Dermatosis neutrofílica de las manos asociada a artritis reumatoide / Neutrophilic dermatosis of the hands in rheumatoid arthritis

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[Erysipelas and cellulitis: a retrospective study of 122 cases]. / Erisipelas y celulitis. Estudio retrospectivo de 122 casos.

BACKGROUND: Erysipelas and cellulitis are relatively common cutaneous infections that can sometimes be the cause of a prolonged hospital admission. The objective of this study was to determine the most relevant epidemiologic factors and their influence on the length of hospital stay, comparing our results with those of previous studies. MATERIAL AND METHODS: We performed a retrospective, observational, cross-sectional study of 122 patients admitted over a 5-year period to the dermatology department of our hospital with a diagnosis of erysipelas or cellulitis. RESULTS: Patients with a diagnosis of erysipelas or cellulitis represented 8.6% of all admissions during the study period. The mean age was 58.93 years and the female to male ratio was 1.06:1. The most common site of involvement was on the legs (76.22%). Overweight or obesity was present in 42.6% of patients and tinea pedis was detected in 33.6% of cases. A skin abscess developed in 7.4% of cases. The mean length of admission was 10.20 days; length of stay increased with age and with the erythrocyte sedimentation rate (ESR) on admission (P < .01 for both differences). CONCLUSIONS: We confirm general epidemiologic factors such as sex and age distributions, predominant site, past history, and length of hospital stay. In view of their predictive value for the length of hospital stay, we propose that age and the ESR on admission should be considered to be indirect indicators of disease severity.

Erisipelas y celulitis. Estudio retrospectivo de 122 casos / Erysipelas and Cellulitis: A Retrospective Study of 122 Cases

Introducción y objetivos. Las erisipelas/celulitis son infecciones cutáneas relativamente frecuentes que en ocasiones requieren una estancia hospitalaria prolongada de los pacientes. Nos proponemos describir los hallazgos epidemiológicos más relevantes y su influencia en el incremento de la estancia hospitalaria, comparando nuestros resultados con trabajos previos. Material y métodos. Estudio observacional, transversal y retrospectivo a partir de un total de 122 pacientes ingresados con el diagnóstico de erisipela/celulitis en el Servicio de Dermatología de nuestro hospital durante un periodo de 5 años. Resultados. Las erisipelas/celulitis constituyeron el 8,6 % de todos los casos ingresados durante el periodo estudiado. La edad media fue de 58,93 años, con una relación mujer: hombre de 1,06. La localización más frecuente fue las extremidades inferiores con el 76,22% de los casos. El 42,6% presentó obesidad o sobrepeso; el 33,6 % mostró tiña del pie y el 7,4% desarrolló un absceso cutáneo. La estancia hospitalaria media fue de 10, 20 días, aumentando conforme se incrementaba la edad del paciente (p < 0,01) o el valor de la velocidad de sedimentación globular (VSG) al ingreso (p < 0,01). Conclusiones. Se confirman los preceptos epidemiológicos generales acerca de distribución por sexos y edades, localizaciones predilectas, antecedentes y estancia hospitalaria. Se propone considerar el valor de la VSG al ingreso y la edad como un indicador indirecto de la gravedad del cuadro, dado su valor predictivo de la estancia hospitalaria (AU)

Background. Erysipelas and cellulitis are relatively common cutaneous infections that can sometimes be the cause of a prolonged hospital admission. The objective of this study was to determine the most relevant epidemiologic factors and their influence on the length of hospital stay, comparing our results with those of previous studies. Material and methods. We performed a retrospective, observational, cross-sectional study of 122 patients admitted over a 5-year period to the dermatology department of our hospital with a diagnosis of erysipelas or cellulitis. Results. Patients with a diagnosis of erysipelas or cellulitis represented 8.6% of all admissions during the study period. The mean age was 58.93 years and the female to male ratio was 1.06:1. The most common site of involvement was on the legs (76.22%). Overweight or obesity was present in 42.6% of patients and tinea pedis was detected in 33.6% of cases. A skin abscess developed in 7.4% of cases. The mean length of admission was 10, 20 days; length of stay increased with age and with the erythrocyte sedimentation rate (ESR) on admission (P < 0.01 for both differences). Conclusions. We confirm general epidemiologic factors such as sex and age distributions, predominant site, past history, and length of hospital stay. In view of their predictive value for the length of hospital stay, we propose that age and the ESR on admission should be considered to be indirect indicators of disease severity (AU)

Discrete papular lichen myxoedematosus: a rare subtype of cutaneous mucinosis.

Primary cutaneous mucinoses are characterized by abnormal mucin deposits in the skin. Discrete papular lichen myxoedematosus (DPLM) is an unusual subtype. Only 11 of the cases described in the literature to date showed no relation to human immunodeficiency virus (HIV) infection. We report a 21-year-old woman with numerous symmetrical asymptomatic papules on her trunk, arms and thighs. Results of investigations were normal. On histological examination, the upper dermis showed a focal mucin deposit. DPLM can be associated with HIV or C hepatitis virus (HCV) infection and therefore an early diagnosis is very important.

Porfiria cutánea tarda y hemocromatosis en España / Porphyria Cutanea Tarda and Hemochromatosis in Spain

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Nódulo doloroso en la planta del pie / Painful Nodule on the Sole of the Foot

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