RESUMO
Trombiculiasis is an epizoonosis that occurs worldwide and is caused by various types of chiggers. Clinical findings after accidental contact with the parasitic mite larvae include erythematous papules and urticarial plaques, to some extent with vesicular transformation, which can lead to excoriations due to the intense pruritus. Prophylaxis against exposure is recommended when visiting areas known to be colonized by mites. Reactions to bites can be treated by local application of alcohol compresses or zinc lotions and external application of agents containing polidocanol or glucocorticosteroid. Systemic antihistamines are indicated to control itching.
Assuntos
Eritema/tratamento farmacológico , Eritema/prevenção & controle , Trombiculíase/diagnóstico , Trombiculíase/tratamento farmacológico , Adulto , Fármacos Dermatológicos/uso terapêutico , Humanos , MasculinoAssuntos
Diabetes Mellitus Tipo 2/complicações , Escleredema do Adulto/complicações , Antibacterianos/uso terapêutico , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Terapia PUVA , Penicilinas/uso terapêutico , Escleredema do Adulto/tratamento farmacológico , Escleredema do Adulto/radioterapia , Terapia UltravioletaAssuntos
Antifúngicos/efeitos adversos , Candidíase Vulvovaginal/tratamento farmacológico , Fluconazol/efeitos adversos , Síndrome de Stevens-Johnson/diagnóstico , Administração Oral , Administração Tópica , Adulto , Antifúngicos/uso terapêutico , Biópsia , Terapia Combinada , Cuidados Críticos , Feminino , Fluconazol/uso terapêutico , Glucocorticoides/administração & dosagem , Humanos , Prednisolona/administração & dosagem , Pele/patologia , Síndrome de Stevens-Johnson/tratamento farmacológico , Síndrome de Stevens-Johnson/patologia , Triancinolona Acetonida/administração & dosagemRESUMO
A 64-year-old male patient presented with painful ulcerations and livedo racemosa of both lower limbs. He had a history of cerebral and myocardial infarctions. Dermatohistologic findings and laboratory tests of the patient's coagulation system revealed the diagnosis of livedoid vasculopathy with heterozygous factor V Leiden mutation and sticky platelet syndrome type II. Systemic treatment with acetylsalicylic acid and heparin as well as topical therapy with disinfectant and granulation-inducing agents resulted in improvement of the skin lesions.