ABSTRACT
Hidradenite supurativa é doença inflamatória crônica, recorrente e debilitante. Sua etiopatogênese envolve oclusão folicular e fatores genéticos, ambientais e imunológicos. O diagnóstico é predominantemente clínico e a abordagem terapêutica é o principal desafio da doença, devido seu impacto na qualidade de vida. Em casos graves a opção cirúrgica é a mais indicada. Não há consenso sobre o tratamento ideal, pois os resultados são variados e o aspecto estético após o procedimento é geralmente desfavorável. O objetivo deste artigo é relatar uma opção cirúrgica com fechamento primário da ferida, cujo resultado estético foi superior ao das técnicas tradicionais.
Hidradenitis suppurativa is a chronic inflammatory, recurrent and debilitating skin disease. Its etiopathogenesis involves follicular occlusion and genetic, environmental and immunological factors. Diagnosis is predominantly clinical, and the therapeutic approach is a major challenge due to its impact on the patient's quality of life. The surgical option is the most indicated in severe cases, nevertheless there is no consensus on the ideal treatment, as outcomes are diverse, and the aesthetic aspect after the procedure is generally unfavorable. This article was aimed at reporting a surgical option with primary wound closure, whose aesthetic result was superior to those derived from traditional techniques.
ABSTRACT
Abstract Histiocytoid Sweet's Syndrome is a rare inflammatory disease described in 2005 as a variant of the classical Sweet's Syndrome (SS). Histopathologically, the dermal inflammatory infiltrate is composed mainly of mononuclear cells that have a histiocytic appearance and represent immature myeloid cells. We describe a case of Histiocytoid Sweet's Syndrome in an 18-year-old man. Although this patient had clinical manifestations compatible with SS, the cutaneous lesions consisted of erythematous annular plaques, which are not typical for this entity and have not been described in histiocytic form so far. The histiocytic subtype was confirmed by histopathological analysis that showed positivity for myeloperoxidase in multiple cells with histiocytic appearance.
Subject(s)
Humans , Male , Adolescent , Skin Diseases, Genetic/pathology , Sweet Syndrome/pathology , Erythema/pathology , Histiocytes/pathology , Skin/pathology , Biopsy , Neutrophils/pathologyABSTRACT
O carcinoma basocelular (CBC) é a neoplasia maligna mais frequente no mundo e em alguns casos pode simular outras doenças de pele. A dermatoscopia é uma ferramenta de grande utilidade na prática dermatológica, por aumentar a acuracia diagnóstica do CBC e de outras lesões. No presente caso a presença de ninhos ovoides visualizados na dermatoscopia foi fundamental para a diferenciação entre CBC e melanoma amelanócito...