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1. 刺咬昆虫：生物学および識別stinging insects biology and identification [show details]
…either sound (eg, fence posts) or rotted (eg, decaying logs) sources and mixed with saliva to form a paper-like material. Unlike bees, the protein source for larval growth is live arthropod prey subdued with …
2. 血清病および血清病様反応serum sickness and serum sickness like reactions [show details]
… present with serum sickness-like features of rash, polyarthritis, and fever in the preicteric phase . Serum sickness is more common in adults, while SSLRs are more common in children. Medications and other …
3. 手掌および足底の色素性病変のダーモスコピーdermoscopy of pigmented lesions of the palms and soles [show details]
… skin with a wet paper towel. In the second step, the clinician must assess whether the benign patterns are typical or regular. Typical parallel furrow or lattice-like patterns are symmetrically… support the diagnosis of congenital nevus. Elements of the clinical history (eg, presence since infancy, stable course over time) may be additional clues to the diagnosis. However, lesions with equivocal …
4. 性器外硬化性苔癬extragenital lichen sclerosus [show details]
…Cutaneous T cell lymphoma – Like extragenital lichen sclerosus, lesions of patch-stage mycosis fungoides may present with epidermal atrophy manifesting as fine, cigarette paper-like wrinkling Lesions of mycosis …
5. キノコ中毒の臨床症状および評価clinical manifestations and evaluation of mushroom poisoning [show details]
… brain-like appearance and are often confused with morels (Morchella esculenta) Was any ethanol ingested with the mushroom? – Certain mushroom species (eg, Coprinus) can cause a disulfiram-like reaction… Storage is facilitated by wrapping the mushrooms in wax paper, placing it in a paper bag,… Over one-half of mushroom ingestions occur in children less than six years of age. In most cases, pediatric exposures are limited to a partial or…