RESUMEN
The authors report a case of pyoderma gangrenosum in a 37-year-old woman that occurred at surgical sites after reduction mammoplasty. The diagnosis was delayed, but treatment with intralesional triamcinolone resulted in complete resolution o the condition. Pyoderma gangrenosum in this setting can mimic infectious causes of wound necrosis. Early recognition of its characteristics features may prevent unnecessary and ineffective treatment, thereby avoiding frustration for both patient and physician.
Asunto(s)
Enfermedades de la Mama/etiología , Mama/cirugía , Complicaciones Posoperatorias , Piodermia/etiología , Úlcera Cutánea/etiología , Cirugía Plástica , Adulto , Enfermedades de la Mama/diagnóstico , Enfermedades de la Mama/tratamiento farmacológico , Diagnóstico Diferencial , Femenino , Humanos , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/tratamiento farmacológico , Piodermia/diagnóstico , Piodermia/tratamiento farmacológico , Úlcera Cutánea/diagnóstico , Úlcera Cutánea/tratamiento farmacológico , Infección de la Herida Quirúrgica/diagnóstico , Triamcinolona/uso terapéuticoAsunto(s)
Artritis/etiología , Síndrome del Asa Ciega/complicaciones , Dermatitis/etiología , Síndromes Posgastrectomía/complicaciones , Síndrome del Asa Ciega/tratamiento farmacológico , Calcio/uso terapéutico , Femenino , Humanos , Persona de Mediana Edad , Adherencias Tisulares/complicaciones , Adherencias Tisulares/cirugía , Vitamina D/uso terapéuticoRESUMEN
Of the 31 patients who developed polyarthritis following jejunoileal bypass for obesity, 24 had cutaneous vasculitis (urticarial, pustular, and nodular), 11 paresthesias, 10 Raynaud's phenomenon, and 1 pericarditis. Blind loop symptoms (14 of 26 patients), cryoglobulinemia (10 of 28), and immune deposits in biopsied skin lesions (5 of 7) support the theory of a relationship between bowel bacteria and immune complexes. Treating the blind loop with antibiotics and sphincteroplasty to prevent bacterial reflux into the blind loop helped 5 of 10 and 6 of 9 patients, respectively. A comparison is made to other bowel associated arthritides.
Asunto(s)
Artritis/etiología , Síndrome del Asa Ciega/etiología , Dermatitis/etiología , Íleon/cirugía , Yeyuno/cirugía , Obesidad/terapia , Antibacterianos/uso terapéutico , Complejo Antígeno-Anticuerpo/inmunología , Síndrome del Asa Ciega/tratamiento farmacológico , Síndrome del Asa Ciega/cirugía , Complemento C3/análisis , Complemento C4/análisis , Crioglobulinas/análisis , Dermatitis/inmunología , Dermatitis/patología , Humanos , Parestesia/etiología , Complicaciones Posoperatorias , Enfermedad de Raynaud/etiología , Síndrome , Vasculitis Leucocitoclástica Cutánea/etiologíaRESUMEN
Four patients are reported with concomitant erythrasma and trichophyton rubrum dermatophytosis of the groin. The recognition and diagnosis of these associated infections is emphasized.
Asunto(s)
Infecciones por Corynebacterium/complicaciones , Eritrasma/complicaciones , Conducto Inguinal , Enfermedades Cutáneas Infecciosas/complicaciones , Tiña/complicaciones , Adolescente , Adulto , Eritrasma/patología , Femenino , Humanos , Masculino , Microscopía Electrónica , Microscopía Fluorescente , Piel/patología , Piel/ultraestructura , Enfermedades Cutáneas Infecciosas/patología , Tiña/patologíaRESUMEN
Electronmicroscopic studies confirmed that melanoacanthoma is a non-nevoid elevated epithelial tumor composed of keratinocytes of both basaloid and spinous differentiation and of large dentritic melanocytes. The block in transfer of pigment from melanocytes to keratinocytes was found not to be complete. Langerhans cells, present in the malpighian layers were normal in morphology. Immunofluorescent studies and an immunoprecipitin assay also showed our patient's melanoacanthoma not to be related to malignant melanoma.