ABSTRACT
Vascular hyperplasia is a common finding in prurigo nodularis/lichen simplex chronicus (LSC). The term prurigiform angiomatosis was recently proposed to describe a histologic pattern characterized by prominent vascular hyperplasia in patients with LSC. The aim of this study was to identify cases of LSC with this pattern and analyze associations with clinical and pathologic features and disease course. We reviewed 54 cases of histologically confirmed LSC and detected findings consistent with prurigiform angiomatosis in 10 (18.5%). The patients (7 men, 3 women) had a mean age of 59.7 years. The lesions were pruritic and predominantly located on the extremities and trunk. The most notable histologic finding was vascular proliferation in the superficial dermis associated with a lymphocytic inflammatory infiltrate. Recognition of prurigiform angiomatosis is important as it helps not only to distinguish LSC from other entities (mainly vascular tumors) but also to detect lesions that need to be surgically excised due to poor response to topical treatment.
Subject(s)
Angiomatosis , Prurigo , Humans , Female , Male , Prurigo/pathology , Middle Aged , Angiomatosis/pathology , Aged , Neurodermatitis/pathology , Neurodermatitis/diagnosis , Adult , Terminology as Topic , Epidermis/pathology , Retrospective Studies , Hyperplasia/pathology , Aged, 80 and overABSTRACT
Vascular hyperplasia is a common finding in prurigo nodularis/lichen simplex chronicus (LSC). The term prurigiform angiomatosis was recently proposed to describe a histologic pattern characterized by prominent vascular hyperplasia in patients with LSC. The aim of this study was to identify cases of LSC with this pattern and analyze associations with clinical and pathologic features and disease course. We reviewed 54 cases of histologically confirmed LSC and detected findings consistent with prurigiform angiomatosis in 10 (18.5%). The patients (7 men, 3 women) had a mean age of 59.7 years. The lesions were pruritic and predominantly located on the extremities and trunk. The most notable histologic finding was vascular proliferation in the superficial dermis associated with a lymphocytic inflammatory infiltrate. Recognition of prurigiform angiomatosis is important as it helps not only to distinguish LSC from other entities (mainly vascular tumors) but also to detect lesions that need to be surgically excised due to poor response to topical treatment.
ABSTRACT
Objetivo: Valorar la utilización y eficacia de los protocolos de Vigilancia Sanitaria Específica. Material y Métodos: Se han utilizado los datos obtenidos del Sistema de Información en Salud Laboral SISPA-SPL, así como los resultados de la Encuesta de Opinión. Resultados: El 84.6% de usuarios del SISPA-SPL cumplimentan la evaluación de riesgos. Los protocolos más utilizados son: pantallas de visualización de datos y manejo manual de cargas. Conclusiones: Los protocolos más utilizados son los relacionados con factores de riesgo físico. Además, la mayoría de los profesionales sanitarios de los Servicios de Prevención realizan una valoración buena sobre dichos protocolos
Objective: To value the use and effectiveness of protocols of Specific Sanitary Monitoring. Material and Methods: The collected data of Occupational Health Information System SISPA-SPL, as well as the results of the Survey of Opinion have been used. Results: The 84,6% of users of the SISPA-SPL compliment the risk`s evaluation. The most used protocols are: screen of visualization of data and manual handling of loads. Conclusions: The most used protocols are related with factors of physical risk. In addition, most of sanitary professionals of Prevention Services make a good valuation on these protocols
