RESUMO
Cutaneous endometriosis is a rare skin pathology that may present to the gynaecologist, general surgeon, dermatologist, or plastic surgeon. It is often misdiagnosed due to its rarity and variable appearance. In the current literature recommendations for its management vary greatly. We present a case of cutaneous endometriosis presenting to a plastic surgery service, as well as a review of the literature. Cutaneous endometriosis should be considered as a differential in any female presenting with an umbilical lesion, and should be diagnosed histiologically following an excision biopsy with 2 mm margins.
Assuntos
Endometriose/patologia , Dermatopatias/patologia , Adulto , Endometriose/etiologia , Endometriose/cirurgia , Feminino , Humanos , Laparoscopia/efeitos adversos , Dermatopatias/etiologia , Dermatopatias/cirurgia , UmbigoAssuntos
Traumatismos da Mão/diagnóstico , Luxações Articulares/diagnóstico , Articulação Metacarpofalângica/lesões , Acidentes por Quedas , Adulto , Diagnóstico Diferencial , Erros de Diagnóstico , Tratamento de Emergência , Traumatismos da Mão/diagnóstico por imagem , Traumatismos da Mão/patologia , Humanos , Luxações Articulares/diagnóstico por imagem , Luxações Articulares/patologia , Masculino , Articulação Metacarpofalângica/diagnóstico por imagem , Traumatismo Múltiplo/diagnóstico , Traumatismo Múltiplo/diagnóstico por imagem , Traumatismo Múltiplo/patologia , RadiografiaRESUMO
We report a head and neck full-thickness burn injury that was reconstructed with a tissue-engineered dermal template and then early implantation of microdissected hair follicles through the silicone epidermis 12 days after the burn injury. The treatment resulted in complete reepithelialization and a hair-bearing scalp without the need for a split-thickness skin graft. Restoration of the stem cell population, hair growth, and earlier reepithelialization were achieved using this novel micrografting technique, and histologic examination confirmed maturation of a normal skin type over the subsequent 2 years.
