Volume 85, Number 8 www.aafp.org/afp American Family Physician 811 A 30-year-old woman presented with a nonpruritic vesicular eruption on the palms that began one week earlier. One day before the rash developed, the patient had a burning, tingling sensation in the same area. She did not have a fever or other systemic symptoms. The review of systems was unremarkable, and she was not pregnant. Th...

Answer: E A 72-year-old male of Caucasian descent was referred for consideration of systemic therapy after receiving a diagnosis of hepatocellular carcinoma (HCC). His past medical history was unremarkable with no comorbidities and he was not on any other medications. Computer tomography (CT) scan revealed multifocal HCC, and a biopsy of which confirmed HCC. There was no underlying cirrhosis or...

Aquagenic keratoderma (AK) or aquagenic wrinklingis a rare palmoplantar skin disease. It is sporadic orhereditary condition. It appears in childhood or youngadulthood and it is seen as multiple asymptomaticsmall shiny papules on the peripheral margin ofpalms and/or soles after submersion in water. Thepathogenesis and etiology of ASA remains unclear.Drugs sometimes trigger AK. Herein, we present...

A 40-year-old white Caucasian woman presented with a 20-year history of asymptomatic lesions on palmoplantar regions. Physical examination revealed numerous keratotic papules with crateriform holes on the palms (Figure 1) and yellow pits over the areas of soles exposed to pressure (Figure 2). Her father reported the same skin signs but he was less severely affected. The patient displayed no sys...

The patient was a 6-year-old girl with no past history of interest. She was seen for asymptomatic skin lesions that had appeared 2 weeks earlier on the palms of the hands. The history revealed that the lesions first appeared 15 days after the start of the summer holidays, coinciding with the beginning of prolonged, daily leisure activities in a family swimming pool. The girl had not had any pre...

Abstract Functional traits play a key role in driving plant community effects on ecosystem function. We examined nine functional various palm (Arecaceae) species and their relationships with moisture, tree-fall gaps, slope, forest type at 29 transects (500×5 m) the northeastern region of Colombian Amazon. Redundancy analysis mean trait values within plot weighted by abundance Pearson correlatio...

Several palms species provide an important habitat for triatomines and associate vertebrates in tropical America. The objective of this work is to identify the triatomine species living in the palms of rural areas in the Province of Corrientes, and to estimate the potential epidemiological risk they represent for the residents of nearby houses. The survey was carried out in a palm community in ...

The antimicrobial activity of the bacteriocin-like substance (BLS) P34 against Listeria monocytogenes was investigated in chicken sausage. The BLS was applied to chicken sausages (256 AU g(-1)) previously inoculated with a suspension of 10(2) cfu g(-1) of L. monocytogenes. BLS P34 inhibited the indicator microorganism in situ in all incubation times for up to 10 days at 5 °C. The effectiveness ...