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First Derm is a US-based online dermatology and tele-health website providing answers to skin conditions. Users send in cases to board certified dermatologists
First_Derm
Class of Victorian Railways railmotor
The Diesel Electric Rail Motor (DERM) is a type of railmotor operated by the Victorian Railways in Australia. Originally built as a petrol electric rail
Diesel Electric railmotor (VR)
Diesel_Electric_railmotor_(VR)
Antibiotic
class and works by blocking bacteria from making protein. Clindamycin was first made in 1966 from lincomycin. It is on the World Health Organization's List
Clindamycin
Inflammation of the vulva
cell extravasation and/or hemosiderin "Online Dermatology - Vulvitis". First Derm. 2016-01-02. Retrieved 2018-10-27. "Vulvitis - Our Bodies Ourselves".
Vulvitis
Sailboat class
First 18". Sail Magazine. Archived from the original on 9 December 2022. Retrieved 10 September 2023. Jesih, Jakica (6 September 2019). "Harken Derm Seascape
Beneteau_First_18_SE
Reference website for clinical dermatology
dermatologists. In 2017, DermNet released its first book, Dermatology Made Easy. DermNet also provides an interactive tool, DermDiag, which allows users
DermNet
Syrian-American dermatologist
to continue his research and training. In 1985, he developed the Obagi Nu-Derm System, a line of skincare products. That year, he also founded the Obagi
Zein_E._Obagi
Skin disease
ISBN 978-3-319-92387-1. "Seborrhoeic dermatitis and dandruff (seborrheic eczema). DermNet NZ". . DermNet NZ. 20 March 2012. Archived from the original on 15 June 2012
Seborrhoeic_dermatitis
Viral disease affecting humans
2000 and 2017, with about 85% of children worldwide having received their first dose as of 2017. Measles affects about 10 million people a year, primarily
Measles
American comedian, writer and television host (born 1964)
2023. Retrieved February 17, 2018. "Ziwe And The Skincare You Buy After The Derm Reads You 'For Filth'". Into The Gloss. October 30, 2019. Archived from the
Stephen_Colbert
American physicist and entrepreneur (born 1942)
ventures, bringing several of his inventions to market under the Veinlite and DermLite brands. Mullani was one of five children born to Indian parents in Dar
Nizar_A._Mullani
King of Lavo and Xiān from 1082 to 1087
(สินธพอำมรินทร์). Having defeated the Mueang Wat Derm line, Sindhob Amarin consolidated authority over both Mueang Wat Derm and Mueang Phreak, while continuing to
Narai_I
Method for measuring skin hydration
first commercial instrument for measuring skin hydration was sold under this name. C. W. Blichmann, J. Serup: Assessment of Skin Moisture, Acta Derm.
Corneometry
English businessman (born 1968)
developed another Essex-based business, EuroDERM Research; Drewitt-Barlow was managing director. In 2006, EuroDERM Research planned cosmetic and medical research
Barrie_Drewitt-Barlow
Corticosteroid medication
has anti-inflammatory and immunosuppressant effects. Dexamethasone was first synthesized in 1957 by Philip Showalter Hench and was approved for medical
Dexamethasone
Thai singer-songwriter (born 1981)
tracks: Tick Tock Ooh! Kwam cheb puad ("Pain") Rong hai ngai ngai kab ruang derm derm ("Crying Easily Over The Same Things") Mai mee kam cham kad kwam ("Without
Palmy
Sebaceous glands that are present in most individuals
Press. p. 87. ISBN 978-1-84184-864-8. Fordyce first described them in 1896.synd/1510 at Whonamedit? derm/395 at eMedicine Khoo LS, Cheong WK (July 1995)
Fordyce_spots
Genetic skin disease
affected die within the first few months; however, retinoid treatment can increase chances of survival. Children who survive the first year of life often have
Harlequin-type_ichthyosis
Medical condition featuring permanent bending of fingers
named after Guillaume Dupuytren, who first described the underlying mechanism of action, followed by the first successful operation in 1831 and publication
Dupuytren's_contracture
Chronic disease caused by bacterial infection
may begin to notice symptoms within the first year or up to 20 years after infection. Oftentimes, the first noticeable sign of leprosy is the development
Leprosy
French multinational digital automation and energy management company
15, 2023. Runyon, Jennifer (May 13, 2022). "Schneider Electric scoops up DERMS provider AutoGrid". Smart Energy International. Retrieved February 15, 2023
Schneider_Electric
Skin disease
Determining what drug is the cause is based on the time interval between first use of the drug and the beginning of the skin reaction. Drugs discontinued
Stevens–Johnson_syndrome
Naval academy of Thailand
and some other boats donated by the king, the academy later moved to Wang Derm Palace in Thonburi (in the compound of the present headquarters of the Royal
Royal_Thai_Naval_Academy
Family of venomous sea snails
ISBN 978-0-9573946-2-9. Ben Tallon (2005). "Marine wounds and stings". DermNet NZ. "Killer Cones". Archived from the original on 2008-12-26. Retrieved
Cone_snail
Human disease that results in excess growth of certain parts of the body
growth hormone levels. Two surgical procedures are available for use. The first is endonasal transsphenoidal surgery, which involves the surgeon reaching
Acromegaly
Genetic condition involving hearing loss and depigmentation
Waardenburg syndrome. Descriptions of the syndrome date back to at least the first half of the 20th century, however it is named after Dutch ophthalmologist
Waardenburg_syndrome
Man-made reef off the coast of Florida
permitting process, the Atlantis Reef Project has been permitted by the EPA, DERM, NOAA, Florida Fish and Wildlife, and the Army Corps of Engineers. One of
Neptune_Memorial_Reef
Medical sign
maint: deprecated archival service (link) "Adult-onset dermatomyositis | DermNet". dermnetnz.org. Retrieved 2023-12-25. BSc, Heather M. Babcock; PhD, Mohammed
Gottron's_sign
Investigational sexual dysfunction drugs
transdermal (Intrinsa; Intrinsa CHF; Livensa; Testosterone transdermal TheraDerm MTX; WC3048; WC3049) – androgen (androgen receptor agonist) – female sexual
List of investigational sexual dysfunction drugs
List_of_investigational_sexual_dysfunction_drugs
Autoimmune diseases of the skin
1684/ejd.2011.1569. PMID 22321651. Stanway A. "Erythrodermic psoriasis". DermNet NZ. Archived from the original on 2 February 2014. Retrieved 16 March
Psoriasis
Chinese singer and actor (born 1990)
his first professional music stage performance was Jiangsu Television's Golden Melody 2. On August 17, Liu and Modern Brothers held their first offline
Liu_Yuning
External genitalia of the female mammal
Vanessa Ngan (2002). "Vulval and vaginal problems in prepubertal females". DermNet NZ. Archived from the original on 20 September 2018. Retrieved 26 March
Vulva
Medication and naturally occurring steroid hormone
Testosterone is in the androgen family of medications. Testosterone was first isolated in 1935, and approved for medical use in 1939. Rates of use have
Testosterone_(medication)
Species of spider with venomous bite native to US
New mnemonic to prevent misdiagnosis of skin conditions as spider bites". derm.city. — free access news article gives the full mnemonic Stoecker, William
Brown_recluse_spider
Group of genetic connective tissues disorders
ISBN 978-1-58255-679-6. Archived from the original on 2017-11-05. "Piezogenic papules – DermNet New Zealand". www.dermnetnz.org. Archived from the original on 2016-11-26
Ehlers–Danlos_syndrome
Reciprocating internal combustion engine
highway graders. A 6-cylinder version was used in the Victorian Railways DERM railmotor and the Commonwealth Railways NDH railcars in Australia. The inline
Detroit_Diesel_Series_71
Human disease from a bacterial infection of the skin
ISBN 978-0-323-53042-2. Stanway, Amy; Oakley, Amanda; Gomez, Jannet (2016). "Erysipelas | DermNet NZ". dermnetnz.org. Retrieved 6 June 2020. Davis, Loretta S. (9 November
Erysipelas
Organic compound (H–CHO); simplest aldehyde
2310/6620.2009.08097. PMID 19470301. S2CID 24088485. "Formaldehyde allergy". DermNet NZ. New Zealand Dermatological Society. 2002. Archived from the original
Formaldehyde
Eating disorder
in anorexia nervosa". Dermato-Endocrinology. 1 (5): 268–270. doi:10.4161/derm.1.5.10193. PMC 2836432. PMID 20808514. Miller KK (September 2013). "Endocrine
Anorexia_nervosa
Inflammatory disease of the skin in humans
(chlorhexidine vs KMn04) on bacterial skin flora in atopic dermatitis". Acta Derm Venereol Suppl (Stockh). 176: 132–4. PMID 1476027. Baron S, Moss C (February
Dyshidrosis
Capital and largest city of Thailand
[Interesting facts about the city of Thonburi]. Phra Racha Wang Derm (in Thai). Phra Racha Wang Derm Restoration Foundation. Archived from the original on 2 March
Bangkok
Treatment for tobacco use disorder
therapy works by reducing cravings caused by nicotine addiction. They were first approved for use in 1984, in the United States. Nicotine replacement products
Nicotine_replacement_therapy
Medical condition
Classification D ICD-10: T26-T28 ICD-9-CM: 949 MeSH: D002057 External resources MedlinePlus: 000059 eMedicine: derm/777
Chemical_burn
Skyscraper in Quarry Bay, Hong Kong
main contractor was Gammon Construction. 2–3/F: Accenture 4 & 67/F: Neo Derm 4/F: Amgen (Room 407–12) 5/F: CLSA 6–7/F: American International Group (AIG)
One_Island_East
Medical condition
CCL2/MCP-1, CCL5/RANTES and CCL17/TARC play a crucial role. First-line treatment: H1RAs are first-line therapy for patients with CholU, but many patients
Cholinergic_urticaria
Medical condition
StatPearls. StatPearls Publishing. PMID 29489228. "Piezogenic papules images | DermNet". dermnetnz.org. Archived from the original on 2 October 2022. Retrieved
Piezogenic_papules
Tetracycline-class antibiotic
species: a possible mechanism of action of acne therapy with doxycycline". Acta Derm Venereol. 72 (3): 178–9. doi:10.2340/0001555572178179. PMID 1357852. S2CID 45726787
Doxycycline
Nigerian -American comedian and writer
Fumudoh, Ziwe (October 30, 2019). "Ziwe And The Skincare You Buy After The Derm Reads You 'For Filth'". Into The Gloss. Misulonas, Joseph; Lenhoff, Caryn
Ziwe_Fumudoh
Criteria for measuring cause and effect
criteria for causality". Dermatoendocrinology. 1 (1): 17–24. doi:10.4161/derm.1.1.7388. PMC 2715209. PMID 20046584. Mohr SB, Gorham ED, Alcaraz JE, Kane
Bradford_Hill_criteria
Partially closed railway line in Melbourne, Australia
Walker railmotor (1957–1978). DERM 62 (1978–1979) DERM 58 (1979–1980) [citation needed] Towards the closure of the line the DERM (Diesel Electric Rail Motor)
Healesville_railway_line
Compulsive hair-pulling disorder
patients with trichotillomania. Hair pulling was first mentioned by Aristotle in the fourth century B.C., was first described in modern literature in 1885, and
Trichotillomania
Residential area in Brisbane, Australia
ID 600326 https://www.derm.qld.gov.au/chimsi/placeDetail.html?siteId=15101 Queensland Heritage Register ID 600327 https://www.derm.qld.gov.au/chimsi/placeDetail
Urban renewal in Woolstore Precinct, Teneriffe
Urban_renewal_in_Woolstore_Precinct,_Teneriffe
Human disease (bacterial infection)
Alternatively, amoxicillin combined with clavulanate potassium, cephalosporins (first-generation) and many others may also be used as an antibiotic treatment
Impetigo
Subfamily of plants in the grass family
1986.tb01293.x. ISSN 0105-1873. PMID 3780197. "Immunoglobulin E tests". DermNet®. 26 October 2023. Retrieved 25 February 2026. The Complete Guide to Edible
Bamboo
Immune system response to a substance that most people tolerate well
Oakley, Amanda (26 October 2023). "Urticaria (hives): A complete overview". DermNet®. Brożek, J. L.; Bousquet, J.; Agache, I. (2017). "Allergic Rhinitis and
Allergy
Skin condition where patches lose pigment
calcineurin inhibitors (such as tacrolimus or pimecrolimus) are considered to be first-line vitiligo treatments. In July 2022, ruxolitinib cream (sold under the
Vitiligo
Autoimmune disease
antigen (MHC/HLA) region, as demonstrated by the preliminary results of the first genome-wide association study. This study included data from a discovery
Sjögren's_disease
Concept by Al Gore
New Zealand in September, 2012. The term Digital Earth Reference Model (DERM) was coined by Tim Foresman in context with a vision for an all encompassing
Digital_Earth
Three genetic disorders involving benign tumors of the nervous system
of tumors is an option; however, the risks involved should be assessed first. With regard to OPG (optic pathway gliomas), the preferred treatment is
Neurofibromatosis
Infection that results in the death of the body's soft tissue
population, so higher suspicion should be maintained in this group. The first symptom of NF. The center is clearly getting darker red (purple). Early
Necrotizing_fasciitis
Area of the brain below the thalamus
Evidence of its Association with Stress-related Disease Activity". Acta Derm Venereol. 93(4): 387–393. doi:10.2340/00015555-1557. Mayer EA (July 2011)
Hypothalamus
Infectious disease caused by Borrelia bacteria, spread by ticks
352–59. Hellerström S (1930). "Erythema chronicum migrans Afzelii". Acta Derm. Venerol. (in German). 11: 315–21. Lennhoff C (1948). "Spirochaetes in aetiologically
Lyme_disease
Group of physiologically active lipid compounds
calcitriol in prostate cancer". Dermatoendocrinol. 1 (1): 7–11. doi:10.4161/derm.1.1.7106. PMC 2715203. PMID 20046582.{{cite journal}}: CS1 maint: multiple
Prostaglandin
Form of scarring
stretching of skin fibers. Many women experience striae gravidarum during their first pregnancy. Nearly 45% percent of women develop striae gravidarum before
Stretch_marks
Detailed list of friendly supporting characters in DC Comics' Batman line
Wayne - Lead wagon trails though Native American territory. Catherine van Derm - The wife of Alan Wayne and the great-great-grandmother of Bruce Wayne.
List of Batman supporting characters
List_of_Batman_supporting_characters
Skin product helping to prevent sunburn
scitotenv.2023.164196. PMC 10330564. PMID 37201845. "Sunscreen allergy". DermNet NZ. Archived from the original on October 31, 2020. Retrieved September
Sunscreen
Skin cancer originating in melanocytes
Having a family history of melanoma increases one's risk, with having a first-degree relative increasing one's risk of developing melanoma by 1.74 times
Melanoma
Essential nutrient
perspective for health". Dermato-Endocrinology. 5 (1): 51–108. doi:10.4161/derm.24494. PMC 3897598. PMID 24494042. Giustina A, Bouillon R, Dawson-Hughes
Vitamin_D
Brand of skin care ointments
(1999). "Glycerol Accelerates Recovery of Barrier Function In Vivo". Acta Derm Venereol. 79 (6): 418–421. doi:10.1080/000155599750009825. PMID 10598752
Aquaphor
Skin disorder
Vulgaris: Background, Pathophysiology, Etiology". eMedicine. 2021-11-08. DermAtlas 28 Photographs from Ichthyosis Information Archived 2021-04-21 at the
Ichthyosis_vulgaris
Common human disease caused by a group of viruses
Symptoms, treatment and prevention are similar to HFMD. HFMD cases were first described clinically in Canada and New Zealand in 1957. The disease was
Hand,_foot,_and_mouth_disease
Form of electromagnetic radiation
"Sunlight and Vitamin D". Dermato-endocrinology. 5 (1): 51–108. doi:10.4161/derm.24494. ISSN 1938-1972. PMC 3897598. PMID 24494042. David Hambling (29 May
Ultraviolet
King of Siam from 1767 to 1782
of King Taksin at Thonburi Palace or Phra Racha Wang Derm, Thonburi, Bangkok. Phra Racha Wang Derm (Thonburi Palace), the former royal palace of Taksin
Taksin
Extreme hypothyroidism
hormone action on skin". Dermato-Endocrinology. 3 (3): 211–215. doi:10.4161/derm.3.3.17027 (inactive 15 August 2025). PMC 3219173. PMID 22110782.{{cite journal}}:
Myxedema
Allergic reaction to low temperatures
Symptoms of Chronic Cold Urticaria" (PDF). Acta Dermato Venereologica Acta Derm Venerol. 96 (1): 56–59. doi:10.2340/00015555-2150. PMID 26038847. "Cold urticaria"
Cold_urticaria
Sexually transmitted infection
causative organism, Treponema pallidum, was first identified by Fritz Schaudinn and Erich Hoffmann, in 1905. The first effective treatment for syphilis was arsphenamine
Syphilis
Chemical element with atomic number 24 (Cr)
22 April 2021. Retrieved 19 March 2015. Ngan, V (2002). "Chrome Allergy". DermNet NZ. Archived from the original on 7 July 2016. Retrieved 7 June 2008.
Chromium
Growth of an additional part of the body and a deviation from the body plan
PatientPlus. "Cervical ribs and thoracic outlet syndrome". Accessed 10 July 2006. Derm Atlas. "Image of hyperdontia. Accessed 10 July 2006. Penn State Milton S
Supernumerary_body_part
Skin condition characterized by pimples
teratogenic effects in the first trimester. The data examining the association between maternal topical retinoid exposure in the first trimester of pregnancy
Acne
Antibiotic medication
regarded as safe during breastfeeding, its use by the mother during the first two weeks of life may increase the risk of pyloric stenosis in the baby
Erythromycin
Mixture of fragrant substance
constituents and chemical detection in relevant cosmetic products". Contact Derm. 52 (4): 216–25. doi:10.1111/j.0105-1873.2005.00563.x. PMID 15859994. S2CID 5661020
Perfume
Viral disease caused by the varicella zoster virus
chickenpox, although that person will not suffer from shingles, at least on the first infection. How the virus subsequently re-activates is not well understood
Shingles
Occurrence of an additional nipple in mammals
supernumerary nipple. First broadcast on 2 January 2008, it was directed and produced by Dan Louw and commissioned as part of Channel 4's First Cut series. The
Supernumerary_nipple
Inflammation of fat tissue under the skin
spontaneously within 30 days. It is common in young people aged 12–20 years. The first signs of erythema nodosum are often flu-like symptoms such as a fever, cough
Erythema_nodosum
1932–1972 human experiment in Alabama, United States
infection based upon a re-study of the Boeck-Bruusgaard material". Acta Derm Venereol. 35 (Suppl 34): 3–368. Gray, Fred D. (1998). The Tuskegee Syphilis
Tuskegee_Syphilis_Study
Foodborne illness that typically results from eating spoiled fish
Stomach?". Home Cook World. Retrieved 2023-07-25. "Scombroid fish poisoning". DermNet New Zealand Trust. 15 December 2014. Clark RF, Williams SR, Nordt SP,
Scombroid_food_poisoning
Substances applied to the body to change appearance or fragrance
Research Group with 48 frequently used constituents of perfumes". Contact Derm. 33 (5): 333–42. doi:10.1111/j.1600-0536.1995.tb02048.x. PMID 8565489. S2CID 44355890
Cosmetics
Viceroy of Siam (1808–1866)
born to Prince Itsarasunthon and Princess Bunrot at the Phra Racha Wang Derm (Thonburi Palace). He was the younger brother of Prince Mongkut, who was
Pinklao
Loss of hair from the head or body
doi:10.1055/s-0028-1102905. PMID 19034818. S2CID 260136951. "Hair loss". DermNet. Archived from the original on 2016-06-25. Retrieved 2016-08-03. Dawber
Hair_loss
Medical condition
"The Photodermatitis caused by Sweet Cow Parsnip (Heracleum dulce)". Vestn. Derm. Vener. (in Russian). 4: 64. Cited by Mitchell and Rook (1979), p. 693. Mitchell
Phytophotodermatitis
Disease in which fibrous connective tissue turns into bone
that caused bone formation. In 1736, London surgeon, John Freke wrote the first case report of FOP, describing a 14-year-old boy that exhibited "'many large
Fibrodysplasia ossificans progressiva
Fibrodysplasia_ossificans_progressiva
Oily chemical involved in sterol synthesis
lipids". Dermato-Endocrinology. 1 (2). Taylor & Francis: 72–76. doi:10.4161/derm.1.2.7811. PMC 2835894. PMID 20224687. "Squalene-based adjuvants in vaccines"
Squalene
Inflammation due to damage of skin capillaries when blood perfuses into nearby tissue
the free dictionary. Wikimedia Commons has media related to Chilblains. DermAtlas 1683395337 Cold stress, National Institute for Occupational Safety and
Chilblains
Skin condition, usually on the face
(14): 2029–38. doi:10.1517/14656566.2014.945423. PMID 25186025. "Rosacea". DermNet, New Zealand Dermatological Society. Archived from the original on 7 December
Rosacea
Fungal skin infection caused by the presence of a topical immunosuppressive agent
). Elsevier. p. 296. ISBN 978-0-323-54753-6. "What is tinea incognita?". DermNet NZ. Verma, SB (March 2017). "A Closer Look at the Term "Tinea Incognito:"
Tinea_incognita
Overproduction of red blood cells by the bone marrow
vera: treatment with aspirin and possibility of platelet involvement". Acta Derm Venereol. 59 (6): 505–12. doi:10.2340/0001555559505512. PMID 94209. S2CID 6909368
Polycythemia_vera
Genetic disorder of the skull and face
syndrome is named for Octave Crouzon, a French physician who first described this disorder. First called "craniofacial dysostosis" ("craniofacial" refers to
Crouzon_syndrome
Medical condition
Dermatitis® in the MSM Community". Dermatitis. 35 (3): 198–204. doi:10.1089/derm.2023.0157. PMID 37788394. Salari N, Heidarian P, Hosseinian-Far A, Babajani
Perioral_dermatitis
genres: classical and popular. Thai classical music, also known as Phleng Thai-derm, is the most revered form of Thai music and is considered the pinnacle of
Culture_of_Thailand
Inflammation of the synovial membrane within a joint
ISSN 1619-7089. PMC 8803784. PMID 34671820. "Synovetin OA® | Synovetin OA® Package Insert". www.synovetin.com. Retrieved 2024-02-27. DermAtlas -1087962730
Synovitis
FIRST DERM
FIRST DERM
Girl/Female
Hindu, Indian
First
Girl/Female
Indian, Sanskrit
First
Boy/Male
Czechoslovakian
First.
Girl/Female
British, English
First; Always First
Boy/Male
Hindu, Indian
First
Boy/Male
Muslim
First
Girl/Female
Tamil
First
Girl/Female
Biblical
First-born, first fruits.
Girl/Female
Hawaiian, Hebrew, Hindu, Indian, Tamil
First
Boy/Male
Indian
First
Boy/Male
Tamil
First
Girl/Female
Indian
First
Girl/Female
Latin
First.
Boy/Male
English
From the Thicket of Trees
Boy/Male
Tamil
First
Girl/Female
Hindu
First
Boy/Male
Hindu, Indian
First
Biblical
first begotten; first fruits
Girl/Female
Indian, Punjabi, Sikh
First
Girl/Female
Hindu, Indian
First
FIRST DERM
FIRST DERM
Boy/Male
Hindu
Incarnation of the human form to establish Dharma
Boy/Male
Hindu
Honesty
Girl/Female
Gujarati, Hindu, Indian, Jain, Kannada, Malayalam, Marathi, Oriya, Sanskrit, Tamil, Telugu
Little; Collection of Many Small Things
Girl/Female
Anglo Saxon
Hoped for.
Boy/Male
Hindu
Boy/Male
Indian, Sanskrit
Holy River
Boy/Male
Arabic, Indian, Muslim
Masters; Lords
Girl/Female
Hindu, Indian, Marathi
An Indian Dance Form
Girl/Female
Indian
Watchful, Vigilant
Girl/Female
Hindu, Indian, Tamil
Melodious
FIRST DERM
FIRST DERM
FIRST DERM
FIRST DERM
FIRST DERM
a.
Preceding all others of a series or kind; the ordinal of one; earliest; as, the first day of a month; the first year of a reign.
a.
First-formed.
a.
Obtained directly from the first or original source; hence, without the intervention of an agent.
a.
First; chief.
v. t.
To gripe with the fist.
n. pl.
First fruits.
adv.
In the first place; first in order.
a.
Foremost; in front of, or in advance of, all others.
a.
First.
v. t.
To strike with the fist.
a.
Most eminent or exalted; most excellent; chief; highest; as, Demosthenes was the first orator of Greece.
n.
A first game; first plan.
adv.
Beforehand; first.
adv.
First.
n.
First opening or expansion; first appearance; beginning; rise.
n.
The upper part of a duet, trio, etc., either vocal or instrumental; -- so called because it generally expresses the air, and has a preeminence in the combined effect.
a.
Of the best class; of the highest rank; in the first division; of the best quality; first-rate; as, a first-class telescope.
adv.
Before any other person or thing in time, space, rank, etc.; -- much used in composition with adjectives and participles.