Moth Eaten Research Articles

Intracranial Hemorrhage

Intracranial Hemorrhage

Secondary Syphilis in Human Immunodeficiency Virus (HIV)-Infected Men Who Have Sex with Men (MSM): A Case Report

Background: Recently, the incidence of syphilis among men who have sex with men (MSM) has increased rapidly, especially among Human Immunodeficiency Virus (HIV)-infected MSM. Coinfection with these two organisms alter the symptoms and signs, progression of the disease, and the risk of progressing to the tertiary stage. Purpose: To report a case of secondary syphilis in HIV-infected MSM. Case: A 24-year-old male complaint of multiple redness macule for 1-month duration on his chest, back, groin, palm, and soles. The rash was neither painful nor pruritic. He also complains of hair loss resulting "moth eaten" alopecia. One month before, he had a painless ulcer on his genital, which resolved without treatment. His HIV infection was diagnosed two years earlier. He had been sexually active with multiple homosexual partners without using a condom since 2010. The Venereal Disease Research Laboratory test (VDRL) titer was 1/32, and Treponema pallidum haemagglutination assay (TPHA) was 1/20480. Initial treatment was a single dose of 2.4 million units of benzathine penicillin. Serologic examination was reevaluated on month 1, 3, 6, and 9 after therapy and declined in the third month. Discussion: For HIV-infected persons, the clinical manifestations of syphilis in most of the cases remain the same. However, the lesions are more aggressive, and coexistence of primary and secondary syphilis is more frequent. Serologic tests are accurate and reliable for the diagnosis and for following a patient’s response to treatment. Penicillin is effective but physical and serological follow up is needed. Conclusion: HIV-infected MSM have higher risk of syphilis. Staging is needed to determine the treatment. Serologic examination should be repeated and long enough to monitor the treatment success.

Wear your last autumn like the browning of your father's moth eaten shirts; Recognising Mum's Boyfriend

I want to climb towards my father because it I not him in the ground. He is satsomewhere with his brother, scooping jelly form the inside of a coconut. White teeth,Afro-Combs, Vaseline and white-ir...

Indranath and Giribala - The young adult dystopian characters in The Moth Eaten Howdah of the Tusker

Indranath and Giribala - The young adult dystopian characters in The Moth Eaten Howdah of the Tusker

Lichen Planopilaris is a Common Scarring Alopecia among Iraqi Population

Background: Scarring alopecia like discoid lupus erythematosus, lichenplanopilaris and scarring folliculitis are common skin problems where differentiations between them are often difficult in many cases. Objective: To report, study and evaluate cases of lichen planopilaris and characterize the different clinical points in favor of this disease. Patients and Methods: This case series descriptive study was done at Department of Dermatology-Baghdad Teaching Hospital from January 2010 to November 2012. Sixty seven patients were included where histological and dermatological examinations were carried out to all patients regarding all relevant points related to the disease. Punch biopsies were performed from ten patients for histopathological study. Results: The mean age of onset of the disease was 36.7 ± 5 years with a mean duration of the disease being 4.4 ± 3 years. The male to female ratio was 1.4:1. The characteristic lesions were pigmented scarring moth eaten alopecia surrounded by pigmented hyperkeratotic follicular papules involving mainly the fronto-vertical and parietal scalp. Conclusions: Lichen planopilaris is a common cause of scalp scarring alopecia in adult and it has many characteristic clinical features which can facilitate differentiation from other pathologic scalp conditions like discoid lupus erythematosus.

A benign congenital myopathy in an inbred Samaritan family

We describe a novel form of myopathy in a mother and her two daughters from an inbred Samaritan family. The patients displayed severe neonatal hypotonia, lethargy and dysmorphic features. Motor milestones were delayed; however, the hypotonia and muscle weakness gradually improved during the first 2 years of life and independent walking was achieved by 18 months. The mother at the age of 23 years shows myopathic facies and minimal proximal weakness. Her intelligence is normal. Her muscle biopsy revealed central nuclei and disruption of the intermyofibrillary network with moth eaten and spiral fibers. Mutations in SMN, MTM1 and the myotonic dystrophy genes were excluded. We suggest this is a new benign form of congenital myopathy. Inheritance is probably autosomal recessive.

The pattern of ciliation and the development of the epithelial lining of the respiratory tract in the neonatal kid: a scanning electron microscopic study

The pattern of ciliation and the development of the epithelial lining of the respiratory tract was investigated in 20 Cashmere kids, aged between 6 h to 21 days. Samples were taken from the alar and basal folds, nasal conchae, nasal septum, nasopharynx, epiglottis, vocal fold, infraglottic cavity, trachea, extrapulmonary bronchus, and parenchyma to include respiratory bronchi and alveoli. The samples were routinely prepared and evaluated with scanning electron microscopy and light microscopy. The results showed that cilia were more densely packed and more extensively distributed within the rostral region of the nasal cavity of the kids. Large patches of non-ciliated microvillous cells usually seen in adult goats were not a feature of the kid. It was also noted that the epithelium covering the nasal septum was heavily ciliated in newborn to 3-day-old kids. From that age onwards, the epithelium became deciliated to attain a ‘moth eaten’ appearance. Bronchioles in kids were poorly developed, with respiratory bronchioles being rarely encountered in the first week of life. A cell type characterized by a wrinkled, large apical surface presenting short, apical microvilli, was frequently observed in the larynx and trachea of the kid. Lung parenchyma frequently presented evidence of alveoli formation, whereas alveolar pores were less numerous.

Development and inhibition of the target phenomenon in tenotomized rat muscle.

The sequence of development of the target phenomenon in tenotomized gastrocnemius muscle was studied: the presence of target fibres was preceded by the occurrence of contraction bands and of "moth eaten" appearance of the fibres. This phenomenon was far more pronounced and occurred earlier in type II than in type I fibres. This target phenomenon and the contraction artefacts could be inhibited in the tenotomized muscles by simultaneous neurotomy or immobilization of the muscle with a plaster cast. Delayed denervation inhibited also the target phenomenon, if performed less than 5 days after the tenotomy. These series of experiments seem to indicate that the target phenomenon occurs in more irritable muscle fibres and that muscular activity is needed for its development.

EYEBROW ALOPECIA IN SECONDARY SYPHILIS.

Alopecia of the eyebrows may be seen in secondary syphilis with or without associated lesions of the skin and mucous membranes. The alopecia is irregular, incomplete, and is often described as moth eaten in appearance. The loss of hair is temporary, and normal regrowth has been noted following appropriate antisyphilitic treatment.

ALOPECIA DUE TO TICK BITE

On May 3, 1954, a mother brought in two children, ages 8 and 11 years, because of alopecia of the scalp, which she herself called moth eaten. She had feared that the condition was ringworm. Little history was obtained, since the mother had noticed the alopecia only recently—a week, or two —and only the story of the children was available. The patients' home was adacent to some wooded ground which the children frequented. They indicated that their itching of the scalp came when they were in the woods. In fact, the children's repeated insistence that their itching and scalp trouble came from the woods became notable in contrast to the mother's repeated concern regarding ringworm and her suggestions as to its possible source. Upon examination, the appearance of the scalp of each child was much as described by the mother, that is, moth eaten, and superficially resembled the