RESUMO
Abstract Background: Since the beginning of the COVID-19 pandemic, a myriad of cutaneous manifestations have been described in association with this viral infection. However, in Latin America, this kind of data is still scarce. Objective: In this sense, the goal of this study was to describe the dermatological findings observed during SARS-CoV-2 infection, in a Brazilian Hospital. Methods: This is a cross-sectional, retrospective and descriptive study of 50 cases of new-onset dermatologic symptoms in patients with COVID-19, treated at Hospital Sírio-Libanês, from February to June 2020. Results: The patients (n = 50) were classified into 6 groups, according to the elementary lesions and the statistical analysis was performed. The most common cutaneous lesions were maculopapular eruptions (44%), necrosis, purpura, and livedo (32%), urticarial lesions (12%), pseudochilblains (4%) and papular-vesicular eruption (4%). In 46% of the patients the cutaneous lesions occurred in association with other symptoms, such as pruritus (38%), pain and burning sensation (8%). Lower limbs were affected in 44% of the cases, followed by the trunk (38%), upper limbs (24%) and face (14%). Cutaneous lesions were mostly found after other COVID-19 systemic symptoms, with a mean period between the viral syndrome and cutaneous signs of 5 days (SD = 6.1 days). Study limitations: It is a small sample, in a single-center study, with patients exclusively from a private Hospitals. Conclusions: Patients in Brazil have the same proportion of lesions as revealed in other studies in Europa. The compiled data is essential for a better understanding of cutaneous manifestations deemed secondary to COVID.
RESUMO
O nevo sebáceo de Jadassohn é hamartoma benigno congênito da pele, mais incidente no couro cabeludo, podendo apresentar-se na face. Devido ao potencial de malignização, sua excisão muitas vezes se faz necessária. Lesões situadas no couro cabeludo constituem desafio ao cirurgião devido às características anatômicas do local, com escassez e inelasticidade da pele adjacente. Neste relato, apresentamos um caso de excisão de nevo sebáceo de Jadassohn no couro cabeludo, com fechamento da ferida operatória por retalho de rotação bilateral, técnica muito simples e versátil, excelente para topografias de difícil reconstrução, como o couro cabeludo.
The nevus sebaceous of Jadassohn is a congenital benign hamartoma of the skin that occurs more frequently in the scalp, but can also arise in the face. Due to its potential for malignization, exeresis is often required. Lesions located in the scalp are challenging to surgeons because of the anatomical characteristics of this body site, namely scarcity and inelasticity of the adjacent skin. In the present report, the authors describe a case of excision of a nevus sebaceous of Jadassohn located in the scalp, using a bilateral rotation flap a very straightforward and versatile technique, excellent for reconstructing difficult topographies such as the scalp for the closure of the surgical wound.