ABSTRACT
Abstract The panniculitides remain as one of the most challenging areas for clinicians, as they comprise a heterogeneous group of inflammatory diseases involving the subcutaneous fat with potentially-shared clinical and histopathological features. Clinically, most panniculitides present as red edematous nodules or plaques. Therefore, in addition to a detailed clinical history, a large scalpel biopsy of a recent-stage lesion with adequate representation of the subcutaneous tissue is essential to specific diagnosis and appropriate clinical management. Herein we review the panniculitides of particular interest to the rheumatologist.
Subject(s)
Humans , Polyarteritis Nodosa/diagnosis , Clinical Diagnosis , Erythema Nodosum/diagnosis , RheumatologyABSTRACT
Cutaneous mucinosis is a group of conditions involving an accumulation of mucin or glycosaminoglycan in the skin and its annexes. It is described in some connective tissue diseases but never in association with mixed connective tissue disease. This report concerns two cases of cutaneous mucinosis in patients with mixed connective tissue disease in remission; one patient presented the papular form, and the other reticular erythematous mucinosis. These are the first cases of mucinosis described in mixed connective tissue disease. Both cases had skin lesions with no other clinical or laboratorial manifestations, with clinical response to azathioprine in one, and to an association of chloroquine and prednisone in the other.
A mucinose cutânea é um grupo de condições em que há um acúmulo de mucina ou glicosaminoglicanos na pele e seus anexos. É descrita em algumas doenças do tecido conjuntivo, porem nunca em associação com doença mista do tecido conjuntivo. Relatamos dois casos de mucinose cutânea em pacientes com doença mista do tecido conjuntivo em remissão, um apresentava-se sob a forma papular e outro sob a forma reticular eritematosa de mucinose. Estes são os primeiros casos de mucinose descritos na doença mista do tecido conjuntivo. Ambos os casos apresentaram o quadro cutâneo de modo isolado, sem nenhuma outra manifestação clínico-laboratorial, havendo resposta à azatioprina em um e à cloroquina associada a prednisona no outro.
Subject(s)
Adult , Female , Humans , Male , Mixed Connective Tissue Disease/pathology , Mucinoses/pathology , Biopsy , Mixed Connective Tissue Disease/complications , Mucinoses/complicationsABSTRACT
Context: Leprosy is an infectious disease in which progress to disease and clinical expressions are influenced by environmental factors and by the genetics of the host. The multiple endocrine neoplasia type 1 syndrome (MEN-1) is an inherited disorder that predisposes to endocrine and non-endocrine tumors. Case report: A case of multi-bacillary leprosy in the 18-year-old female patient with MEN- 1, this association was probably an incidental case of an endemic disease in a susceptible individual with a rare syndrome. The investigation of comorbities, especially neglected or emergency disease, is very importance, because the lack of early diagnosis may result in serious complications as development of disabilities especially when there is a leprosy late diagnosis.
Contexto: A hanseníase é uma doença infecciosa cuja evolução e expressões clínicas são influenciadas por fatores ambientais e pela genética do hospedeiro. A síndrome neoplasia endócrina múltipla tipo 1 (NEM-1)é uma desordem hereditária que predispõe a tumores endócrinos e não-endócrinos . Relato de caso: Relata-se um caso de hanseníase multibacilar em paciente de 18 anos de idade com NEM- 1. Esta associação foi, provavelmente, um caso incidental de uma doença endêmica em um indivíduo suscetível com uma síndrome rara. A pesquisa de comorbidades, especialmente entre as doenças negligenciadas ou emergentes é muito importante, porque a falta de diagnóstico precoce pode resultar em complicações graves como o desenvolvimento de deficiências especialmente quando há um diagnóstico de hanseníase tardio.
Subject(s)
Humans , Female , Leprosy , Leprosy, Borderline , Multiple Endocrine Neoplasia Type 1ABSTRACT
Os autores relatam o caso clínico de uma doente que procurou atendimento dermatológico em decorrência da presença de lesão em placa papulosa de superfície verrucosa no cotovelo esquerdo.
In this report, the authors describe the clinical case of a woman seeking care at this dermatology outpatient clinic with a verrucous plaque on her left elbow.