INTRODUCTION Acute erythema and oedema of the genitalia is an alarming complaint for any patient. Diagnosis can be complicated by atypical presentation and the use of concurrent immuno-modulatory drugs. CASE PRESENTATION We present a case report of a man on anti-TNF therapy for rheumatoid arthritis presenting with an acutely red, swollen, non-tender penis and scrotum presumed to be infective....

The pine processionary caterpillar is the larval form of the Thaumetopoea pityocampa moth. Mediterranean forests regularly suffer plagues of this insect, which has been moving north as a result of global warming. When the small urticating hairs that develop during the last 3 larval stages are shed and can become airborne. If they come in contact with skin, they can cause a variety of reactions,...

The first three cases of spotted fever group rickettsiosis from Thailand are reported. The patients presented with fever, headache, lymphadenopathy, and petechial maculopapular rash. One patient also had an eschar and overt evidence of confusion. An indirect fluorescent antibody test, an indirect immunoperoxidase test, and an enzyme-linked immunosorbent assay demonstrated a broad, strong reacti...

A 32-week girl was born by preterm delivery with birth weight of 1,600 g to a gravida 1 para 0 (G1P0) 26-year-old Hispanic mother. The mother’s past medical and gynecological history was unremarkable until 2 days before delivery, when she developed upper respiratory symptoms and received one dose of the second-generation cephalosporin. The infant was born by cesarean section because of abnormal...

We present a 12-month-old Hispanic female with a reticulated, hyperchromic rash in a striated pattern appearing on upper and lower extremities and trunk and back since the age of 6 weeks. Over the next 10 months, the rash persisted. The rash did not respond to treatment with antifungals and steroids. During her 6-month wellness visit, the patient was diagnosed with incontinentia pigmenti (IP), ...

BACKGROUND The vulva is skin, and it is helpful to approach vulval conditions from a dermatological perspective. The vulva is affected by the same dermatoses as the rest of the skin, but modified in appearance by special influences. OBJECTIVE This article will outline an approach to the diagnosis and management of vulval dermatoses. DISCUSSION Vulval disorders present as infections, rashes ...

In the previous issue of Interacting with Computers, I offered a critique of Task Analysis (TA) arguing that, in general, task analysis techniques had failed to appreciate the significance of the shift in emphasis towards logical modelling of the system and away from physical modelling which had taken place during the early 1980s in information systems. As a result TA (if used on its own) would...