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Showing 4 results for Mirnezami

Mina Mirnezami,
Volume 11, Issue 4 (12-2008)
Abstract

Background: Pyoderma gangrenosum (PG) is an uncommon, non-infectious, neutrophilic, ulcerative disease with typically starts with pustules which rapidly evolve to painful ulcers with undermined violaceous borders. The diagnosis of PG is based on clinical features and requires exculusion of other conditions that produce ulcerations .PG is associated with a variety of systemic diseases that the most commonly of them is include inflammatory bowel diseases, leukaemia, myeloma, monoclonal gammopathies, chronic active hepatitis, systemic lupus erythmatous and arthritis. Two cases of PG with haemolytic anemia have been reported and this patient is third one. Case: patien was a 19-year –old girl, with haemolytic anaemia from 15 years ago. Who was reffered with an ulcer, 2×3 cm in diameter, on her lower right leg with violaceous border and on her lower left leg with painful haemorrhagic bulla 4×6 cm in diameter. Conclusion: Because, PG in many cases is associated with an underlying disease in these patients, search for finding possible underlying diseases is necessary
Mina Mirnezami, Farshideh Didgar, Akbar Hasanpoor, Hosein Sarmadian,
Volume 13, Issue 1 (4-2010)
Abstract

Background: Herpes simplex clinical manifestations are in the form of vesicular eruptions on erythemateus base. The virus can remain latent within sensory nerve ganglions following the initial infection and be reactivated in some cases such as intracranial surgery, dental surgery, stress and excitements. Systemic or disseminated infection occurs in immune-deficient patients and sometimes in healthy individuals. In Previous studies, in most of the disseminated infection cases, visceral organs involvement has been mostly observed while skin involvement has been reported just in one case. Thus, our patient was the second case with herpes simplex disseminated skin infection. Case: The patient was a 38 year-old man who underwent craniotomy surgery due to epidural hematoma following car accident and head trauma. Almost 10 days after the surgery, the patient developed disseminated vesicular eruptions in erythemathous base which initially appeared in the face, head, and then in body and extremities. Fever was detected 5 days before the development of eruptions. Other than anemia and leucocytosis, there were no other notable points in the systemic examination and lab tests. For patient skin biopsy was taken with an impression of herpes simplex, mulocum contagiosum and a lower probability for bullouse diseases. In the skin biopsy, intra-epidermal vesicles and extensive epidermal necrosis with multinucleated giant cells and intra-nuclear objects were observed. A plethora of neutrophilic cells inside the vesicles and inflammatory cell infiltration in the underlying debris were seen. Based on the pathology report, infection with herpes simplex hominis was confirmed. Conclusion: Disseminated skin infection with herpes simplex can be observed even in healthy people with no background.
Mina Mirnezami,
Volume 19, Issue 10 (1-2017)
Abstract

BACKGROUND: Acne vulgaris is chronic  inflamatory disease  of the pilosebaceous unit.Patients  experience  psychological  burdens like depression ,anxiety , and low self-esteem. Isotretinoin  is used in the treatment of  severe ,recalcitrant acne ;however,treatment  commonly results in associated   with  a  number  of  adverse effects that treatment stopped  consequent  this side effects. The aim of this study is to evaluate  the effect of oral  omega 3 on  side-effects of  isotretinoin .

METHODS:One  hundred eighteen  patients with sever acne vulgaris  were  randomized to two groups. Control group recived  isotretinoin (0.5 mg∕kg) alone and case  group received  isotretinoin (0.5 mg∕kg)  combined  with omega 3 (2 capsuls) daily.the treatment duration was 16 weeks.Mucocutaneous  side-effects  were assessed(4,8,12,16th wk).

RESULTS:Lip  dryness (4,8,12th wk)  and  dryness of nose, skin ,eye  in the 4 th week in the patients treated with isotretinoin and omega3 was lesser than in the patients treated with isotretinoin  (P value < 0.001).

CONCLUSION:Omega 3 decreased  the  mucocutaneous side effects in the patients  with acne   vulgaris   who received  isotretinoin.


Mina Mirnezami, Bahman Sadeghi, Sajid Ghadbighi, Farid Sahabi, Mojtaba Ahmadloo,
Volume 22, Issue 5 (11-2019)
Abstract

Background and Aim Male Androgenic Alopecia (MAA) is one of the most common causes of hair loss in men. Minoxidil solution is one of the most commonly used medications for MAA treatment; however, it has several cutaneous side effects including itching, scaling and erythema, which cause the discontinuation of its consumption.
Methods & Materials In this double-blind randomized clinical trial, 51 males with MAA were treated with 5% minoxidil solution and 7% chamomile extract. At the same time, 49 patients as controls were matched with this group and treated with 5% minoxidil solution alone. Both groups were treated and followed up for 6 months.
Ethical Considerations This study has received its ethical approval from the Research Ethics Committee of Arak University of Medical Sciences (code: IR.ARAKMU.REC.1395.456) and is a registered clinical trial (Code: 2017042420258N41).
Results In both groups, the severity of itching and scaling gradually decreased. in the control group, erythema increased, while in the chamomile group, erythema also decreased. All three side effects of itching, scaling and erythema were lower in the group treated with chamomile extract and minoxidil solution than in the group used minoxidil solution alone.
Conclusion It seems that simultaneous administration of 7% chamomile extract and 5% minoxidil solution leads to a reduction in the severity and duration of cutaneous side effects caused by minoxidil solution use in treatment of MAA. It can increase the patient's compliance to the treatment and eventually the chance of MAA treatment.


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