ABSTRACT
El liquen escrofulosorum es una forma infrecuente de tubercúlides caracterizada por pequeñas pápulas liquenoides en tronco y extremidades que surgen fundamentalmente en niños y adultos jóvenes con tuberculosis ósea o ganglionar.Hemos estudiado un caso de liquen escrofulosorum que apareció dos años después de una tuberculosis osteomuscular multifocal. La tinción de Ziehl-Neelsen, el cultivo y la PCR para Mycobacterium tuberculosis en fresco fueron negativas, descartándose la pérdida de sensibilidad de la PCR relacionada con la inclusión en parafina. El cuadro respondió en pocas semanas al tratamiento antituberculoso, si bien, aconsejamos completar la pauta de la Sociedad Torácica Americana. (AU)
Subject(s)
Aged , Male , Humans , Lichenoid Eruptions/diagnosis , Tuberculosis/complications , Tuberculosis, Cutaneous/etiology , Lichenoid Eruptions/etiology , Lichenoid Eruptions/drug therapy , Tuberculosis/diagnosis , Tuberculosis/drug therapy , Mycobacterium tuberculosis/pathogenicity , Tuberculosis, Cutaneous/diagnosis , Back , Extremities , Isoniazid/therapeutic use , Rifampin/therapeutic use , Polymerase Chain ReactionABSTRACT
Subcutaneous fat necrosis of the newborn (SFN) is an uncommon disease that affects newborns who have suffered from tissue hypoxia during or following delivery. This disease appears during the first weeks of life. It consists of indurate, erythematous or purple-erythematous nodules and plaques in the skin. Histology of a biopsy specimen shows granulomatous necrosis in the subcutis with radial crystals in lipocytes and giant cells. Spontaneous resolution in a few weeks is usual, but the mobilization of calcium from the necrosed subcutis together with the action of some hormones may cause hypercalcemia and certain serious complications. A newborn female child developed SFN after dystocic delivery causing cerebral frontal lobe hemorrhage. The skin nodules resolved spontaneously in a few weeks and no complications were observed 1 year later.
Subject(s)
Fat Necrosis/pathology , Skin Ulcer/pathology , Female , Humans , Infant, Newborn , ScalpABSTRACT
A 20-year-old woman and her 12-year-old brother had hypohidrotic ectodermal dysplasia, cleft lip and palate, midfacial hypoplasia with narrow nose from the nasal bridge to the tip, narrow dysplastic nails, and conical teeth and hypodontia, and hypospadias and hypoplastic uvula in the boy. The woman had major underdevelopment of intellectual capacity. The most important hair anomalies in both siblings were sparse eyebrows, pili torti, and pili canaliculi. Some of the pili canaliculi had two canals (pili bicanaliculi), and the cross section for scanning electron microscopy had a quadrangular aspect. This is the seventh family reported with Rapp-Hodgkin ectodermal dysplasia.
Subject(s)
Ectodermal Dysplasia/genetics , Face/abnormalities , Hair Diseases/genetics , Adult , Child , Cleft Lip/genetics , Cleft Palate/genetics , Female , Humans , Hypospadias , Male , SyndromeABSTRACT
The pseudoatrophic pityriasis versicolor is an atypical form of this disease with cutaneous atrophy provoked by the prolonged application of topical corticosteroids. The term "pseudoatrophic" is indicative of its reversible character.
Subject(s)
Anti-Inflammatory Agents/adverse effects , Betamethasone/analogs & derivatives , Tinea Versicolor/chemically induced , Administration, Topical , Aged , Betamethasone/adverse effects , Glucocorticoids , Humans , Male , Tinea Versicolor/pathologyABSTRACT
This report describes three cases of eosinophilic cellulitis (Wells' syndrome) observed during six years. In the author's opinion this condition is not frequent, but neither exceptional. A revision of clinico-pathological, etiopathogenic and therapeutics aspects is carried out.
Subject(s)
Cellulitis/pathology , Eosinophilia/pathology , Adult , Cellulitis/complications , Eosinophilia/complications , Female , Humans , Male , Middle Aged , SyndromeABSTRACT
A case of palmoplantar keratoderma with epidermolytic hyperkeratosis (type Voerner) is reported. We review bibliography and the nosologic, clinic histological and therapeutic aspects are discussed.
Subject(s)
Etretinate/therapeutic use , Keratoderma, Palmoplantar/drug therapy , Adolescent , Humans , Keratoderma, Palmoplantar/pathology , MaleABSTRACT
We add to the dermatologic bibliography, a family with two exceptional cases of congenital lymphedema. We comment etiopathogenesis, clinical, associations and complications, and insisting on the necessity of forward diagnostic.
Subject(s)
Lymphedema/congenital , Adult , Female , Humans , Lymphedema/complications , Lymphedema/genetics , Lymphedema/pathology , Male , Middle Aged , Skin Diseases/etiology , Warts/etiologyABSTRACT
Two new cases of bowenoid papulosis are reported, one in a male with Behçet's syndrome, and the other in a young woman. The literature is reviewed, we consider the different etiopathogenic factors and we discuss its nature and nosology.
Subject(s)
Bowen's Disease/pathology , Carcinoma, Squamous Cell/pathology , Penile Neoplasms/pathology , Vulvar Neoplasms/pathology , Adult , Behcet Syndrome/complications , Bowen's Disease/complications , Bowen's Disease/diagnosis , Condylomata Acuminata/diagnosis , Diabetes Complications , Diagnosis, Differential , Female , Humans , Lichen Planus/diagnosis , Male , Penile Neoplasms/complications , Penile Neoplasms/diagnosis , Vulvar Neoplasms/complications , Vulvar Neoplasms/diagnosisABSTRACT
We describe three cases of Connective tissue nevi in disseminated tumors, similar to those referred by de Graciansky and Leclercq . Although clinically similar, their different dermopathological pictures stand out, as does the fact that one showed osteopoikilid . We review the clinical and dermopathological features, nosology, associations, differential diagnosis and therapeutic procedures.
Subject(s)
Neoplasms, Multiple Primary/pathology , Nevus/pathology , Skin Neoplasms/pathology , Child , Child, Preschool , Female , Humans , Male , Neoplasms, Multiple Primary/complications , Nevus/complications , Osteopoikilosis/complications , Skin Neoplasms/complicationsABSTRACT
The authors describe the uncommon coexistence of linear verrucous naevus and pigmented naevus, an association which has not been reported previously. The completely benign nature of the disorder is pointed out.
Subject(s)
Neoplasms, Multiple Primary/pathology , Nevus, Pigmented/pathology , Nevus/pathology , Skin Neoplasms/pathology , Adult , Female , HumansABSTRACT
A case of Perforating Folliculitis is observed, and its clinical and histological aspects are commented upon. Its differential diagnosis and relation to other dermatosis with transepidermal elimination are discussed. Of particular interest, is the extremely chronic aspect of our case.
Subject(s)
Folliculitis/pathology , Leg Dermatoses/pathology , Adult , Chronic Disease , Diagnosis, Differential , Female , Folliculitis/diagnosis , Humans , Leg Dermatoses/diagnosis , Skin Diseases/diagnosisABSTRACT
A 65 year old male with Hodgkins disease, and generalised figurate Erythema, which during his period of hospitalisation migrated and became much more evident, disappearing after initial therapy. Diagnosed as "Erythema gyratum repens" reported by Gammel, an uncommon form of paraneoplasic migrant figurate Erythema, we review the 33 previous cases of this process, and find that, although 30 were related to other processes.
