ABSTRACT
A tatuagem é uma prática antiga e muito popular atualmente. Os pigmentos utilizados mudaram com o tempo, mas continuam apresentando composições variadas e pouco regulamentadas. Há inúmeros casos descritos de efeitos adversos pós-tatuagem, em sua maioria infecciosos, e reações de hipersensibilidade. Relatamos o caso de uma mulher de 64 anos, hígida, com pápulas nas sobrancelhas um mês após realizar micropigmentação. A biópsia excisional fez o diagnóstico de molusco contagioso, e o tratamento foi realizado com curetagem das lesões. Na literatura, existem poucos relatos de disseminação de molusco contagioso causada por tatuagem.
Tattooing is an ancient practice and very popular nowadays. The pigments used have changed over time but still present varied and poorly regulated compositions. There are many described cases of adverse effects after tattooing, mainly infectious and hypersensitivity reactions. We report the case of a 64-yearold woman, healthy, with papules on her eyebrows one month after performing micropigmentation. The excisional biopsy diagnosed molluscum contagiosum, and the lesions were curetted. There are few reports in the literature of the spread of molluscum contagiosum caused by tattooing
ABSTRACT
Abstract Porokeratosis is a skin disorder clinically characterized by annular plaques with keratotic borders resembling the Great Wall of China and histopathologically by cornoid lamellae. The disease has several clinical variants. Porokeratosis ptychotropica, which has recently become part of these variants, is quite rare and little known. The entity is characterized by verrucous plaques – which may resemble a psoriasis plaque – that affect the regions of the buttocks, most commonly the gluteal cleft, with or without extremity involvement. Itching is often present. We report a rare case of porokeratosis ptychotropica and highlight its unusual manifestation (single plaque), the first case reported in the Brazilian literature.
Subject(s)
Humans , Male , Young Adult , Skin/pathology , Porokeratosis/pathology , Pruritus , Biopsy , Brazil , Buttocks/pathology , Erythema/pathologyABSTRACT
Abstract Plasmoacanthoma is an extremely rare verrucous tumor located on periorificial regions characterized by dense dermal plasmacytic infiltrates. Some authors classify it as a form of reactive plasma cell proliferation which represents a heterogeneous spectrum of mucocutaneous disorders. These plasma cell proliferations have been considered to be a benign immunologic inflammatory reaction to known or unknown stimuli. However, the etiology of plasmoacanthoma remains highly speculative. We report the case of a 40-year-old woman who presented with a lobulated warty lesion affecting the lower lip. Biopsy from the lesion was compatible with plasmoacanthoma, which remains an underreported disease in the dermatology literature.
Subject(s)
Humans , Female , Adult , Skin Neoplasms/pathology , Lip Neoplasms/pathology , Acanthoma/pathology , Mouth Mucosa/pathology , Plasma Cells/pathology , Biopsy , Immunohistochemistry , Dermis/pathology , Cell Proliferation , Lip/pathologyABSTRACT
Abstract Lupus tumidus is considered a rare subtype of chronic cutaneous lupus erythematosus, characterized by erythema and bright urticarial erythematous-violaceous lesions that leave no scars after regression. Histopathology reveals perivascular and periannexal lymphohistiocytic infiltrates in the papillary and reticular dermis and interstitial mucin deposition. Treatment is based on photoprotection, topical corticosteroids and antimalarials. We report two cases of lupus tumidus, which deserve attention for their low frequency in the literature, in addition to their relevance as a differential diagnosis among dermatologic disorders.
Subject(s)
Humans , Female , Middle Aged , Skin/pathology , Lupus Erythematosus, Cutaneous/pathology , Biopsy , Lupus Erythematosus, Cutaneous/drug therapy , Prednisone/therapeutic use , Chloroquine/therapeutic use , Treatment Outcome , Glucocorticoids/therapeutic use , Mucins , Antimalarials/therapeutic useABSTRACT
AbstractCutaneous metastasis is a rare manifestation of visceral malignancies that indicates primarily advanced disease. Due to its low incidence and similarity to other cutaneous lesions, it is not uncommon to have a delayed diagnosis and a shortened prognosis. We describe the case of a patient who presented with a cutaneous nodule in the sternal region as a first sign of malignancy.
Subject(s)
Aged, 80 and over , Female , Humans , Adenocarcinoma/secondary , Gastrointestinal Neoplasms , Neoplasms, Unknown Primary/pathology , Skin Neoplasms/secondary , Biopsy , Fatal OutcomeABSTRACT
Glomus tumors originate from modified perivascular muscle cells. The most common form is the solitary one. The multiple form may be associated with dominant genetic inheritance. We report a case of a patient with hemangiomatous lesions on the calcaneus and wrist since birth. In 6 years, there was progression of lesions throughout the body. Multiple glomangiomas are asymptomatic and more common in childhood. They can be confused with other vascular malformations. Histopathological diagnosis is essential. The case shows a type 2 segmental manifestation that can be explained by genetic mutation leading to the loss of heterozygosity. As the child grows, the lesions may disseminate due to mutation in distant parts of the skin. Literature shows few reports. The treatment is conservative.
.Subject(s)
Humans , Male , Young Adult , Glomus Tumor/pathology , Paraganglioma, Extra-Adrenal/pathology , Skin Neoplasms/pathology , Glomus Tumor/genetics , Mutation , Paraganglioma, Extra-Adrenal/genetics , Skin Neoplasms/genetics , Skin/pathologyABSTRACT
Tumor of the follicular infundibulum is a rare benign cutaneous adnexal neoplasm with variable clinical presentation. In most cases the diagnosis is made with the help of histopathology, due to lack of a characteristic clinical presentation. The most common form is a solitary lesion, but it can be multiple or eruptive, then called infundibulomatose. This case report illustrates a patient with multiple lesions of tumor of the follicular infundibulum with bizarre aspect and atypical location.
Subject(s)
Humans , Male , Middle Aged , Neoplasms, Adnexal and Skin Appendage/pathology , Skin Neoplasms/pathology , Biopsy , Skin/pathologyABSTRACT
Sarcoidosis is a multisystem granulomatous disease of unknown cause. The osteoarticular involvement in sarcoidosis is rare and is often associated with cutaneous and long-standing chronic multisystem disease. More common in black women, osseous sarcoidosis is difficult to diagnose, with an incidence of 3 to 13%. The most characteristic radiological clinical picture evidences rounded, well-defined cysts, with no periosteal reaction and without peripheral sclerosis. The small bones of hands and feet are the most frequently involved sites. This report aims to demonstrate a rare case of osteoarticular sarcoidosis with characteristic clinical presentation, and highlight the importance of detecting osteoarticular involvement in this pathology.
Subject(s)
Aged, 80 and over , Female , Humans , Granulomatous Disease, Chronic/pathology , Musculoskeletal Diseases/pathology , Sarcoidosis/pathology , Skin Diseases/pathology , Granulomatous Disease, Chronic , Hand Bones/pathology , Hand Bones , Musculoskeletal Diseases , Sarcoidosis , Skin Diseases , Telangiectasis/pathologyABSTRACT
Ewing sarcoma is a primitive neuroectodermal tumor rarely occurs in the skin and sobcutaneous tissues. Generally Ewing's sarcoma is a primary bone tumor, but when present in soft tissues it characterizes an extremely uncommon clinical picture. It usually involves the deep subcutaneous tissue or muscles, and more rarely occurs like a primary skin cancer. Most patients are white, women, and in the second decade of life. The clinical features are a superficial mass, in average measuring 2-3 cm, of soft consistency, freely mobile and sometimes painful. The more affected locations are upper and lower extremities, trunk, head, neck or multiple lesions. The presence of metastases is very rare.
Subject(s)
Adult , Female , Humans , Sarcoma, Ewing/pathology , Skin Neoplasms/pathology , Subcutaneous Tissue/pathology , Diagnosis, DifferentialABSTRACT
Este estudo clínico foi realizado com Filtrum FPS 50 Alta Proteção em voluntários saudáveis. Realizou-se avaliação sensorial...
Subject(s)
Humans , Female , Middle Aged , Ultraviolet FiltersABSTRACT
Os neuromas encapsulados em paliçada são tumores neurais solitários da pele caracterizados pela presença de feixes compactos e paralelos de fascículos de células de Schwann. Apresenta-se um caso desse tumor, confirmado por exame anatomopatológico, em paciente do sexo feminino, de 55 anos, que relatou mácula hipocrômica de crescimento que evoluiu para pápula de superfície lisa e em domo, com telangiectasias, simulando carcinoma basocelular. Ter conhecimento dessa entidade é importante para a realização de diagnósticos diferenciais com outras lesões, em especial com o CBC, tumores de apêndice cutâneo, nevos e cistos epidérmicos.
Palisaded encapsulated neuromas are solitary neural skin tumors characterized by the presence of compact and parallel bundles of Schwann cell fascicles. The present article reports a case of this type of tumor, which was confirmed by anatomic pathological examination of a 55-year-old female patient who reported hypochromic macula growth, which had evolved into a smooth domed superficial papule with telangiectasias, simulating a basal cell carcinoma. Having knowledge of this entity is crucial in order to carry out differential diagnoses-comparing it to other lesions-especially basal cell carcinomas, skin appendage tumors, nevi, and epidermal cysts.
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Cicatrix/therapy , Plant Extracts/therapeutic use , /therapeutic use , Treatment Outcome , Vitamin E/analysisABSTRACT
Introdução: O aparecimento de estrias na gestação está relacionado à ruptura de fibras colágenas e elásticas, devido à distensão da pele.As estruturas dérmicas que promovem a distensão e se rompem causando o aparecimento de estrias são também as responsáveis pelas propriedades biomecânicas da pele, como firmeza e elasticidade.A gestação parece propiciar a modificação desses parâmetros, com a finalidade de facilitar a distensão da pele, gerando, portanto, correlação entre esses parâmetros e a possibilidade de formação de estrias durante a gravidez. Objetivo: Detectar a correlação entre a ocorrência de estrias e a capacidade de aumentar a elasticidade dérmica. Métodos: Foram acompanhadas 60 gestantes visando investigar o aparecimento de estrias, bem como medir a firmeza e elasticidade da pele com o equipamento Cutometer® MPA 580.Resultados: Foi observada correlação positiva entre o aumento de elasticidade e a não ocorrência de estrias. Conclusões: Existe possível correlação entre o aparecimento de estrias e a capacidade de aumentar a elasticidade dérmica.
Introduction: Striae in pregnancy are caused by the rupture of collagen and elastic fibers, due to the distension of the skin.The dermal structures that allow the skin to expand being responsible for the biomechanical properties of the skin such as firmness and elasticity when ruptured, cause striae. Since pregnancy seems to change these properties in order to facilitate skin distension, there is a correlation between those parameters and the occurrence of striae during pregnancy. Objective: To investigate the correlation between the occurrence of striae and the skin's capacity to increase its elasticity. Methods: Skin firmness and elasticity was measured with a Cutometer MPA 580® device in order to investigate the occurrence of striae in 60 pregnant women. Results: A positive correlation between increased elasticity and the absence of striae was observed. Conclusions: There is a possible correlation between the occurrence of striae and the skin's capacity to increase dermal elasticity.
ABSTRACT
O Ambiente Interativo de Aprendizagem (AIA) é um modelo educacional que integra recursos de computação gráfica 3D e contextualização, com objetivo de transmitir um conjunto de conhecimentos (ilhas de conhecimento), de forma precisa e ágil, para pessoas que não conhecem o assunto. Utiliza recursos de multimídia apoiados em ambientação contextualizada para motivar os participantes na retenção de conhecimento. Na primeira versão, foram abordados oito assuntos relevantes de dermatologia. O modelo foi implementado no 62º Congresso Brasileiro de Dermatologia e denominado Dermatúnel. Participaram das visitas 3295 pessoas, num período de quatro dias. Os resultados demonstraram alta satisfação dos participantes. Possui grande potencial como ferramenta educacional para formação médica e orientação do público geral para fins de prevenção de doenças.
The Interactive Learning Environment (ILE) is an educational model that integrates features of 3D computer graphics and contextualization, in order to transmit a quantum of knowledge (islands of knowledge), in a precise and agile way, to people who do not know the subject. It is a model that uses multimedia resources supported by a contextualized environment to motivate the participants in the retention of knowledge. In this first release, eight relevant subjects in dermatology were addressed and implemented in the 62nd Brazilian Congress of Dermatology. The model was called Dermatúnel. In a period of four days, 3295 people visited it. The results showed that the participants were highly satisfied. The model has a great potential as an educational tool for medical training and guidance to the general public with the purpose of disease prevention.
Subject(s)
Humans , Audiovisual Aids , Health Education , Telemedicine , Multimedia , Education, Distance , Disease Prevention , Simulation TrainingABSTRACT
O líquem escleroso e atrófico (LEA) e a esclerodermia sao dermatoses que se assemelham clínica e histologicamente, dificultando muitas vezes um diagnóstico preciso em muitos casos. Foi a partir do atendimento a um paciente que apresentava lesoes clínicas de LEA e esclerodermia, ou seja, dessa dificuldade, que tentamos estudar as duas entidades, buscando na literatura cientistas que trouxeram técnicas novas com resoluçoes definitivas.
Subject(s)
Humans , Male , Female , Adult , Lichen Sclerosus et Atrophicus/diagnosis , Scleroderma, Localized/diagnosis , Lichen Sclerosus et Atrophicus/complications , Lichen Sclerosus et Atrophicus/pathology , Scleroderma, Localized/diagnosis , Scleroderma, Localized/pathologyABSTRACT
A neurofibromatose é doença de herança autossômica dominante, caracterizada pela presença de máculas hiperpigmentares, neurofibromas e tumores dos sistemas nervoso central e periférico. Segundo dados recentes da literatura, existem várias formas de neurobibromatose, porém as mais conhecidas säo a neurofibromatose tipo 1 (NF-1) e a neurofibromatose tipo 2 (NF-2). A NF-1 se caracteriza pela presença de múltiplas manchas "café com leite", nódulos de Lisch (hamartomas de íris), gliomas do nervo óptico e neurofibromas dérmicos. O gene responsável está localizado no braço longo do cromossomo 17. A NF-2 tem como principais características a presença de neuromas acústicos bilaterais e opacidade subcapsular posterior do cristalino. O gene responsável por esta patologia encontra-se no centro do braço longo do cromossomo 22. Embora muitos avanços tenham sido feitos até esta data quanto ao estudo dessa doença, devemos reconsiderar todos os dados disponíveis, as conclusöes e, principalmente, as novas pesquisas, visando obter melhor direcionamento do diagnóstico, prognóstico e tratamento da doença
Subject(s)
Neurofibromatoses , Neurofibromatoses/diagnosis , Neurofibromatoses/genetics , Neurofibromatoses/therapySubject(s)
Humans , Female , Adult , Scleroderma, Systemic/diagnosis , Scleroderma, Localized/diagnosisABSTRACT
De janeiro de 1987 a dezembro de 1991 foram atendidos 10.324 pacientes no Ambulatório de Dermatologia da Faculdade de Medicina de Santo Amaro (serviço do Prof. Dr. Luiz Carlos Cucé), dos quais registramos a doença dermatológica apresentada. A dermatoscopia de maior incidência correspondeu à escabiose, com 8,7 por cento, seguida de dermatoses raras, com 7,1 por cento, pitiríase versicolor, eczema atópico e tinhas, com 5,9 por cento cada. Os autores correlacionaram estas incidências com dados da literatura nacional e internacional. A análise desses resultados auxilia outros órgäos de saúde na prevençäo das doenças mais incidentes que dependem de educaçäo sanitária populacional.
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Adult , Middle Aged , Ambulatory Care Facilities , Skin Diseases/epidemiologyABSTRACT
Os autores procuram enfatizar a importância da incidência das dermatoviroses dentre as dermatopatias já que säo pobres os dados médicos nacionais sobre esse grupo de pacientes. No intuito de enriquecer essas informaçöes, fazem comparaçöes com centros de outros países e com os poucos dados nacionais anteriores aos obtidos nesta notificaçäo. Dentre 14.561 diagnósticos obtidos, foi observada uma incidência de 6.4% de dermatoviroses, dado que sugere um aumento de incidência deste grupo de doenças