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Management of Bleeding Canker of Chestnut is not definitive and treatments are currently being investigated. Because the pathogen can be spread by contaminated tools, cultural practices are important to management. Tools should be cleaned and used with caution after being used on infected trees. Recovery of trees is possible, so management strategies are focused on keeping trees healthy so they can recover. One recommendation is to add fertilizer that contains Potassium phosphate. Soil de-compaction, providing good drainage, and mulching to minimize fluctuation of soil temperature and moisture are all ways to improve or maintain tree health and to manage the pathogen.
Chemical methods can be used to help the tree maintain health and avoid progress of the disease. Management strategies are currently being developed. A study performed in 2015 examined the infection on trees and found that 41 F1 progeny parent tree source had the most promising lines of viability for resistance.
Fungicides applied specifically for downy mildew control may be unnecessary. Broad spectrum protectant fungicides such as chlorothalonil, mancozeb, and fixed copper are at least somewhat effective in protecting against downy mildew infection. Systemic fungicides are labeled for use against cucurbit downy mildew, but are recommended only after diagnosis of this disease has been confirmed. In the United States, the Environmental Protection Agency has approved oxathiapiprolin for use against downy mildew.
Dead arm, sometimes grape canker, is a disease of grapes caused by a deep-seated wood rot of the arms or trunk of the grapevine. As the disease progresses over several years, one or more arms may die, hence the name "dead arm". Eventually the whole vine will die. In the 1970s, dead-arm was identified as really being two diseases, caused by two different fungi, "Eutypa lata" and "Phomopsis viticola" (syn. "Cryptosporella viticola").
Grapevine trunk diseases (GTD) are the most destructive diseases of vineyards worldwide. Fungicides (such as sodium arsenite or 8-hydroxyquinoline, used to fight esca) with the potential to control GTD have been banned in Europe and there are no highly effective treatments available. Action to develop new strategies to fight these diseases are needed.
The following fungal species are responsible for grapevine trunk diseases:
- "Botryosphaeria dothidea" and other "Botryosphaeria" species, such as , "B. obtusa", "B. parva" and "B. australis",
- "Cylindrocarpon" spp., "Ilyonectria" spp., "Dactylonectria" spp. and "Campylocarpon" spp.(cause of black foot disease)
- "Diplodia seriata" (cause of bot canker)
- "Diplodia mutila" (cause of Botryosphaeria dieback)
- "Dothiorella iberica"
- "Dothiorella viticola"
- "Eutypa lata" (cause of Eutypa dieback)
- "Fomitiporia mediterranea" (cause of esca)
- "Lasiodiplodia theobromae" (cause of Botryosphaeria dieback)
- "Neofusicoccum australe"
- "Neofusicoccum luteum"
- "Neofusicoccom parvum"
- "Phaeoacremonium minimum" (cause of esca and Petri disease) and other "Phaeoacremonium" species
- "Phaeomoniella chlamydospora" (cause of esca and Petri disease)
Bleeding canker of horse chestnut is a common canker of horse chestnut trees ("Aesculus hippocastanum", also known as conker trees) that is known to be caused by infection with several different pathogens.
Infections by the gram-negative fluorescent bacterium "Pseudomonas syringae" pathovar "aesculi" are a new phenomenon, and have caused most of the bleeding cankers on horse chestnut that are now frequently seen in Britain.
Dead arm is a disease that causes symptoms in the common grapevine species, "vitis vinifera", in many regions of the world. This disease is mainly caused by the fungal pathogen, "Phomopsis viticola", and is known to affect many cultivars of table grapes, such as Thompson Seedless, Red Globe, and Flame Seedless. Early in the growing season, the disease can delay the growth of the plant and cause leaves to turn yellow and curl. Small, brown spots on the shoots and leaf veins are very common first symptoms of this disease. Soil moisture and temperature can impact the severity of symptoms, leading to a systemic infection in warm, wet conditions. As the name of this disease suggests, it also causes one or more arms of the grapevine to die, often leading to death of the entire vine.
Because the downy mildew pathogen does not overwinter in midwestern fields, crop rotations and tillage practices do not affect disease development. The pathogen tends to become established in late summer. Therefore, planting early season varieties may further reduce the already minor threat posed by downy mildew.
Black pod disease is caused by many different "Phytophthora spp." pathogens all expressing the same symptoms in cocoa trees ("Theobroma cacao"). This pathogen if left untreated can destroy all yields; annually the pathogen can cause a yield loss of up to 1/3 and up to 10% of total trees can be lost completely. With the value of the cocoa industry throughout the world being so large there are much research and control efforts that go into these "Phytophthora spp." pathogens.
This pathogen can be located anywhere on the cocoa trees but is most noted for the black mummified look it will give to the fruit of the cocoa tree. Staying ahead of the pathogen is the best means of control, the pathogen can be greatly reduced if leaf litter is not allowed to stay on the ground and if the pathogen gets out of hand chemical control can be used. This pathogen is mostly found in tropical areas where the cocoa trees are located and need rainfall in order to spread its spores.
Esca is a grape disease of mature grapevines. It is a type of grapevine trunk disease.
The fungi "Phaeoacremonium aleophilum", "Phaeomoniella chlamydospora" and "Fomitiporia mediterranea" are associated with the disease.
There is no known treatment for FTS, as the cause is not yet known. There are conflicting reports on whether the paralysis is reversible; some sources claim that moving an elephant away from the area in which it contracted the condition will allow it to recover, while others claim that damage to the trunk is irreversible.
In some extreme cases, wildlife managers have killed affected elephants for humane reasons.
This disease is often found during the first two months of an infants life, breast-fed infants with a higher chance. Male and female infants are affected equally.
Hospitalization for the diseased person is suggested because of the controlled environment because it may prevent nutritional deficiencies and skin infections. A decrease in severity of symptoms usually happens after a few weeks when treated redness and scaliness usually do not recur. In 10 percent of cases, the result of uncontrolled infections or severe electrolyte loss may be fatal.
The application of copper fungicide has been shown to significantly reduce a great number of black pod incidences in Nigeria. Metalaxyl (Ridomil) and cuprous oxide (Perenox) were identified to be successful in increasing the number of harvested healthy pod compared to the application of fosetyl aluminium (Aliete) and control treatment. On top of that, the timing of fungicide application has some positive effect on the final pod yield where this plot produced greater yield than the unsprayed plot. The application was done before August, which is before the main disease epidemic that usually occurs in September and October.
The recommended standard for fungicide application to control black pod disease caused by "P. megakarya" for a season is 6 to 8 times of application in every 3–4 weeks. However, the adoption of recommended application was very low among farmers in Ghana. Therefore, an experiment with a reduced number of fungicide applications demonstrated that there was 25 to 45% reduction in disease incidence. In terms of disease control and yields, sanitation and three applications of Ridomil 72 plus (12% metalaxyl + 60% copper-1-oxide) fungicide showed a better control compared to sanitation alone and sanitation with one or two fungicide applications. However, reduced in fungicide application was shown to be significantly less effective than the recommended standard fungicide application.
It was suggested that the understanding regarding the source of inoculum, the amount of infective inoculum production and how the disease is disseminated is important in order to identify the appropriate and economical method in fungicide application as well as for an effective control of the disease. For example, the application of fungicide on the trunk will help farmers to control the spread of the disease up in the canopy, as it is difficult to reach the canopy during fungicide application. This will eventually save more time, labor and cost for disease management.
The differential diagnoses are: acrodermatitis enteropathica, erythema infectiosum, erythema multiforme, hand-foot-and-mouth disease, Henoch–Schönlein purpura, Kawasaki disease, lichen planus, papular urticaria, papular purpuric gloves and socks syndrome, and scabies.
Floppy trunk syndrome was initially observed in 1989 on Fothergill Island, in Matusadona National Park, Zimbabwe, near Lake Kariba. Five more cases were observed in the same location around a year later, and several more cases were observed in July and August 1992. Several elephants suffering from the condition were surgically biopsied while paralyzed in May 1989, and a necropsy of affected elephants was performed in November 1991 and April 1992.
The diagnosis of Gianotti–Crosti syndrome is clinical. A validated diagnostic criteria is as follows:
A patient is diagnosed as having Gianotti–Crosti syndrome if:
1. On at least one occasion or clinical encounter, he/she exhibits all the positive clinical features,
2. On all occasions or clinical encounters related to the rash, he/she does not exhibit any of the negative clinical features,
3. None of the differential diagnoses is considered to be more likely than Gianotti–Crosti syndrome on clinical judgment, and
4. If lesional biopsy is performed, the histopathological findings are consistent with Gianotti–Crosti syndrome.
The positive clinical features are:
- Monomorphous, flat-topped, pink-brown papules or papulovesicles 1-10mm in diameter.
- At least three of the following four sites involved – (1) cheeks, (2) buttocks, (3) extensor surfaces of forearms, and (4) extensor surfaces of legs.
- Being symmetrical, and
- Lasting for at least ten days.
The negative clinical features are:
- Extensive truncal lesions, and
- Scaly lesions.
Post-kala-azar dermal leishmaniasis (also known as "Post-kala-azar dermatosis") is a cutaneous condition that is characterized by depigmented macular, maculopapular and nodular eruptions found mainly on the face, arms, and upper part of the trunk. It occurs years(in the Indian variation)or a few months(in the African strain) after the successful treatment of visceral leishmaniasis
Nabers probe is used to check for furcation involvement clinically. Recently, cone beam computerised technology (CBCT) has also be used to detect furcation. Periapical and interproximal intraoral radiographs can help diagnosing and locating the furcation. The location and severity of furcation should be recorded in patient’s notes.
Only multirooted teeth have furcation. Therefore, upper first premolar, maxillary and mandibular molars may be involved.
Upper premolars have one buccal and one palatal root. Furcation involvement should be checked from the mesial and the distal aspects of the tooth.
Maxillary molars have three roots, a mesio-buccal root, disto-buccal root and a palatal root. Thus, check for furcation from buccal, mesio-palatal and disto-palatal aspects.
Mandibular molars have one mesial and one distal root, and so, check for involvement from buccal and lingual aspects.
Granuloma multiforme (also known as "Mkar disease" and "granuloma multiforme (Leiker)") is a cutaneous condition most commonly seen in central Africa, and rarely elsewhere, characterized by skin lesions that are on the upper trunk and arms in sun-exposed areas. It may be confused with tuberculoid leprosy, with which it has clinical similarities. The condition was first noted by Gosset in the 1940s, but it was not until 1964 that Leiker coined the term to describe "a disease resembling leprosy" in his study in Nigeria.
It is treatable with penicillin or other antibiotics, resulting in a complete recovery.
Some patients have a few or no histopathologic abnormalities. Histological examination of a biopsy may show an increase in the number and size of capillaries and veins (rarely lymphatics), dilated capillaries located in the deeper dermis, and hyperplasia and swollen endothelial cells with occasional dilated veins and venous lakes.
The condition was originally considered characteristic of rubella, but is now considered to be potentially associated with many other conditions, such as cytomegalovirus and metastatic neuroblastoma.
A dilated pore, also known as a dilated pore of Winer, is a cutaneous condition characterized by a solitary, prominent, open comedo on the face or upper trunk of an individual. They can occur on either young or elderly individuals. They are benign; however, they can be considered unsightly. The only curative method of removal is a punch excision, usually 1–3 mm. Lasers and other superficial means of removal have proven to be ineffective.
Idiopathic eruptive macular pigmentation is a skin condition developing in young persons, with an average age of 11, characterized by asymptomatic widespread brown to gray macules of up to several centimeters in diameter on the neck, trunk, and proximal extremities.
Small plaque parapsoriasis (also known as chronic superficial dermatitis) characteristically occurs with skin lesions that are round, oval, discrete patches or thin plaques, mainly on the trunk.
Subtypes:
- "Xanthoerythrodermia perstans" is a distinct variant with lesions that are yellow in color.
- "Digitate dermatosis" is a distinct variant of with lesions in the shape of a finger and distributed symmetrically on the flanks.