The Japanese Journal of Dermatology
Online ISSN : 1346-8146
Print ISSN : 0021-499X
ISSN-L : 0021-499X
Volume 122, Issue 2
Displaying 1-10 of 10 articles from this issue
Guidelines
Report
Seminar for Medical Education
Original Articles
  • Emiko Akasaka, Tomotaka Mabuchi, Eiichirou Yahagi, Azusa Hiruma, Tomok ...
    Article type: Original Articles
    2012 Volume 122 Issue 2 Pages 355-362
    Published: February 20, 2012
    Released on J-STAGE: November 13, 2014
    JOURNAL RESTRICTED ACCESS
    In this study, we examined the efficacy of a vitamin D3 lotion as a topical treatment for nail psoriasis. Thirty cases with psoriasis vulgaris were monitored for adherence to the therapy, and improvements in nail plate psoriasis, nail bed psoriasis, and nail psoriasis severity index (NAPSI) score were assessed. Subsequently, we investigated whether the quality of the topical lotion or the region of topical application were responsible for poor adherence. The percentage change from baseline NAPSI score with maxacalcitol lotion was significantly higher as compared to controls. In addition, the maxacalcitol lotion applied to the nail plate showed significant improvements as compared to controls. The vitamin D3 lotion showed fair improvements in nail psoriasis. Patients who had few lesions in the nail bed or who mainly applied lotion to the nail matrix showed particularly good results. Some patients did not apply the lotion every day. We also discuss herein several points related to adherence to topical treatments for nail psoriasis.
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  • Haruna Hinogami, Yukiko Sumimura, Kana Akamatsu, Chika Ohata
    Article type: Original Articles
    2012 Volume 122 Issue 2 Pages 363-369
    Published: February 20, 2012
    Released on J-STAGE: November 13, 2014
    JOURNAL RESTRICTED ACCESS
    A 50-year-old man was stung in the dorsal aspect of his right hand by a freshwater stingray while taking care of it in his aquarium. Although the patient received antibiotics and irrigation of the wound, a deep ulcer developed. After the thorough debridement of the ulcer, it healed completely three months after the injury. Stingrays are one of the most dangerous marine animals for men. The sting is poisonous and causes a painful wound, delayed healing, and sometimes death. To our knowledge, there are no previous reports on envenomation by freshwater stingrays in Japan. We need to recognize how to treat the intense pain after the envenomation and the deep ulcer.
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