RESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Adulto , Larva Migrans/diagnóstico , Enfermedades Cutáneas Vesiculoampollosas/parasitología , Enfermedades Cutáneas Parasitarias/diagnóstico , Diagnóstico DiferencialRESUMEN
PURPOSE: To report an unusual case of Demodex folliculitis presenting as periocular vesiculopustular rash. DESIGN: Case report. RESULTS: A 68 year-old woman presented with a unilateral periocular rash that was initially treated by her primary ophthalmologist with topical steroids and antivirals. Slit-lamp examination revealed severe bilateral blepharitis, right greater than left, with waxy sleeves around the eyelashes. The diagnosis of Demodex infestation was considered. Treatment with daily lid scrub with polyhexamethylene biguanide (PHMB), 1,2-hexanediol and 1,2-octanediol (OCuSOFT PLUS) and erythromycin ointment twice a day resulted in complete resolution of the symptoms after 4 weeks. CONCLUSIONS: Ophthalmologists should be aware of Demodex and consider it in the differential diagnosis of periocular skin lesions.
Asunto(s)
Blefaritis/diagnóstico , Foliculitis/diagnóstico , Infestaciones por Ácaros/diagnóstico , Ácaros , Enfermedades Cutáneas Vesiculoampollosas/diagnóstico , Anciano , Animales , Antibacterianos/uso terapéutico , Biguanidas/uso terapéutico , Blefaritis/tratamiento farmacológico , Blefaritis/parasitología , Desinfectantes/uso terapéutico , Quimioterapia Combinada , Eritromicina/uso terapéutico , Femenino , Foliculitis/tratamiento farmacológico , Foliculitis/parasitología , Glicoles/uso terapéutico , Hexanos/uso terapéutico , Humanos , Infestaciones por Ácaros/tratamiento farmacológico , Infestaciones por Ácaros/parasitología , Octanoles/uso terapéutico , Pomadas , Enfermedades Cutáneas Vesiculoampollosas/tratamiento farmacológico , Enfermedades Cutáneas Vesiculoampollosas/parasitologíaRESUMEN
Cardiac involvement is an uncommon complication of echinococcosis. It is usually asymptomatic and may only be diagnosed incidentally. A 7-year-old boy was admitted with acute stroke and bullous and ulcerated skin lesions. He was diagnosed with cardiac echinococcosis complicated by systemic emboli to the central nervous system and superficial cutaneous arteries. In endemic areas, echinococcosis should be considered in the differential diagnosis of cardiac disease and unexplained cerebral embolism.
Asunto(s)
Trastornos Cerebrovasculares/diagnóstico , Equinococosis/complicaciones , Equinococosis/diagnóstico , Cardiopatías/diagnóstico , Enfermedades Cutáneas Parasitarias/diagnóstico , Enfermedades Cutáneas Vesiculoampollosas/parasitología , Úlcera Cutánea/parasitología , Encéfalo/diagnóstico por imagen , Trastornos Cerebrovasculares/parasitología , Niño , Ecocardiografía , Cardiopatías/complicaciones , Cardiopatías/parasitología , Humanos , Imagen por Resonancia Magnética , Masculino , Radiografía Torácica , Enfermedades Cutáneas Parasitarias/parasitologíaRESUMEN
Bullous scabies is a rare disease that is usually diagnosed in elderly patients. The clinical, histological, and immunological findings are identical to bullous pemphigoid. In a review of the literature, we found reports of 24 cases. We present a new case of bullous scabies in a 72-year-old man. The lesions responded to treatment with oral ivermectin.
Asunto(s)
Acaricidas/uso terapéutico , Errores Diagnósticos , Ivermectina/uso terapéutico , Escabiosis/tratamiento farmacológico , Enfermedades Cutáneas Vesiculoampollosas/tratamiento farmacológico , Acaricidas/farmacología , Anciano , Animales , Resistencia a Medicamentos , Reacciones Falso Negativas , Técnica del Anticuerpo Fluorescente Directa , Técnica del Anticuerpo Fluorescente Indirecta , Humanos , Ivermectina/farmacología , Masculino , Penfigoide Ampolloso/diagnóstico , Permetrina/farmacología , Permetrina/uso terapéutico , Sarcoptes scabiei/efectos de los fármacos , Escabiosis/diagnóstico , Enfermedades Cutáneas Vesiculoampollosas/diagnóstico , Enfermedades Cutáneas Vesiculoampollosas/parasitologíaRESUMEN
We report the first case, to the best of our knowledge, of a woman suffering from cystic echinococcosis of the liver, who consequently developed urticaria and acute generalized exanthematous pustolosis (AGEP). Serum immunoglobulin (Ig)E and IgG4 specific to Echinococcus granulosus antigens were detected by immunoblotting. Furthermore, the intracellular cytokine analysis revealed a prevalent T-helper 2 polarization. It can be reasoned that, while the presence of IgE specific to various E. granulosus allergens may be responsible for the chronic urticarial manifestations, the detection of IgG4 specific for E. granulosus antigens, forming immunocomplexes, may be related to the development of the AGEP.
Asunto(s)
Equinococosis Hepática/complicaciones , Exantema/parasitología , Enfermedades Cutáneas Parasitarias/parasitología , Enfermedades Cutáneas Vesiculoampollosas/parasitología , Urticaria/parasitología , Anciano , Formación de Anticuerpos , Antígenos Helmínticos/análisis , Citocinas/análisis , Equinococosis Hepática/inmunología , Exantema/inmunología , Femenino , Humanos , Immunoblotting , Leucocitos Mononucleares/inmunología , Enfermedades Cutáneas Parasitarias/inmunología , Enfermedades Cutáneas Vesiculoampollosas/inmunología , Urticaria/inmunologíaRESUMEN
Skin and superficial lymph nodes from the 65 juvenile (< 1 year old) and adult free-ranging American badgers (Taxidea taxus) of both sexes that were killed from late July to late October 1991 as part of the recovery program for the endangered black-footed ferret (Mustela nigripes) were examined for evidence of Filaria taxideae. Fifty-one badgers (51/64, 80%) were infected. Both adult badgers (30/32, 94%) and juvenile badgers (21/32, 67%) were infected by adult filarial worms, which occurred most commonly in subcutaneous tissues of the inguinal area, proximal thigh, and ventral abdomen. Sections of formalin-fixed skin and, from many badgers, subcutaneous lymph nodes were stained with hematoxylin and eosin, Jones' methenamine silver (for basement membrane), and an avidin biotin peroxidase complex method (for factor VIII-related antigen). Superficial dermatitis attributable to embryonated filarial ova and larvae was present in 26/64 badgers (41%), all of them adult (> 1 year old). Acute lesions consisted of multifocal vesiculobullous dermoepidermal separation and superficial perivascular dermatitis. Ultrastructural examination and Jones' silver-stained sections revealed separation between basal keratinocytes and the basal lamina (subepidermal vesiculation). Older lesions consisted of ulcerative superficial granulomatous dermatitis associated with ova and larvae. Multifocal granulomatous endolymphangitis, which involved afferent lymphatics of subcutaneous lymph nodes, was associated with viable as well as degenerative ova and larvae. Adult filarial worms were found in the subcutis alone and did not provoke an inflammatory reaction.