Tratamiento de verrugas vulgares / Treatment of common warts

Las verrugas vulgares son uno de los procesos patológicos más frecuentes dentro de una consulta de dermatología, alcanzando una cifra cercana al 20 por ciento en la población general. Dentro del ámbito militar, en soldados de reemplazo, esta cifra es aún mayor, acercándose a 1/3 de las consultas hospitalarias en nuestra especialidad. En este artículo planteamos una actualización de los distintos métodos terapéuticos de que disponemos y las posibilidades de uso de cada uno de ellos según el medio en que nos encontremos, así como la necesidad de tratar las verrugas vulgares, y de no dejarlas a su evolución natural (AU)

[Oral herpes virus infection in immunodepressed patients: presentation of 2 cases. Review of the literature]. / Infección oral por herpes virus en pacientes inmunodeprimidos: presentación de 2 casos. Revisión de la literatura.

Two cases of herpetic intraoral infection, in inmunodepressed patients, are presented. We emphasize its diagnosis and therapeutical aspects. A bibliographic review is done.

[Dental caries in 2 families with tuberous sclerosis]. / Puits dentaires dans deux familles avec sclérose tubéreuse.

Four cases of tuberous sclerosis in two families are presented. We studied the oral manifestations of the disease and we suggest that dental pits should be taken as clinical markers for diagnosis in oligosymptomatic cases. We found that feature in all patients affected by tuberous sclerosis.

Chemical warfare. Cutaneous lesions from mustard gas.

Cutaneous lesions of eight patients evacuated from the Iran-Iraq war zone are reported. The patients were exposed to mustard gas, and there was a spectrum of dermatologic lesions. In the mild cases only there was a sunburnlike erythema, but in the most severe cases this erythema was followed by large and disseminated bullae, which histologically showed a subepidermal location with full-thickness epidermal necrosis. The resorption of these blisters was followed by hyperpigmentation, which was more evident in the intertriginous areas. In these last cases there also were ocular, respiratory, and gastrointestinal manifestations. In the skin this mustard gas seems to act through a primary irritant mechanism and without allergic contact sensitization.

Metastatic umbilical cancer--Sister Mary Joseph's nodule: report of two cases.

Two cases of metastatic umbilical carcinoma (Sister Mary Joseph's nodule) are reported. In one of the cases, the umbilical metastasis was the first sign of the disease, whereas in the other case, the patient had a 5-year history of internal malignancy when the umbilical nodule appeared. In both cases, the cutaneous metastasis was followed by death in a short period of time.

[Skin involvement in Hodgkin's disease]. / Afectación cutánea por la enfermedad de Hodgkin.

We report a case of a previously diagnosed patient of Hodgkin's disease, nodular sclerosis type and IVLDB stage. This patient subsequently presented a dermatologic nodule. A specimen cutaneous biopsy was performed and the histopathologic study demonstrated a dermal infiltrate with many classic Reed-Sternberg giant cells. These findings were consistent with the skin involvement in Hodgkin's disease. Specific cutaneous lesions are rare in this lymphoma and therefore it may be argued that our patient had a lymphomatoid papulosis. However, the protracted clinical course would not support this concept, because the dermatologic lesion responded to chemotherapy and it is well-known that the clinical course of the lymphomatoid papulosis is unaffected by these treatments. We concluded that our patient is a case of specific skin involvement in Hodgkin's disease.

Tooth pits: an early sign of tuberous sclerosis.

The pit-shaped enamel defects seem to be pathognomonic of tuberous sclerosis and its detection may be an important help in the early diagnosis of this disease, especially in oligosymptomatic cases and when the dermatologic signs are still absent or only slightly evident.