ABSTRACT
La elefantiasis verrucosa nostras es una entidad poco frecuente que se caracteriza por pápulas, lesiones verrugosas, fibrosis y deformidad de la región afectada. Se debe a un linfedema obstructivo crónico que puede ser congénito o secundario a una infección no filariásica (tuberculosis, micosis, sífilis), cirugía, radioterapia, traumatismo, obstrucción neoplásica, obesidad, hipertensión portal o insuficiencia cardíaca congestiva. No hay un tratamiento estándar para estas raras manifestaciones cutáneas. Dependiendo de la causa y la severidad, el tratamiento puede ser médico o quirúrgico. Presentamos el caso de un varón que acudió a nuestro hospital con una depresión mayor y lesiones en la piel de ambas piernas compatibles con elefantiasis verrucosa nostras, que se trató con éxito con desbridamiento quirúrgico y medidas conservadoras (AU)
Elephantiasis nostras verrucosa is a rare condition characterised by papules, verrucous lesions, fibrosis and deformity of the affected area. It is caused by chronic lymphedema that could be congenital or produced by a non-associated infection (such as tuberculosis, mycotic infection, syphilis), surgery, radiotherapy, trauma, neoplastic obstruction, obesity, portal hypertension, or congestive heart failure. There is no standard treatment for this rare skin disorder. Depending on the cause and the severity, the treatment can be medical or surgical. We report the case of a man seen in our hospital with a major depression and elephantiasis nostras verrucosa skin lesions on both legs, who was successfully treated with surgical debridement and conservative measures (AU)
Subject(s)
Humans , Male , Adult , Elephantiasis/complications , Elephantiasis/diagnosis , Elephantiasis/surgery , Depression/complications , Depression/psychology , Benzodiazepines/therapeutic use , Elephantiasis/physiopathology , Elephantiasis/radiotherapy , Elephantiasis/etiology , Psychopathology/methods , Psychopathology/trendsABSTRACT
Elephantiasis nostras verrucosa is a rare condition characterised by papules, verrucous lesions, fibrosis and deformity of the affected area. It is caused by chronic lymphedema that could be congenital or produced by a non-associated infection (such as tuberculosis, mycotic infection, syphilis), surgery, radiotherapy, trauma, neoplastic obstruction, obesity, portal hypertension, or congestive heart failure. There is no standard treatment for this rare skin disorder. Depending on the cause and the severity, the treatment can be medical or surgical. We report the case of a man seen in our hospital with a major depression and elephantiasis nostras verrucosa skin lesions on both legs, who was successfully treated with surgical debridement and conservative measures.
Subject(s)
Depressive Disorder, Major , Elephantiasis , Humans , Leg , Obesity , Skin DiseasesABSTRACT
The first step in the assessment of a patient who presents psychiatric symptoms is to discard somatic illness. We present a case of a patient whose symptoms began with confusion, behavior alterations and agitation, which were followed by psychomotor inhibition with visual hallucinations, with underlying thyrotoxicosis. In the discussion, we analyze the aspects to consider in order to detect similar cases and their treatment, since, although it is a rare form of presentation of hyperthyroidism, it should be taken into account due to the seriousness of the picture.
Subject(s)
Psychotic Disorders/etiology , Thyrotoxicosis/psychology , Adult , Female , Humans , Hyperthyroidism/complications , Psychotic Disorders/diagnosis , Thyrotoxicosis/complicationsABSTRACT
El primer paso en la valoración de un paciente con síntomas psiquiátricos es descartar la patología somática. Presentamos el caso de una paciente cuya clínica se inició con síntomas confusionales, desestructuración conductual y agitación, seguida de inhibición psícomotriz y alucinaciones visuales, con una tirotoxicosis subyacente. En la discusión se analizan los aspectos a tener en cuenta para la detección de casos similares y su tratamiento, ya que, aunque sea una forma poco común de presentación del hipertiroidismo, debe tenerse en cuenta por la gravedad del cuadro (AU)
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