RESUMEN
Anthrax is occasionally encountered by U.S. military physicians in the deployed setting, where limited resources make it difficult to obtain laboratory confirmation. We present a case of cutaneous anthrax diagnosed using a ruggedized polymerase chain reaction device in austere combat conditions.
Asunto(s)
Carbunco/diagnóstico , Bacillus anthracis/aislamiento & purificación , Personal Militar , Reacción en Cadena de la Polimerasa/instrumentación , Enfermedades Cutáneas Bacterianas/diagnóstico , Adolescente , Campaña Afgana 2001- , Carbunco/tratamiento farmacológico , Antibacterianos/uso terapéutico , Bacillus anthracis/genética , Ciprofloxacina/uso terapéutico , Clindamicina/uso terapéutico , Humanos , Masculino , Enfermedades Cutáneas Bacterianas/tratamiento farmacológicoAsunto(s)
Antibacterianos/uso terapéutico , Celulitis (Flemón)/diagnóstico , Celulitis (Flemón)/tratamiento farmacológico , Síndrome de Sweet/diagnóstico , Adulto , Antiinflamatorios/uso terapéutico , Diagnóstico Diferencial , Femenino , Humanos , Prednisona/uso terapéutico , Síndrome de Sweet/tratamiento farmacológico , Resultado del TratamientoAsunto(s)
Antebrazo/patología , Poroqueratosis/diagnóstico , Adolescente , Diagnóstico Diferencial , Humanos , MasculinoRESUMEN
Mycobacterium marinum is a nontuberculous mycobacteria that is often acquired via contact with contaminated salt or fresh water. We present a case of a 67-year-old man who developed several solitary nontender nodules on his hands and forearm after working on the underside of his boat. In addition, we provide a review of the literature and discuss how this infection is acquired, the underlying pathogenesis, the cutaneous and histologic findings, the differential diagnosis, the diagnostic methods, and the various treatment options.
Asunto(s)
Antebrazo/microbiología , Dermatosis de la Mano/microbiología , Infecciones por Mycobacterium no Tuberculosas/diagnóstico , Mycobacterium marinum/aislamiento & purificación , Enfermedades Cutáneas Bacterianas/diagnóstico , Anciano , Antibacterianos/uso terapéutico , Antibióticos Antituberculosos/uso terapéutico , Antituberculosos/uso terapéutico , Claritromicina/uso terapéutico , Etambutol/uso terapéutico , Humanos , Masculino , Rifampin/uso terapéuticoRESUMEN
Both classic and atypical Spitz nevi are uncommon melanocytic lesions usually presenting in children and adolescents. The classic Spitz nevus typically is benign and has characteristic clinical and histologic features. In contrast, the atypical Spitz nevus has an unknown clinical prognosis, and its clinical and histologic traits are loosely defined. Melanoma can have similar features to both classic and atypical Spitz nevi and must be ruled out in all cases. We review the literature on classic and atypical Spitz nevi, advances in differentiating both types of nevi from melanoma, and treatment options.
Asunto(s)
Nevo de Células Epitelioides y Fusiformes/patología , Neoplasias Cutáneas/patología , Diagnóstico Diferencial , Humanos , Melanoma/patología , Nevo de Células Epitelioides y Fusiformes/cirugía , Neoplasias Cutáneas/cirugíaAsunto(s)
Queratodermia Palmoplantar/diagnóstico , Adulto , Femenino , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Brotes de Enfermedades , Personal Militar , Urticaria/epidemiología , Adulto , Humanos , Masculino , GuerraRESUMEN
Granulomatous periorificial dermatitis (GPD) is a distinct facial eruption in prepubertal children that should be distinguished from granulomatous rosacea, perioral dermatitis, and cutaneous sarcoidosis. We describe a case of GPD and review the key distinguishing features of this condition.
Asunto(s)
Dermatitis Perioral/diagnóstico , Granuloma/diagnóstico , Antibacterianos/uso terapéutico , Niño , Dermatitis Perioral/tratamiento farmacológico , Diagnóstico Diferencial , Granuloma/tratamiento farmacológico , Humanos , Masculino , Esteroides/uso terapéutico , Tetraciclina/uso terapéuticoAsunto(s)
Mucinosis/patología , Enfermedades de la Piel/patología , Humanos , Masculino , Persona de Mediana Edad , MuñecaRESUMEN
We describe a patient with a superficial acral fibromyxoma, the first such case in the dermatology literature, and review its clinical and histopathologic characteristics.
Asunto(s)
Fibroma/patología , Neoplasias Cutáneas/patología , Dedos , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Birt-Hogg-Dubé syndrome (BHDS) is a rare genodermatosis with cutaneous and systemic findings. We report the case of a 47-year-old woman with BHDS who presented with numerous facial papules and the more recently associated finding of pulmonary cysts. We review recent genetic discoveries and the cutaneous and systemic findings associated with this rare syndrome.
Asunto(s)
Neoplasias Faciales/diagnóstico , Neoplasias Pulmonares/diagnóstico , Síndromes Neoplásicos Hereditarios/diagnóstico , Pólipos del Colon/diagnóstico , Diagnóstico Diferencial , Femenino , Humanos , Persona de Mediana EdadAsunto(s)
Síndrome de Inmunodeficiencia Adquirida/tratamiento farmacológico , Fármacos Anti-VIH/efectos adversos , Erupciones por Medicamentos/etiología , Erupciones por Medicamentos/patología , Liquen Plano/inducido químicamente , Liquen Plano/patología , Síndrome de Inmunodeficiencia Adquirida/diagnóstico , Adulto , Fármacos Anti-VIH/uso terapéutico , Biopsia con Aguja , Dermatosis Facial/inducido químicamente , Dermatosis Facial/patología , Dermatosis de la Mano/inducido químicamente , Dermatosis de la Mano/patología , Humanos , Inmunohistoquímica , Masculino , Medición de Riesgo , Índice de Severidad de la EnfermedadRESUMEN
We report the case of a 58-year-old man with lichen planus localized to a radiation site. To our knowledge, this is the first reported case of radiation-induced lichen planus in the English-language literature.