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steroids

The following articles have the tag steroids

Thousands of pills seized in illegal drug operation

MORE than 37,000 pills, including diet supplements, erectile dysfunction medication and steroids, have been seized in Melbourne and Brisbane in a crackdown on fake and illegal medicines.

Illegal online medicines crackdown: 37,000 pills seized

More than 37,000 pills, including diet supplements, erectile dysfunction medication and steroids, have been seized in Melbourne and Brisbane in a crackdown on fake and illegal medicines.

Asthma link to risk of preterm birth disputed

Asthma link to risk of preterm birth disputed

THE risk of preterm delivery is not increased in asthmatic mothers according to new Australian research that contrasts with previous study findings. However, male and female babies born to mothers with asthma responded differently in-utero, with differences in fetal growth identified in the study. Researchers analysed the outcomes of 17,440 singleton pregnancies over four years in the Newcastle region of NSW. Asthma was a complicating factor in 12% of pregnancies. The incidence of preterm delivery, which earlier studies had identified as a risk to mothers with asthma was not significantly higher in the cohort studied (13% ...

Combined therapy more effective for chronic plaque psoriasis

COMBINED vitamin D and corticosteroid products are more effective than vitamin D or steroids alone for treating chronic plaque psoriasis. Vitamin D alone was as effective as steroids alone, although steroids appeared to work better for scalp psoriasis, a Cochrane review found. Potent corticosteroids were less likely than vitamin D to cause local adverse events such as skin irritation. Dithranol and tazarotene had similar efficacy to vitamin D, and vitamin D alone was better than coal tar. Cochrane Database of Systematic Reviews , 2009, Issue 2. Art No: CD005028. ...

A scaly and pink rash

A teenager is embarrassed by an itchy rash. CASE PRESENTATION A 15-YEAR-OLD male presented with a moderately itchy rash on the trunk of three weeks’ duration. He experienced transient malaise, fever and headache several days before the rash appeared. On further questioning, an initial solitary scaly patch on the shoulder had appeared several days before the current rash. What is the likely diagnosis? Figure 1. An itchy rash on the trunk and proximal limbs (secondary eruption of PR). Figure 2. Individual patches and plaques with ...

Suddenly swollen scars

A man presents with an inflammatory condition that can affect diverse organs, including the skin. CASE PRESENTATION A 33-year-old man presents with sudden asymptomatic swelling of old flat scars on the upper lip (philtrum) and right elbow (Figures 1 and 2), sustained in a motorbike accident 10 years ago. There are also flesh-coloured nodules arising from normal skin on the nose. He is otherwise well and on no regular medications. What is your diagnosis? Figure 1. Sudden asymptomatic swelling of old flat scars on the upper lip (philtrum) ...

Mastocytosis

An infant presents with a recurrent generalised rash. A NINE-MONTH-OLD boy presented with a history of a recurrent pruritic rash. His parents denied any initiating factors or associated symptoms, and his past medical history was insignificant. On examination, there were multiple brownish-red papules and plaques in a widespread symmetrical distribution sparing the face, palms and soles. A tense blister was present on the mid-back. Darier’s sign was present as indicated by the formation of a wheal and erythema after rubbing one of the lesions (pictured). There was no hepatosplenomegaly or bone tenderness. Lab tests showed ...

Identifying tinea incognito

A skin condition that is not what it often seems to be. CASE HISTORY A 76-year-old farmer presented to his GP with a two-year history of an itchy, red rash that began in his groin and subsequently spread to his inner thighs and upper extremities. Figure 1: tinea incognito on the inner surface of the thigh. Figure 2: dorsal surface of the hand in the same patient. Note the absence of scale typical for most tinea corporis infections. There was ...

A red, itchy rash

Topical treatments fail to resolve a young woman’s facial rash. A 24-YEAR-OLD female patient presents with a 12-month history of an irritable red papular and scaly rash around her nostrils and chin. This has fluctuated in severity over the past 12 months. She has tried many different treatments, including hydrocortisone, betamethasone, triamcinolone, mometasone and Kenacomb creams. While these creams initially helped the rash, the rash flared as soon as the creams were stopped. The patient is unable to go to work if the rash is bad and is extremely distressed by the appearance ...

‘Stress’ patch

A 49-year-old male presents with a solitary itchy plaque over the right dorsal wrist. He admits to scratching and rubbing the area when stressed. Fig 1. Lichen simplex chronicus (LSC) PROVISIONAL DIAGNOSIS Lichen simplex chronicus (LSC) LSC is a localised plaque of chronic eczematous skin secondary to repeated scratching, rubbing or pinching of the skin. LSC typically presents as a sharply demarcated, violaceous or red scaly plaque with lichenification. LSC is more common in adults but may affect children ...

Granuloma annulare

Dr Adrian Lim discusses this frequently misdiagnosed condition. A 25-year-old man presents with a three-month history of a gradually expanding, asymptomatic, annular plaque over the first knuckle of his right hand. It had not responded to over-the-counter antifungal creams. He has no other abnormal skin findings on examination. What is your provisional diagnosis? The patient had a gradually expanding, asymptomatic, annular plaque over the first knuckle. PROVISIONAL DIAGNOSIS Granuloma annulare Granuloma annulare is a skin condition of unknown cause, usually affecting children and young ...

Pruritic purplish papules

Dr Adrian Lim offers diagnostic tips for an itchy rash. A 54-year-old woman presents with a six-week history of an extremely itchy rash, which started on the wrist/forearms, ankles and gradually involved the lower torso. She has no oral mucosal, scalp, genital or nail changes. A 54-year-old woman presents with an itchy rash on the wrist that spread to the torso. PROVISIONAL DIAGNOSIS Classical lichen planus: This consists of raised, shiny, flat-topped violaceous (purplish) papules that are occasionally polygonal in shape. Whitish ...

Allergic contact dermatitis

A young man develops a rash after applying a cream to a knee injury. PATIENT PRESENTATION A PREVIOUSLY well 28-year-old Asian male presented to the emergency department for a rash that developed after an injury to his legs. He had acquired abrasions to both knees after tripping on a treadmill two weeks previously. He became concerned about infection after the surrounding area became red and painful. He denied taking any medications. He was started on IV antibiotics for cellulitis, however the rash did not improve and wound cultures showed no growth. ...

Controlling rosacea

A common condition that requires lifestyle changes as part of its management. CASE HISTORY A 70-year-old Caucasian man presented with a 15-year history of recurrent facial blushing mostly localised over his cheeks and nose. Previously, these symptoms had been short lived, but he now had persisting facial flush associated with painful pimples and grittiness around the eyes. On examination, there was widespread facial erythema overlapping with multiple papules over his cheeks, nose and forehead ( pictured ). Several small telangiectasia and generalised sun damage were noted on his face. His ...