C. Aquilina

Nickel-induced systemic contact dermatitis and intratubal implants: the baboon syndrome revisited.

Permanent sterilization using intratubal implants is becoming increasingly popular worldwide. We report the first case of a 40-year-old woman presenting a systemic contact dermatitis due to nickel-containing intratubal implants: the Essure system. The diagnosis was confirmed with positive patch test result for nickel and total clearance of dermatitis after removing the implants that contain a metallic spiral of nitinol (alloy of 55% nickel and 45% titanium). Systemic contact dermatitis to the intratubal implants could be explained by the corrosion of nitinol after implantation resulting in the release of nickel. In the literature, no similar case has been reported despite the introduction of intratubal implants since 2002. Dermatologists and gynecologists need to be aware of this type of complication. In practice, a thorough assessment for possible nickel contact dermatitis in a woman undergoing sterilization with Essure is recommended. Preoperative patch testing must be carried out if there is any doubt.

Incidence and risk factors for treatment failure with infliximab in psoriasis

G.U. Sawatkar, A.J. Kanwar,* S. Dogra, S.K. Bhadada, D. Dayal Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India Department of Endocrinology, Postgraduate Institute of Medical Education and Research, Chandigarh, India Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India *Correspondence: Prof. A. J. Kanwar. E-mail: ajkanwar1948@gmail.com

Palmar Erythema: Inaugural Manifestation of HIV Infection

Acquired palmar erythema can present as a secondary marker of a systemic disease. We report here a case of a 39-year-old male with acquired palmar erythema. The search for etiology revealed an HIV infection. Palmar erythema may be linked to a viral infection but not described with HIV.

Infection par le VIH

Le developpement d’une epidemie de maladie de Kaposi chez les patients homosexuels de la cote ouest des Etats-Unis a ete a l’origine de lamise en evidence d’une nouvelle maladie, le syndrome d’immunodeficience acquise (SIDA), et de la decouverte du virus de l’immunodeficience humaine (VIH).