RESUMO
Syphilis is an infectious disease with mucocutaneous lesions that are characteristic of their stage (primary, secondary, or tertiary). These are not always typical and may have other morphologies and unusual symptoms, making diagnosis difficult. The report herein is of a healthy woman with vesicular lesions associated with intense itching. The diagnosis of secondary syphilis was confirmed with VDRL 1/512 and FTA Abs positive. Histopathology showed spongiosis in the epidermis and infiltrated lymphocytes and plasma cell in the dermis. Clinical improvement occurred after the first dose of benzathine penicillin. In the literature, few cases of vesicular lesions in syphilis have been found and itching is mentioned as uncharacteristic . Histology showing spongiosis is also unusual.
Assuntos
Dermatoses Faciais/patologia , Dermatoses da Mão/patologia , Pele/patologia , Sífilis/patologia , Antibacterianos/uso terapêutico , Dermatoses Faciais/diagnóstico , Dermatoses Faciais/tratamento farmacológico , Feminino , Dermatoses da Mão/diagnóstico , Dermatoses da Mão/tratamento farmacológico , Humanos , Penicilina G Benzatina/uso terapêutico , Prurido , Sífilis/diagnóstico , Sífilis/tratamento farmacológico , Adulto JovemRESUMO
La enfermedad de Hirschsprung o megacolon congénito es una anomalía rara, caracterizada por la ausencia de las células ganglionares del intestino. Esto genera una falla en su relajación distal, que impide la eliminación de la materia fecal y causa una obstrucción inmediata después del nacimiento. El tratamiento es eminentemente quirúrgico y a las semanas de la reanastomosis coloanal los pacientes presentan diarrea. Por su parte, la dermatitis de Jacquet es una forma infrecuente de la dermatitis del pañal por irritante primario, provocada por el contacto prolongado de la piel de esta región con la orina o heces acuosas. Comunicamos el caso de un niño con enfermedad de Hirschsprung que, luego de la intervención quirúrgica, presentó una dermatitis de Jacquet asociada a diarrea grave...
Hirschsprung´s disease, also known as congenital aganglionic megacolon, is a rare anomaly, marked by the absence of ganglionic cells of the large intestine, resulting in failure of its distal looseness, blocking evacuation and causing obstruction right after birth. The treatment is mainly surgical and weeks after coloanal reanastomosis, these patients develop diarrhea. Jacquet dermatitis is an unusual presentation of irritant diaper dermatitis, caused by prolonged contact of the skin of this region with urine and/or watery diarrhea. We report a case of a child with Hirschsprung´s disease that, after surgical treatment, presented Jacquet dermatitis as an outcome of severe diarrhea...
