Assuntos
Esporotricose , Síndrome de Sweet , Humanos , Esporotricose/patologia , Síndrome de Sweet/patologia , Masculino , Feminino , Biópsia , Pessoa de Meia-IdadeAssuntos
Artrite Reumatoide , Paniculite , Piperidinas , Pirimidinas , Pirróis , Humanos , Piperidinas/uso terapêutico , Pirimidinas/uso terapêutico , Artrite Reumatoide/tratamento farmacológico , Paniculite/tratamento farmacológico , Paniculite/patologia , Resultado do Tratamento , Feminino , Pirróis/uso terapêutico , Neutrófilos/patologia , Inibidores de Proteínas Quinases/uso terapêutico , Pessoa de Meia-Idade , BiópsiaRESUMO
A 73-year-old male patient developed a poorly differentiated squamous cell carcinoma in the anal canal nine months ago. He was treated with two cycles of 5-fluorouracil and cisplatin and concomitant radiotherapy (6 MeV linear photon accelerator, total dose of 54 Gy), with complete remission. Since forty-five days he presentes a painful perianal and intergluteal erosion with circinate pustular borders. Light microscopy showed pseudoepitheliomatous hyperplasia of the epidermis with microabscesses of inflammatory cells (neutrophils and eosinophils) and acantholytic keratinocytes . Indirect immunofluorescence was positive for IgG, with an intercellular pattern, 1:80 titer. The diagnosis of radiotherapy-induced pemphigus vegetans was established and there was significant regression with oral prednisone (40 mg) and topical betamethasone.
Assuntos
Pênfigo , Idoso , Humanos , Hiperplasia , Masculino , Pênfigo/diagnóstico , Pênfigo/tratamento farmacológico , Pênfigo/etiologia , SupuraçãoRESUMO
Abstract A 73-year-old male patient developed a poorly differentiated squamous cell carcinoma in the anal canal nine months ago. He was treated with two cycles of 5-fluorouracil and cisplatin and concomitant radiotherapy (6 MeV linear photon accelerator, total dose of 54 Gy), with complete remission. Since forty-five days he presentes a painful perianal and intergluteal erosion with circinate pustular borders. Light microscopy showed pseudoepitheliomatous hyperplasia of the epidermis with microabscesses of inflammatory cells (neutrophils and eosinophils) and acantholytic keratinocytes . Indirect immunofluorescence was positive for IgG, with an intercellular pattern, 1:80 titer. The diagnosis of radiotherapy-induced pemphigus vegetans was established and there was significant regression with oral prednisone (40 mg) and topical betamethasone.
RESUMO
Abstract We present the case of an HIV-negative man with asymptomatic penile erythematoviolaceous papules associated with similar slightly verrucous papules in the interdigital space of the right foot. A biopsy of the penile lesion confirmed Kaposi's sarcoma. No other causes of immunosuppression were observed. Penile lesions of KS are rare in HIV-negative individuals but it should also be considered in the differential diagnosis. Careful follow-up is recommended.
Assuntos
Humanos , Masculino , Neoplasias Penianas , Sarcoma de Kaposi/diagnóstico , Neoplasias Cutâneas/diagnóstico , Infecções por HIV/complicações , Infecções por HIV/diagnóstico , Herpesvirus Humano 8 , Diagnóstico DiferencialRESUMO
We present the case of an HIV-negative man with asymptomatic penile erythematoviolaceous papules associated with similar slightly verrucous papules in the interdigital space of the right foot. A biopsy of the penile lesion confirmed Kaposi's sarcoma. No other causes of immunosuppression were observed. Penile lesions of KS are rare in HIV-negative individuals but it should also be considered in the differential diagnosis. Careful follow-up is recommended.
Assuntos
Infecções por HIV , Herpesvirus Humano 8 , Neoplasias Penianas , Sarcoma de Kaposi , Neoplasias Cutâneas , Diagnóstico Diferencial , Infecções por HIV/complicações , Infecções por HIV/diagnóstico , Humanos , Masculino , Neoplasias Penianas/diagnóstico , Sarcoma de Kaposi/diagnóstico , Neoplasias Cutâneas/diagnósticoRESUMO
Annular epidermolytic ichthyosis is a rare subtype of epidermolytic ichthyosis that is characterized by erythematous, polycyclic, and migratory scaly plaques accompanied by palmoplantar keratoderma. This report presents the case of an 8-year-old girl who developed migratory, erythematous, scaly plaques associated with palmoplantar keratoderma. The initial hypothesis was erythrokeratodermia variabilis et progressiva; however, the finding of epidermolytic hyperkeratosis in histopathological examination led to the diagnosis of annular epidermolytic ichthyosis.
Assuntos
Hiperceratose Epidermolítica , Criança , Exantema , Feminino , Humanos , Ceratodermia Palmar e Plantar , PeleRESUMO
Abstract Hailey-Hailey disease, or familial benign pemphigus, is a rare bullous genodermatosis that usually presents with flaccid blisters, erosions, and maceration limited to flexural areas, resulting in increased morbidity and reduced quality of life for affected patients. The authors report an unusual case of generalized Hailey-Hailey disease with erythroderma and fatal outcome.
Assuntos
Humanos , Feminino , Pênfigo Familiar Benigno/patologia , Dermatite Esfoliativa/patologia , Acantólise/patologia , Pênfigo Familiar Benigno/complicações , Pênfigo Familiar Benigno/tratamento farmacológico , Dermatite Esfoliativa/complicações , Dermatite Esfoliativa/tratamento farmacológico , Evolução Fatal , Infecções Relacionadas a Cateter , Pessoa de Meia-IdadeRESUMO
Hailey-Hailey disease, or familial benign pemphigus, is a rare bullous genodermatosis that usually presents with flaccid blisters, erosions, and maceration limited to flexural areas, resulting in increased morbidity and reduced quality of life for affected patients. The authors report an unusual case of generalized Hailey-Hailey disease with erythroderma and fatal outcome.
Assuntos
Dermatite Esfoliativa/patologia , Pênfigo Familiar Benigno/patologia , Acantólise/patologia , Infecções Relacionadas a Cateter , Dermatite Esfoliativa/complicações , Dermatite Esfoliativa/tratamento farmacológico , Evolução Fatal , Feminino , Humanos , Pessoa de Meia-Idade , Pênfigo Familiar Benigno/complicações , Pênfigo Familiar Benigno/tratamento farmacológicoRESUMO
Primary localized cutaneous nodular amyloidosis is a rare plasma cell dyscrasia in which an amorphous material consisting of light chain amyloid is produced and deposited in the dermis, with varied clinical presentation. We describe the case with unusual and tumor lush clinical presentation in the face with no progression to systemic disease and no evidence of extracutaneous commitment.
Assuntos
Amiloidose Familiar/patologia , Derme/patologia , Dermatoses Faciais/patologia , Dermatopatias Genéticas/patologia , Adulto , Amiloidose Familiar/cirurgia , Derme/cirurgia , Dermatoses Faciais/cirurgia , Humanos , Masculino , Recidiva , Dermatopatias Genéticas/cirurgia , Resultado do TratamentoRESUMO
Abstract: Verrucous hemangioma is a rare vascular skin disorder with an immune profile similar to vascular neoplasms, but with behavior and evolution of vascular malformations. Its main differential diagnosis is angiokeratoma circumscriptum neviforme, with an almost indistinguishable clinical presentation because both diseases appear as erythematous patches that evolve to violaceous plaques, becoming scaly and even verrucous, most commonly affecting the lower limbs. Histopathology is crucial for the correct diagnosis: while in angiokeratoma the vascular alterations are limited to the papillary dermis, verrucous hemangioma extends deep into the dermis, reaching the subcutaneous tissue.
Assuntos
Humanos , Feminino , Pré-Escolar , Neoplasias Cutâneas/patologia , Hemangioma/patologia , Angioceratoma/patologia , Neoplasias Cutâneas/diagnóstico , Diagnóstico Diferencial , Hemangioma/diagnóstico , Angioceratoma/diagnósticoRESUMO
Verrucous hemangioma is a rare vascular skin disorder with an immune profile similar to vascular neoplasms, but with behavior and evolution of vascular malformations. Its main differential diagnosis is angiokeratoma circumscriptum neviforme, with an almost indistinguishable clinical presentation because both diseases appear as erythematous patches that evolve to violaceous plaques, becoming scaly and even verrucous, most commonly affecting the lower limbs. Histopathology is crucial for the correct diagnosis: while in angiokeratoma the vascular alterations are limited to the papillary dermis, verrucous hemangioma extends deep into the dermis, reaching the subcutaneous tissue.
Assuntos
Angioceratoma/patologia , Hemangioma/patologia , Neoplasias Cutâneas/patologia , Angioceratoma/diagnóstico , Pré-Escolar , Diagnóstico Diferencial , Feminino , Hemangioma/diagnóstico , Humanos , Neoplasias Cutâneas/diagnósticoRESUMO
Zoon vulvitis or vulvitis chronica plasmacellularis is a rare, chronic benign inflammation of the vulvar mucosa, diagnosed histologically, with variable therapeutic responses. It is important to be diagnosed because it mimics the presentation of other genital conditions, such as lichen planus and squamous cell carcinoma, which require specific treatment. We report a case of a female patient with three asymptomatic shallow ulcers on the labia minora. Laboratory tests ruled out infectious diseases and the biopsy was consistent with Zoon Vulvitis.
Assuntos
Vulva/patologia , Vulvite/patologia , Biópsia , Diagnóstico Diferencial , Feminino , Humanos , Pessoa de Meia-Idade , Plasmócitos/patologiaRESUMO
Xantoma disseminado é uma histiocitose não Langerhans, rara, não familiar, benigna, normolipídica, caracterizada pela deposição lipídica na pele e órgãos internos secundária à proliferação histiocitária. É caracterizado por lesões xantomatosas que geralmente afetam as regiões flexurais e, frequentemente, acomete mucosas. Tem curso em geral benigno, com resolução das lesões cutâneas em alguns anos, porém lesões em certas localizações podem resultar em morbidade e até óbito, sendo, nestes casos, o achado cutâneo uma importante pista diagnóstica. Devido à sua raridade, não há um consenso terapêutico, e as respostas às terapias têm sido insatisfatórias. Relatamos o caso de uma paciente com essa patologia, na qual não foi detectada patologia sistêmica (AU)
Disseminated xanthoma is a rare non-familial, benign, and normolipid form of non-Langerhans histiocytosis, characterized by lipid deposition in the skin and internal organs secondary to histiocytic proliferation. It is characterized by xanthomatous lesions that generally affect the flexural regions and often affects mucous membranes. Although it has a generally benign course, with resolution of cutaneous lesions in a few years, lesions in certain locations can result in morbidity and even death. In these cases, the cutaneous finding is an important diagnostic clue. Because of its rarity, there is no therapeutic consensus and responses to therapies have been unsatisfactory. Here we report the case of a patient with this disorder, in whom no systemic disease was detected (AU)