RESUMO
BACKGROUND: Stewart Treves-Syndrome (STS) was first characterized as angiosarcoma in the homolateral limb of a patient with breast cancer and lymphedema. Now, other conditions represent STS. It's a rare condition. The diagnosis is easier in the presence of single or multiple purple nodules. Even though other dermatological aspects have been reported, no study has grouped its characteristics. AIM: Evaluate the dermatological characteristics of classical STS (c-STS). METHODS AND RESULTS: We report a patient with chronic lymphedema with a history of recurrent erysipelas that rapidly developed multiple papules in the superior limb. It was initially diagnosed as bullous erysipelas, but unsatisfactory evolution led to biopsy, which demonstrated an unsuspected epithelioid angiosarcoma. We have also performed a review of dermatologic aspects of c-STS using PubMed and Lilacs databases. PICTOS methodology and PRISMA flow chart were considered. The main dermatological aspects associated with c-CTS were summarized. Using a systematic evaluation from 109 articles, 29 were selected and 44 patients were described to whom we added one case. The mean time with lymphedema was 10 years. Of the patients analyzed, 97.2% were female; 95.6% were submitted to radical mastectomy; 81.2% presented with multiple lesions, 67.4% of the lesions were reported as nodules or tumors, 53.4% were purple, 33.4% were associated with an ecchymotic halo, and 33.4% were ulcerated lesions. CONCLUSION: When evaluating patients with chronic lymphedema with new dermatological abnormalities, clinical suspicion, or unfavorable evolution, the knowledge of clinical signs is important for diagnosis, and a biopsy must be considered. Papules associated with erythematous-wine color and bluish hematoma aspect must raise clinical suspicion.
Assuntos
Erisipela/diagnóstico , Hemangiossarcoma/diagnóstico , Linfangiossarcoma/diagnóstico , Mastectomia/efeitos adversos , Idoso , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/patologia , Diagnóstico Diferencial , Erisipela/patologia , Evolução Fatal , Feminino , Hemangiossarcoma/patologia , Humanos , Linfangiossarcoma/patologia , Linfedema/diagnóstico , Linfedema/patologiaAssuntos
Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Neoplasias da Mama/terapia , Carcinoma Ductal de Mama/terapia , Erisipela/diagnóstico , Terapia Combinada , Diagnóstico Diferencial , Erisipela/induzido quimicamente , Erisipela/patologia , Feminino , Humanos , Pessoa de Meia-Idade , Índice de Gravidade de DoençaRESUMO
El Consultorio Externo de Linfología del Hospital Municipal María Curie atiende entre 250 y 300 pacientes por mes desde 1993, siendo la patología mßs frecuente el linfedema crónico. Una de sus complicaciones es la erisipela, cuya repetición agrava el cuadro de fibrosis y permite la manifestación de patologías mßs graves, por lo que el diagnóstico precoz es el mejor tratamiento cuando se encuentra en estado incipiente
Assuntos
Linfedema , Linfedema/diagnóstico , Linfedema/terapia , Erisipela/diagnóstico , Erisipela/patologia , Erisipela/terapiaRESUMO
Apresentamos uma atualizaçäo sobre as dermatoses que ocorrem no pavilhäo auricular. Propomos uma classificaçäo em sete grupos e realizamos uma sucinta descriçäo clínica de cada uma das 84 entidades catalogadas, de forma didática, com a finalidade de auxiliar o médico, sobretudo o clínico geral, o dermatologista e o otorrinolaringologista, no diagnóstico de tais patologias.