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General Cooking (rec.food.cooking) For general food and cooking discussion. Foods of all kinds, food procurement, cooking methods and techniques, eating, etc. |
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![]() Man, I've had sinus problems lately, so I decided to make the chicken tortilla soup. Nothing like a little hot soup. Well, I got what I wanted. I used jalapenos instead of chiles, hot sausage instead of chicken, and I think I overdid it with the Tabasco. Don't get me wrong, it's still good, but I will be paying for this stunt. For starters, my mouth is on fire. Sinuses are clear. Eyes are crying. We'll see how tomorrow goes, if you get my drift. And I still have to clean up the kitchen. nancy |
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> Nancy Young writes:
> >Man, I've had sinus problems lately, so I decided to make the >chicken tortilla soup. Nothing like a little hot soup. Well, I >got what I wanted. I used jalapenos instead of chiles, hot >sausage instead of chicken, and I think I overdid it with the >Tabasco. > >Don't get me wrong, it's still good, but I will be paying for >this stunt. For starters, my mouth is on fire. Sinuses are clear. >Eyes are crying. We'll see how tomorrow goes, if you get my drift. A super-size sterile gauze pad folded in quarters... doused liberally with _Witch Hazel_... shoved firmly you know where and clamp down. Ahhhhhh... You have my condolences. ---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =--- ---= Move UNITED NATIONS To Paris =--- ********* "Life would be devoid of all meaning were it without tribulation." Sheldon ```````````` |
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> Nancy Young writes:
> >Man, I've had sinus problems lately, so I decided to make the >chicken tortilla soup. Nothing like a little hot soup. Well, I >got what I wanted. I used jalapenos instead of chiles, hot >sausage instead of chicken, and I think I overdid it with the >Tabasco. > >Don't get me wrong, it's still good, but I will be paying for >this stunt. For starters, my mouth is on fire. Sinuses are clear. >Eyes are crying. We'll see how tomorrow goes, if you get my drift. A super-size sterile gauze pad folded in quarters... doused liberally with _Witch Hazel_... shoved firmly you know where and clamp down. Ahhhhhh... You have my condolences. ---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =--- ---= Move UNITED NATIONS To Paris =--- ********* "Life would be devoid of all meaning were it without tribulation." Sheldon ```````````` |
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PENMART01 wrote:
>>Nancy Young writes: >> >>Man, I've had sinus problems lately, so I decided to make the >>chicken tortilla soup. Nothing like a little hot soup. Well, I >>got what I wanted. I used jalapenos instead of chiles, hot >>sausage instead of chicken, and I think I overdid it with the >>Tabasco. >> >>Don't get me wrong, it's still good, but I will be paying for >>this stunt. For starters, my mouth is on fire. Sinuses are clear. >>Eyes are crying. We'll see how tomorrow goes, if you get my drift. > > > A super-size sterile gauze pad folded in quarters... doused liberally with > _Witch Hazel_... shoved firmly you know where and clamp down. Ahhhhhh... You > have my condolences. > > > ---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =--- > ---= Move UNITED NATIONS To Paris =--- > ********* > "Life would be devoid of all meaning were it without tribulation." > Sheldon > ```````````` No point in starting it off sterile, when it's going to be shoved where you insinuated. Rich -- "Dum Spiro, Spero." As long as I breath, I hope. Cicero |
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PENMART01 wrote:
>>Nancy Young writes: >> >>Man, I've had sinus problems lately, so I decided to make the >>chicken tortilla soup. Nothing like a little hot soup. Well, I >>got what I wanted. I used jalapenos instead of chiles, hot >>sausage instead of chicken, and I think I overdid it with the >>Tabasco. >> >>Don't get me wrong, it's still good, but I will be paying for >>this stunt. For starters, my mouth is on fire. Sinuses are clear. >>Eyes are crying. We'll see how tomorrow goes, if you get my drift. > > > A super-size sterile gauze pad folded in quarters... doused liberally with > _Witch Hazel_... shoved firmly you know where and clamp down. Ahhhhhh... You > have my condolences. > > > ---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =--- > ---= Move UNITED NATIONS To Paris =--- > ********* > "Life would be devoid of all meaning were it without tribulation." > Sheldon > ```````````` No point in starting it off sterile, when it's going to be shoved where you insinuated. Rich -- "Dum Spiro, Spero." As long as I breath, I hope. Cicero |
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Nancy Young > wrote in
: > > Man, I've had sinus problems lately, so I decided to make the > chicken tortilla soup. Nothing like a little hot soup. Well, I > got what I wanted. I used jalapenos instead of chiles, hot > sausage instead of chicken, and I think I overdid it with the > Tabasco. > > Don't get me wrong, it's still good, but I will be paying for > this stunt. For starters, my mouth is on fire. Sinuses are clear. > Eyes are crying. We'll see how tomorrow goes, if you get my drift. > > And I still have to clean up the kitchen. > > nancy > So now you hafta drink milk to cut the heat. It's a cruel cruel world we live in (Chuckle) ![]() -- Last year's nuts must go. - Michael Odom |
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Nancy Young > wrote in
: > > Man, I've had sinus problems lately, so I decided to make the > chicken tortilla soup. Nothing like a little hot soup. Well, I > got what I wanted. I used jalapenos instead of chiles, hot > sausage instead of chicken, and I think I overdid it with the > Tabasco. > > Don't get me wrong, it's still good, but I will be paying for > this stunt. For starters, my mouth is on fire. Sinuses are clear. > Eyes are crying. We'll see how tomorrow goes, if you get my drift. > > And I still have to clean up the kitchen. > > nancy > So now you hafta drink milk to cut the heat. It's a cruel cruel world we live in (Chuckle) ![]() -- Last year's nuts must go. - Michael Odom |
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Nancy
Next time you want HOT soup call the Chinese restaurant and order hot and sour soup. Great for sinuses SUNNY |
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Nancy
Next time you want HOT soup call the Chinese restaurant and order hot and sour soup. Great for sinuses SUNNY |
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Richard Periut > wrote in
: > PENMART01 wrote: > >>>Nancy Young writes: >>> >>>Man, I've had sinus problems lately, so I decided to make the >>>chicken tortilla soup. Nothing like a little hot soup. Well, I >>>got what I wanted. I used jalapenos instead of chiles, hot >>>sausage instead of chicken, and I think I overdid it with the >>>Tabasco. >>> >>>Don't get me wrong, it's still good, but I will be paying for >>>this stunt. For starters, my mouth is on fire. Sinuses are clear. >>>Eyes are crying. We'll see how tomorrow goes, if you get my drift. >> >> >> A super-size sterile gauze pad folded in quarters... doused liberally >> with _Witch Hazel_... shoved firmly you know where and clamp down. >> Ahhhhhh... You have my condolences. >> >> >> ---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =--- >> ---= Move UNITED NATIONS To Paris =--- >> ********* >> "Life would be devoid of all meaning were it without tribulation." >> Sheldon >> ```````````` > No point in starting it off sterile, when it's going to be shoved > where you insinuated. > > Rich > Where the sun don't shine...wait for it...Seattle? -- Last year's nuts must go. - Michael Odom |
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Richard Periut > wrote in
: > PENMART01 wrote: > >>>Nancy Young writes: >>> >>>Man, I've had sinus problems lately, so I decided to make the >>>chicken tortilla soup. Nothing like a little hot soup. Well, I >>>got what I wanted. I used jalapenos instead of chiles, hot >>>sausage instead of chicken, and I think I overdid it with the >>>Tabasco. >>> >>>Don't get me wrong, it's still good, but I will be paying for >>>this stunt. For starters, my mouth is on fire. Sinuses are clear. >>>Eyes are crying. We'll see how tomorrow goes, if you get my drift. >> >> >> A super-size sterile gauze pad folded in quarters... doused liberally >> with _Witch Hazel_... shoved firmly you know where and clamp down. >> Ahhhhhh... You have my condolences. >> >> >> ---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =--- >> ---= Move UNITED NATIONS To Paris =--- >> ********* >> "Life would be devoid of all meaning were it without tribulation." >> Sheldon >> ```````````` > No point in starting it off sterile, when it's going to be shoved > where you insinuated. > > Rich > Where the sun don't shine...wait for it...Seattle? -- Last year's nuts must go. - Michael Odom |
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> Richard Periut writes:
> >>PENMART01 wrote: >>>Nancy Young writes: >>> >>>Man, I've had sinus problems lately, so I decided to make the >>>chicken tortilla soup. Nothing like a little hot soup. Well, I >>>got what I wanted. I used jalapenos instead of chiles, hot >>>sausage instead of chicken, and I think I overdid it with the >>>Tabasco. >>> >>>Don't get me wrong, it's still good, but I will be paying for >>>this stunt. For starters, my mouth is on fire. Sinuses are clear. >>>Eyes are crying. We'll see how tomorrow goes, if you get my drift. >> >> >> A super-size sterile gauze pad folded in quarters... doused liberally with >> _Witch Hazel_... shoved firmly you know where and clamp down. Ahhhhhh... >You >> have my condolences. > >No point in starting it off sterile, when it's going to be shoved where >you insinuated. So, she should use an old dishrag... Who knows what you shove up your butt... or who... of course it's gotta be sterile... aintcha ever seen the old rubbing alcohol trick with the rectal thermometer. You must be verrrry young... obviously born well after the time of mercury filled fevor thermometers... you couldn't be a day over 30, or yer brain dead... choose, that's the only two chioces you get. ---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =--- ---= Move UNITED NATIONS To Paris =--- ********* "Life would be devoid of all meaning were it without tribulation." Sheldon ```````````` |
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> Richard Periut writes:
> >>PENMART01 wrote: >>>Nancy Young writes: >>> >>>Man, I've had sinus problems lately, so I decided to make the >>>chicken tortilla soup. Nothing like a little hot soup. Well, I >>>got what I wanted. I used jalapenos instead of chiles, hot >>>sausage instead of chicken, and I think I overdid it with the >>>Tabasco. >>> >>>Don't get me wrong, it's still good, but I will be paying for >>>this stunt. For starters, my mouth is on fire. Sinuses are clear. >>>Eyes are crying. We'll see how tomorrow goes, if you get my drift. >> >> >> A super-size sterile gauze pad folded in quarters... doused liberally with >> _Witch Hazel_... shoved firmly you know where and clamp down. Ahhhhhh... >You >> have my condolences. > >No point in starting it off sterile, when it's going to be shoved where >you insinuated. So, she should use an old dishrag... Who knows what you shove up your butt... or who... of course it's gotta be sterile... aintcha ever seen the old rubbing alcohol trick with the rectal thermometer. You must be verrrry young... obviously born well after the time of mercury filled fevor thermometers... you couldn't be a day over 30, or yer brain dead... choose, that's the only two chioces you get. ---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =--- ---= Move UNITED NATIONS To Paris =--- ********* "Life would be devoid of all meaning were it without tribulation." Sheldon ```````````` |
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PENMART01 wrote:
>>Richard Periut writes: >> >> >>>PENMART01 wrote: >>> >>>>Nancy Young writes: >>>> >>>>Man, I've had sinus problems lately, so I decided to make the >>>>chicken tortilla soup. Nothing like a little hot soup. Well, I >>>>got what I wanted. I used jalapenos instead of chiles, hot >>>>sausage instead of chicken, and I think I overdid it with the >>>>Tabasco. >>>> >>>>Don't get me wrong, it's still good, but I will be paying for >>>>this stunt. For starters, my mouth is on fire. Sinuses are clear. >>>>Eyes are crying. We'll see how tomorrow goes, if you get my drift. >>> >>> >>>A super-size sterile gauze pad folded in quarters... doused liberally with >>>_Witch Hazel_... shoved firmly you know where and clamp down. Ahhhhhh... >> >>You >> >>>have my condolences. >> >>No point in starting it off sterile, when it's going to be shoved where >>you insinuated. > > > So, she should use an old dishrag... > > Who knows what you shove up your butt... or who... of course it's gotta be > sterile... aintcha ever seen the old rubbing alcohol trick with the rectal > thermometer. You must be verrrry young... obviously born well after the time > of mercury filled fevor thermometers... you couldn't be a day over 30, or yer > brain dead... choose, that's the only two chioces you get. > > > ---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =--- > ---= Move UNITED NATIONS To Paris =--- > ********* > "Life would be devoid of all meaning were it without tribulation." > Sheldon > ```````````` Your anus and the juxtaposed surrounding flesh, is teaming with bacteria. A clean paper towel, or wad of toilet paper will suffice. And I do rem the mercury filled thermometers, and I will be 40 this Sept. 21. The rubbing ETOH is for use on various patients; a practice now abandoned because of the fear of AIDS and other diseases. -- "Dum Spiro, Spero." As long as I breath, I hope. Cicero |
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PENMART01 wrote:
>>Richard Periut writes: >> >> >>>PENMART01 wrote: >>> >>>>Nancy Young writes: >>>> >>>>Man, I've had sinus problems lately, so I decided to make the >>>>chicken tortilla soup. Nothing like a little hot soup. Well, I >>>>got what I wanted. I used jalapenos instead of chiles, hot >>>>sausage instead of chicken, and I think I overdid it with the >>>>Tabasco. >>>> >>>>Don't get me wrong, it's still good, but I will be paying for >>>>this stunt. For starters, my mouth is on fire. Sinuses are clear. >>>>Eyes are crying. We'll see how tomorrow goes, if you get my drift. >>> >>> >>>A super-size sterile gauze pad folded in quarters... doused liberally with >>>_Witch Hazel_... shoved firmly you know where and clamp down. Ahhhhhh... >> >>You >> >>>have my condolences. >> >>No point in starting it off sterile, when it's going to be shoved where >>you insinuated. > > > So, she should use an old dishrag... > > Who knows what you shove up your butt... or who... of course it's gotta be > sterile... aintcha ever seen the old rubbing alcohol trick with the rectal > thermometer. You must be verrrry young... obviously born well after the time > of mercury filled fevor thermometers... you couldn't be a day over 30, or yer > brain dead... choose, that's the only two chioces you get. > > > ---= BOYCOTT FRANCE (belgium) GERMANY--SPAIN =--- > ---= Move UNITED NATIONS To Paris =--- > ********* > "Life would be devoid of all meaning were it without tribulation." > Sheldon > ```````````` Your anus and the juxtaposed surrounding flesh, is teaming with bacteria. A clean paper towel, or wad of toilet paper will suffice. And I do rem the mercury filled thermometers, and I will be 40 this Sept. 21. The rubbing ETOH is for use on various patients; a practice now abandoned because of the fear of AIDS and other diseases. -- "Dum Spiro, Spero." As long as I breath, I hope. Cicero |
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Dog3 wrote:
I've got some rash that started about 3 days after being > discharged from the hospital. It'll pop up in any given area, disappear in > 5 minutes then crop up on some other body part 20 minutes later. It's the > strangest thing. Never seen anything like it. It gets red and these > tunnel like lumps appear. It looks like a mole is rooting under my skin. > The lump/streaks are of normal color. I think it's a soap allergy. Eeeegads.. if you said it itched like crazy and was predominately on your hands and wrists I'd have wondered if it was scabies, which is *very* easily transmitted and a bitch to have. Goomba |
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Dog3 wrote:
I've got some rash that started about 3 days after being > discharged from the hospital. It'll pop up in any given area, disappear in > 5 minutes then crop up on some other body part 20 minutes later. It's the > strangest thing. Never seen anything like it. It gets red and these > tunnel like lumps appear. It looks like a mole is rooting under my skin. > The lump/streaks are of normal color. I think it's a soap allergy. Eeeegads.. if you said it itched like crazy and was predominately on your hands and wrists I'd have wondered if it was scabies, which is *very* easily transmitted and a bitch to have. Goomba |
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Goomba38 wrote:
> Dog3 wrote: > I've got some rash that started about 3 days after being > >> discharged from the hospital. It'll pop up in any given area, >> disappear in 5 minutes then crop up on some other body part 20 minutes >> later. It's the strangest thing. Never seen anything like it. It >> gets red and these tunnel like lumps appear. It looks like a mole is >> rooting under my skin. The lump/streaks are of normal color. I think >> it's a soap allergy. > > > Eeeegads.. if you said it itched like crazy and was predominately on > your hands and wrists I'd have wondered if it was scabies, which is > *very* easily transmitted and a bitch to have. > Goomba > Look for areas near the knuckles. If the itching is worse at night, and it involves the aforementioned areas, chances are you may have scabies. Dog is absolutely right; it's very contagious. Have a scraping of the lesions by a professional if it continues; and avoid close contact with other people. HTH, Rich -- "Dum Spiro, Spero." As long as I breath, I hope. Cicero |
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Goomba38 wrote:
> Dog3 wrote: > I've got some rash that started about 3 days after being > >> discharged from the hospital. It'll pop up in any given area, >> disappear in 5 minutes then crop up on some other body part 20 minutes >> later. It's the strangest thing. Never seen anything like it. It >> gets red and these tunnel like lumps appear. It looks like a mole is >> rooting under my skin. The lump/streaks are of normal color. I think >> it's a soap allergy. > > > Eeeegads.. if you said it itched like crazy and was predominately on > your hands and wrists I'd have wondered if it was scabies, which is > *very* easily transmitted and a bitch to have. > Goomba > Look for areas near the knuckles. If the itching is worse at night, and it involves the aforementioned areas, chances are you may have scabies. Dog is absolutely right; it's very contagious. Have a scraping of the lesions by a professional if it continues; and avoid close contact with other people. HTH, Rich -- "Dum Spiro, Spero." As long as I breath, I hope. Cicero |
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Richard Periut wrote:
> PENMART01 wrote: > >>> Richard Periut writes: >>> >>> >>>> PENMART01 wrote: >>>> >>>>> Nancy Young writes: >>>>> >>>>> Man, I've had sinus problems lately, so I decided to make the >>>>> chicken tortilla soup. Nothing like a little hot soup. Well, I >>>>> got what I wanted. I used jalapenos instead of chiles, hot >>>>> sausage instead of chicken, and I think I overdid it with the >>>>> Tabasco. >>>>> >>>>> Don't get me wrong, it's still good, but I will be paying for >>>>> this stunt. For starters, my mouth is on fire. Sinuses are clear. >>>>> Eyes are crying. We'll see how tomorrow goes, if you get my drift. >>>> >>>> >>>> >>>> A super-size sterile gauze pad folded in quarters... doused >>>> liberally with >>>> _Witch Hazel_... shoved firmly you know where and clamp down. >>>> Ahhhhhh... >>>> >>>> >>>>You have my condolences. >>> >>> >>> No point in starting it off sterile, when it's going to be shoved >>> where you insinuated. >> >> >> >> So, she should use an old dishrag... >> >> Who knows what you shove up your butt... or who... of course it's >> gotta be >> sterile... aintcha ever seen the old rubbing alcohol trick with the >> rectal >> thermometer. You must be verrrry young... obviously born well after >> the time >> of mercury filled fevor thermometers... you couldn't be a day over 30, >> or yer >> brain dead... choose, that's the only two chioces you get. >> >> > > Your anus and the juxtaposed surrounding flesh, is teaming with > bacteria. A clean paper towel, or wad of toilet paper will suffice. > > And I do rem the mercury filled thermometers, and I will be 40 this > Sept. 21. > > The rubbing ETOH is for use on various patients; a practice now > abandoned because of the fear of AIDS and other diseases. > > > lol.. i love this group.. only here can a discussion start out as hot soup and end up with a dispute over what items are acceptable to swab your anus with. ;-P |
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Richard Periut wrote:
> PENMART01 wrote: > >>> Richard Periut writes: >>> >>> >>>> PENMART01 wrote: >>>> >>>>> Nancy Young writes: >>>>> >>>>> Man, I've had sinus problems lately, so I decided to make the >>>>> chicken tortilla soup. Nothing like a little hot soup. Well, I >>>>> got what I wanted. I used jalapenos instead of chiles, hot >>>>> sausage instead of chicken, and I think I overdid it with the >>>>> Tabasco. >>>>> >>>>> Don't get me wrong, it's still good, but I will be paying for >>>>> this stunt. For starters, my mouth is on fire. Sinuses are clear. >>>>> Eyes are crying. We'll see how tomorrow goes, if you get my drift. >>>> >>>> >>>> >>>> A super-size sterile gauze pad folded in quarters... doused >>>> liberally with >>>> _Witch Hazel_... shoved firmly you know where and clamp down. >>>> Ahhhhhh... >>>> >>>> >>>>You have my condolences. >>> >>> >>> No point in starting it off sterile, when it's going to be shoved >>> where you insinuated. >> >> >> >> So, she should use an old dishrag... >> >> Who knows what you shove up your butt... or who... of course it's >> gotta be >> sterile... aintcha ever seen the old rubbing alcohol trick with the >> rectal >> thermometer. You must be verrrry young... obviously born well after >> the time >> of mercury filled fevor thermometers... you couldn't be a day over 30, >> or yer >> brain dead... choose, that's the only two chioces you get. >> >> > > Your anus and the juxtaposed surrounding flesh, is teaming with > bacteria. A clean paper towel, or wad of toilet paper will suffice. > > And I do rem the mercury filled thermometers, and I will be 40 this > Sept. 21. > > The rubbing ETOH is for use on various patients; a practice now > abandoned because of the fear of AIDS and other diseases. > > > lol.. i love this group.. only here can a discussion start out as hot soup and end up with a dispute over what items are acceptable to swab your anus with. ;-P |
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Richard Periut wrote:
> Goomba38 wrote: > >> Dog3 wrote: >> I've got some rash that started about 3 days after being >> >>> discharged from the hospital. It'll pop up in any given area, >>> disappear in 5 minutes then crop up on some other body part 20 >>> minutes later. It's the strangest thing. Never seen anything like >>> it. It gets red and these tunnel like lumps appear. It looks like a >>> mole is rooting under my skin. The lump/streaks are of normal >>> color. I think it's a soap allergy. >> >> >> >> Eeeegads.. if you said it itched like crazy and was predominately on >> your hands and wrists I'd have wondered if it was scabies, which is >> *very* easily transmitted and a bitch to have. >> Goomba >> > Look for areas near the knuckles. If the itching is worse at night, and > it involves the aforementioned areas, chances are you may have scabies. > Dog is absolutely right; it's very contagious. Have a scraping of the > lesions by a professional if it continues; and avoid close contact with > other people. > > HTH, > > Rich > More Info: INTRODUCTION Scabies ("the itch") is an infestation of the skin by the mite Sarcoptes scabiei, the burrowing habits of which result in a pruritic eruption with a characteristic distribution pattern. The incidence of scabies undergoes cyclical fluctuations on a worldwide basis, although all parts of the globe are not necessarily in the same phase of the cycle at the same time. In the 1960s the incidence in Europe and North America began to increase, and by 1980 had reached near-pandemic levels. Since then it has declined somewhat, but the disease is still extremely common. Transmission of scabies is usually from person to person by direct contact, although there are many authenticated instances in which it was contracted by wearing or handling heavily contaminated clothing, or by sleeping in an unchanged bed recently occupied by an infested individual. Transmission from parents to children, and especially from mother to infant, is routine. Schools do not ordinarily provide the level of contact necessary for transmission of the mite. In young adults the mode of transmission is usually sexual contact. MORPHOLOGY AND HABITS Sarcoptis scabiei, var. hominis is a whitish-brown eight-legged mite, shaped much like a turtle (show picture 1). The female (the sole cause of the clinical manifestations) measures 0.4 x 0.3 mm; it can easily be seen with naked eye, but the burrowing habits of the parasite prevent it from ever being observed by the patient. When fertilized the female burrows quickly into the epidermis to the level of the stratum granulosum, where it extends its tunnel or "gallery" some 2 mm each day, lays two or three eggs at a time to a total of 10 to 25, and dies in place. Larvae hatch in three to four days, molt three times, leave the burrow for the surface, copulate, and continue the cycle. CLINICAL MANIFESTATIONS The outstanding clinical feature of scabies is itching. It is often severe and usually worse at night. The essential lesion is a small, erythematous, nondescript papule, often excoriated and tipped with blood crusts (show picture 2 and show picture 3). It is not a dramatic lesion and not always easy to see. More striking, when present, is the burrow. Pathognomonic when correctly identified, the burrow is a thin, grayish, reddish, or brownish line some 2 to 15 mm long. Burrows are often absent, however, or obscured by eczematization or secondary infection. Miniature wheals, vesicles, pustules, and rarely bullae may also be present. The distribution of the scabies constitutes its most constant and distinctive feature and provides the most convenient route to diagnosis. The eruption usually involves the sides and webs of the fingers, the flexor aspects of the wrists, the extensor aspects of the elbows, anterior and posterior axillary folds, the skin immediately adjacent to the nipples (especially in women), the periumbilical areas, waist, penis (shaft and glans), the extensor surface of the knees, the lower half of the buttocks and adjacent thighs, and the lateral and posterior aspects of the feet. The back is relatively free of involvement; the head is spared except in very young children. A few patients develop a nodular form of scabies, exhibiting firm, erythematous, extremely pruritic, dome-shaped lesions, 5 or 6 mm in diameter. The groin, genitalia, buttocks, and axillary folds are the usual sites of involvement. Patients can develop generalized urticaria with scabies, and there are case reports of patients presenting with urticaria as the initial manifestation of scabies [1,2]. Young children and infants often show heavy involvement of the palms and soles and all aspects of the fingers, and may even show evidence of mites under the nail plates. Lesions in children are usually more inflammatory than in adults and often are vesicular or bullous. Secondary staphylococcal infections, including impetigo, ecthyma, paronychia, and furunculosis, frequently complicate the picture, especially in the summer months. Constant scratching and the application of irritating or sensitizing proprietary medications may result in extensive eczematization. DIAGNOSIS A complaint of widespread itching that spares the head and seems to be out of proportion to visible changes in the skin should immediately alert the examiner to the possibility of scabies. The combination of a pruritic eruption, characteristic distribution, and family involvement is usually enough to establish a diagnosis. Finding a burrow elevates supposition to virtual certainty, and absolute confirmation can be obtained by finding the mite or eggs in scrapings from burrows or papules. A therapeutic trial with specific anti-scabietic medication may be helpful in difficult cases. -- "Dum Spiro, Spero." As long as I breath, I hope. Cicero |
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Richard Periut wrote:
> Goomba38 wrote: > >> Dog3 wrote: >> I've got some rash that started about 3 days after being >> >>> discharged from the hospital. It'll pop up in any given area, >>> disappear in 5 minutes then crop up on some other body part 20 >>> minutes later. It's the strangest thing. Never seen anything like >>> it. It gets red and these tunnel like lumps appear. It looks like a >>> mole is rooting under my skin. The lump/streaks are of normal >>> color. I think it's a soap allergy. >> >> >> >> Eeeegads.. if you said it itched like crazy and was predominately on >> your hands and wrists I'd have wondered if it was scabies, which is >> *very* easily transmitted and a bitch to have. >> Goomba >> > Look for areas near the knuckles. If the itching is worse at night, and > it involves the aforementioned areas, chances are you may have scabies. > Dog is absolutely right; it's very contagious. Have a scraping of the > lesions by a professional if it continues; and avoid close contact with > other people. > > HTH, > > Rich > More Info: INTRODUCTION Scabies ("the itch") is an infestation of the skin by the mite Sarcoptes scabiei, the burrowing habits of which result in a pruritic eruption with a characteristic distribution pattern. The incidence of scabies undergoes cyclical fluctuations on a worldwide basis, although all parts of the globe are not necessarily in the same phase of the cycle at the same time. In the 1960s the incidence in Europe and North America began to increase, and by 1980 had reached near-pandemic levels. Since then it has declined somewhat, but the disease is still extremely common. Transmission of scabies is usually from person to person by direct contact, although there are many authenticated instances in which it was contracted by wearing or handling heavily contaminated clothing, or by sleeping in an unchanged bed recently occupied by an infested individual. Transmission from parents to children, and especially from mother to infant, is routine. Schools do not ordinarily provide the level of contact necessary for transmission of the mite. In young adults the mode of transmission is usually sexual contact. MORPHOLOGY AND HABITS Sarcoptis scabiei, var. hominis is a whitish-brown eight-legged mite, shaped much like a turtle (show picture 1). The female (the sole cause of the clinical manifestations) measures 0.4 x 0.3 mm; it can easily be seen with naked eye, but the burrowing habits of the parasite prevent it from ever being observed by the patient. When fertilized the female burrows quickly into the epidermis to the level of the stratum granulosum, where it extends its tunnel or "gallery" some 2 mm each day, lays two or three eggs at a time to a total of 10 to 25, and dies in place. Larvae hatch in three to four days, molt three times, leave the burrow for the surface, copulate, and continue the cycle. CLINICAL MANIFESTATIONS The outstanding clinical feature of scabies is itching. It is often severe and usually worse at night. The essential lesion is a small, erythematous, nondescript papule, often excoriated and tipped with blood crusts (show picture 2 and show picture 3). It is not a dramatic lesion and not always easy to see. More striking, when present, is the burrow. Pathognomonic when correctly identified, the burrow is a thin, grayish, reddish, or brownish line some 2 to 15 mm long. Burrows are often absent, however, or obscured by eczematization or secondary infection. Miniature wheals, vesicles, pustules, and rarely bullae may also be present. The distribution of the scabies constitutes its most constant and distinctive feature and provides the most convenient route to diagnosis. The eruption usually involves the sides and webs of the fingers, the flexor aspects of the wrists, the extensor aspects of the elbows, anterior and posterior axillary folds, the skin immediately adjacent to the nipples (especially in women), the periumbilical areas, waist, penis (shaft and glans), the extensor surface of the knees, the lower half of the buttocks and adjacent thighs, and the lateral and posterior aspects of the feet. The back is relatively free of involvement; the head is spared except in very young children. A few patients develop a nodular form of scabies, exhibiting firm, erythematous, extremely pruritic, dome-shaped lesions, 5 or 6 mm in diameter. The groin, genitalia, buttocks, and axillary folds are the usual sites of involvement. Patients can develop generalized urticaria with scabies, and there are case reports of patients presenting with urticaria as the initial manifestation of scabies [1,2]. Young children and infants often show heavy involvement of the palms and soles and all aspects of the fingers, and may even show evidence of mites under the nail plates. Lesions in children are usually more inflammatory than in adults and often are vesicular or bullous. Secondary staphylococcal infections, including impetigo, ecthyma, paronychia, and furunculosis, frequently complicate the picture, especially in the summer months. Constant scratching and the application of irritating or sensitizing proprietary medications may result in extensive eczematization. DIAGNOSIS A complaint of widespread itching that spares the head and seems to be out of proportion to visible changes in the skin should immediately alert the examiner to the possibility of scabies. The combination of a pruritic eruption, characteristic distribution, and family involvement is usually enough to establish a diagnosis. Finding a burrow elevates supposition to virtual certainty, and absolute confirmation can be obtained by finding the mite or eggs in scrapings from burrows or papules. A therapeutic trial with specific anti-scabietic medication may be helpful in difficult cases. -- "Dum Spiro, Spero." As long as I breath, I hope. Cicero |
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