Subject(s)
Alcoholic Beverages/adverse effects , Exanthema/chemically induced , Quinine/adverse effects , Adult , Female , HumansABSTRACT
Recent years have witnessed an increase in the use of ultrasound imaging of the skin in the field of dermatology, as the technique reveals details of vessels and other structures that cannot be detected on physical examination. Extradigital glomus tumors are rarely seen in clinical practice and can pose a diagnostic challenge for dermatologists. We report on 4 patients with a clinical suspicion of extradigital glomus tumor and on 1 patient with a clinical suspicion of subungual glomus tumor. All 5 patients underwent ultrasound examination in B mode and color and pulsed-wave Doppler prior to surgical excision of the tumor and histologic examination, which confirmed the diagnosis in each case. Ultrasound imaging of the skin, combined with clinical findings, provided a simple, noninvasive way of making a prompt diagnosis and identifying the exact location of the lesion for surgical removal.
Subject(s)
Fingers , Glomus Tumor/diagnostic imaging , Skin Neoplasms/diagnostic imaging , Aged , Female , Humans , Male , Middle Aged , UltrasonographySubject(s)
Dermatitis, Allergic Contact/diagnosis , Adolescent , Child , Child, Preschool , Cohort Studies , Dermatitis, Allergic Contact/etiology , Female , Humans , Infant , Infant, Newborn , MaleABSTRACT
The term ectodermal dysplasias includes many disorders that share some clinical features such as involvement of one or several ectodermal structures and congenital origin. Currently, 154 different types divided into 11 clinical subgroups (Freire Maia classification 1994) have been described. The most frequent entity is hypo- or anhidrotic ectodermal dysplasia (Christ-Siemens-Touraine syndrome). This is a rare hereditary disease whose main characteristic is the absence, or more often the reduction, of sweat glands, leading to an increase in body temperature together with anomalies of the epidermis and its appendages (hair and nails). We present a case of hypohidrotic ectodermal dysplasia in a premature 18-month-old boy who was referred to our department because of markedly dry skin since birth and recurrent eczematous and lichenification lesions that had been successfully treated with topical corticosteroids. Physical examination revealed mild alopecia with sparse and fine blonde hair and the absence of dental alveoli. The boy's mother had noticed slight sweating and episodes of fever without clinical symptoms, which were more frequent in summer. Hypohidrotic ectodermal dysplasia should be included in the differential diagnosis of fever of unknown origin.
Subject(s)
Ectodermal Dysplasia/complications , Fever of Unknown Origin/etiology , Child, Preschool , Humans , MaleABSTRACT
El penfigoide ampolloso suele afectar a individuos mayores de 60 años. Su aparición en la infancia, descrita en 1970, es muy poco frecuente, habiéndose descrito unos 50 casos. Aunque básicamente las dos formas comparten la mayoría de las características, existen algunos rasgos en el penfigoide infantil como su localización típica en palmas, plantas y mucosas y su rápida resolución que lo diferencian del del adulto. Aportamos dos casos de penfigoide infantil en una niña de 8 meses y un niño de 4 meses de edad que presentaron lesiones eritematoedematosas de superficie vesiculoampollosa en manos y pies junto con fiebre y eosinofilia sanguínea. En el primer caso aparecieron tras un cuadro infeccioso de vías respiratorias y en el segundo tras la vacuna DTTP. Ambos remitieron en pocas semanas con tratamiento corticoesteroideo (AU)
