ABSTRACT
RESUMEN En este estudio del caso, los autores discuten la presentación de un varón de 56 años, con lepra lepromatosa multibacilar, localizado en un hospital del distrito de Trujillo. La biopsia de una de las lesiones, demostró infiltraciones difusas por macrófagos espumosos en toda su extensión; con la tinción de Ziehl - Neelsen se encuentran: bacilos ácido-alcohol resistentes sueltos o empaquetados en grupos, con índice bacilar: 6. La condición se manejó inicialmente en la comunidad como un "pénfigo ampolloso", sugiriendo que las barreras locales actualmente impiden la detección de la lepra en este sistema de atención primaria, en desarrollo. La lepra es una enfermedad multisistémica y el paciente demostró alteraciones neurológicas periféricas evidentes. Promover el conocimiento de estas manifestaciones sistémicas, evitará un retraso en el diagnóstico, a su vez disminuirá las complicaciones y eludirá la morbilidad a largo plazo. Los esfuerzos para optimizar los sistemas de detección, gestión, educación pública y profesional son esenciales, para impulsar la erradicación en estas poblaciones en riesgo.
SUMMARY In this case study, the authors discuss the presentation of a 56-year-old male in a hospital in the Trujillo district with lepromatous multibacillary leprosy. The biopsy of one of the lesions showed diffuse infiltrations by foamy macrophages in all its extension, with the stain of Ziehl - Neelsen bacilli acid resistant alcohol loose or packaged in groups, the bacilar index: 6. The condition was initially managed in the community as a "bullous pemphigus" that suggests that local barriers currently prevent the detection of leprosy in this developing primary care system. Leprosy is a multisystem disease and the patient demonstrated evident peripheral neurological alterations. Promoting the knowledge of these systemic manifestations will avoid a delay in the diagnosis, in turn will reduce complications and avoid long-term morbidity. Efforts to optimize detection systems, management and public and professional education are essential to promote eradication in these populations at risk.
ABSTRACT
It is presented a prospective study of vascular nevus during a year, with the finality to know its frequency, types and evolution. In twelve months of study, we founded in 1,485 borns that 14.14% presented those lesiones salmon stain 86%, oport wine 1.35%, capilar hemangioma or in strawberry the 10.81%, cavernous hemangioma the 0.45% and mixed hemangioma the 1.35%. Where more frequent in females that in males as well as from the urban zone in almost more than the half of the cases. Dimensions were between 0 to 5 cm. range, 98% in salmon stain, 95% in strawberry hemangioma, 66.3% mixed hemangioma, 66.6% in oport wine stain distributed in the head in more proportion. There was salmon stain in the nape in 61.7%, 15% in the forehead and in the superior eyelids 14.3%. The familiar antecedents of vascular nevus in brothers was of 4.76%, 5.71% in uncle, 2.98% in parents and 1.43% in grandparents. The evolution was not concluded because of desertion in almost the totality of patients, finalizing with only the 6.66%. Our findings are different from those published in the literature. The total frequency is more in our experience in salmon, oport wine stains and hemangiomas.
Subject(s)
Hemangioma , Skin Neoplasms , Female , Hemangioma/classification , Hemangioma/complications , Hemangioma/epidemiology , Hemangioma/pathology , Humans , Infant, Newborn , Longitudinal Studies , Male , Prospective Studies , Skin Neoplasms/classification , Skin Neoplasms/complications , Skin Neoplasms/epidemiology , Skin Neoplasms/pathologyABSTRACT
The association of epidermolysis bullosa (EB), congenital localized absence of skin and nail alterations like anonychia and dystrophy has been denominated Bart's syndrome, which was described nineteen years ago, and associated with simple, junctional and dystrophies epidermolysis bullosa. We explain in this study three cases, which because of their clinic characteristics will correspond to this new entity. All of these cases happened in the city of Trujillo, Peru.
Subject(s)
Epidermolysis Bullosa/congenital , Nails, Malformed , Skin Abnormalities , Consanguinity , Epidermolysis Bullosa/genetics , Epidermolysis Bullosa/pathology , Female , Humans , Infant, Newborn , Male , Pedigree , SyndromeABSTRACT
In the Regional Hospital "Victor Lazarte Echegaray" of Trujillo, Perú, it was made a study in order to determine the frequency of the acanthosis nigricans, associate to cancer (malignant acanthosis nigricans), during january 1978 to october 1983, and a case was founded in a patient of 62 years old, who had advanced adenocarcinoma gastric of one year and a half of evolution. The dermatosis was manifested with the neoplasia, which corresponds to a generalized form, with hyperkeratosis palmo plantar, with whole loss of the axillary hair and only part of the pubic region, the mucous membranes were not affected. The patient survived 3 months after the diagnostic were made.
Subject(s)
Acanthosis Nigricans/complications , Stomach Neoplasms/complications , Acanthosis Nigricans/epidemiology , Acanthosis Nigricans/pathology , Humans , Male , Middle Aged , Peru , Retrospective StudiesABSTRACT
A case of congenital hemihypertrophy, which affects the right part hemi-tongue and the homolateral superior member, is reported in a just born of feminine sex, this patient has been observed until the age of one year and five months, at this age she was not controlled any more. Then the clinic history is reviewed and the clinic, associate congenital defects, are commented, also the existence of embryonal tumours, possible etiopathogenic hypothesis, treatment and prognostic.
Subject(s)
Abnormalities, Multiple/pathology , Hypertrophy/congenital , Female , Humans , Hypertrophy/pathology , Infant, NewbornABSTRACT
In 1983, we had two cases of pediatric patients, which were observed in the Regional Hospital "Victor Lazarte Echegaray" of the Peruvian Institute of Social Security in Trujillo, these cases correspond to the syndrome of aplasia cutis congenita. In the first case, the defect was localized as a of ulcer in the right inferior member, which was affected from the third part distal of the thigh to the back part of the foot. In the second one, the lesion was in the middle line of the hairy skin, and it had the particularity of being associate to others congenital malformations. These cases are mentioned because of their rarity of presentation at a world level as well as their unknown occurrence in our country. Then we comment the clinic, histological characteristics, associate congenital defects, possible etiopathogenic mechanisms, differential diagnostic and its evolution and treatment.
