RESUMO
The diversity and utility of laser procedures have increased over the recent years and nowadays, applications for medical and cosmetic reasons have increased considerably. Problematic intraoral and cutaneous hirsutisms have been described as a consequence of complex reconstruction usually after oncology surgery. We present three patients in whom hair removal laser was performed on grafts and flaps in different compromised anatomical areas: oral cavity, penis, and auricular pavilion. All three patients were men; in two of them the hairy graft was a consequence after oncologic surgery reconstruction whereas the third patient presented hair in his auricular pavilion after cochlear implant due to a congenital ear malformation. In all the patients, neodymium:yttrium, aluminum, garnet laser (Nd:YAG) (1,064 nm) laser was performed with excellent aesthetic and functional outcomes with only three sessions. Hair removal laser is a well-accepted and effective method of achieving permanent decrease in hair density. Several lasers have been used successfully, including the long-pulse Alexandrite (755 nm), the long-pulse diode (810 nm), and the Nd:YAG laser (1,064 nm). There is currently no standard protocol for laser use on hairy grafts or flaps and there is limited published data regarding skin graft revision to enhance aesthetics and function.
Assuntos
Remoção de Cabelo/métodos , Terapia a Laser/métodos , Transplante de Pele , Retalhos Cirúrgicos , Adulto , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Autoinflammatory syndromes are a recently described group of conditions caused by mutations in multiple genes that code for proteins of the innate immune system. Cryopyrin-associated periodic syndromes are autoinflammatory diseases comprising three clinically overlapping disorders: familial cold urticaria syndrome, Muckle-Wells syndrome (MWS), and neonatal-onset multisystem inflammatory disease. MWS is characterized by a moderate phenotype with fever, rash, arthralgia, conjunctivitis, sensorineural deafness, and potentially life-threatening amyloidosis. We report a 5-year-old girl with MWS that manifested as a recurrent skin rash without fever episodes or intracranial hypertension with papilledema. Genetic analysis revealed a T348M mutation of the NLRPR 3 gene in the patient and her mother. She was successfully treated with the interleukin-1ß antagonist receptor anakinra.
Assuntos
Síndromes Periódicas Associadas à Criopirina/diagnóstico , Síndromes Periódicas Associadas à Criopirina/genética , Mutação/genética , Proteína 3 que Contém Domínio de Pirina da Família NLR/genética , Pré-Escolar , Feminino , HumanosRESUMO
No disponible
Assuntos
Humanos , Feminino , Idoso de 80 Anos ou mais , Pustulose Exantematosa Aguda Generalizada/diagnóstico , Escabiose/diagnóstico , Diagnóstico DiferencialAssuntos
Anticorpos Monoclonais/uso terapêutico , Fatores Imunológicos/uso terapêutico , Pitiríase Rubra Pilar/tratamento farmacológico , Feminino , Humanos , Infliximab , Infusões Intravenosas , Pessoa de Meia-Idade , Pitiríase Rubra Pilar/patologia , Pele/patologia , Fator de Necrose Tumoral alfa/antagonistas & inibidoresRESUMO
Se trata de una mujer de 40 años, sin antecedentes de acné juvenil, que notó la aparición a los 37 años de múltiples pápulas asintomáticas, duras, en ambas mejillas. El estudio histopatológico mostró que se trataba de osteomas. (AU)
Assuntos
Adulto , Feminino , Humanos , Face/patologia , Técnicas Histológicas , Osteoma/diagnóstico , Osteoma/etiologia , Osteoma/cirurgia , Lasers/uso terapêutico , Manifestações Cutâneas , Testes Cutâneos/métodos , Testes Cutâneos , Osteoma/patologia , Osteoma/epidemiologia , Cálcio/análise , Fósforo/análise , Vitamina D/análiseRESUMO
Presentamos el caso de un varón de 37 años VIH positivo, con nódulos subcutáneos faciales, sin historia previa de infección micótica superficial. El estudio histológico mostraba granulomas en dermis centrados por estructuras fúngicas. En cultivos repetidos se identificó Microsporum canis (AU)
Assuntos
Dermatomicoses/história , Granuloma/história , Microsporum/imunologia , Toxocara canis/imunologia , HIV/imunologiaRESUMO
La Candidiasis oral es una de las infecciones más frecuentes producidas por el género Candida, cuya aparición está determinada por una conjunción de factores favorecedores locales o sistémicos. Clásicamente se han establecido cuatro formas clínico-evolutivas bien diferenciadas: pseudomembranosa, atrófica aguda, atrófica crónica e hiperplásica crónica. La Candidiasis hiperplásica crónica es un cuadro poco frecuente, con mala respuesta al tratamiento antifúngico convencional. Presentamos el caso de un varón de 70 años, fumador, que desarrolló una Candidiasis hiperplásica oral cuya forma de presentación clínica fue poco habitual, simulando una lesión tumoral. La ausencia de respuesta al tratamiento antimicótico prolongado y la posibilidad de degeneración neoplásica determinaron la excisión quirúrgica. Comentamos los principales aspectos etiopatogénicos, clínicos, diagnósticos y terapéuticos de esta entidad (AU)
