Subject(s)
Humans , Female , Pregnancy , Pregnancy Complications/diagnosis , Exanthema , Folliculitis/diagnosis , Pregnancy Trimesters , Pruritus/diagnosis , Pregnant WomenABSTRACT
La foliculitis pseudolinfomatosa, descripta por McNutt en 1986, es una afección de etiología desconocida y poco frecuente, que simula un linfoma cutáneo tanto por su clínica como por su histología. Se presenta como una lesión nodular solitaria, eritematosa, de 0,5 hasta 3cm, de crecimiento rápido, sobre todo en la cara, en personas de 40 a 60 años, con una histopatología caracterizada por un infiltrado linfocitario B yT perifocular, y células dendríticas positivas en la inmunohistoquímica para S100yCD1a. Su curso es benigno, muchas veces autolimitado. Se expone el caso de una paciente con una particular forma clínica de pseudolinforma.
Pseudolymphomatous folliculitis, described by McNutt in 1986, is a non-frequent entity of unknown etiology that simulates a cutaneous lymphoma, both clinically and histologically. It shows as a solitary erythematous nodular lesion of 0.5 to 3 cm, with a rapid growth, mainly on the face, in people aged 40 to 60 years, and histopathology characterized by a perifollicular B and T lymphocytic infiltrate, and positive dendritic cells for immunohistochemistry S100 and CD1a. Its course is benign, often self-limited. The case of a patient with a particular clinical form of pseudolymphoma is presented.
Subject(s)
Humans , Female , Middle Aged , Skin Neoplasms , Pseudolymphoma/diagnosis , Folliculitis/diagnosis , Triamcinolone Acetonide/administration & dosage , Nose/injuries , Nose/pathology , Nasal Surgical ProceduresABSTRACT
El acné es la enfermedad dermatológica más común de la adolescencia. Aunque casi todos los casos remiten alrededor de la tercera década de la vida, cuando este problema conlleva una carga emocional para el paciente se requiere indicar tratamiento. En esta actualización, los autores revisan los distintos grados de compromiso de esta patología, el tratami-ento y los niveles de evidencia que tiene cada uno de ellos, con el objetivo de facilitar a los médicos de atención primaria el manejo de los pacientes que presentan esta enfermedad. (AU)
Acne is the most common dermatological condition in adolescents. Even though almost all cases will resolve around the third decade of life, treatment is indicated when this health problem carries an emotional burden for the patient. In this update, the authors review the grades of involvement of the disease and the available treatments according to levels of evidence, with the aim of helping primary care physicians to manage the patients presenting this illness. (AU)
Subject(s)
Humans , Male , Female , Adolescent , Adult , Young Adult , Acne Vulgaris/therapy , Acne Conglobata/therapy , Anxiety , Self Concept , Skin Diseases/etiology , Testosterone/adverse effects , Cicatrix/prevention & control , Skin Diseases, Papulosquamous/therapy , Dermatitis, Seborrheic/diagnosis , Acne Vulgaris/diagnosis , Acne Vulgaris/pathology , Acne Vulgaris/psychology , Acne Vulgaris/drug therapy , Rosacea/diagnosis , Acne Conglobata/diagnosis , Folliculitis/diagnosisABSTRACT
Abstract: Amicrobial pustulosis of the folds is a chronic relapsing neutrophilic dermatosis characterized by sterile pustules compromising skin folds, scalp, face and periorificial regions. It predominantly affects women. Demodicosis is an inflammatory disease associated with cutaneous overpopulation of the mite Demodex spp., the pathogenesis of which is not completely established, but is frequently related to local immunodeficiency. A case of a young woman with amicrobial pustulosis of the folds, and isolated worsening of facial lesions, is reported; investigation revealed overlapping demodicosis. There was complete regression of lesions with acaricide and cyclin treatment. This case warns of a poorly diagnosed but disfiguring and stigmatizing disease, often associated with underlying dermatoses or inadvertent treatments on the face.
Subject(s)
Humans , Animals , Female , Adult , Folliculitis/parasitology , Granuloma/parasitology , Mite Infestations/complications , Mites/classification , Ivermectin/therapeutic use , Doxycycline/therapeutic use , Folliculitis/diagnosis , Folliculitis/drug therapy , Granuloma/diagnosis , Granuloma/drug therapy , Mite Infestations/diagnosis , Mite Infestations/drug therapySubject(s)
Male , Humans , Adult , Scalp Dermatoses/diagnosis , Scalp Dermatoses , Folliculitis/diagnosis , Folliculitis , Gluconates/therapeutic useABSTRACT
Las infecciones de piel y partes blandas son una causa frecuente de consulta en los centros de atención primaria de la salud. Los datos de la epidemiología local de estas infecciones son escasos; el Staphylococcus aureus y el Streptococcus pyogenes son los principales agentes etiológicos. La emergencia, en los últimos años, de cepas de S. aureus meticilino resistentes provenientes de la comunidad y S. pyogenes resistentes a eritromicina plantea controversias en la elección del tratamiento empírico inicial. Este consenso nacional está dirigido a médicos pediatras, de familia, dermatólogos, infectólogos y otros profesionales de la salud. Trata el manejo clínico, especialmente el diagnóstico y tratamiento, de las infecciones de piel y partes blandas de origen bacteriano provenientes de la comunidad en pacientes inmunocompetentes menores de 19 años de edad.
Skin and soft tissue infections are a common reason for consultation in primary health care centers. Data from the local epidemiology of these infections are rare, but Staphylococcus aureus and Streptococcus pyogenes are known to be the major etiologic agents. The appearance in recent years of community-originated strains of methicillin-resistant S. aureus and erythromycin-resistant pyogenes raises controversy in the choice of initial empirical treatment. This national consensus is for pediatricians, dermatologists, infectologists and other health professionals. It is about clinical management, especially the diagnosis and treatment of commu-nity-originated skin and soft tissue infections in immunocompetent patients under the age of 19.
Subject(s)
Humans , Infant, Newborn , Infant , Child, Preschool , Child , Adolescent , Skin Diseases, Infectious/diagnosis , Skin Diseases, Infectious/therapy , Soft Tissue Infections/diagnosis , Soft Tissue Infections/therapy , Erysipelas/diagnosis , Erysipelas/therapy , Folliculitis/diagnosis , Folliculitis/therapy , Furunculosis/diagnosis , Furunculosis/therapy , Impetigo/diagnosis , Impetigo/therapyABSTRACT
We present a case of eosinophilic pustular folliculitis, a rare dermatosis which is often associated with HIV infection or internal malignancies. Clinical Presentation and Intervention: We report the case of a 66-year-old man with a medical history of hypertension. Histopathological examination showed a dense follicular inflammatory infiltrate with abundant eosinophils. The clinical response to indomethacin was excellent with no recurrence during the follow-up. The patient responded well to indomethacin treatment
Subject(s)
Humans , Male , Folliculitis/diagnosis , Skin Diseases, Vesiculobullous/diagnosis , Indomethacin , Skin DiseasesABSTRACT
Folliculitis decalvans is an inflammatory presentation of cicatrizing alopecia characterized by inflammatory perifollicular papules and pustules. It generally occurs in adult males, predominantly involving the vertex and occipital areas of the scalp. The use of dermatoscopy in hair and scalp diseases improves diagnostic accuracy. Some trichoscopic findings, such as follicular tufts, perifollicular erythema, crusts and pustules, can be observed in folliculitis decalvans. More research on the pathogenesis and treatment options of this disfiguring disease is required for improving patient management.
A foliculite decalvante é uma forma inflamatória de alopecia cicatricial caracterizada por pápulas e pústulas inflamatórias perifoliculares. Ocorre mais comumente em adultos do sexo masculino,envolvendo predominantemente o vértice e a região occipital do couro cabeludo. O uso da dermatoscopia nas doenças dos cabelos e do couro cabeludo melhora a precisão diagnóstica. Alguns achados tricoscópicos como tufos foliculares, eritema perifolicular, crostas e pústulas podem ser observados na foliculite decalvante.Mais pesquisas sobre patogênese e opções de tratamento desta doença desfigurante são necessárias para uma melhor gestão dos pacientes.
Subject(s)
Adult , Humans , Male , Dermoscopy/methods , Folliculitis/diagnosis , Scalp Dermatoses/diagnosis , Reproducibility of ResultsSubject(s)
Acupuncture Therapy/adverse effects , Animals , Bees , Chronic Disease , Folliculitis/diagnosis , Folliculitis/etiology , Granulomatous Disease, Chronic/diagnosis , Granulomatous Disease, Chronic/etiology , Humans , Inflammation/diagnosis , Inflammation/etiology , Insect Bites and Stings/complications , Male , Middle AgedABSTRACT
Neste artigo são abordadas as dermatoses neutrofílicas, complementando o artigo anterior (parte I). São apresentadas e comentadas as seguintes dermatoses: pustulose subcórnea de Sneddon-Wilkinson, dermatite crural pustulosa e atrófica, pustulose exantemática generalizada aguda, acroder matite contínua de Hallopeau, pustulose palmoplantar, acropustulose infantil, bacteride pustular de Andrews e foliculite pustulosa eosinofílica. Uma breve revisão das dermatoses neutrofílicas em pacientes pediátricos também é realizada.
This article addresses neutrophilic dermatoses, thus complementing the previous article (part I). The following dermatoses are introduced and discussed: subcorneal pustular dermatosis (Sneddon-Wilkinson disease), dermatitis cruris pustulosa et atrophicans, acute generalized exanthematous pustulosis, continuous Hallopeau acrodermatitis, palmoplantar pustulosis, infantile acropustulosis, Andrews' pustular bacteride and eosinophilic pustular folliculitis. A brief review of neutrophilic dermatoses in pediatric patients is also conducted.
Subject(s)
Humans , Neutrophils , Skin Diseases , Acrodermatitis/diagnosis , Acrodermatitis/pathology , Acrodermatitis/therapy , Folliculitis/diagnosis , Folliculitis/pathology , Folliculitis/therapy , Psoriasis/diagnosis , Psoriasis/pathology , Psoriasis/therapy , Skin Diseases, Vesiculobullous/diagnosis , Skin Diseases, Vesiculobullous/pathology , Skin Diseases, Vesiculobullous/therapy , Skin Diseases/diagnosis , Skin Diseases/etiology , Skin Diseases/pathology , Skin Diseases/therapyABSTRACT
Presentamos un caso de la denominada foliculitis pustulosa eosinofílica o enfermedad de Ofuji, sin eosinofilia periférica ni inmunosupresión asociada. El cuadro respondió inicialmente bien a la dapsona, pero debido a un aumento de enzimas hepáticas y bilirrubina se rotó a terapia tópica con clobetasol y pimecrolimus, con buena respuesta. Efectuamos una revisión del cuadro enfatizando que el mismo constituye una inflamación del epitelio infundibular y no folicular constituyendo un patrón de respuesta a múltiples causas, algunas o la mayoría no bien conocidas.
A case of the so called eosinophilic pustular folliculitis or Ofuji´s disease, without blood eosinophilia nor immunosuppression is reported. The patient responded at first well to Dapsone, but an increase of the hepatic enzymes and bilirubin was detected and only topical therapy with clobetazol and pimecrolimus was carried out with a good response. A revision of the disease with emphasis in the concept of infundibulitis rather than folliculitis was made. The eosinophilic pustular folliculitis is a pattern of response to multifactorial, mostly unknown, causes and not a single disease.
Subject(s)
Humans , Male , Adult , Eosinophils/pathology , Folliculitis/diagnosis , Diagnosis, Differential , Drug Therapy , Folliculitis/classificationABSTRACT
Revisamos las enfermedades que muestran eliminación transepitelial como característica histológica. En la mayoría de ellas, este fenómeno es secundario a alguna enfermedad subyacente, tal como granuloma anular o pseudoxantoma elástico; no obstante, existen cuatro condiciones que son consideradas como desórdenes perforantes clásicos: enfermedad de Kyrle, foliculitis perforante, colagenosis perforante reactiva y elastosis perforante serpiginosa. En los últimos años se ha incluido en este grupo una quinta enfermedad asociada a insuficiencia renal crónica. Se ha sugerido el nombre de dermatosis perforante reactiva para este trastorno. Se describen las dermatosis perforantes más relevantes, centrando la atención en sus características clínicas, histopatología, tratamiento y patogenia
Subject(s)
Humans , Male , Female , Adult , Middle Aged , Epidermis/metabolism , Exanthema/diagnosis , Skin Diseases/classification , Folliculitis/diagnosis , Granuloma Annulare/diagnosis , Keratoacanthoma/diagnosis , Pilomatrixoma/diagnosis , Skin Diseases/diagnosisABSTRACT
Presentamos una mujer de 30 años de edad, HIV+, adicta endovenosa, con múltiples parejas sexuales que desarrolló lesiones de sarcoma de Kaposi, leucoplasia vellosa bucal y foliculitis en cara. Se muestra la infrecuente asociación de estas tres enfermedades en una mujer HIV+
Subject(s)
Humans , Female , Adult , Acquired Immunodeficiency Syndrome , Folliculitis/diagnosis , Leukoplakia, Oral/diagnosis , Sarcoma, Kaposi/diagnosis , FaceABSTRACT
Entre 1993 y 1997, en el Centro de Control de ETS se diagnosticaron tres casos de varones VIH positivos que presentaban lesiones papulares eritematosas generalizadas, con predominio en tronco, muy pruriginosas. La biopsia de piel mostró infiltrado eosinofílico, ausencia de gérmenes y tinción negativa para hongos. De manera concomitante se observó eosinofilia en sangre superior al 10 por ciento y CD4 inferior a 100 cel/mm elevado a 3. Los pacientes fueron tratados con antihistamínicos H1 y corticoides tópicos; un paciente recibió además itraconazol por onicomicosis. En nuestro medio es usual que la foliculitis eosinofílica asociada a VIH se confunda con escabiosis debido a la presencia de erupción papular y prurito intenso. Se presentan tres casos clínicos y la revisión de los estudios sobre el tema