(C) 2009, Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.”
“Background: Factitial dermatitis describes self-produced and consciously made skin lesions usually intended to win

sympathy, avoid responsibilities and even gain disability insurance. Dermatitis artefacta belongs to an extensive spectrum of self-inflicted diseases termed factitious diseases.

Objectives: The study is retrospective, and the patients were seen in our department from 2002 to 2012.

Materials and methods: For patients with skin lesions, the demographic features and clinical descriptive characteristics of their lesions were ascertained. Patient files and photographs were reviewed and the patients were called for follow-up.

Results: A total of 25 patients were recorded. Mean age of the patients was 25.64 +/- 11.80. With the exception of two

cases, all patients were females. Selleck AZD2014 With regard to location, 27% of the patients showed facial localization, whereas the lesions have been localized on the extremities in 44%. The most common clinical appearance of DA was crusted eroded lesions (24%) and excoriations (24%) followed by ulcers (12%), superficial erosion (12%), acute eczematous lesions (8%), purpuric lesions (8%), GW3965 chemical structure pigment application (8%), diffuse erythema (8%), hyperpigmentation (8%), blister (4%), hair cutting (4%), hypopigmentation (4%) and cellulitis (4%). Forty percent of the patients had multiple lesions. There were eight children with dermatitis artefacta whose mean age was 14.50. The predominant lesion in these cases was superficial eroded plaque (37.5%). While patients with mild lesions limited in number receive ambulatory care, almost half of the patients require hospitalization. In this study, all patients were referred to psychiatric consultation, but most of them either refused treatment or did not receive medications.

Conclusion: JQ1 solubility dmso Although it is primarily a psychiatric disease, dermatitis

artefacta is frequently diagnosed by dermatologists. Detailed history and physical examination are key factors because it imitates an extensive spectrum of diseases.”
“OBJECTIVE: To compare surgical outcomes of laparoscopic myomectomy and robot-assisted laparoscopic myomectomy.

METHODS: Retrospective cohort study of 115 consecutive laparoscopic myomectomy and 174 consecutive robot- assisted laparoscopic myomectomy performed at Brigham and Women’s Hospital over a period of 31 months. Uterine incisions were closed in multiple layers (running barbed suture was used for most cases in the laparoscopic myomectomy group). Surgical outcomes measured included operative time, estimated intraoperative blood loss, length of hospital stay, and perioperative complications. Odds ratios and 95% confidence intervals were calculated from multivariable logistic regression models; adjusted geometric means were estimated from linear regression models on logged outcomes because of skewed distributions.