RESUMEN
Hyperhidrosis is a condition marked by excessive sweating, which can either be localized or generalized. Primary focal hyperhidrosis (PFH) can arise from the palms, plantar feet, axillae and also from the face and scalp. PFH primarily affects a younger population of children and young adults, with the majority presenting before the age of 25 years. We report a distinct subtype of craniofacial hyperhidrosis in 20 postmenopausal women; this subtype is often under-recognized.
Asunto(s)
Dermatosis Facial , Hiperhidrosis , Posmenopausia , Anciano , Anticolesterolemiantes/uso terapéutico , Toxinas Botulínicas Tipo A/uso terapéutico , Dermatosis Facial/tratamiento farmacológico , Femenino , Humanos , Hiperhidrosis/tratamiento farmacológico , Persona de Mediana Edad , Fármacos Neuromusculares/uso terapéuticoRESUMEN
A 28-year-old man presented with a 10-day history of scalp nodules. He had undergone hair transplantation 2 months previously. Incision and drainage of one of the nodules yielded gelatinous material, which was sent for microscopy and culture, including low-temperature culture. After 2 weeks of incubation, culture of the nodule yielded acid- and alcohol-fast bacilli, which were identified as Mycobacterium abscessus, a rapidly growing, nontuberculous mycobacterium, which has been reported to cause cutaneous, soft tissue and respiratory infections following trauma, surgery or injection with nonsterile needles. A high index of suspicion is therefore needed in patients who present with cutaneous infections after cosmetic dermatological procedures, including hair transplantation.
Asunto(s)
Cabello/trasplante , Infecciones por Mycobacterium no Tuberculosas/diagnóstico , Infecciones por Mycobacterium no Tuberculosas/etiología , Mycobacterium abscessus , Dermatosis del Cuero Cabelludo/etiología , Enfermedades Cutáneas Bacterianas/etiología , Adulto , Humanos , Masculino , Infecciones por Mycobacterium no Tuberculosas/terapia , Dermatosis del Cuero Cabelludo/diagnóstico , Dermatosis del Cuero Cabelludo/terapia , Enfermedades Cutáneas Bacterianas/diagnóstico , Enfermedades Cutáneas Bacterianas/terapiaRESUMEN
INTRODUCTION: Lichen planus is an inflammatory mucocutaneous disorder, often idiopathic. It is postulated that the characteristic skin lesions arise from a T cell mediated autoimmune response against basal keratinocytes. Oral mucosal involvement can occur in up to 70 % of cases of cutaneous disease however, oesphageal involvement is rare. RESULT: We report the case of a 60 year old female with ulcerative oesphagitis and concomitant cutaneous lesions suggestive of lichen planus. Multiple immunosuppressant therapies were administered but with little success, except for pulses of oral steroids. CONCLUSION: Oesphageal lichen planus is rare, often unrecognised and can be resistant to treatment. However, diagnosis is crucial as malignant transformation of longstanding ulcerative lichen planus may occur.
