ABSTRACT
A zigomicose é uma doença invasiva, que acomete tanto imunocompetentes como imunocomprometidos, dependendo do tipo da cepa. O diagnóstico é clínico e histopatológico, e o tratamento é baseado em antifúngico e em limpeza cirúrgica. O presente relato de caso é sobre um menino com zigomicose rinofacial invasiva com tratamento final bem-sucedido, após terapias antifúngicas e limpezas cirúrgicas.
Zygomycosis is an invasive disease that affects both immunocompetent and immunocompromised, depending on the type of strain. This disease diagnosis is clinical and histopathological, and its treatment is based on antifungal therapy and surgical cleaning. This paper reports a case of a boy with invasive zygomycosis rinofacial who final treatment was successful after underwent antifungal and surgical therapies.
Subject(s)
Humans , Male , Child , Paranasal Sinus Diseases/microbiology , Zygomycosis/pathology , Zygomycosis/therapy , Dermatomycoses/microbiology , Facial Dermatoses/microbiology , Paranasal Sinus Diseases/pathology , Paranasal Sinus Diseases/therapy , Tomography, X-Ray Computed , Amphotericin B/therapeutic use , Treatment Outcome , Dermatomycoses/pathology , Dermatomycoses/therapy , Facial Dermatoses/pathology , Facial Dermatoses/therapy , Immunocompetence , Antifungal Agents/therapeutic useABSTRACT
La dermatosis neglecta es una patología poco conocida, causada por la falta de higiene, generalmente al temor de agravar algún problema subyacente de piel (ej. Acné, cicatrices, postquirúrgicas, zonas que han recibido radioterapia, cicatrices queloides, etc.), presentando placas cubiertas con costras gruesas, con escama oleosa, hiperpigmentación, y que desaparecen al lavado o limpieza enérgica con alcohol o acetona, quedando la piel sana. Presentamos el caso de un paciente de 20 años de edad, de la consulta dermatológica de la Liga contra el Cáncer de San Pedro Sula, Honduras, que se presenta en primera instancia por cuadro de acné para lo que se medica con peróxido de benzoilo y protector solar, acudiendo dos meses después en primera instancia por cuadro de acné para lo que se medica con peróxido de benzoilo y protector solar, acudiendo dos meses después con elementos costrosos gruesos adherentes y oleosos con eritema e hiperpigmentación, desaparecen a la limpieza vigorosa con alcohol, quedando la piel totalmente limpia. Al interrogatorio refiere que no se había lavado la cara para no empeorar su cuadro de acné. Se hace entonces el diagnóstico de dermatosis neglecta.
The neglecta dermatosis is an almost unknown pathology. It is caused of lack of hygienic measures, generally subsequent to the pain to increase an existent trouble on the skin. (ex. Acne, postsurgical scars, radiotherapy, scars, keliods, etc.), presenting plates covered with thick crusts, with oily flakes and hyper keratosis pigmentation, which disappears with energetic washing or cleaning with alcohol or acetone, leaving a healthy skin. We present the case of a 20 years old patient who visited the dermatological department at La Liga Contra el Cancer in San Pedro Sula, Honduras. The first time that he visited the doctorÆs office was for acne and he was prescribed with benzoyl peroxide and sunscreen. Two months later the patient came with his skin hyper pigmented and covered with thick oily crusts which disappeared with energetic cleasing with alcohol. When asked, the patient answered that he did not wash his face because he did not want to worsen his acne skin. Then we made the diagnostic as neglecta dermatosis.
Subject(s)
Humans , Male , Young Adult , Facial Dermatoses , Facial Dermatoses/therapy , Hygiene , HyperpigmentationSubject(s)
Humans , Adult , Female , Facial Dermatoses/pathology , Facial Dermatoses/therapy , Granuloma/pathology , Granuloma/drug therapy , Clobetasol/therapeutic use , Diagnosis, Differential , Dapsone/therapeutic use , Facial Dermatoses/diagnosis , Facial Dermatoses/etiology , Electrosurgery , Granuloma/diagnosis , Granuloma/etiologyABSTRACT
BACKGROUND: Chemical peeling is a skin-wounding procedure that may have some potentially undesirable side-effects. AIMS: The present study is directed towards safety concerns associated with superficial chemical peeling with salicylic acid in various facial dermatoses. METHODS: The study was a non-comparative and a prospective one. Two hundred and sixty-eight patients of either sex, aged between 10 to 60 years, undergoing superficial chemical peeling for various facial dermatoses (melasma, acne vulgaris, freckles, post-inflammatory scars/pigmentation, actinic keratoses, plane facial warts, etc.) were included in the study. Eight weekly peeling sessions were carried out in each patient. Tolerance to the procedure and any undesirable effects noted during these sessions were recorded. RESULTS: Almost all the patients tolerated the procedure well. Mild discomfort, burning, irritation and erythema were quite common but the incidence of major side-effects was very low and these too, were easily manageable. There was no significant difference in the incidence of side-effects between facial dermatoses (melasma, acne and other pigmentary disorders). CONCLUSION: Chemical peeling with salicylic acid is a well tolerated and safe treatment modality in many superficial facial dermatoses.
Subject(s)
Adolescent , Adult , Chemexfoliation , Child , Facial Dermatoses/therapy , Female , Humans , Keratolytic Agents/administration & dosage , Male , Middle Aged , Prospective Studies , Salicylic Acid/administration & dosageABSTRACT
La pseudofoliculitis de la barba es una enfermedad inflamatoria crónica de la piel, potencialmente desfigurante y estresante, vista a menudo en la consulta dermatológica. Ocurren generalmente en personas con pelo rizado que se afeitan o depilan el área de la barba con frecuencia. Su etiología es multifactorial y se caracteriza por la presencia de pápulas y pústulas en el área de la barba, asociado en ocasiones a cicatrices queloídeas. Su manejo incluye el cese del afeitado, el uso de depilatorios, agentes tópicos , láser, y la modificación de las técnicas de afeitado.
Subject(s)
Humans , Facial Dermatoses/pathology , Facial Dermatoses/therapy , Folliculitis/pathology , Folliculitis/therapy , Hair Follicle/pathology , Diagnosis, Differential , Facial Dermatoses , Folliculitis/etiology , PrognosisABSTRACT
Las telangiestasias faciales representan un problema frecuente en la consulta dermatológica. Variadas modalidades terapéuticas se han descrito para tratarlas, siendo la electrocirugía la más clásica y de mayor disponibilidad en la actualidad. Sin embargo, deja como secuela cicatrices y alteraciones pigmentarias. Una alternativa terapéutica son los equipos láser, como el de Argón, de CO2 y de Nd-YAG. Se revisan los fundamentos para el uso de cada láser, las ventajas y limitaciones de cada uno de ellos
Subject(s)
Humans , Facial Dermatoses/therapy , Lasers/therapeutic use , Telangiectasis/therapy , Argon/therapeutic use , Carbon Dioxide/therapeutic use , Electrosurgery/adverse effects , Neodymium/therapeutic use , Telangiectasis/etiology , Telangiectasis/surgeryABSTRACT
Presentamos el caso de una paciente de 65 años con disgnóstico de dermatosis papulosa blanca de cuello. Efectuamos comentarios del caso a la luz de literatura en los aspectos clínicos, patológicos y terapéuticos
Subject(s)
Humans , Female , Middle Aged , Facial Dermatoses/therapyABSTRACT
Se presenta 7 pacientes con injuria causada por la inyección de sustancias cosméticas. Se realiza la descripción anatomopatológica, clínica, citológica, y química. Algunas consideraciones fisiopatológicas sobre la reacción aguda y crónica que sucede en dermis reticular e hipodermis. Debe tenerse cuidado del uso indiscriminado de sustancias poco confiables para el tratamiento de arrugas y correcciones estéticas faciales
Subject(s)
Adult , Middle Aged , Humans , Male , Female , Dermatitis/diagnosis , Facial Dermatoses/therapy , Granuloma/surgeryABSTRACT
Presentamos un caso de granuloma facial en una mujer de 37 años de tres meses de evolución, con las características clínicas e histopatológicas de las lesiones incipientes: pequeña pápula eritematoviolácea en ladera nasal con folículos dilatados, blanda y cuya histología mostró vasculitis leucocitoclásica con neurtrófilos y algunos eosinófilos. Debe tenerse presente esta entidad para poder diagnosticarla en etapas templanas cuando su clínica no es característica