ABSTRACT
This report presents three cases of cutaneous tuberculosis that were identified at the Calderon Hospital in Quito, Ecuador. The first case involved a 44-year-old man who had tuberculosis verrucosa cutis, characterized by circinate erythematous areas, ulcerated nodules, and verruciform plaques extending from the right lower limb to the hip. In the second case a 50-year-old woman with a 1-year history of pruritic dermatosis in the left ciliary area was diagnosed with lupus vulgaris. In the third case, a 23-year-old man with erythematous nodules draining caseous material at the neck, thorax, and axillary region was diagnosed with scrofuloderma. It was discovered that nearly every laboratory test that was accessible had drawbacks as a diagnostic technique. Correlating clinical and epidemiological features with the pretest probability is crucial for optimizing indicators and confirming or ruling out the diagnosis in immunocompromised and high-risk individuals with atypical lesions.
ABSTRACT
BACKGROUND: Skin cancer is one of the most common cancers, and melanoma is a highly preventable cancer. In Ecuador, few studies have evaluated the awareness levels of the population about the disease. For this reason, the objective of this study was to measure the level of knowledge, attitudes, and practices regarding skin cancer and its determining factors. METHODS: A cross-sectional analysis using an online self-assessment questionnaire containing 40 questions was delivered. A total of 537 participants were included in this study. Knowledge, attitude, and practice scores were assigned to each participant based on the number of correct or appropriate responses. Logistic regression analysis was used to calculate crude and adjusted odds ratios. RESULTS: In total, 75% of participants referenced knowledge of the harmful effects related to noncontrolled solar exposure. Concerning sunscreen, 76.7% knew the reason for using it. The female group was 1.68 times more likely to get a higher score than the male group, and the groups between 61-70 and 71-80 years were 0.30 and 0.17 times less likely to get a higher score compared with the less than 20-years-old group, respectively. CONCLUSIONS: The findings of this study indicate the requirement to increase the population's knowledge about skin cancer and possible protection measures. For this reason, the prevention and health promotion programs at a national level from primary healthcare centers are recommended. Due to the limitation of the representativeness of the sample, the use of more studies among Ecuadorian residents of the low socioeconomic level and replication in different provinces of Ecuador is justified.
ABSTRACT
El angioqueratoma nevoide circunscrito es una malformación vascular presente en la dermis superficial. Es la más rara de las cinco variantes de angioqueratoma; aparece desde el naci-miento o en las primeras dos décadas de la vida; es más común en mujeres en relación de 3 a 1; generalmente está localizado en muslo, y glúteo, mostrando una distribución unilateral (1,2,3). Para su tratamiento son empleadas al-gunas medidas terapéuticas son empleadas como la electrocoagulación, crioterapia, ciru-gía, laser. Presentamos el caso de una paciente con an-gioqueratoma nevoide circunscrito tratado con láser neodimiun yang, con evolución favorable de las primeras lesiones.
The angiokeratoma circunscrito Naeviorme is a vascular malformation, this is present in the superficial dermis, is the rarest of the five va-riants of angiokeratoma, appears at birth or in the first two decades of life, is more common in women, in a ratio of 3 to1, generally located on thigh, buttock, showing a distribution unila-teral (1, 2, 3), some therapies are used as elec-trocoagulation, cryotherapy, surgery, laser.We report a patient with nevoid circumscribed angiokeratoma laser treatment neodimiun yang, with a favorable evolution of the first session.
