ABSTRACT
Abstract: Infective dermatitis associated with HTLV-1 (IDH) is the main cutaneous marker of HTLV-1 infection. This disease occurs primarily in children and should be differentiated from other eczemas, especially from atopic dermatitis. The largest series of IDH are from Jamaica and Brazil. There are an estimated 15 to 20 million infected people in the world, and Brazil is one of the endemic regions. Studies suggest that IDH in children may be a marker for the development of T-cell leukemia/lymphoma (ATL) or myelopathy associated with HTLV-1/tropical spastic paraparesis (HAM / TSP) in adulthood.
Subject(s)
Humans , Female , Young Adult , HTLV-I Infections/diagnosis , Skin Diseases, Viral/diagnosis , Dermatitis/diagnosis , HTLV-I Infections/complications , Leukemia-Lymphoma, Adult T-Cell/diagnosis , Skin Diseases, Viral/complications , Dermatitis/virology , Dermatitis, Atopic/diagnosis , Dermatitis, Atopic/virology , Diagnosis, Differential , Eczema/diagnosis , Eczema/virologyABSTRACT
The term "Wolf's isotopic response" describes the occurrence of a new skin disorder at the site of another unrelated and already healed skin disease. In most cases, herpes zoster is the inicial disease. Different disorders may develop on the same site, most commonly granulomatous and lichenoid reactions, infiltration of hematologic diseases, skin tumors and infections. There are few related cases of lichen planus presenting as isotopic response. We report a case of a 74 year-old woman, with multiple itchy, rose-colored and shiny papules that developed at site of previously healed herpes zoster, on the right arm and shoulder. The pathogenesis of this phenomenon is still unknown and further studies are needed.
.Subject(s)
Aged , Female , Humans , Herpes Zoster/pathology , Lichen Planus/pathology , Skin Diseases, Viral/pathology , Biopsy , Herpes Zoster/complications , Lichen Planus/etiology , Skin Diseases, Viral/complications , Skin/pathologyABSTRACT
Only a few reports have focused on ocular motor paralysis in herpes zoster ophthalmicus. We report a case of ocular motor paralysis resulting from herpes zoster. The patient, an 80-yr-old woman, presented with grouped vesicles, papules, and crusting in the left temporal area and scalp, with diplopia, impaired gaze, and severe pain. Her cerebrospinal fluid analysis was positive for varicellar zoster virus IgM. Magnetic resonance imaging was performed to rule out other diseases causing diplopia; there were no specific findings other than old infarctions in the pons and basal ganglia. Therefore, she was diagnosed of abducens nerve palsy caused by herpes zoster ophthalmicus. After 5 days of systemic antiviral therapy, the skin lesions improved markedly, and the paralysis was cleared 7 weeks later without extra treatment.
Subject(s)
Aged, 80 and over , Female , Humans , Abducens Nerve Diseases/complications , Acyclovir/therapeutic use , Antiviral Agents/therapeutic use , Herpes Zoster/complications , Herpes Zoster Ophthalmicus/complications , Skin Diseases, Viral/complications , Treatment OutcomeABSTRACT
Las causas más importantes de morbimortalidad en los pacientes receptores de trasplantes de órganos son las infecciones y el rechazo del injerto. Las infecciones cutáneas en estos pacientes se presentan en forma proteiforme y es muy extensa la lista de diagnósticos diferenciales. Presentamos nuestra experiencia y una revisión sobre infecciones cutáneas en pacientes con trasplante de órganos sólidos destacando la importancia del diagnóstico precoz y la necesidad de instaurar un esquema terapéutico adecuado