, and from the first day of severe neutropenia (≤500/mm3) was 11.5 days. All patients were febrile, eight had moderate‐to‐severe myalgias, eight had respiratory involvements: lung lesions and/or sinusitis and seven had characteristic skin lesions. Follow‐up: 12 out of 16 (75%) were alive on Day 90; nine out of 15 (60%) were alive on Month 6. All with intractable neutropenia died. In severely neutropenic febrile patients, the triad of respiratory involvement/skin lesions/severe myalgia may suggest Fusarium aetiology. The ability to recover from neutropenia is critical to surmount IF. The indoor environment in immunocompromised dedicated settings must be constantly controlled. [ABSTRACT FROM AUTHOR]

Since May 2022, a Monkeypox virus (MPXV) outbreak has been ongoing in several non‐endemic countries. MPXV is usually transmitted after intimate contact, through body fluids, close contact from active lesions or through respiratory droplets. The recent outbreak occurrent in people with multiple recent sexual intercourse suggests the sexual route as the main way of transmission. However, there is no sufficient evidence to consider MPXV as a new sexually transmitted infection (STI), even though we believe that a link between MPXV and other STIs may exist with a possible facilitating action on their spreading. Herein, we illustrate the first case described during the current outbreak of a young man with both MPXV and acute HIV infection in a non‐endemic country. [ABSTRACT FROM AUTHOR]

In this study, an innovative hybrid machine learning‐technique is used for the early skin cancer diagnosis fusing Convolutional Neural Network and Multilayer Perceptron to analyze images and information related to the skin cancer. This information is extracted manually after applying different color space conversions on the original images for better screening of the lesions. The proposed architecture is compared with standalone architecture in addition to some other techniques by commonly used evaluation metrics. HAM10000 dataset is used for training and testing as this data contain seven different skin lesions. The novelty of the proposed hybrid model is the structure of the network which handles structured data (patients' metadata and other useful features from different color spaces related to the illumination, energy, darkness, etc.) and unstructured data (images). The results show an overall 86%, 95% top‐1 and top‐2 accuracy respectively, and 96% area under the curve for the seven classes. The study demonstrates the superiority of the proposed hybrid model with a 2% improvement in the accuracy over the standalone model and a promising behavior as compared to the ensemble techniques. The follow‐up research will include more patient data to develop a skin cancer detection device. [ABSTRACT FROM AUTHOR]

The central cofactors NAD(P)H are prone to damage by hydration, resulting in formation of redox‐inactive derivatives designated NAD(P)HX. The highly conserved enzymes NAD(P)HX dehydratase (NAXD) and NAD(P)HX epimerase (NAXE) function to repair intracellular NAD(P)HX. Recently, pathogenic variants in both the NAXD and NAXE genes were associated with rapid deterioration and death after an otherwise trivial fever, infection, or illness in young patients. As more patients are identified, distinct clinical features are emerging depending on the location of the pathogenic variant. In this review, we carefully catalogued the clinical features of all published NAXD deficiency patients and found distinct patterns in clinical presentations depending on which subcellular compartment is affected by the enzymatic deficiency. Exon 1 of NAXD contains a mitochondrial propeptide, and a unique cytosolic isoform is initiated from an alternative start codon in exon 2. NAXD deficiency patients with variants that affect both the cytosolic and mitochondrial isoforms present with neurological defects, seizures and skin lesions. Interestingly, patients with NAXD variants exclusively affecting the mitochondrial isoform present with myopathy, moderate neuropathy and a cardiac presentation, without the characteristic skin lesions, seizures or neurological degeneration. This suggests that cytosolic NAD(P)HX repair may protect from neurological damage, whereas muscle fibres may be more sensitive to mitochondrial NAD(P)HX damage. A deeper understanding of the clinical phenotype may facilitate rapid identification of new cases and allow earlier therapeutic intervention. Niacin‐based therapies are promising, but advances in disease modelling for both NAXD and NAXE deficiency may identify more specific compounds as targeted treatments. In this review, we found distinct patterns in the clinical presentations of NAXD deficiency patients based on the location of the pathogenic variant, which determines the subcellular compartment that is affected by the enzymatic deficiency. [ABSTRACT FROM AUTHOR]

The coronavirus disease 2019 (COVID‐19) pandemic caused by the severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) enforced the use of hand sanitation and of personal protective equipment, such as masks and visors, especially by health‐care professionals, but also by the general public. However, frequent hand sanitation and the prolonged and continuous use of personal protective equipment are responsible for constant frictional and pressure forces on skin causing lesions, the most reported being acne, facial itching, dryness, and rash. Thus, it is important to find measures to prevent skin lesions, in order to improve the quality of life of health‐care professionals and of the general public. This article gathers the current information regarding measures to prevent human to human transmission of COVID‐19, reviews the most common skin lesions caused by the use of hand sanitizers and different types of personal protective equipment, and the possible preventive measures that can be used on a daily basis to minimize the risk of developing skin‐related pathologies. Daily skin care routines and the incorporation of a dressing between the skin and the personal protective equipment to serve as a protective barrier are some of the applied measures. Moisturizers and dressings improve the skin's ability to respond to constant aggressions. Lastly, the need for additional studies to evaluate the lubrication properties of different types of dressings is discussed. The understanding of what kind of dressing is more suitable to prevent pressure injuries is crucial to promote healthy skin and wellbeing during pandemic times. [ABSTRACT FROM AUTHOR]

This study aimed to investigate the effect of N6‐methyladenosine (m6A) modification in modulating inflammatory homeostasis of arsenic (As)‐induced skin lesions. Our bioinformatic analysis revealed abnormal expression of m6A RNA methylation regulators and cytokines in the arsenic‐exposed population. In human keratinocytes, arsenite increased the levels of m6A methylation by upregulating the RNA methyltransferase like 3 (METTL3), mediating the disordered secretion of indicators that reflect inflammatory homeostasis (IL‐6, IL‐17, and IL‐10). The indicators reflecting arsenic‐induced skin lesions (Krt1 and Krt10) were also significantly elevated, which contributed to the occurrence of skin lesions. Our results also confirmed the association between METTL3 with inflammatory homeostasis and arsenic‐induced skin lesions using arsenic‐exposed human skin samples. In the arsenic‐exposed group, the upregulation of METTL3 exacerbated the increase in cytokine levels (IL‐6, IL‐17, and IL‐10), which was associated with the upregulation of keratins (Krt1 and Krt10). In addition, significant correlations among these factors corroborate the theoretical links. Finally, alteration of the m6A levels via knockdown or enhancement of the METTL3 protein could antagonize or aggravate arsenite‐induced imbalanced inflammatory homeostasis and human keratinocyte damage in HaCaT cells. Collectively, our study reveals some evidence that regulation of m6A modification plays an important role in arsenic‐induced skin lesions, which provide a new perspective on the mechanism of arsenite‐induced imbalanced inflammatory homeostasis in the field of RNA epigenetics. [ABSTRACT FROM AUTHOR]

Noninvasive assessment of skin lesions, especially of basal cell carcinoma (BCC), has benefited more recently from the use of optical imaging techniques such as optical coherence tomography (OCT) and reflectance confocal microscopy (RCM). While RCM provides submicron scale resolution and thus enables identification of skin morphological changes of the skin, with the downside of limited penetration depth, OCT imaging of the same lesion brings the benefit of better resolving its depth of invasion. OCT and RCM can be used either individually or combined within the same instrument for the noninvasive diagnosis of nonmelanoma skin cancers (NMSCs). Their combined use has shown to provide certain benefits such as better characterization of the lesion's margins, both in depth and laterally, as well as improved sensitivity and specificity, as previously demonstrated by our team. In this article we report a new "fiber‐based" implementation of the second‐generation RCM‐OCT hand‐held probe. The fiber‐based implementation of both imaging modalities enabled the construction of a smaller footprint/lower weight hand‐held probe. Its preliminary evaluation on the skin of healthy volunteers is reported here, demonstrating improved capabilities for resolving sub‐cellular structures and image skin morphology with micron‐scale resolution to a higher depth than in the previous implementation, while also enabling the construction of angiography maps showing vascular remodeling. [ABSTRACT FROM AUTHOR]

Neonatal lupus erythematosus (NLE) is a rare autoimmune disease due to a passive transfer of maternal autoantibodies to the fetus. The clinical spectrum is variable and includes skin lesions, cardiac, hematological, or hepatobiliary disorders. We report an NLE case presenting with skin eruption that was initially considered as tinea. Neonatal lupus erythematosus is a rare neonatal disease due to maternal autoimmunity which can have various clinical presentations. Although cutaneous NLE is a transient condition, it should be recognized promptly due to the risk of recurrence in the subsequent pregnancies. [ABSTRACT FROM AUTHOR]

Melanoma is a deadly skin disease. Availability of digital skin lesion datasets ease the exploration of ample classification studies. Both theoretical and heuristics improvements are achieved thanks to these new datasets. Being one of many high‐level feature‐driven classification methods, support vector machines (SVMs) are widely used in the literature as melanoma classifiers. Almost all of these studies are using a limited set of predefined kernels. In this study, we propose a newly developed Clifford kernel for the classification of dermoscopic skin lesions. We develop Clifford‐based linear, polynomial, and exponential kernels in the Clifford algebra (CA) Cℓ5, 0 0‐, 2‐, and 4‐vector subspaces. CAs are noncommutative but associative and distributive over addition. We showed that the newly developed Clifford kernels are embedded into SVM classifiers to successfully identify malignant skin lesions in a binary classification settings. Clifford kernel results are compared with mostly used gaussian and polynomial kernels with real‐valued SVM classifiers. Accuracy of all classifiers are assessed with cross‐validation using imbalanced and balanced datasets of 112, 162, and 192 lesions. SVM kernels in comparison are parameterized to scan wide range of possibilities. We show that Clifford‐based polynomial kernels outperforms in all, balanced and imbalanced, datasets having average accuracy of 83%. The consistence of high accuracies obtained with Clifford polynomial kernel shows that skin lesion features are logically designed and Clifford‐based SVM is able to model class separations in the feature space. [ABSTRACT FROM AUTHOR]

Mutations in the PORCN gene cause an X‐linked dominant condition; focal dermal hypoplasia (FDH), characterized by atrophic skin, pigmented skin lesions in addition to several ocular and skeletal malformations. FDH is rare with around 275 cases reported so far from diverse ethnic groups. Herein, we provide a report of two new patients with FDH from Egypt. In addition to the typical clinical manifestations of the disease, infrequently reported clinical findings in the form of broad metaphysis, bilateral short broad femurs, and dermal sinus over the sacrum were seen in Patient 1 and partial fusion of labia majora, ventral hernia, and bladder extrophy were present in Patient 2. Two heterozygous protein‐truncating PORCN mutations were identified in our patients, a known nonsense c.370C>T p.(Arg124Ter) and a novel frameshift c.375delG p.(Ala126HisfsTer3). Segregation analyses confirmed that the two mutations were "de novo" and not inherited from any of the parents. Our study expands the clinical and mutational spectrum of focal dermal hypoplasia and emphasizes the importance of investigating the different body systems and organs for the early management of patients. [ABSTRACT FROM AUTHOR]

Rheumatoid arthritis (RA) is a chronic inflammatory disease, characterized by symmetric and destructive polyarthritis with a broad‐spectrum clinical manifestation of various organs. RND is an unusual distinctive manifestation of RA and typically develops in severe RA. This report aims to present an unusual and a rare neutrophilic skin condition, in a seronegative RA Sudanese patient. A 51‐year‐old woman was diagnosed with RA three years ago and a history of bilateral polyarthritis, presented with a skin rash involving her extremities and abdomen. Clinical examination of her skin revealed the presence of maculopapular lesions affecting the extensor surfaces of the lower extremities and the lower part of the abdomen with hyperpigmentation. Hand X‐ray demonstrated periarticular osteopenia, and laboratory and immunological studies that include C‐reactive protein, erythrocyte sedimentation rate (ESR), rheumatoid factor (RF), anticitrullinated peptide antibodies (ACPAs), and antinuclear factor in addition to skin biopsy were all suggested a diagnosis of neutrophilic dermatosis. The patient received steroids for the skin lesion still no significant improvement was seen, and then, cyclosporin 100 mg was administrated twice/ day with close monitoring, and two weeks later marked improvement was shown. [ABSTRACT FROM AUTHOR]

Seals (Phocidae) undergo an annual cycle of moulting that implies hair regeneration, and in the case of southern elephant seals, it also involves the superficial strata of the epidermis. Therefore, surviving the moulting period is crucial for their obligate and permanent ectoparasites. Throughout evolutionary time, sucking lice (Echinophtiriidae) have developed morphological, behavioural and ecological adaptations to cope with the amphibious lifestyle of their hosts. Lepidophthirus macrorhini, the Southern elephant seal louse species, faces the additional challenge of surviving attached to the host during the moulting period. Since lice live on the skin, L. macrorhini has developed a unique survival strategy by piercing the skin of their host, thus keeping them protected from moulting. During fieldwork in Patagonia and Antarctica, skin samples with lice within were collected for histological analysis to assess whether these parasites caused damage to the host. Lice generate an inflammatory process in the host's dermis, and these lesions could alter the normal chemical and mechanical protective properties of the skin facilitating secondary infections. Further studies that analyse the potential pathogens in those skin lesions are necessary to properly assess the real impact of ectoparasites on their host health. [ABSTRACT FROM AUTHOR]

The relatively unknown genus Iodobacter sp. has been repeatedly isolated from skin ulcers and saprolegniosis on freshwater fish in Finland, especially farmed salmonids. Genetic characterization verified that all 23 bacterial isolates studied here belonged to the species Iodobacter limnosediminis, previously undescribed from the fish microbiota. Whole‐genome pulsed‐field gel electrophoresis revealed variability between the I. limnosediminis strains, suggesting that they were most likely of environmental origin. Two I. limnosediminis strains caused lesions in 27%–53% of brown trout (Salmo trutta) injected intramuscularly (p ≤.05). The lesions represented moderate to severe tissue damage, but for most fish, the tissues had been repaired by the end of the experiment through the accumulation of fibrocytes and macrophages at the site of the lesion. I. limnosediminis was reisolated from some lesions and/or internal organs. Phenotypically and biochemically, I. limnosediminis resembles several common bacterial species found in the aquatic environment, as it grows well on several media as whitish medium‐sized colonies, is Gram negative and rod‐shaped. Here, we characterized I. limnosediminis strains with several methods, including MALDI‐TOF. This characterization will help in further investigations into the occurrence and possible involvement of I. limnosediminis in skin lesions of freshwater fish. [ABSTRACT FROM AUTHOR]

In October 2014, a case of mass skin lesions was reported in whitespotted char (Salvelinus leucomaenis) caught in the Nalycheva River on the Kamchatka peninsula (Russia). The proportion of affected fish was approximately 50% of the catch. Lesions of varying severity were noted from small tubercles to large single and confluent formations and ulcers. Papilloma‐like growths were found in the epidermal layer of the skin of the affected fish. Histopathological alterations included the following: submerged growth of epithelial cells, infiltration of inflammatory cells, oedema of scale pockets, resorption of scales, haemorrhages, local necrosis and an increased number of mucous cells. In the dermal layer of the skin, haemorrhages and extensive necrosis were recorded. Inflammation, necrosis and destruction of myocytes were found in the underlying musculature. This is the first documented case of papilloma‐like skin lesions found in salmonids in Kamchatka. The affected whitespotted char were deemed unsuitable as a food product due to their unsatisfactory appearance and impermissible levels of bacterial contamination of the muscles. [ABSTRACT FROM AUTHOR]

Emerging fungal infections, itraconazole, liver transplant, skin lesions, Trichophyton Keywords: emerging fungal infections; itraconazole; liver transplant; skin lesions; Trichophyton EN emerging fungal infections itraconazole liver transplant skin lesions Trichophyton 1 3 3 04/08/22 20220401 NES 220401 Abbreviation SOT solid organ transplant Dear Editor, Dermatophyte infections are the most frequent mycotic infections and can range from superficial cutaneous infections affecting only keratinized tissues to invasive and disseminated forms in immunosuppressed hosts such as solid organ transplant (SOT) patients.1 Herein we report the case of a 73-year-old man who was referred to our transplant dermatology clinic for a history of painful papulo-nodular cutaneous lesions on perioral, back and inguinal regions causing malaise and difficulty walking (Figure 1). Thank to the multidisciplinary team, we cured an invasive form of Trichophyton infection in a liver transplant recipient. [Extracted from the article]

With the rapid increase in the cases of deadly skin cancer, the classification on different types of skin cancer has been emerging as one of the most significant issues in the field of medical image. Several approaches have been proposed to help in diagnosing the categories of the skin lesions by means of traditional features or leveraging the widely used deep learning models. However, there are lack of the integrated frameworks to combine the hand‐crafted traditional features and the deep Conv‐features. Furthermore, the effective way to extract global and local features is also conducive to distinguish the specific lesions from normal skin. Hence, in this study, the authors present an integrated model to acquire more representative global–local features including the traditional local binary pattern features and deep Conv‐features. In addition, several fusion strategies have conducted on the Global‐DNN and Local‐DNN for better performance. In order to extract more explicit features from the specific lesion areas, a target segmentation method based on visual saliency detection is employed to eliminate the background interference. Experimental results on ISIC‐2017 skin cancer dataset demonstrate that the proposed Global‐DNN and Global‐Local models can obtain more effective feature representation which achieve outperformed results for skin cancer classification. [ABSTRACT FROM AUTHOR]

An Egyptian fruit bat (Rousettus aegyptiacus) from the Zoological Gardens, at Tel Aviv, Israel, showed pox‐like clinical signs including vesicular and nodular skin lesions on the wings. Cell culture isolation, histopathology, electron microscopy and molecular analysis, revealed the presence of a novel bat poxvirus. Future research is needed to determine whether this virus can affect human health. [ABSTRACT FROM AUTHOR]

Background and Objective: The improvement in the appearance of the skin with dermal striae (DS) is currently eval‐uated by invasive methods, such as biopsy. This study evaluates whether high‐resolution ultrasound (HRUS) could be used to identify skin lesions in vivo caused by DS, using 2D images and measuring the thickness of the dermal layer. Methods: High‐resolution ultrasound at frequencies of 20 and 30 MHz was used in this study in ten volunteers with DS. The thickness of the skin layers was estimated by tracing five vertical lines from epidermis (EP) to dermis (DE) and DE to hypodermis (H) surface. Results: The dermal lesions caused by striae appeared in ultrasonic images as poor echo areas. The average normal DE thickness varied from 1.07 to 1.65 mm, while the DE thickness with DS varied between 0.35 and 1.33 mm. A statistically significant reduction in the DE thickness was found (P‐value <.05) in the presence of DS. The mean values of the EP thickness without and with DS were 0.12 ± 0.03 mm and 0.11 ± 0.02 mm, respec‐tively. A total of 90.00% of the EP‐related groups did not present the normal distribu‐tion (P‐value <.05). Conclusions: High‐resolution ultrasound permitted the visualization of the three skin layers and the dermal lesions caused by striae. The dermal layer thicknesses with striae were thinner than those without. Therefore, ultrasound 2D imaging has shown to be a promising and financially feasible tool to be used as a noninvasive diagnostic method for evaluating therapeutic protocols used in the treatment of these dermal conditions. [ABSTRACT FROM AUTHOR]

Photo analysis offers a simple, noninvasive approach to characterizing and quantifying skin lesions in cetaceans; however, this process involves methodological considerations that have often gone unaddressed or have varied in approach among investigators. Subjectivity associated with classifying skin lesion types of unknown etiology and quantifying measures of skin lesion prevalence and extent from photo data raises questions about observer bias and agreement (i.e., interrater reliability), which are often ignored. The purpose of the present study was to improve upon data quality control and assessment practices when studying skin lesions using only photo data. Specifically, we tested interrater reliability of a skin lesion classification system, compared methods of quantifying skin lesion extent, and determined the validity of the dorsal fin as a proxy for skin lesions on the entire body. Acceptable levels of interrater reliability were achieved for only 7 of 17 defined lesion types, but reliability was high for the two tested measures of lesion extent. Skin lesion extent measured from the dorsal fin alone was not a decent proxy for the whole visible surface; disparities between measures were as high as 43%. We discuss the potential pitfalls discovered and provide recommendations for others attempting similar approaches. [ABSTRACT FROM AUTHOR]

Skin lesions can be in malignant or benign forms. Benign skin lesion types are not deadly; however, malignant types of skin lesions can be fatal. Lethal forms are known as skin cancer. These types require urgent clinical treatment. Fast detection and diagnosis of malignant types of skin lesions might prevent life‐threatening scenarios. This work presents two methods for the automatic classification of malignant melanoma and seborrhoeic keratosis lesions. The first method builds on modelling skin images together with wavelet coefficients. Approximate, horizontal, and vertical wavelet coefficients are obtained using the wavelet transform, and then deep learning (DL) models are generated for each of the representations and skin images. The second method builds on modelling skin images together with three approximate coefficients. This method utilises a sequential wavelet transformation to produce approximation coefficients. Then DL models are generated for each of the representations and skin images. Transfer learning‐based ResNet‐18 and ResNet‐50 DL models provide model images and wavelet coefficients. Then skin lesion detection is achieved by fusing model output probabilities. Both proposed models outperform the methods only based on image data and other previously proposed methods. [ABSTRACT FROM AUTHOR]

Background: Skin lesion edge detection is a significant step in developing an automatized diagnostic system. The efficient diagnostic system leads to correct identification and detection of skin lesion diseases. In this paper, ant colony optimization (ACO) technique is used to improve the edge contour of skin lesion images. Material and Method: Firstly, a three‐stage preprocessing methodology involving color space conversion, contrast enhancement, and filtering is applied to improve the skin lesion image quality. The edge map is obtained by applying three types of conventional edge detection methods namely Canny, Sobel, and Prewitt. Thereafter, ACO is applied on these images to produce an improved edge contour. Result: The improvement of the proposed methodology is quantitatively verified by analysis of the entropy of the final image obtained by conventional and proposed techniques. Conclusion: From the result analysis, we can conclude that introduction of ACO has increased the efficiency of the conventional edge detection method in skin lesion images. [ABSTRACT FROM AUTHOR]

Recently, the Kunjin strain of West Nile virus (WNVKUN) has been detected using qRT‐PCR in belly skin lesions of farmed juvenile saltwater crocodiles. This follows an established association between similar lesions and West Nile virus in American alligators. The lesions present as cutaneous lymphohistiocytic aggregates in the dermal layers of both species. While these lesion do not create an obvious defect on the live crocodile, upon tanning the lesion area collapses and does not uptake the dye evenly, thus reducing its aesthetic appeal. As a result, skins are being rejected jeopardising the economic viability of the Australian crocodile industry. Over 50 skin lesions have since been confirmed as WNVKUN‐positive and preliminary evidence of lesion restructuring is presented. Horizontal transmission of WNVKUN by mosquitoes is well‐established but other transmission routes, such as ingestion and cloacal shedding, need further evaluation. An infection trial is currently underway to ensure WNVKUN is the causative agent of these skin lesions. [ABSTRACT FROM AUTHOR]

Despite regular exposure of skin to solar UV‐B irradiation, most individuals enjoy cancer‐free existence, which is a testimony of the inherent capacity of human keratinocytes to either repair or restore cells damged by UV exposure. In this manuscript, we focus on delineating the mechanistic role of p21 activated kinase (Pak1) in UV‐B provoked skin lesions. Molecular mechanistic studies revealed that Pak1 is triggered as a consequence to UV‐B exposure via epidermal growth factor receptor (EGFR) and cyclobutane pyrimidine dimers (CPD) pathways, and both these membranous (EGFR) and nuclear (CPDs) events converge at Pak1 activation and contribute in a coordinated manner for yielding a complete response to UV‐B via upregulating Ataxia–Telangiectasia and Rad3 related (ATR). This is the first study that evaluates the mechanistic role of a signaling molecule, Pak1, in premalignant skin lesions caused by sun exposure and designate that expression and instigation of Pak1 could operate as an alarming indicator of succession towards aggressive form of skin cancer, if neglected. The current study evaluates the mechanistic role of a signaling molecule, P21 activated kinase‐1 in premalignant skin lesions caused by sun exposure. [ABSTRACT FROM AUTHOR]

Background: The severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) pandemic, causing COVID‐19, is rapidly spread across the world, by posing novel challenges for all physicians. Cutaneous manifestations of COVID‐19 may be present in 20% of patients, but they are still now poorly characterized. Methods: We search literature to describe all the various cutaneous manifestation observed during COVID‐19 pandemic. Results: Different cutaneous clinical patterns were described, showing a wide polymorphism. Conclusion: We provided an overview of all the various cutaneous manifestations of COVID‐19 described in the literature today, to improve our knowledge and lead a more prompt and accurate diagnosis, especially in asymptomatic or paucisymptomatic cases. [ABSTRACT FROM AUTHOR]

Acute myeloid leukaemia is a myeloid neoplasm with an extremely varying clinical appearance. Skin lesions are common for specific subtypes of acute myeloid leukaemia but are often misinterpreted. Here, we present a case of acute myeloid leukaemia in a young woman exhibiting genital ulcerations and gingival erosions. [ABSTRACT FROM AUTHOR]

This study investigates the presence of Merkel cell polyomavirus (MCPyV) in skin lesions of patients with Merkel cell carcinoma (MCC). MCPyV was quantified using quantitative Real-Time-PCR (qRT-PCR) in 34 paraffinized MCC samples (resected/biopsied) originally taken between 1977 and 2015, and six non-MCC samples. In 31 (91.2%) MCC-individuals, MCPyV was detected. No virus was observed in any non-MCC tumor. Average age at diagnosis was 78.2 ± 9.35 (55-97) years for women ( n = 19) and 69.5 ± 14.7 (45-91) for men ( n = 15) ( P = 0.04). MCC tumor location, known in 25 cases, was: 11 (44%) in the head region, 6 (24%) in upper limbs, 4 (16%) in lower limbs, and 4 (16%) in the trunk. All but one patient had received some sort of treatment: 15 (45.45%) underwent both radio and chemotherapy, 13 (39.39%) only surgery, 2 (6.06%) surgery, plus radio and chemotherapy, 2 (6.06%) surgery and chemotherapy, and 1 (3.03%) only radiotherapy. Follow up data were available for 21/34 patients: recurrence was recorded for 4 (19.04%), and metastasis for 13 (61.9%). Recorded data showed that 10 men and 5 women (total 44.1%) died during follow up, 7 (46.7%) of them within 2 years of diagnosis. Viral load was 5.8 ± 1.4 log copies/105cells (3.1-8.6), independent of any variable. MCPyV was very frequent in MCC. It was principally associated with head and limb tumors, it more commonly affected men, who in this study were, on average, younger than women, and had high rates of recurrence and mortality. The amplification techniques described here are easily applied and suitable for detecting the presence of MCPyV virus in MCC. [ABSTRACT FROM AUTHOR]

Cutaneous human papillomaviruses (HPVs) comprise a large and highly heterogeneous virus group. Some of the cutaneous HPVs of the genus Beta have been suggested as a co-factor in the development of non-melanoma skin cancer (NMSC). The aim of this study was to determine cutaneous HPV prevalence and type-specific distribution in different kinds of skin lesions from Argentine patients visiting Dermatology Departments of three hospitals from Buenos Aires. A cross-sectional analysis was performed. HPV DNA was analyzed in (i) 3 patients with Epidermodysplasia verruciformis (EV) harboring benign lesions (BL) (n = 1) and squamous cell carcinoma (SCC) (n = 4); (ii) 240 non-EV patients harboring: (a) BL (n = 38), (b) Actinic Keratosis (AK) (n = 83), (c) SCC (n = 74), and (d) basal cell carcinoma (BCC) (n = 96). Detection and genotyping of 35 cutaneous HPV DNA was carried out by BGC-PCR and GP5+/6 + PCR followed by reverse line blot assay. In EV patients, Beta types were found in all lesions (5/5), including the potentially high-risk HPV types 5 and 8, mostly in multiple infections. In non-EV patients, cutaneous types were found in 50.0% of BL, 43.4% of AK, 31.1% of SCC, and 16.7% of BCC. Beta HPVs were the most frequently found in all lesions, being present in all AK and SCC cases that were positive for HPV. No type-specific correlation with lesion severity was found. In our series, a wide spectrum of cutaneous HPV types was detected in different skin lesions. A possible role for these HPVs in skin carcinogenesis deserves further study. J. Med. Virol. 89:352-357, 2017. © 2016 Wiley Periodicals, Inc. [ABSTRACT FROM AUTHOR]

ABSTRACT To investigate the interaction between skin lesion status and arsenic methylation profiles, the concentrations and proportions of arsenic metabolites in urine and arsenic methylation capacities of study subjects were determined. The results showed that the mean urinary concentrations of iAs (inorganic arsenic), MMA (monomethylarsonic acid), DMA (dimethylarsinic acid), and TAs (total arsenic) were 75.65, 68.78, 265.81, and 410.24 μg/L, respectively, in the skin lesions subjects. The highest values were observed in the multiple skin lesions subjects. Higher %iAs and %MMA, and lower %DMA, PMI (primary methylation index), and SMI (secondary methylation index) were found in skin lesions subjects. The multiple skin lesions subjects had highest %iAs and %MMA, and lowest %DMA, PMI, and SMI. The prevalence of skin lesions strongly, positively correlated with arsenic levels in drinking water. The elder persons also had higher frequency of skin lesions compared with younger persons. It can be concluded that arsenic levels in drinking water significantly affected the prevalence of skin lesions. Male subjects usually had higher proportions of skin lesions when compared with female subjects. Moreover, it may be concluded that MMA was significantly related to single skin lesion, whereas DMA and iAs were associated with multiple skin lesions. It seemed that MMA had greater toxicity to hyperkeratosis, whereas DMA and iAs had higher toxicity to depigmentation or pigmentation. © 2015 Wiley Periodicals, Inc. Environ Toxicol 32: 28-36, 2017. [ABSTRACT FROM AUTHOR]

In the period 2013-2015, wild dusky grouper, Epinephelus marginatus (Lowe), caught in Libyan coastal waters and ranging in size from 42 to 92 cm in total length, were observed to have distinctive skin lesions of unknown aetiology. Histopathologically, the lesions comprised a multifocal, unilateral or bilateral dermatitis, involving the epidermis, superficial dermis and scale pockets, and sometimes, in severe cases, the hypodermis. Severe lesions had marked epidermal spongiosis progressing to ulceration. Healing was observed in some fish. Bacteria and fungi could be isolated from severe lesions, although they were not seen histopathologically in early-stage lesions. By contrast, metazoan parasite eggs were observed in the dermis and epidermis of some fish with mild and moderate dermatitis. Unidentified gravid digenean trematode parasites carrying similar eggs were also seen within the blood vessels of the deep and superficial dermis. The cause of this distinctive condition, termed dusky grouper dermatitis ( DGD), and its potential impact upon already threatened Mediterranean wild dusky grouper populations and upon cultured grouper more widely have yet to be established. [ABSTRACT FROM AUTHOR]

African sharptooth catfish Clarias gariepinus were housed under continuous dim light (1 lx) or 12L: 12D (350-0 lx) cycles. The number of skin lesions, as indicator of aggressive acts, and plasma cortisol levels, as indicator of stress-axis activity, were measured at baseline as well as following a stressor (given in the light or dark phase). Results showed that (1) baseline plasma cortisol levels were not different between photoperiods, (2) the number of baseline skin lesions was highest for C. gariepinus housed under continuous dim light, (3) stressor-induced peak levels of plasma cortisol were highest in the light phase and (4) the number of skin lesions following a stressor was highest in the dark phase. The higher number of stressor-related skin lesions in the dark (active) phase suggests increased stressor-induced aggression while in the active phase. In addition, the data suggest that housing under continuous dim light does not result in higher stress-axis activity, as measured by baseline levels of cortisol, but does result in more stressor-induced aggression, as measured by the higher number of skin lesions. The latter may be related to the fact that the continuous dim light photoperiod has twice the number of dark-phase (active) hours in which stressor-induced aggression is stronger compared to the 12L: 12D photoperiod, which has a light phase in which stressor-induced aggression is lower. [ABSTRACT FROM AUTHOR]

Key Clinical Message Olmesartan is an angiotensin II receptor antagonist which may cause severe sprue-like enteropathy with duodenal villous atrophy. Skin lesions may be associated as reported for the first time in our case. Clinicians should be informed of this side effect and its reversibility after suspension of the drug. [ABSTRACT FROM AUTHOR]

Non-invasive and quantitative estimations for the delineation of sub-surface tumor margins could greatly aid in the early detection and monitoring of the morphological appearances of tumor growth, ensure complete tumor excision without the unnecessary sacrifice of healthy tissue, and facilitate post-operative follow-up for recurrence. In this study, a high-speed, non-invasive, and ultra-high-resolution spectral domain optical coherence tomography (UHR-SDOCT) imaging platform was developed for the quantitative measurement of human sub-surface skin mass. With a proposed robust, semi-automatic analysis, the system can rapidly quantify lesion area and shape regularity by an en-face-oriented algorithm. Various sizes of nylon sutures embedded in pork skin were used first as a phantom to verify the accuracy of our algorithm, and then in vivo, feasibility was proven using benign human angiomas and pigmented nevi. Clinically, this is the first step towards an automated skin lesion measurement system. [ABSTRACT FROM AUTHOR]

A complete academic autopsy includes an external examination with inspection of gross dermatologic findings. At our institution, the postmortem examination also includes a standard skin biopsy. We determined the microscopic yield of this standard postmortem skin biopsy and the overall frequency of macroscopic dermatologic diagnoses. We reviewed 389 complete autopsies conducted between 2012 and 2014. Both microscopic and macroscopic dermatologic diagnoses were analyzed. A macroscopic dermatologic diagnosis was made in 32% of cases while a microscopic diagnosis was recorded in 10% of cases. Dermatologic diagnoses were identified as leading directly to cause of death in 4% of patients and as contributing to death in another 20%. Targeted biopsies were more likely to reveal histologic abnormalities than routine biopsies from a standard anatomic site. Better training in skin gross examination in addition to systematic sampling of both skin lesions and grossly normal skin may improve diagnostic accuracy and enhance clinical pathologic correlations. [ABSTRACT FROM AUTHOR]

Key Clinical Message Here, we present a 53-year-old man with angioimmunoblastic T-cell lymphoma accompanied by skin lesions (vesicles, papulovesicles, and miliary papules symmetrically distributed on extremities and trunk, with more distal lesions increasing in severity). Routine blood tests showed a white blood cell count of 58.97 × 109/L (Neutrophils% 91.64%). [ABSTRACT FROM AUTHOR]

Ecthyma gangrenosum ( EG) is an uncommon skin lesion that usually develops in patients with known immune deficiency or who are on immunosuppressive treatment. We report on five previously healthy children presenting with EG. Three of them developed severe neutropaenia. Immunologic work-up revealed chronic neutropaenia in two. Conclusion Recognition of EG is essential for providing early appropriate empiric antibiotic treatment. An immunologic work-up should be done, although a concomitant viral infection can be the predisposing factor. [ABSTRACT FROM AUTHOR]

Because psoriatic skin lesions of psoriatic arthritis (PsA) usually precede the onset of joint symptom, dermatologists are in an ideal position to screen and find individuals with PsA early in the disease course. There have been no reports from the dermatology field evaluating the effect of anti-tumor necrosis factor ( TNF)-α drugs on joint disorders using magnetic resonance imaging ( MRI) in PsA patients. The purpose of this study was to elucidate the effectiveness of MRI in the evaluation of anti- TNF-α drugs on joint disease of Japanese PsA patients. Data were collected from four adult Japanese male PsA patients. MRI of the affected hand was performed at baseline and 1-7 months after infliximab or adalimumab treatment. T1-weighted gadolinium-enhanced images with fat suppression were acquired in the coronal, sagittal and/or axial planes. We determined the apparent improvement of synovitis, periarticular inflammation, tenosynovitis and/or bone marrow edema by MRI after anti- TNF-α treatments in all the patients together with the improvement of skin lesions. We also determined in one patient that these symptoms detected by MRI before treatment were alleviated within 1 month and had disappeared 6 months after treatment, suggesting the potentially early detection of the effect of anti- TNF-α drugs on joint disease. We present four cases of Japanese patients with PsA in whom effective treatments by anti- TNF-α drugs were evaluated by contrast-enhanced MRI. This imaging enables dermatologists and radiologists to assess and monitor early inflammatory changes, and to grant PsA patients earlier access to modern treatment such as biologics. [ABSTRACT FROM AUTHOR]

Background/purpose Dermoscopy is one of the major imaging modalities used in the diagnosis of pigmented skin lesions. Due to the difficulty and subjectivity of human interpretation, computerized image analysis techniques have become important tools in this research area. Hair removal from skin lesion images is one of the key problems for the precise segmentation and analysis of the skin lesions. In this study, we present a new scheme that automatically detects and removes hairs from dermoscopy images. Methods The proposed algorithm includes two steps: firstly, light and dark hairs and ruler marking are segmented through adaptive canny edge detector and refinement by morphological operators. Secondly, the hairs are repaired based on multi-resolution coherence transport inpainting. Results The algorithm was applied to 50 dermoscopy images. To estimate the accuracy of the proposed hair detection algorithm, quantitative analysis was performed using TDR, FPR, and DA metrics. Moreover, to evaluate the performance of the proposed hair repaired algorithm, three statistical metrics namely entropy, standard deviation, and co-occurrence matrix were used. Conclusion The results demonstrate that the proposed algorithm is highly accurate and able to detect and repair the hair pixels with few errors. In addition, the segmentation veracity of the skin lesion is effectively improved after our proposed hair removal algorithm. [ABSTRACT FROM AUTHOR]

Background An ulcerative dermopathy caused by Mycobacterium ulcerans is described in two alpacas ( Vicugna pacos) domiciled in endemic areas of Victoria, Australia. Results The diagnosis was confirmed in both cases by PCR targeting the M. ulcerans-specific insertion sequence, IS 2404. Extensive wound debridement and bandaging was effective in controlling local disease in one alpaca, although the animal was eventually euthanased because of suspected disease recurrence at other anatomical sites. Treatment was not undertaken in the second animal, but the results of a complete necropsy are described. Investigation of the environs of the second animal yielded low levels of M. ulcerans DNA associated with a variety of samples. The potential use of adjunctive antibiotic therapies directed against M. ulcerans infection in this species is discussed. Conclusion Mycobacterium ulcerans infection should be suspected in alpacas domiciled in endemic areas and presented with ulcerative skin disease. [ABSTRACT FROM AUTHOR]

An insect-bite-like reaction is known to occur in patients with chronic lymphocytic leukemia ( CLL). Most of the literature, however, consists of isolated case reports or small case series. The aim of this retrospective study was to review the national experience with insect-bite-like reaction in a large group of patients with CLL. The study cohort of patients with these skin reactions consisted of 48 patients (25 males, 23 females) of mean age 64.8 yr (range 33-89) at skin eruption. Data on clinical, histologic, immunophenotypic, and cytogenetic characteristics, treatment, and outcome were collected from the medical files. Mean time between diagnosis of CLL and appearance of the skin lesions was 3.1 yr (range −4 to 14 yr). The eruption was not related to disease activity or the course of the hematological disease. The eruption preceded the diagnosis of CLL in 10 patients (by 0-4 yr); and followed the diagnosis in 36; in 11 patients, it occurred during therapy for CLL and in nine after therapy. Mean duration of the skin findings was 21.5 months (range 0.3-132). The eruption usually presented in summer, although it occurred also at other times of the year, and predominantly affected the upper and lower limbs, although it also appeared on unexposed areas. Treatment included local ointments, antihistaminics, oral steroids, antibiotics, phototherapy, and dapsone with varying responses. Insect-bite-like reactions is a relatively common and disturbing skin reaction in CLL patients, it may be related to the immune dysregulation accompanying CLL and further exacerbated by external factors, including actual insect bites, chemoimmunotherapy, and pyogenic infection. [ABSTRACT FROM AUTHOR]

Neonatal lupus erythematosus (NLE) is a rare disease affecting newborns that is caused by maternal autoantibodies transmitted across the placenta. The disease may affect the skin, the heart, and rarely the hepatobiliary or hematological systems. A serious complication affecting some patients with NLE is atri-oventricular heart block (AV block). The clinical picture of cutaneous NLE varies considerably. NLE presents with confluent, scaly, periorbital erythema, or erythematous infiltrated plaques with central vesicles and lesions resembling seborrheic eczema or fungal infection. In any newborn with such skin lesions, NLE should be included in the differential diagnosis. Dermatologists play an important role in the diagnosis. We review different skin lesions occurring in neonatal lupus erythematosus based on five patients from our own clinic. [ABSTRACT FROM AUTHOR]

Arsenic is an environmental toxicant, free-radical generator, carcinogenic agent, and aging promoter. Recently, blood samples were analyzed from individuals (control- male 12, female 13; arsenic-exposed- male 16, female 14; and exposed to ≥100 μg/L As, ≥10 y) with dermatological symptoms in few affected villages in Eastern India to unravel their hematopoietic, metabolic, and antioxidant profiles. White blood cells recovered from buffy coat were used for DNA fragmentation test. Present observation suggests that significant number of individuals developed pigmentation and palmoplantar hyperkeratosis with black-brownish patch on their body and many of those developed carcinomas. Hematopoietic data show a significant increase in eosinophil and decrease in monocyte count in either sex. Though insignificant, an increase in neutrophil in female and lymphocyte count in male arsenic-exposed individuals are supported by the earlier report on sex dimorphic immune sensitization. Significant increase in serum alanine transaminase in both sexes and bilirubin only in male suggests the eventuality of hepatic disintegration. Arsenic exposure significantly decreased serum amylase in female. A significant decrease in antioxidant components like catalase, soluble thiol, and recently recognized uric acid worsened the situation by generating free radicals as observed in significant rise in malondialdehyde level, which finally increased DNA fragmentation and arsenic-associated mutagenesis and carcinogenesis. This could attribute to lowering in immune competence and related necrotic and/or apoptotic manifestations. © 2010 Wiley Periodicals, Inc. Environ Toxicol, 2012. [ABSTRACT FROM AUTHOR]

Chronic exposure to excess level of arsenic through contaminated drinking water is associated with many injuries, among which skin lesions are the most prominent. In this study, we measured the concentrations of inorganic arsenic (iAs), monomethylarsonic acid (MMA), and dimethylarsinic acid (DMA) in the blood of the residents of arsenicosis area, who demonstrated different skin lesion grade from mild, moderate to advanced. We evaluated the individual methylation capacity by two indices of the first and secondary methylation ratio (FMR and SMR). We found that SMR of moderate and advanced groups were markedly lower than that of mild group. Significant negative correlation was found between SMR of all the subjects and the grade of skin lesion, with Spearman's correlation coefficient of −0.429 ( P = 0.016). Moreover, blood MMA proportion of moderate and advanced groups was found to be significantly higher than that of the mild group. These results suggest that low secondary arsenic methylation capacity and high MMA proportion are associated with the severity of arsenic-related skin lesions. Our findings evaluated by blood speciation is consistent with that evaluated by the generally accepted urinary arsenic speciation in the relationship between arsenic methylation capacity and arsenic-related lesions. © 2009 Wiley Periodicals, Inc. Environ Toxicol 26: 118-123, 2011. [ABSTRACT FROM AUTHOR]

Background: Skin cancer is among the most common types of cancer. Melanoma is the most fatal of all skin cancer types. The only effective treatment is early excision. Recognising melanoma is challenging both for general physicians and for expert dermatologists. A computer-aided diagnostic system improving diagnostic accuracy would be of great importance. Segmenting the lesion from the skin is the first step in this process. Methods: The present segmentation algorithm uses a multiscale approach for density analysis. Only the skin mode is found by density analysis and then the location of the lesion mode is estimated. The density estimates are attained by Gaussian kernel smoothing with several bandwidths. A new algorithm for hair recognition based on morphological operations on binary images is incorporated into the segmentation algorithm. Results: The algorithm provides correct segmentation for both unimodal and multimodal densities. The segmentation is totally unsupervised, with a digital image as the only input. The algorithm has been tested on an independent set of images collected in dermatological practice, and the segmentation is verified by three dermatologists. Conclusion: The present segmentation algorithm is fast and intuitive. It gives correct segmentation for most types of skin lesions, but fails when the lesion is brighter than the surrounding skin. [ABSTRACT FROM AUTHOR]

Objective To investigate the distribution and prevalence of mucormycosis in platypus ( Ornithorhynchus anatinus) from the Inglis, Emu and Black-Detention catchment areas in north-west Tasmania. Procedure A field study was performed and resulted in the examination of 44 wild platypuses; in addition, one dead platypus and two live platypuses were examined after they were independently submitted to a local veterinary clinic. Results No cases of mucormycosis were conclusively diagnosed. One platypus with signs consistent with those previously described in cases of mucormycosis was captured in the Emu River catchment. However, laboratory tests did not provide a definitive diagnosis for the lesion. Two platypuses from the Inglis catchment area had signs very similar to those previously described in cases of mucormycosis, but laboratory tests found Corynebacterium ulcerans to be the likely cause of the cutaneous ulcers on one of these platypuses and an unidentified fungal agent to be the cause of a cutaneous nodule in the other. Conclusions These findings do not prove that mucormycosis is absent from the populations studied. However, they may indicate that the prevalence of disease is low. The possibility that Mucor amphibiorum is present in a subclinical form in platypuses, or infecting another reservoir, is not excluded. The findings also suggest that caution should be exercised when diagnosing mucormycosis based on clinical findings alone and raise the possibility that some cases may have been incorrectly diagnosed. [ABSTRACT FROM AUTHOR]