Digital photography for store-and-forward teledermatology produces high-quality images and diagnostic concordance rates that compare favorably with in-person clinical diagnoses.

Lymphomatoid granulomatosis is a necrotizing angiocentric and angiodestructive infiltrative process involving primarily the lung, skin, central nervous system, and kidney. The incidence is highest in middle-aged men and is rare in children. We report a case of lymphomatoid granulomatosis involving both skin and lung in a 4-year-old boy. The disease progressed to peripheral T-cell lymphoma, which was unusual in light of recent evidence suggesting a B-cell origin in the majority of cases.

A pulsed Erbium:YAG laser (2.94 m) equipped with a 1 meter infrared transmitting glass fiber coupled with a sapphire tip was used to photovaponze human autopsy lens tissue. Measured diameter of photovaponzation of human lens cortex with Erbium:YAG laser ranged from 117 im at a fluence of 3.98 J/cm2 to 227 um at fluence of 15.92 J/cm2. Measured diameter of photovaporization of human lens nucleus with Erbium:YAG laser ranged from 265 um at a fluence of 11 J/cm2 and 295 urn at a fluence of 15 J/cm2. Endolenticular phacovaporization with the Erbiurn:YAG laser appears to be a potentially efficient and precise means of removing the human lens. 0-8194-141 9-O/94/$6.O0 SPIE Vol. 2126 Ophthalmic Technologies IV (1994)1 315 Downloaded From: http://proceedings.spiedigitallibrary.org/ on 07/02/2016 Terms of Use: http://spiedigitallibrary.org/ss/TermsOfUse.aspx

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