Brote de dermatofitosis en región de cabeza y cuello asociadas al rasurado en peluquerías: estudio descriptivo multicéntrico de una serie de casos / Outbreak of Dermatophyte Infections on the Head and Neck Related to Shave Haircuts: Description of a Multicenter Case Series

Introducción Desde 2021 se ha detectado un aumento de casos de tiñas del cuero cabelludo en adolescentes que se cortan el pelo mediante rasurado o degradado. Pacientes y métodos Estudio observacional retrospectivo multicéntrico de casos de dermatofitosis del polo cefálico con el antecedente de haber sido contraídas tras el rasurado frecuente en peluquería. Se realizó una llamada a dermatólogos de la Academia Española de Dermatología y Venereología (AEDV) para que aportaran casos observados entre enero de 2021 y diciembre de 2022. Se incluyeron pacientes con confirmación microbiológica mediante cultivo o examen directo con KOH. Resultados Se recogieron 107 casos, siendo 106 pacientes varones. Se observaron 78 formas no inflamatorias frente a 29 inflamatorias. El hongo aislado con mayor frecuencia fue Trichophyton tonsurans (75,7% de los casos). Las lesiones aparecieron predominantemente en la nuca y en el área temporal. Conclusiones La distribución por sexo, edad y localización lesional parece apuntar a que una nueva tendencia social, en la que adolescentes varones acuden asiduamente a peluquerías para el afeitado de las zonas occipital y temporal, sería la causante de esta agrupación de casos de tiña del cuero cabelludo. El microorganismo más frecuente en nuestro estudio (T.tonsurans) coincide con el más prevalente en nuestro medio. Con el presente estudio se evidencia un acúmulo de casos susceptible de ser tenido en cuenta por organismos competentes de salud pública, a los cuales corresponde velar por el cumplimiento de las normas de desinfección del material empleado para el rasurado (AU)

Introduction Since 2021, an increase in cases of tinea capitis has been detected in adolescents who shave their hair with fade haircut. Patients and methods Multicenter retrospective observational study of cases of cephalic pole dermatophytosis with a history of having been acquired after frequent shaving in hairdressing. A call was made to dermatologists from the Spanish Academy of Dermatology and Venereology (AEDV) to provide cases observed between January 2021 and December 2022. Patients with microbiological confirmation by culture or direct examination with KOH were included. Results 107 cases were collected, 106 of which were male. 78 non-inflammatory forms were observed, compared to 29 inflammatory. The most frequently isolated fungus was Trichophyton tonsurans (75.7% of cases). The lesions appeared predominantly on the nape of the neck and temporal area. Conclusions The distribution by sex, age and lesional location seems to indicate that a new social trend, in which male adolescents regularly go to hairdressers to shave the occipital and temporal areas, would be the cause of this grouping of cases of ringworm of the scalp. The most frequent microorganism in our study (T.tonsurans) coincides with the most prevalent in our environment. This study shows an accumulation of cases that can be taken into account by competent Public Health agencies, which are responsible for ensuring compliance with the rules of disinfection of the material used for shaving (AU)

[Translated article] Outbreak of Dermatophyte Infections on the Head and Neck Related to Shave Haircuts: Description of a Multicenter Case Series / Brote de dermatofitosis en región de cabeza y cuello asociadas al rasurado en peluquerías: estudio descriptivo multicéntrico de una serie de casos

Introduction Since 2021, an increase in cases of tinea capitis has been detected in adolescents who shave their hair with fade haircut. Patients and methods Multicenter retrospective observational study of cases of cephalic pole dermatophytosis with a history of having been acquired after frequent shaving in hairdressing. A call was made to dermatologists from the Spanish Academy of Dermatology and Venereology (AEDV) to provide cases observed between January 2021 and December 2022. Patients with microbiological confirmation by culture or direct examination with KOH were included. Results 107 cases were collected, 106 of which were male. 78 non-inflammatory forms were observed, compared to 29 inflammatory. The most frequently isolated fungus was Trichophyton tonsurans (75.7% of cases). The lesions appeared predominantly on the nape of the neck and temporal area. Conclusions The distribution by sex, age and lesional location seems to indicate that a new social trend, in which male adolescents regularly go to hairdressers to shave the occipital and temporal areas, would be the cause of this grouping of cases of ringworm of the scalp. The most frequent microorganism in our study (T.tonsurans) coincides with the most prevalent in our environment. This study shows an accumulation of cases that can be taken into account by competent Public Health agencies, which are responsible for ensuring compliance with the rules of disinfection of the material used for shaving (AU)

Introducción Desde 2021 se ha detectado un aumento de casos de tiñas del cuero cabelludo en adolescentes que se cortan el pelo mediante rasurado o degradado. Pacientes y métodos Estudio observacional retrospectivo multicéntrico de casos de dermatofitosis del polo cefálico con el antecedente de haber sido contraídas tras el rasurado frecuente en peluquería. Se realizó una llamada a dermatólogos de la Academia Española de Dermatología y Venereología (AEDV) para que aportaran casos observados entre enero de 2021 y diciembre de 2022. Se incluyeron pacientes con confirmación microbiológica mediante cultivo o examen directo con KOH. Resultados Se recogieron 107 casos, siendo 106 pacientes varones. Se observaron 78 formas no inflamatorias frente a 29 inflamatorias. El hongo aislado con mayor frecuencia fue Trichophyton tonsurans (75,7% de los casos). Las lesiones aparecieron predominantemente en la nuca y en el área temporal. Conclusiones La distribución por sexo, edad y localización lesional parece apuntar a que una nueva tendencia social, en la que adolescentes varones acuden asiduamente a peluquerías para el afeitado de las zonas occipital y temporal, sería la causante de esta agrupación de casos de tiña del cuero cabelludo. El microorganismo más frecuente en nuestro estudio (T.tonsurans) coincide con el más prevalente en nuestro medio. Con el presente estudio se evidencia un acúmulo de casos susceptible de ser tenido en cuenta por organismos competentes de salud pública, a los cuales corresponde velar por el cumplimiento de las normas de desinfección del material empleado para el rasurado (AU)

Outbreak of Dermatophyte Infections on the Head and Neck Related to Shave Haircuts: Description of a Multicenter Case Series. / Brote de dermatofitosis en región de cabeza y cuello asociadas al rasurado en peluquerías: estudio descriptivo multicéntrico de una serie de casos.

INTRODUCTION: Since 2021, an increase in cases of tinea capitis has been detected in adolescents who shave their hair with fade haircut. PATIENTS AND METHODS: Multicenter retrospective observational study of cases of cephalic pole dermatophytosis with a history of having been acquired after frequent shaving in hairdressing. A call was made to dermatologists from the Spanish Academy of Dermatology and Venereology (AEDV) to provide cases observed between January 2021 and December 2022. Patients with microbiological confirmation by culture or direct examination with KOH were included. RESULTS: 107 cases were collected, 106 of which were male. 78 non-inflammatory forms were observed, compared to 29 inflammatory. The most frequently isolated fungus was Trichophyton tonsurans (75.7% of cases). The lesions appeared predominantly on the nape of the neck and temporal area. CONCLUSIONS: The distribution by sex, age and lesional location seems to indicate that a new social trend, in which male adolescents regularly go to hairdressers to shave the occipital and temporal areas, would be the cause of this grouping of cases of ringworm of the scalp. The most frequent microorganism in our study (T.tonsurans) coincides with the most prevalent in our environment. This study shows an accumulation of cases that can be taken into account by competent Public Health agencies, which are responsible for ensuring compliance with the rules of disinfection of the material used for shaving.

Effectiveness and Safety of the Switch from Remicade® to CT-P13 in Patients with Inflammatory Bowel Disease.

BACKGROUND AND AIMS: To evaluate the clinical outcomes in patients with IBD after switching from Remicade® to CT-P13 in comparison with patients who maintain Remicade®. METHODS: Patients under Remicade® who were in clinical remission with standard dosage at study entry were included. The 'switch cohort' [SC] comprised patients who made the switch from Remicade® to CT-P13, and the 'non-switch' cohort [NC] patients remained under Remicade®. RESULTS: A total of 476 patients were included: 199 [42%] in the SC and 277 [58%] in the NC. The median follow-up was 18 months in the SC and 23 months in the NC [p < 0.01]. Twenty-four out of 277 patients relapsed in the NC; the incidence of relapse was 5% per patient-year. The cumulative incidence of relapse was 2% at 6 months and 10% at 24 months in this group. Thirty-eight out of 199 patients relapsed in the SC; the incidence rate of relapse was 14% per patient-year. The cumulative incidence of relapse was 5% at 6 months and 28% at 24 months. In the multivariate analysis, the switch to CT-P13 was associated with a higher risk of relapse (HR = 3.5, 95% confidence interval [CI] = 2-6). Thirteen percent of patients had adverse events in the NC, compared with 6% in the SC [p < 0.05]. CONCLUSIONS: Switching from Remicade® to CT-P13 might be associated with a higher risk of clinical relapse, although this fact was not supported in our study by an increase in objective markers of inflammation. The nocebo effect might have influenced this result. Switching from Remicade® to CT-P13 was safe.

Analisis estadístico de 134 casos consecutivos de ganglio centinela en el melanoma maligno cutáneo en las islas baleares. Utilidad terapeútica de la biopsia selectiva ganglionar e importancia d ela localización anatómica del tumor primario (2000-2006) / Statistic analyisis of 134 consecutive cases of sentinel lymph node in cutaneous malign melanoma in baleares islands. Therapeutic utility of selective sentinel limph node biopsy biopsy and relevance of anatomic localization of primary tumour (2000-2006)

La biopsia selectiva del ganglio centinela en el melanoma maligno cutáneo nos permite una apropiada estadificación, evitando innecesarias linfadenectomías y verificar que las ideas clásicas de las vías de drenaje linfático no se corresponden con la realidad, existiendo una gran variabilidad según su localización anatómica, y que el Breslow es el factor pronóstico más importante para predecir la supervivencia junto a otros en estos pacientes. La cirugía es pues necesaria para una adecuada clasificación de la enfermedad y planificar su tratamiento, extirpar el tumor primitivo y posibles metástasis de las áreas ganglionares y eliminar metástasis viscerales disminuyendo la masa tumoral para facilitar otros procedimientos. El motivo de este trabajo es observar si existe correlación entre ellos e intentar obtener los resultados que tras una apropiada detección gammagráfica (con un 100% de aciertos en la localización) y quirúrgica del ganglio centinela, determinando si existen diferencias respecto al número de drenajes y de ganglios centinelas extraídos que justifiquen las variaciones encontradas (AU)

The selective biopsy of the sentinel lymph node in the cutaneous malignant melanoma allows us to make an appropriate staging, avoiding unnecessary lymphadenectomies and verify that the classical ideas of lymphatic drainage ways do not correspond with reality, as there is great variability according to anatomic localisation, and the fact that Breslow thickness is the most important prognostic factor for predicting survival along with others in these patients. Thus, surgery is necessary for an adequate classification of the disease and to plan its treatment, remove the primitive tumour and possible metastasis of the ganglionic areas and eliminate visceral metastasis diminishing the tumour mass to facilitate other procedures. The reason for this work is to find out whether there is a correlation between them and try to obtain the results after an appropriate gammagraphic etection (with 100% correct choice in the localisation) and surgery of the sentinel lymph node and determine if there are differences with respect to the number of drainages and extracted sentinel lymph nodes that justify the variations found (AU)

Rotura subcapsular hepática espontánea en embarazada. Asociada a síndorme de hellp tipo I / Spontaneous subcapsular hepatic rupture in pregnancy, associated a type i hellp syndrome

El síndrome de HELLP es una entidad rara durante el embarazo que puede ocasionar complicaciones como la formación y rotura de un hematoma subcapsular hepático y sus graves consecuencias materno-infantiles. Se hace un resumen de su etiopatogenia, diagnóstico clínico-analítico y diferencial, sus complicaciones y el manejo médico-quirúrgico. Asimismo se realiza una revisión bibliográfica de esta patología (AU)

HELLP syndrome is a rare entity during pregnancy that can cause the formation and rupture of a subcapsular hepatic hematoma with severe consequences for the mother and newborn. We present a resume of the pathophysiology, diagnosis, complications and medical and surgical treatment. A resume of the literature is also presented (AU)

Oclusiónes intestinales altas por hematomas yeyunales intramurales espontáneos en tratamiento dicumarínico / Small bowel obstruction due to intramural hematoma during anticoagulant therapy

Los accidentes oclusivos y suboclusivos en el inicio del uso de los tratamientos prolongados con anticoagulantes se cifraban entre el 1-2%, disminuyendo paulatinamente gracias al mejor conocimiento de los mecanismos de la hemostasia. La presencia de dolor abdominal y cuadro suboclusivo/oclusivo en pacientes bajo tratamiento anticoagulante con dicumarínicos representa un problema diagnóstico para el cirujano, al emular un abdomen quirúrgico. Hasta la aparición de la ecografía y sobre todo de la tomografía axial computerizada, fue difícil su diagnóstico y proporcionándonos éstas, datos precisos tanto para su estudio como por la información sobre su evolución. Su tratamiento inicialmente es médico y no requiriendo intervención quirúrgica, excepto en los casos de perforación. Presentamos dos casos que no requirieron intervención quirúrgica (AU)

Small bowel obstruction caused by intramural haemorrhage secondary to anti-coagulant therapy is estimated at 1-2%, gradually decreasing due to better understanding of the mechanisms of haemostasis. The presence of abdominal pain and occlusive box / occlusion in patients under anticoagulant therapy with Coumadin is a diagnostic problem for the surgeon, a surgical abdomen emulate. Until the advent of ultrasound and especially computerized tomography, it was difficult to diagnose and supplying them, so accurate data for study and for the information on its progress. Their initial treatment is medical and not requiring surgical intervention, except in cases of perforation. We present two cases treated conservatively (AU)