Subject(s)
Humans , Male , Middle Aged , Hyperkeratosis, Epidermolytic/complications , Hyperkeratosis, Epidermolytic/diagnosis , Keratoderma, Palmoplantar/complications , Keratoacanthoma/complications , Keratoacanthoma/diagnosis , Keratoacanthoma/surgery , Finger Phalanges/pathology , Finger Phalanges , Keratoacanthoma/physiopathology , Keratoacanthoma , Pain Management/methods , Pain ManagementSubject(s)
Humans , Female , Middle Aged , Antiphospholipid Syndrome/complications , Antiphospholipid Syndrome/diagnosis , Antiphospholipid Syndrome/therapy , Biopsy/methods , Thrombosis/complications , Thrombosis/diagnosis , Prednisone/therapeutic use , Antiphospholipid Syndrome/physiopathology , Arthralgia/complications , Chest Pain/complications , Chest Pain/etiologyABSTRACT
El penfigoide dishidrosiforme es una variante de penfigoide ampolloso localizado. Se caracteriza por la presencia de vesículas sero-hemorrágicas en palmas y/o plantas que recuerdan el eccema dishidrótico. La mayoría de pacientes responden a corticoterapia oral a dosis bajas. Presentamos el caso de un varón de 54 años que consultó por lesiones vesiculosas en palmas y plantas que habían sido tratadas con corticoide tópicos in respuesta. Iniciamos corticoterapia a dosis baja, con remisión completa del cuadro a las 2 semanas (AU)
Dyshidrosiform pemphigoid is a localized variant of bullous pemphigoid. It appears as a vesicular eruption with serohemorrhagic content on the palms and/or the soles, similarly to the dyshidrotic eczema. Most of the patients show a good response with low-dose oral corticotherapy. We present the case of a 54-year-old male who was admitted with vesicular lesions on palms and soles, which had not improved with topical corticotherapy. He was treated with low-dose corticotherapy with complete remission after two weeks (AU)
Subject(s)
Humans , Male , Middle Aged , Pemphigoid, Bullous/diagnosis , Eczema, Dyshidrotic/diagnosis , Adrenal Cortex Hormones/therapeutic useABSTRACT
The purpose of this investigation was to analyze the clinical and epidemiological aspects of all cases of erysipelas and infectious cellulitis admitted to a tertiary hospital during a period of five years. All patients admitted with the main diagnosis of erysipelas or cellulitis to the Department of Dermatology of the author's institution from January 2005 to May 2010 were included. Seventy patients were identified and their medical records were retrospectively reviewed so as to record the epidemiological and clinical data. Univariate and multivariable analyses were performed to analyze variables that predicted longer length of stay. The frequency of cellulitis in the lower limbs was higher in men and patients older than 65 years. Moderate/severe cellulitis in patients with basal comorbidity followed by a poor response to oral antibiotic therapy for 48 h were the most common reasons for admission. At arrival, four patients had abscessed areas. Fourteen patients developed local complications and 18 cases developed general in-hospital complications. Most patients improved or were healed with intravenous amoxicillin-clavulanate 1 g-200 mg/8 h. Intravenous amoxicillin-clavulanate 1 g-200 mg/8 h may be a good choice for empiric treatment in our setting. The development of in-hospital complications and the need for changing empiric antibiotic therapy were significant and independent variables associated with longer length of stay.
Subject(s)
Cellulitis/epidemiology , Cellulitis/pathology , Erysipelas/epidemiology , Erysipelas/pathology , Adult , Aged , Aged, 80 and over , Anti-Bacterial Agents/therapeutic use , Comorbidity , Female , Hospitalization , Humans , Male , Middle Aged , Retrospective Studies , Severity of Illness Index , Spain/epidemiology , Tertiary Care Centers , Treatment OutcomeABSTRACT
Las manifestaciones cutáneas pueden preceder a las digestivas en un 20-40% de los pacientes con enfermedades pancreáticas, lo que justifica laimportancia del conocimiento de los signos cutáneos asociados a estas entidades para realizar un diagnóstico precoz. A continuación se presenta unarevisión de los signos cutáneos directos e indirectos relacionados con patología pancreática, tanto inflamatoria como tumoral. En la primera, se hanincluido la paniculitis y los signos hemorrágicos asociados a pancreatitis. Entre los procesos relacionados con el carcinoma pancreático se presta atenciónal síndrome de Trousseau, al síndrome de Peutz-Jeguers, al melanoma múltiple familiar atípico y a la fascitis paraneoplásica. Se explica también elsíndrome del glucagonoma, dada su elevado número de complicaciones dermatológicas (AU)
Cutaneous manifestations can precedeappear before the gastroenterologisintestinalt features in about 20 to 40% of patients with pancreatic disorders,which highlights the importance of knowing those skin signs associated with pancreatic disease in order to establish an early diagnosis. A Next, areview on direct and indirect cutaneous signs related to pancreatic disease is explainedreviewed, in both inflammatory and tumoral conditions. Concerninginflammatory pancreatic conditions, panniculitis and hemorrhagic signs associated to pancreatitis are reviewedconsidered as well as . Amongskin conditions associated to pancreatic cancer, Trousseau syndrome, Peutz-Jeghers syndrome, multiple familiar melanoma and paraneoplastic fasciitis.are explained. Also, glucagonoma syndrome is reviewed as skin signs are very common in this entity (AU)
