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Casal Collar
The Casal collar or casal necklace is a clinical sign in which there is an erythematous pigmented skin rash in the distribution of a broad collar (dermatomes C3 and C4). It is seen in patients with pellagra,Barry G. Firkin, Judith A. Whitworth. ''Dictionary of Medical Eponyms.'' Informa Health Care, 2001, page 60. . as a result of niacin (vitamin B3) deficiency. The sign is named after Gaspar Casal Gaspar Roque Francisco Narciso Casal Julian (31 December 1681–10 August 1759) was a Spanish physician remembered for describing the Casal collar in pellagra. Casal was born in Girona Catalonia, Spain to Federico Casal y Dajón and Magdalena Ju ..., who first described pellagra. References External links Image of Casal collar at phoenity.comAccessed on 22 March 2009. Medical signs Dermatologic signs {{Med-sign-stub ...
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PHIL 3757 Lores
Phil may refer to: * Phil (given name), a shortened version of masculine and feminine names * Phill, a given name also spelled "Phil" * Phil, Kentucky, United States * ''Phil'' (film), a 2019 film * -phil-, a lexical fragment, used as a root term for many words * Philippines, a country in Southeast Asia, frequently abbreviated as ''PHIL'' * Philosophy, abbreviated as "phil." * Philology, abbreviated as "phil." See also * Master of Philosophy (M.Phil) * Doctor of Philosophy (D.Phil or Ph.D) * University Philosophical Society, known as "The Phil" * * Big Phil (other) * Dr. Phil (other) * Fil (other) * Fill (other) * Philip (other) * Philipp * Philippa * Philippic * Philipps Philipps is an English, Dutch, and German surname meaning "lover of horses". Derivative, patronym, of the more common ancient Greek name "Philippos and Philippides." Notable people with this surname are: "Philipps" has also been a shortened versi ...
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Medical Sign
Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showing on a medical scan. A symptom is something out of the ordinary that is experienced by an individual such as feeling feverish, a headache or other pain or pains in the body. Signs and symptoms Signs A medical sign is an objective observable indication of a disease, injury, or abnormal physiological state that may be detected during a physical examination, examining the patient history, or diagnostic procedure. These signs are visible or otherwise detectable such as a rash or bruise. Medical signs, along with symptoms, assist in formulating diagnostic hypothesis. Examples of signs include elevated blood pressure, nail clubbing of the fingernails or toenails, staggering gait, and arcus senilis and arcus juvenilis of the eyes. Indicati ...
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Erythema
Erythema (from the Greek , meaning red) is redness of the skin or mucous membranes, caused by hyperemia (increased blood flow) in superficial capillaries. It occurs with any skin injury, infection, or inflammation. Examples of erythema not associated with pathology include nervous blushes. Types * Erythema ab igne * Erythema chronicum migrans * Erythema induratum * Erythema infectiosum (or fifth disease) * Erythema marginatum * Erythema migrans * Erythema multiforme (EM) * Erythema nodosum * Erythema toxicum * Erythema elevatum diutinum * Erythema gyratum repens * Keratolytic winter erythema * Palmar erythema Causes It can be caused by infection, massage, electrical treatment, acne medication, allergies, exercise, solar radiation (sunburn), photosensitization, acute radiation syndrome, mercury toxicity, blister agents, niacin administration, or waxing and tweezing of the hairs—any of which can cause the capillaries to dilate, resulting in redness. Erythema is a common sid ...
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Dermatome (anatomy)
A dermatome is an area of skin that is mainly supplied by afferent nerve fibres from the dorsal root of any given spinal nerve. There are 8 cervical nerves (C1 being an exception with no dermatome), 12 thoracic nerves, 5 lumbar nerves and 5 sacral nerves. Each of these nerves relays sensation (including pain) from a particular region of skin to the brain. The term is also used to refer to a part of an embryonic somite. Along the thorax and abdomen the dermatomes are like a stack of discs forming a human, each supplied by a different spinal nerve. Along the arms and the legs, the pattern is different: the dermatomes run longitudinally along the limbs. Although the general pattern is similar in all people, the precise areas of innervation are as unique to an individual as fingerprints. An area of skin innervated by a single nerve is called a peripheral nerve field. The word ''dermatome'' is formed from Ancient Greek δέρμα 'skin, hide' and τέμνω 'cut'. Clinical signif ...
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Cervical Spinal Nerve 3
The cervical spinal nerve 3 (C3) is a spinal nerve of the cervical segment.American Medical Association
Nervous System -- Groups of Nerves It originates from the spinal column from above the
cervical vertebra 3 In tetrapods, cervical vertebrae (singular: vertebra) are the vertebrae of the neck, immediately below the skull. Truncal vertebrae (divided into thoracic and lumbar vertebrae in mammals) lie caudal (toward the tail) of cervical vertebrae. In sau ...
(C3).


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Spinal nerves {{neuroanatomy-stub ...
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Cervical Spinal Nerve 4
Cervical spinal nerve 4, also called C4, is a spinal nerve of the cervical segment. It originates from the spinal cord above the 4th cervical vertebra (C4). It contributes nerve fibers to the phrenic nerve, the motor nerve to the thoracoabdominal diaphragm. It also provides motor nerves for the longus capitis, longus colli, anterior scalene, middle scalene, and levator scapulae muscles. C4 contributes some sensory fibers to the supraclavicular nerves, responsible for sensation from the skin above the clavicle. Additional Images File:Slide1y.JPG, Cervical spinal nerve 4 File:Projectional radiograph of cervical foraminal stenosis, annotated.jpg, Projectional radiograph of a man presenting with pain by the nape and left shoulder, showing a stenosis in the intervertebral foramen of cervical spinal nerve 4, corresponding with the affected dermatome Dermatome may refer to: * Dermatome (anatomy), an area of skin that is supplied by a single pair of dorsal roots * Dermatome (embryo ...
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Pellagra
Pellagra is a disease caused by a lack of the vitamin niacin (vitamin B3). Symptoms include inflamed skin, diarrhea, dementia, and sores in the mouth. Areas of the skin exposed to either sunlight or friction are typically affected first. Over time affected skin may become darker, stiffen, peel, or bleed. There are two main types of pellagra, primary and secondary. Primary pellagra is due to a diet that does not contain enough niacin and tryptophan. Secondary pellagra is due to a poor ability to use the niacin within the diet. This can occur as a result of alcoholism, long-term diarrhea, carcinoid syndrome, Hartnup disease, and a number of medications such as isoniazid. Diagnosis is typically based on symptoms and may be assisted by urine testing. Treatment is with either niacin or nicotinamide supplementation. Improvements typically begin within a couple of days. General improvements in diet are also frequently recommended. Decreasing sun exposure via sunscreen and proper cl ...
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Niacin (nutrient)
Vitamin B3, colloquially referred to as niacin, is a vitamin family that includes three forms or vitamers: niacin (nicotinic acid), nicotinamide (niacinamide), and nicotinamide riboside. All three forms of vitamin B3 are converted within the body to nicotinamide adenine dinucleotide (NAD). NAD is required for human life and people are unable to make it within their bodies without either vitamin B3 or tryptophan. Nicotinamide riboside was identified as a form of vitamin B3 in 2004. Niacin (the nutrient) can be manufactured by plants and animals from the amino acid tryptophan. Niacin is obtained in the diet from a variety of whole and processed foods, with highest contents in fortified packaged foods, meat, poultry, red fish such as tuna and salmon, lesser amounts in nuts, legumes and seeds. Niacin as a dietary supplement is used to treat pellagra, a disease caused by niacin deficiency. Signs and symptoms of pellagra include skin and mouth lesions, anemia, headaches, and tiredn ...
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Gaspar Casal
Gaspar Roque Francisco Narciso Casal Julian (31 December 1681–10 August 1759) was a Spanish physician remembered for describing the Casal collar in pellagra. Casal was born in Girona Catalonia, Spain to Federico Casal y Dajón and Magdalena Julian. He grew up in Utrillas and is thought to have apprenticed at Atienza with Juan Manuel Rodriguez de Lima, an apothecary to Pope Innocent XI. In He began to practice medicine in Oviedo from 1720 to 1751, at which time he moved to Madrid Madrid ( , ) is the capital and most populous city of Spain. The city has almost 3.4 million inhabitants and a Madrid metropolitan area, metropolitan area population of approximately 6.7 million. It is the Largest cities of the Europ ... as King Ferdinand's physician. He became a friend of Fr. Benito Feyjóo y Montenegro and Fr. Martin Sarmiento who encouraged his studies. He described pellagra in a book published in 1762, calling it ''mal de la rose'' due to the red rash seen on the ...
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Medical Signs
Signs and symptoms are the observed or detectable signs, and experienced symptoms of an illness, injury, or condition. A sign for example may be a higher or lower temperature than normal, raised or lowered blood pressure or an abnormality showing on a medical scan. A symptom is something out of the ordinary that is experienced by an individual such as feeling feverish, a headache or other pain or pains in the body. Signs and symptoms Signs A medical sign is an objective observable indication of a disease, injury, or abnormal physiological state that may be detected during a physical examination, examining the patient history, or diagnostic procedure. These signs are visible or otherwise detectable such as a rash or bruise. Medical signs, along with symptoms, assist in formulating diagnostic hypothesis. Examples of signs include elevated blood pressure, nail clubbing of the fingernails or toenails, staggering gait, and arcus senilis and arcus juvenilis of the eyes. Indicatio ...
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