How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

59 results for

Perianal Streptococcal Dermatitis

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

21. Bacterial Infections and Pregnancy (Treatment)

the initial insult face possible hearing or vision loss, learning disabilities, and other neurologic sequelae CDC recommendations are as follows: At 35-37 weeks’ gestation, all pregnant women should undergo screening with a vaginal and rectal swab for culture [ ] The most specific site for culture is at the introitus, just inside the hymeneal ring and rectally beyond the sphincter; cervical, perianal, perirectal, or perineal specimens are not acceptable, and speculum should not be used for culture (...) of bacterial STDs Gonococcal infections cause no symptoms in approximately 50% of patients Pregnancy is a predisposing factor to the development of disseminated gonococcal infection, which classically presents as an arthritis-dermatitis syndrome Newborns exposed to gonorrhea during vaginal delivery can develop an acute conjunctivitis (ophthalmia neonatorum), sepsis, arthritis, and/or meningitis The American College of Obstetricians and Gynecologists recommends screening (via endocervical culture) in high

2014 eMedicine.com

22. Psoriasis, Guttate (Treatment)

common in individuals younger than 30 years. An upper respiratory tract infection from group A beta-hemolytic streptococci (eg, Streptococcus pyogenes ) often precedes the eruption by 2-3 weeks. [ ] Streptococcal perianal dermatitis, a superficial bacterial infection of the anus and perianal skin in children, has also been linked with the appearance of guttate psoriasis. [ , ] Although episodes may recur, especially those due to pharyngeal carriage of streptococci, isolated bouts have commonly been (...) A, Kayam N, Sela S, Fry L, Baker B, et al. An investigation of antistreptococcal antibody responses in guttate psoriasis. Arch Dermatol Res . 2008 Sep. 300(8):441-9. . Ulger Z, Gelenava T, Kosay Y, Darcan S. Acute guttate psoriasis associated with streptococcal perianal dermatitis. Clin Pediatr (Phila) . 2007 Jan. 46(1):70-2. . Ledoux M, Chazerain V, Saiag P, Mahe E. [Streptococcal perianal dermatitis and guttate psoriasis]. Ann Dermatol Venereol . 2009 Jan. 136(1):37-41. . Shin MS, Kim SJ, Kim SH

2014 eMedicine.com

23. Psoriasis, Guttate (Overview)

common in individuals younger than 30 years. An upper respiratory tract infection from group A beta-hemolytic streptococci (eg, Streptococcus pyogenes ) often precedes the eruption by 2-3 weeks. [ ] Streptococcal perianal dermatitis, a superficial bacterial infection of the anus and perianal skin in children, has also been linked with the appearance of guttate psoriasis. [ , ] Although episodes may recur, especially those due to pharyngeal carriage of streptococci, isolated bouts have commonly been (...) A, Kayam N, Sela S, Fry L, Baker B, et al. An investigation of antistreptococcal antibody responses in guttate psoriasis. Arch Dermatol Res . 2008 Sep. 300(8):441-9. . Ulger Z, Gelenava T, Kosay Y, Darcan S. Acute guttate psoriasis associated with streptococcal perianal dermatitis. Clin Pediatr (Phila) . 2007 Jan. 46(1):70-2. . Ledoux M, Chazerain V, Saiag P, Mahe E. [Streptococcal perianal dermatitis and guttate psoriasis]. Ann Dermatol Venereol . 2009 Jan. 136(1):37-41. . Shin MS, Kim SJ, Kim SH

2014 eMedicine.com

24. Fournier Gangrene (Overview)

as a polymicrobial of the perineal, perianal, or genital areas (see the image below.) In contrast to Fournier's initial description, the disease is not limited to young people or to males, and a cause is now usually identified. [ ] Photomicrograph of Fournier gangrene (necrotizing fasciitis), oil immersion at 1000X magnification. Note the acute inflammatory cells in the necrotic tissue. Bacteria are located in the haziness of their cytoplasm. Courtesy of Billie Fife, MD, and Thomas A. Santora, MD. Impaired (...) . [ ] Although Meleney in 1924 attributed the necrotizing infections to streptococcal species only, [ ] subsequent clinical series have emphasized the multiorganism nature of most cases of necrotizing infection, including Fournier gangrene. [ , , , , ] Presently, recovering only streptococcal species is unusual. [ ] Rather, streptococcal organisms are cultured along with as many as 5 other organisms. The following are common causative microorganisms: Streptococcal species Staphylococcal species

2014 eMedicine.com

25. Bacterial Infections and Pregnancy (Overview)

insult face possible hearing or vision loss, learning disabilities, and other neurologic sequelae CDC recommendations are as follows: At 35-37 weeks’ gestation, all pregnant women should undergo screening with a vaginal and rectal swab for culture [ ] The most specific site for culture is at the introitus, just inside the hymeneal ring and rectally beyond the sphincter; cervical, perianal, perirectal, or perineal specimens are not acceptable, and speculum should not be used for culture collection (...) of bacterial STDs Gonococcal infections cause no symptoms in approximately 50% of patients Pregnancy is a predisposing factor to the development of disseminated gonococcal infection, which classically presents as an arthritis-dermatitis syndrome Newborns exposed to gonorrhea during vaginal delivery can develop an acute conjunctivitis (ophthalmia neonatorum), sepsis, arthritis, and/or meningitis The American College of Obstetricians and Gynecologists recommends screening (via endocervical culture) in high

2014 eMedicine.com

26. Impetigo (Overview)

form. [ ] It tends to affect the face, extremities, axillae, trunk, and perianal region of neonates, but older children and adults can also be infected. [ ] The initial lesions are fragile thin-roofed, flaccid, and transparent bullae (< 3 cm) with a clear, yellow fluid that turns cloudy and dark yellow. Once the bullae rupture, they leave behind a rim of scale around an erythematous moist base but no crust, followed by a brown-lacquered or scalded-skin appearance, with a collarette of scale (...) , is the most common skin infection in children, accounting for approximately 10% of all cutaneous problems in pediatric clinics. It is more contagious than the bullous type. [ ] Common impetigo is the term applied when the infection occurs in preexisting wounds. Impetigo as a secondary infection of preexisting skin disease or traumatized skin has also been referred to as impetiginous dermatitis. Nonbullous impetigo is caused by , (GABHS, also known as Streptococcus pyogenes ), or a combination of both

2014 eMedicine.com

27. Impetigo (Overview)

form. [ ] It tends to affect the face, extremities, axillae, trunk, and perianal region of neonates, but older children and adults can also be infected. [ ] The initial lesions are fragile thin-roofed, flaccid, and transparent bullae (< 3 cm) with a clear, yellow fluid that turns cloudy and dark yellow. Once the bullae rupture, they leave behind a rim of scale around an erythematous moist base but no crust, followed by a brown-lacquered or scalded-skin appearance, with a collarette of scale (...) , is the most common skin infection in children, accounting for approximately 10% of all cutaneous problems in pediatric clinics. It is more contagious than the bullous type. [ ] Common impetigo is the term applied when the infection occurs in preexisting wounds. Impetigo as a secondary infection of preexisting skin disease or traumatized skin has also been referred to as impetiginous dermatitis. Nonbullous impetigo is caused by , (GABHS, also known as Streptococcus pyogenes ), or a combination of both

2014 eMedicine.com

28. Ecthyma (Overview)

by crowding and poor hygiene. Previous Next: Etiology Ecthyma can be seen in areas of previously sustained tissue injury (eg, excoriations, insect bites, dermatitis). Insect bites in the setting of recent travel have been associated with ecthyma. [ ] Ecthyma can be seen in patients who are immunocompromised (eg, diabetes, neutropenia, HIV infection). [ ] Important factors that contribute to the development of streptococcal pyodermas or ecthyma include the following: High temperature and humidity (...) [ , ] Crowded living conditions Poor hygiene Untreated impetigo that progresses to ecthyma most frequently occurs in patients with poor hygiene. Some strains of Streptococcus pyogenes have a high affinity for both pharyngeal mucosa and skin. Pharyngeal colonization of S pyogenes has been documented in patients with ecthyma. [ ] Ecthyma has also been reported in the setting of perianal streptococcal disease. [ ] Previous Next: Epidemiology Frequency The exact incidence of ecthyma worldwide remains unknown

2014 eMedicine.com

29. Dermatologic Diseases of the Male Genitalia: Nonmalignant (Overview)

and Tzanck preparations, can help determine the correct diagnosis. Biopsy is generally not necessary, although a lack of response to treatment warrants a biopsy to exclude premalignant or malignant lesions. Differential diagnoses The differential diagnoses include intertrigo (see ); irritant dermatitis; and candidal (see ), viral, or fungal infections. [ , ] As emphasized above, the clinical history, in association with KOH and Tzanck preparations, often helps to determine the correct diagnosis. In adult (...) these diseases. Erosive lichen planus, contact dermatitis, psoriasis, and immunobullous diseases can cause similar clinical lesions in the glans region. Balanitis xerotica obliterans (BXO; see ) can show similar microscopic features of a dense inflammatory infiltrate and a thinned epidermis; however, the infiltrate usually lacks a rich plasma cell component. Candidal balanitis should also be considered in the differential diagnoses. Although previously described as a separate entity, chronic

2014 eMedicine.com

30. Molluscum Contagiosum (Treatment)

that subcutaneous interferon-alfa administered intralesionally may be useful in immunocompromised children. A case report noted the efficacy of topical cidofovir in the treatment of disseminated molluscum in immunodepressed patients. [ ] Cidofovir diphosphate was reported to inhibit molluscum contagiosum virus DNA polymerase activity. [ ] Imiquimod cream is an immune response modifier approved for the treatment of external genital and perianal warts in adults. In the past, it was used in molluscum contagiosum (...) of streptococcal antigen [ ] have been shown to be effective in treating patients with resistant molluscum contagiosum. The high cost of these products limits their use to more extensive or resistant infections. The dosing schedule and length of treatment require further evaluation. A newer compound, Veregen, is a sinecatechin. Its true mechanism of action is unknown. It is a botanical extract from green tea. The 15% ointment is applied topically 3 times a day. It is FDA approved for topical therapy

2014 eMedicine.com

31. Molluscum Contagiosum (Treatment)

that subcutaneous interferon-alfa administered intralesionally may be useful in immunocompromised children. A case report noted the efficacy of topical cidofovir in the treatment of disseminated molluscum in immunodepressed patients. [ ] Cidofovir diphosphate was reported to inhibit molluscum contagiosum virus DNA polymerase activity. [ ] Imiquimod cream is an immune response modifier approved for the treatment of external genital and perianal warts in adults. In the past, it was used in molluscum contagiosum (...) of streptococcal antigen [ ] have been shown to be effective in treating patients with resistant molluscum contagiosum. The high cost of these products limits their use to more extensive or resistant infections. The dosing schedule and length of treatment require further evaluation. A newer compound, Veregen, is a sinecatechin. Its true mechanism of action is unknown. It is a botanical extract from green tea. The 15% ointment is applied topically 3 times a day. It is FDA approved for topical therapy

2014 eMedicine.com

32. Molluscum Contagiosum (Treatment)

that subcutaneous interferon-alfa administered intralesionally may be useful in immunocompromised children. A case report noted the efficacy of topical cidofovir in the treatment of disseminated molluscum in immunodepressed patients. [ ] Cidofovir diphosphate was reported to inhibit molluscum contagiosum virus DNA polymerase activity. [ ] Imiquimod cream is an immune response modifier approved for the treatment of external genital and perianal warts in adults. In the past, it was used in molluscum contagiosum (...) of streptococcal antigen [ ] have been shown to be effective in treating patients with resistant molluscum contagiosum. The high cost of these products limits their use to more extensive or resistant infections. The dosing schedule and length of treatment require further evaluation. A newer compound, Veregen, is a sinecatechin. Its true mechanism of action is unknown. It is a botanical extract from green tea. The 15% ointment is applied topically 3 times a day. It is FDA approved for topical therapy

2014 eMedicine.com

33. Dermatologic Diseases of the Male Genitalia: Nonmalignant (Treatment)

and diagnostic tests, including KOH and Tzanck preparations, can help determine the correct diagnosis. Biopsy is generally not necessary, although a lack of response to treatment warrants a biopsy to exclude premalignant or malignant lesions. Differential diagnoses The differential diagnoses include intertrigo (see ); irritant dermatitis; and candidal (see ), viral, or fungal infections. [ , ] As emphasized above, the clinical history, in association with KOH and Tzanck preparations, often helps to determine (...) is necessary to differentiate these diseases. Erosive lichen planus, contact dermatitis, psoriasis, and immunobullous diseases can cause similar clinical lesions in the glans region. Balanitis xerotica obliterans (BXO; see ) can show similar microscopic features of a dense inflammatory infiltrate and a thinned epidermis; however, the infiltrate usually lacks a rich plasma cell component. Candidal balanitis should also be considered in the differential diagnoses. Although previously described as a separate

2014 eMedicine.com

34. Psoriasis, Guttate (Follow-up)

common in individuals younger than 30 years. An upper respiratory tract infection from group A beta-hemolytic streptococci (eg, Streptococcus pyogenes ) often precedes the eruption by 2-3 weeks. [ ] Streptococcal perianal dermatitis, a superficial bacterial infection of the anus and perianal skin in children, has also been linked with the appearance of guttate psoriasis. [ , ] Although episodes may recur, especially those due to pharyngeal carriage of streptococci, isolated bouts have commonly been (...) A, Kayam N, Sela S, Fry L, Baker B, et al. An investigation of antistreptococcal antibody responses in guttate psoriasis. Arch Dermatol Res . 2008 Sep. 300(8):441-9. . Ulger Z, Gelenava T, Kosay Y, Darcan S. Acute guttate psoriasis associated with streptococcal perianal dermatitis. Clin Pediatr (Phila) . 2007 Jan. 46(1):70-2. . Ledoux M, Chazerain V, Saiag P, Mahe E. [Streptococcal perianal dermatitis and guttate psoriasis]. Ann Dermatol Venereol . 2009 Jan. 136(1):37-41. . Shin MS, Kim SJ, Kim SH

2014 eMedicine.com

35. Molluscum Contagiosum (Follow-up)

that subcutaneous interferon-alfa administered intralesionally may be useful in immunocompromised children. A case report noted the efficacy of topical cidofovir in the treatment of disseminated molluscum in immunodepressed patients. [ ] Cidofovir diphosphate was reported to inhibit molluscum contagiosum virus DNA polymerase activity. [ ] Imiquimod cream is an immune response modifier approved for the treatment of external genital and perianal warts in adults. In the past, it was used in molluscum contagiosum (...) of streptococcal antigen [ ] have been shown to be effective in treating patients with resistant molluscum contagiosum. The high cost of these products limits their use to more extensive or resistant infections. The dosing schedule and length of treatment require further evaluation. A newer compound, Veregen, is a sinecatechin. Its true mechanism of action is unknown. It is a botanical extract from green tea. The 15% ointment is applied topically 3 times a day. It is FDA approved for topical therapy

2014 eMedicine.com

36. Molluscum Contagiosum (Follow-up)

that subcutaneous interferon-alfa administered intralesionally may be useful in immunocompromised children. A case report noted the efficacy of topical cidofovir in the treatment of disseminated molluscum in immunodepressed patients. [ ] Cidofovir diphosphate was reported to inhibit molluscum contagiosum virus DNA polymerase activity. [ ] Imiquimod cream is an immune response modifier approved for the treatment of external genital and perianal warts in adults. In the past, it was used in molluscum contagiosum (...) of streptococcal antigen [ ] have been shown to be effective in treating patients with resistant molluscum contagiosum. The high cost of these products limits their use to more extensive or resistant infections. The dosing schedule and length of treatment require further evaluation. A newer compound, Veregen, is a sinecatechin. Its true mechanism of action is unknown. It is a botanical extract from green tea. The 15% ointment is applied topically 3 times a day. It is FDA approved for topical therapy

2014 eMedicine.com

37. Molluscum Contagiosum (Follow-up)

that subcutaneous interferon-alfa administered intralesionally may be useful in immunocompromised children. A case report noted the efficacy of topical cidofovir in the treatment of disseminated molluscum in immunodepressed patients. [ ] Cidofovir diphosphate was reported to inhibit molluscum contagiosum virus DNA polymerase activity. [ ] Imiquimod cream is an immune response modifier approved for the treatment of external genital and perianal warts in adults. In the past, it was used in molluscum contagiosum (...) of streptococcal antigen [ ] have been shown to be effective in treating patients with resistant molluscum contagiosum. The high cost of these products limits their use to more extensive or resistant infections. The dosing schedule and length of treatment require further evaluation. A newer compound, Veregen, is a sinecatechin. Its true mechanism of action is unknown. It is a botanical extract from green tea. The 15% ointment is applied topically 3 times a day. It is FDA approved for topical therapy

2014 eMedicine.com

38. Dermatologic Diseases of the Male Genitalia: Nonmalignant (Follow-up)

and diagnostic tests, including KOH and Tzanck preparations, can help determine the correct diagnosis. Biopsy is generally not necessary, although a lack of response to treatment warrants a biopsy to exclude premalignant or malignant lesions. Differential diagnoses The differential diagnoses include intertrigo (see ); irritant dermatitis; and candidal (see ), viral, or fungal infections. [ , ] As emphasized above, the clinical history, in association with KOH and Tzanck preparations, often helps to determine (...) is necessary to differentiate these diseases. Erosive lichen planus, contact dermatitis, psoriasis, and immunobullous diseases can cause similar clinical lesions in the glans region. Balanitis xerotica obliterans (BXO; see ) can show similar microscopic features of a dense inflammatory infiltrate and a thinned epidermis; however, the infiltrate usually lacks a rich plasma cell component. Candidal balanitis should also be considered in the differential diagnoses. Although previously described as a separate

2014 eMedicine.com

39. Impetigo (Diagnosis)

form. [ ] It tends to affect the face, extremities, axillae, trunk, and perianal region of neonates, but older children and adults can also be infected. [ ] The initial lesions are fragile thin-roofed, flaccid, and transparent bullae (< 3 cm) with a clear, yellow fluid that turns cloudy and dark yellow. Once the bullae rupture, they leave behind a rim of scale around an erythematous moist base but no crust, followed by a brown-lacquered or scalded-skin appearance, with a collarette of scale (...) , is the most common skin infection in children, accounting for approximately 10% of all cutaneous problems in pediatric clinics. It is more contagious than the bullous type. [ ] Common impetigo is the term applied when the infection occurs in preexisting wounds. Impetigo as a secondary infection of preexisting skin disease or traumatized skin has also been referred to as impetiginous dermatitis. Nonbullous impetigo is caused by , (GABHS, also known as Streptococcus pyogenes ), or a combination of both

2014 eMedicine Pediatrics

40. Impetigo (Overview)

form. [ ] It tends to affect the face, extremities, axillae, trunk, and perianal region of neonates, but older children and adults can also be infected. [ ] The initial lesions are fragile thin-roofed, flaccid, and transparent bullae (< 3 cm) with a clear, yellow fluid that turns cloudy and dark yellow. Once the bullae rupture, they leave behind a rim of scale around an erythematous moist base but no crust, followed by a brown-lacquered or scalded-skin appearance, with a collarette of scale (...) , is the most common skin infection in children, accounting for approximately 10% of all cutaneous problems in pediatric clinics. It is more contagious than the bullous type. [ ] Common impetigo is the term applied when the infection occurs in preexisting wounds. Impetigo as a secondary infection of preexisting skin disease or traumatized skin has also been referred to as impetiginous dermatitis. Nonbullous impetigo is caused by , (GABHS, also known as Streptococcus pyogenes ), or a combination of both

2014 eMedicine Pediatrics

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>