Retalho trilobado para reconstrução nasal: otimizando resultados / Trilobate flap for nasal reconstruction: optimizing results

O retalho trilobado pode ser usado para a reconstrução de defeitos de tamanho médio da porção nasal inferior. O terceiro lóbulo determina o aumento do arco rotatório, reduzindo a tensão do retalho e melhorando a estética final. Relatamos o caso da uma paciente submetida ao procedimento com bom resultado estético e funcional.

The trilobate flap can be used for the reconstruction of mid-size defects of the lower nasal portion. The third lobe determines the rotational arch's increase, reducing the flap tension and improving the final aesthetics. We report the case of a patient submitted to the procedure with good aesthetic and functional results

Porphyria cutanea tarda in a HIV- positive patient

Abstract: This is a case report about Porphyria cutanea tarda (PCT) and its relationship with the infection caused by the human immunodeficiency virus (HIV). Cutaneous porphyria is an illness caused by enzymatic modification that results in partial deficiency of uroporphyrinogen decarboxylase (Urod), which may be hereditary or acquired. Several studies suggest that HIV infection associated with cofactors might trigger the development of porphyria cutanea tarda. In this case report, we present a patient infected with HIV, who after the introduction of antiretroviral therapy (ART) enjoyed clinical improvement of porphyria cutanea tarda symptoms.