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vary from 4 5 mm in diameter to large confluent areas The lesions initially do not look scaly, but scales may be readily obtained by scraping the area Lesions may appear on the trunk, upper arms, neck, and groin

The configuration of an inter-company stock transfer order is carried out in Materials Management However, it is likely that you will come across this process in standard Sales and Distribution processing To process an inter-company stock transfer order, use the following menu path

Two forms of chronic cutaneous lupus erythematosus (CCLE) occur: chronic scarring (discoid) lesions (DLE) and erythematous non-scarring red plaques (subacute cutaneous LE) (SCLE) Both occur most frequently in areas exposed to solar irradiation Permanent hair loss and loss of pigmentation are common sequelae of discoid lesions Systemic lupus erythematosus (SLE) is discussed in 20 Patients with SLE may have DLE or SCLE lesions

Large, blunt hyphae and thick-walled budding spores ( spaghetti and meatballs ) are seen on KOH Fungal culture is not useful

Vitiligo usually presents with larger periorificial lesions Vitiligo (and not tinea versicolor) is characterized by total depigmentation, not just a lessening of pigmentation Vitiligo does not scale Pink and red-brown lesions on the chest are differentiated from seborrheic dermatitis of the same areas by the KOH preparation

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Symptoms are usually mild The lesions consist of dusky red, well-localized, single or multiple plaques, 5 20 mm in diameter, usually on the face The scalp, external ears, and oral mucous membranes may be involved In discoid lesions there is atrophy, telangiectasia, depigmentation, and follicular plugging Discoid lesions may be covered by dry, horny, adherent scales On the scalp, significant hair loss may occur

Topical treatments include selenium sulfide lotion, which may be applied from neck to waist daily and left on for 5 15 minutes for 7 days; this treatment is repeated weekly for a month and then monthly for maintenance Ketoconazole shampoo, 1% or 2%, lathered on the chest and back and left on for 5 minutes may also be used weekly for treatment and to prevent recurrence Clinicians must stress to the patient that the raised and scaly aspects of the rash are being treated; the alterations in pigmentation may take months to fade or fill in Ketoconazole, 200 mg daily orally for 1 week or 400 mg as a single oral dose, results in short-term cure of 90% of cases Patients should be instructed not to shower for 8 12 hours after taking ketoconazole, because it is delivered in sweat to the skin The single dose may not work in more hot and humid areas, and more protracted therapy carries a small but finite risk of drug-induced hepatitis Without maintenance therapy, recurrences will occur in over 80% of cured cases over the subsequent 2 years Newer imidazole creams, solutions, and lotions are quite effective for localized areas but are too expensive for use over large areas such as the chest and back

Khachemoune A Tinea versicolor Dermatol Nurs 2006 Apr;18 (2):167 [PMID: 16708681]

Narcolepsy consists of a tetrad of symptoms: (1) Sudden, brief (about 15 minutes) sleep attacks that may occur during any type of activity; (2) cataplexy sudden loss of muscle tone involving specific small muscle groups or generalized muscle weakness that may cause the person to slump to the floor, unable to move, often associated with emotional reactions and sometimes confused with seizure disorder; (3) sleep paralysis a generalized flaccidity of muscles with full consciousness in the transition zone between sleep and waking; and (4) hypnagogic hallucinations, visual or auditory, which may precede sleep or occur during the sleep attack The attacks are characterized by an abrupt transition into REM sleep a necessary criterion for diagnosis The disorder begins in early adult life, affects both sexes equally, and usually levels off in severity at about 30 years of age REM sleep behavior disorder, characterized by motor dyscontrol and often violent dreams during REM sleep, may be related to narcolepsy

Order | Create | Vendor/Supplying Plant Known [ME21N] Enter in the details of the supplying plant and the organizational data and press ENTER You will now be able to enter the materials and the plant which is to receive the items After completion of the stock transfer order, the system will process a delivery followed by an inter-company invoice Do not forget that the material must be created in both sales areas and both plants

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