RESUMO
El síndrome POEMS, acrónimo propuesto por Bardwick en 1980, es una entidad poco frecuente, caracterizada por la presencia de polineuropatía, organomegalia, endocrinopatía,gamapatía monoclonal y afección cutánea (skin). Presentamos un paciente de 60 años con polineuropatía, gamapatía monoclonal y lesión osteolítica solitaria que posteriormentedesarrolló hemangiomas glomerulares. Se destacan los aspectos más relevantesde esta entidad...
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Hemangioma , Síndrome POEMS/diagnóstico , Doenças do Sistema Endócrino , PolineuropatiasRESUMO
Renal hydatid disease is a rare pathological condition in children. Hydatid cyst of the kidney corresponds to 2-4% of all hydatid disease cases. Minimally invasive techniques have been used in the treatment of renal hydatid cysts but surgical experience is limited. We report a 10-year-old patient with a left renal hydatid cyst treated using a retroperitoneal laparoscopic technique.
Assuntos
Equinococose/cirurgia , Nefropatias/parasitologia , Nefropatias/cirurgia , Laparoscopia/métodos , Espaço Retroperitoneal/cirurgia , Criança , Equinococose/diagnóstico por imagem , Humanos , Nefropatias/diagnóstico por imagem , Masculino , UltrassonografiaRESUMO
We report the case of a caucasian woman of 44 years old with no personal medical history. She was diagnosed breast carcinoma and underwent right partial mastectomy with adjuvant radiotherapy and chemotherapy. Four years after the intervention, presented a indurated plaque. Biopsy was performed and the diagnosis of morpheawas confirmed by histopathological examination.
Assuntos
Neoplasias da Mama/radioterapia , Esclerodermia Localizada/etiologia , Adulto , Mama/patologia , Feminino , Fibrose , Humanos , Radioterapia/efeitos adversos , Esclerodermia Localizada/patologiaRESUMO
La Dermatitis Atópica (DA), es una enfermedad de la piel bien definida clínicamente, con predisposición genética y decarácter crónico-recidivante, que se asocia a menudo con otros desordenes atópicos, como rinitis y asma. Numerosos factoresdel medio ambiente: aeroalergenos, alergenos de contacto, alimentos e infecciones juegan un importante rol en laaparición y mantenimiento de los síntomas. Se estudiaron 15 niños y 41 adultos, los síntomas relevantes fueron lesionesflexurales, prurito, xerosis e infecciones dérmicas y en los niños queratosis folicular. Niños: 67% se asociaron con enfermedadrespiratoria e iniciaron los síntomas junto o después de la DA. Los aeroalergenos involucrados fueron polvo decasa, dermatophagoides mezcla, polen de gramíneas, aspergillus y alternaria. Entre los alimentos: tomate, chocolate, cítricosy huevo fueron relevantes. El 27% mostró infecciones dérmicas. Adultos: 64% tenían enfermedad respiratoria. Soloel 20% inicio los síntomas respiratorios antes de los síntomas dérmicos. El total de los pacientes testificados presentaronresultados positivos para uno o mas aeroalergenos siendo los principales: dermatophagoides mezcla, polvo de casa, alternaria,aspergillus, cladosporium, pólenes de árboles mezcla, gramíneas, ambrosia, amarantáceas, chenopodiaceas, epiteliode perro, epitelio de gato. El 35% fue positivo a alimentos y el 37% mostró infecciones dérmicas. Asociación conhipersensibilidad de contacto: el 48% de esta población presentó síntomas de Dermatitis de Contacto (DC), el 80% delos mismos refirió intolerancia al níquel. Se efectuaron parches cutáneos en 12 pacientes adultos, resultando positivos en9 de ellos, lo cual representa que un 22% de la población adulta presenta hipersensibilidad de contacto.
Atopic dermatitis is a clinically well defined, chronic - intermitant, genetically predisposed skin disease, it is regularlyassociated with other allergic disorders such as asthma and rhinitis. Many environmental factors, aeroallergens, contactallergens, foods and infections are playing an important role in triggering and sustaining the disease. 15 children and41 adults were studied. Classics symptoms as: flexural dermatitis, itching, dry skin, and follicle queratoses were relevant,In children: 67% associated with respiratory disease, and started their respiratory symptoms together or right after theonset of atopic dermatitis. Aeroallergens involved were: house dust mite, Dermatophagoides mix, Aspergillus spp, grasspollen, and Alternaria. In addition these patients had sensitivity to foods allergens such as tomato, cocoa, citric fruits,and egg. 27% also showed skin infections. In adults: 64% had respiratory disease. Only 20% presents respiratory diseaseprevious to atopic dermatitis. All patients had positive to at least one of the aeroallergens tested. The most importantallergens were:Dermatophagoides mix, house dust mite, Alternaria, Aspergillus spp, Cladosporium, tree pollen, grasspollen, ragweed, amaranthus spp, chenopodium, dog dander and cat dander. 35% of the patients had positive prick teststo food allergens, and 37% of them also showed skin infections. Association with contact hipersensibility: 48% of thestudy population had symptoms of contact dermatitis, Patch Test was performed in 12 adults patients, only 9 patientsof them had positive test, which represent 22 % of the adult population with contact hipersensibility.
Assuntos
Humanos , Masculino , Adulto , Feminino , Criança , Alérgenos , Dermatite Atópica , Dermatite de Contato , Testes do EmplastroRESUMO
No disponible
Assuntos
Feminino , Adulto , Pessoa de Meia-Idade , Humanos , Pitiríase Rósea/diagnóstico , Pitiríase Rósea/patologia , Remissão EspontâneaRESUMO
Over the past years, considerable effort has been directed toward the identification of risk factors associated with the increasing incidence of cutaneous melanoma in white populations worldwide. Limited data are available from Argentine populations concerning risk factors for malignant melanoma. A case-control study was performed in Cordoba to estimate the risk factors for cutaneous malignant melanoma. The study group comprised 65 patients and 195 controls, matched by age and sex. The following risk factors were significant in the univariate analysis: European grandparents, blonde and brown hair, fair skin tone, light colored and brown eyes, presence of freckles and melanocytic nevi, severe sunburns before the age of 18 years, recreational sun exposure, family history of malignant melanoma. In the multivariate analysis, European grandparents (OR 2.27, IC95% 1.08 to 3.46), fair skin (OR 4.99, IC95% 2.72 to 7.28), severe sunburns before the age of 18 (OR 6.47, IC95% 5.29 to 7.65), and family history of malignant melanoma (OR 1525, IC95% 1467 to 1584), remain as independent risk factors for malignant melanoma. The results of the current study are similar to those obtained in other populations.
Assuntos
Melanoma/etiologia , Neoplasias Cutâneas/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Argentina/epidemiologia , Métodos Epidemiológicos , Feminino , Humanos , Masculino , Melanoma/epidemiologia , Pessoa de Meia-Idade , Neoplasias Cutâneas/epidemiologiaRESUMO
Over the past years, considerable effort has been directed toward the identification of risk factors associated with the increasing incidence of cutaneous melanoma in white populations worldwide. Limited data are available from Argentine populations concerning risk factors for malignant melanoma. A case-control study was performed in Cordoba to estimate the risk factors for cutaneous malignant melanoma. The study group comprised 65 patients and 195 controls, matched by age and sex. The following risk factors were significant in the univariate analysis: European grandparents, blonde and brown hair, fair skin tone, light colored and brown eyes, presence of freckles and melanocytic nevi, severe sunburns before the age of 18 years, recreational sun exposure, family history of malignant melanoma. In the multivariate analysis, European grandparents (OR 2.27, IC95
1.08 to 3.46), fair skin (OR 4.99, IC95
2.72 to 7.28), severe sunburns before the age of 18 (OR 6.47, IC95
5.29 to 7.65), and family history of malignant melanoma (OR 1525, IC95
1467 to 1584), remain as independent risk factors for malignant melanoma. The results of the current study are similar to those obtained in other populations.
RESUMO
The objective was to analyze the prevalence of mucocutaneous lesions in patients with systemic lupus erythematosus (SLE). During a 3-year period, we analyzed 77 patients with a diagnosis of SLE. The mucocutaneous lesions were classified into specific and non-specific. We defined skin type, sunlight exposure and photoprotection and correlated these lesions with serology and disease activity. Acute specific lesions were found in 67.5% of the patients, subacute lupus in 6.5% and chronic lesions in 26.0%. The most prevalent non-specific lesions were alopecia (59.7%), photosensitivity (57.1%), Raynaud's syndrome (46.7%), oral ulcerations (15.6%) and livedo reticularis (11.7%). Skin type 3 (35%) and exposure to mild ultraviolet radiation (74%) were seen in the majority of the patients. Appropriate sunlight protection was only used by 47% of the patients. When dermatological lesions and serology were compared, we found a significant association between malar rash, photosensitivity, livedo reticularis and alopecia with the presence of anti-Ro and Raynaud's phenomenon in patients with positive anti-Sm. The presence of malar rash, photosensitivity, Raynaud's phenomenon, diffuse alopecia and livedo reticularis was more frequent among patients with active disease. The prevalence of mucocutaneous manifestation in our population was slightly higher than data reported in other series. The presence of malar rash, diffuse alopecia, photosensitivity and livedo reticularis significantly related with the presence of anti-Ro and Raynaud's phenomenon with anti-Sm. All these lesions were more frequently seen in patients with active disease.
Assuntos
Lúpus Eritematoso Sistêmico/complicações , Dermatopatias/etiologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Alopecia/etiologia , Alopecia/imunologia , Anticorpos Antinucleares/sangue , Criança , Feminino , Humanos , Lúpus Eritematoso Sistêmico/imunologia , Masculino , Pessoa de Meia-Idade , Úlceras Orais/etiologia , Úlceras Orais/imunologia , Transtornos de Fotossensibilidade/etiologia , Transtornos de Fotossensibilidade/imunologia , Doença de Raynaud/etiologia , Doença de Raynaud/imunologia , Dermatopatias/imunologia , Dermatopatias Vasculares/etiologia , Dermatopatias Vasculares/imunologiaRESUMO
The objective was to analyze the prevalence of mucocutaneous lesions in patients with systemic lupus erythematosus (SLE). During a 3-year period, we analyzed 77 patients with a diagnosis of SLE. The mucocutaneous lesions were classified into specific and non-specific. We defined skin type, sunlight exposure and photoprotection and correlated these lesions with serology and disease activity. Acute specific lesions were found in 67.5 of the patients, subacute lupus in 6.5 and chronic lesions in 26.0. The most prevalent non-specific lesions were alopecia (59.7), photosensitivity (57.1), Raynauds syndrome (46.7), oral ulcerations (15.6) and livedo reticularis (11.7). Skin type 3 (35) and exposure to mild ultraviolet radiation (74) were seen in the majority of the patients. Appropriate sunlight protection was only used by 47 of the patients. When dermatological lesions and serology were compared, we found a significant association between malar rash, photosensitivity, livedo reticularis and alopecia with the presence of anti-Ro and Raynauds phenomenon in patients with positive anti-Sm. The presence of malar rash, photosensitivity, Raynauds phenomenon, diffuse alopecia and livedo reticularis was more frequent among patients with active disease. The prevalence of mucocutaneous manifestation in our population was slightly higher than data reported in other series. The presence of malar rash, diffuse alopecia, photosensitivity and livedo reticularis significantly related with the presence of anti-Ro and Raynauds phenomenon with anti-Sm. All these lesions were more frequently seen in patients with active disease (AU)
Assuntos
Adolescente , Humanos , Masculino , Feminino , Criança , Adulto , Pessoa de Meia-Idade , Idoso , Lúpus Eritematoso Sistêmico/complicações , Dermatopatias/etiologia , Anticorpos Antinucleares/sangue , Lúpus Eritematoso Sistêmico/imunologia , Dermatopatias/imunologia , Transtornos de Fotossensibilidade/etiologia , Transtornos de Fotossensibilidade/imunologia , Dermatopatias Vasculares/etiologia , Dermatopatias Vasculares/imunologia , Alopecia/etiologia , Alopecia/imunologia , Doença de Raynaud/etiologia , Doença de Raynaud/imunologia , Úlceras Orais/etiologia , Úlceras Orais/imunologia , Idoso de 80 Anos ou maisRESUMO
The objective was to analyze the prevalence of mucocutaneous lesions in patients with systemic lupus erythematosus (SLE). During a 3-year period, we analyzed 77 patients with a diagnosis of SLE. The mucocutaneous lesions were classified into specific and non-specific. We defined skin type, sunlight exposure and photoprotection and correlated these lesions with serology and disease activity. Acute specific lesions were found in 67.5 of the patients, subacute lupus in 6.5 and chronic lesions in 26.0. The most prevalent non-specific lesions were alopecia (59.7), photosensitivity (57.1), Raynaud's syndrome (46.7), oral ulcerations (15.6) and livedo reticularis (11.7). Skin type 3 (35) and exposure to mild ultraviolet radiation (74) were seen in the majority of the patients. Appropriate sunlight protection was only used by 47 of the patients. When dermatological lesions and serology were compared, we found a significant association between malar rash, photosensitivity, livedo reticularis and alopecia with the presence of anti-Ro and Raynaud's phenomenon in patients with positive anti-Sm. The presence of malar rash, photosensitivity, Raynaud's phenomenon, diffuse alopecia and livedo reticularis was more frequent among patients with active disease. The prevalence of mucocutaneous manifestation in our population was slightly higher than data reported in other series. The presence of malar rash, diffuse alopecia, photosensitivity and livedo reticularis significantly related with the presence of anti-Ro and Raynaud's phenomenon with anti-Sm. All these lesions were more frequently seen in patients with active disease
Assuntos
Adolescente , Humanos , Masculino , Feminino , Criança , Adulto , Pessoa de Meia-Idade , Anticorpos Antinucleares , Lúpus Eritematoso Sistêmico , Dermatopatias , Idoso de 80 Anos ou mais , Alopecia , Lúpus Eritematoso Sistêmico , Úlceras Orais , Transtornos de Fotossensibilidade , Doença de Raynaud , Dermatopatias , Dermatopatias VascularesRESUMO
The objective was to analyze the prevalence of mucocutaneous lesions in patients with systemic lupus erythematosus (SLE). During a 3-year period, we analyzed 77 patients with a diagnosis of SLE. The mucocutaneous lesions were classified into specific and non-specific. We defined skin type, sunlight exposure and photoprotection and correlated these lesions with serology and disease activity. Acute specific lesions were found in 67.5
of the patients, subacute lupus in 6.5
and chronic lesions in 26.0
. The most prevalent non-specific lesions were alopecia (59.7
), photosensitivity (57.1
), Raynauds syndrome (46.7
), oral ulcerations (15.6
) and livedo reticularis (11.7
). Skin type 3 (35
) and exposure to mild ultraviolet radiation (74
) were seen in the majority of the patients. Appropriate sunlight protection was only used by 47
of the patients. When dermatological lesions and serology were compared, we found a significant association between malar rash, photosensitivity, livedo reticularis and alopecia with the presence of anti-Ro and Raynauds phenomenon in patients with positive anti-Sm. The presence of malar rash, photosensitivity, Raynauds phenomenon, diffuse alopecia and livedo reticularis was more frequent among patients with active disease. The prevalence of mucocutaneous manifestation in our population was slightly higher than data reported in other series. The presence of malar rash, diffuse alopecia, photosensitivity and livedo reticularis significantly related with the presence of anti-Ro and Raynauds phenomenon with anti-Sm. All these lesions were more frequently seen in patients with active disease.
RESUMO
La telangiectasia macularis eruptiva perstans (TMEP) es una forma de mastocitosis cutánea poco frecuente, que se manifiesta casi exclusivamente en adultos. Su diagnóstico es básicamente clínico y no se dispone hasta la actualidad de una terapéutica específica eficaz. Se presentan cuatro pacientes de sexo masculino, edad promedio de 54 años, con manifestaciones clínicas e histológicas de TMEP, en diferentes períoddos de evolución. Todos presentaron patología úlcero éptica, asociación frecuente de las mastocitosis cutáneas. Objetivo: Presentación clínica de una forma poco frecuente de mastocitosis cutánea y revisión de la bibliografía (AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Idoso , Telangiectasia/diagnóstico , Mastocitose/diagnóstico , Telangiectasia/patologia , Telangiectasia/tratamento farmacológico , Mastocitose/tratamento farmacológico , Mastocitose/terapia , Úlcera Péptica/complicaçõesRESUMO
La telangiectasia macularis eruptiva perstans (TMEP) es una forma de mastocitosis cutánea poco frecuente, que se manifiesta casi exclusivamente en adultos. Su diagnóstico es básicamente clínico y no se dispone hasta la actualidad de una terapéutica específica eficaz. Se presentan cuatro pacientes de sexo masculino, edad promedio de 54 años, con manifestaciones clínicas e histológicas de TMEP, en diferentes períoddos de evolución. Todos presentaron patología úlcero éptica, asociación frecuente de las mastocitosis cutáneas. Objetivo: Presentación clínica de una forma poco frecuente de mastocitosis cutánea y revisión de la bibliografía