[Show abstract][Hide abstract] ABSTRACT: Objective: Retrospectively review the charts of patients from the University of Florida Facial Plastic Surgery Clinic over the past 4 years in order to evaluate the efficacy of keloid prevention after surgery with application of 5% imiquimod cream topically to excised areas.
Otolaryngology Head and Neck Surgery 09/2011; 145(2 Suppl):P142-P142. DOI:10.1177/0194599811415823a23 · 2.02 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Progressive nodular histiocytosis (PNH) belongs to an exceedingly rare family of benign proliferative skin disorders known as non-Langerhans cell histiocytoses (NLCHs). Since its initial description as progressive nodular histiocytoma by Taunton et al1 in 1978, there have been only a handful of case reports describing this rare entity. In the past, there has been a great deal of confusion in classifying the various histiocytoses owing to the rarity in which they were encountered as well as to the tremendous overlap, both clinically and histologically, observed between these diseases.2 The lesions encountered in this family of diseases are generally benign; however, in the case reported herein, the involvement of the larynx led to partial airway obstruction, a clinical occurrence previously undescribed (to our knowledge).
Archives of otolaryngology--head & neck surgery 05/2010; 136(5):513-6. DOI:10.1001/archoto.2010.49 · 2.33 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This study investigates the prevalence and demographic characteristics of hypersexuality in Parkinson's disease (PD). Impulse control disorders in PD patients have been associated with dopamine agonist therapy. Moreover, hypersexuality and pathological gambling have been associated with males, while females may be inherently thought to be more likely to participate in compulsive shopping and binge-eating behaviors. In this study, a screening mail-in survey was sent to all PD patients at a single Movement Disorders Center. One hundred forty one of 400 (35.3%) research packets were returned completed. Fifteen of 141 patients met initial screening criteria for hypersexual behavior. After detailed interview, only 6/141 (4.3%) of PD patients met criteria for pathologic hypersexual behavior. These behaviors included: compulsive masturbation, prostitution, and paraphilias. Patients with a younger age of PD onset were more likely to exhibit hypersexual behavior. Unlike previous report, no significant association was found between hypersexuality and gender or dopamine agonist use. Rather, this study suggests that physicians should be vigilant for hypersexual behavior in all PD patients, regardless of gender and PD medication regimen. Ultimately, given the innate sensitivity of the topic and survey limitations, it is very likely that hypersexual behavior in our cohort, as it is in the general PD population, has been under-reported.
International Journal of General Medicine 07/2009; 2:57-61.