Nail Squamous Cell Papilloma: A Rare Case Report.

Introduction: Squamous cell papilloma is a benign tumor whose pathogenesis is generally related to the human papillomavirus. Despite affecting several organs, we did not find cases reported in the nails. Case Presentation: A 67-year-old female presented with a painful lesion in the nail of the right hallux that started in 2021, with an erythematous appearance evolving to black and expansive growth. Due to the evolution and symptoms, she opted for excision, with a histopathological report of squamous cell papilloma. Complementary treatment with imiquimod was performed, with good healing and pain control. Discussion: Due to the lack of previous reports, treatment was based on therapeutic options for papillomas located in other regions. Excision was performed, followed by application of imiquimod with good response. The prognosis is favorable; however, further studies are needed to elucidate the diagnosis and management of nail squamous cell papilloma.

Body Dysmorphic Disorder in Rhinoplasty Candidates: Prevalence and Functional Correlations.

BACKGROUND: Rhinoplasty is one of the most commonly performed aesthetic/functional procedures worldwide. Among those who seek rhinoplasty are those whose aesthetic defect is interpreted by themselves disproportionately, leading to significant suffering. These are given the diagnosis of body dysmorphic disorder (BDD). They commonly have high expectations regarding the surgical outcome and are often not satisfied postoperatively. The present study aimed to correlate BDD with the patient's self-assessment of nasal function, analysing whether BDD would have any influence on it. In addition, we verified the prevalence of the disorder in our population. METHODS: Cross-sectional, comparative and analytical study. Eighty-eight patients participated in the trial, 57 of them being candidates for rhinoplasty, rhinoplasty group (RG), and 31 from a random population, control group (CG). Through self-assessment, the BDSS, The Utrecht, SNOT-22 and NOSE questionnaires were applied. Patients with BDSS score ≥ 6 were considered as positive for BDD. Comparisons were made between the groups and among the candidates for rhinoplasty with positive or negative BDD. RESULTS: The prevalence of the disorder was 35.1% in the RG and 3.2% in the CG. Significantly, higher NOSE and SNOT-22 scores, reflecting worse nasal function, were obtained by the RG, especially in those with positive screening for BDD, when compared to those with negative screening (p < 0.05). CONCLUSIONS: BDD affects about one-third of the rhinoplasty candidate population. Their presence seems to exert a negative influence on the patients' self-assessment regarding their nasal function. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Dermatoses psicossomáticas em estudantes da área da saúde / Psychosomatic dermatoses in undergraduate health students

Objetivo Este artigo almejou comparar a frequência de dermatoses psicossomáticas e a qualidade de vida de estudantes universitários da área de saúde. Métodos Neste estudo analítico, transversal e quantitativo, foram aplicados dois questionários online para estudantes da saúde: World Health Organization Quality of Life Scale Abbreviated Version, para avaliar a qualidade de vida, e outro elaborado pelos pesquisadores para analisar a frequência de oito psicodermatoses e sua relação com o estresse, o desconforto com as lesões e a busca pela ajuda médica ou psicológica. Para aferir a relação entre as dermatoses psicossomáticas e a qualidade de vida, foi considerado p<0,05 do teste qui-quadrado. Resultados Participaram do estudo 608 estudantes. A dermatose mais frequente foi escoriação (37,99%), seguida de retirada de cutícula, mordida em lábios e bochechas (32,40%) e prurido psicogênico (14,63%), sendo a automutilação a com menor frequência (1,15%). Dos que tiveram alguma dermatose psicossomática, 82,33% acreditam que estão relacionadas ao estresse acadêmico, 66,20% se sentem desconfortáveis, e 43,45% já buscaram ajuda médica ou psicológica. A qualidade de vida foi considerada boa por 92,76% no domínio físico, 95,72% no meio ambiente, 88,81% no psicológico e 88,89% nas relações sociais. Houve associação entre a queda da qualidade de vida no domínio físico e a frequência das dermatoses psicossomáticas retirada de cutícula, mordida em lábios ou bochechas (p=0,001), tricotilomania (p=0,055) e prurido psicogênico (p=0,0009); e, no psicológico, com retirada de cutícula, mordida de lábios ou bochechas (p=0,059), escoriações (p=0,087) e prurido psicogênico (p=0,002). Conclusão Dermatoses psicossomáticas são encontradas em mais de 30% dos estudantes; porém, sua associação com a queda de qualidade de vida não pode ser confirmada.

Objective The study aims to compare the frequency of psychosomatic dermatoses occurrences with the quality of life of undergraduate health students. Methods This is an analytical, transversal, and quantitative study. Two online questionnaires were applied to students. The first one was developed by the researchers in order to analyze the frequency of 8 psychodermatoses and their relation to stress, discomfort with the injuries, and search for medical or psychological help. The second, the World Health Organization Quality of Life Group ­ Abbreviated Version, whose domains we determine as good or bad (with averages above or below 50%). To evaluate the relation between dermatoses and quality of life, the chi-square test was performed with p<0.05. Results 608 students participated in the study. The dermatosis found more frequently was excoriation (37.99%), followed by cuticle removal, lip and cheek bite (32.40%), and psychogenic pruritus (14.63%). Self-mutilation was the least frequent form of dermatoses (1.15%). Among those who had some sort of psychosomatic dermatoses, 82.33% believe they were related to academic stress, 66.20% feel uncomfortable, and 43.45% have already sought medical or psychological help. The quality of life was considered good in 92.76% in the physical domain, 95.72% in the environment, 88.81% in the psychological realm, and 88.89% in social relations. There was a relationship between the decrease in quality of life in the physical domain and the frequency of the following psychosomatic dermatoses: cuticle removal, lip or cheek bite (p=0.001), trichotillomania (p=0.055), and psychogenic pruritus (p=0.0009). Decreases in the quality of life as related to the psychological domain were related to cuticle removal, lip or cheek bite (p=0.059), excoriations (p=0.087), and psychogenic pruritus (p=0.002). Conclusion Psychosomatic dermatoses are found in more than one third of students, but their association with decreases in quality of life could not be confirmed.