Breast myiasis: Are we prepared for the correct diagnosis?

Cutaneous myiasis is an endemic infestation in Latin America and Africa. Many unusual sites of larval infection can cause diagnostic confusion, especially if the patient is not from an endemic area. In the breast, the furuncular aspect suggests some differential diagnosis. We report a case of an 84-year-old patient with an ulcerated lesion on the right breast, who was referred to the reference service to exclude malignancy. Considering the clinical aspects and after further evaluation with imaging methods, she was diagnosed with myiasis. This study reinforces the importance of differential diagnosis of myiasis in patients that come from endemic areas.

Avaliação da qualidade de vida e prevalência dos critérios diagnósticos de dermatite atópica em pacientes atendidos em um hospital terciário do Sul do Brasil / Evaluation of the quality of life and prevalence of diagnostic criteria for atopic dermatitis in patients attended in a tertiary hospital in southern Brazil

Caracterizada por pele seca, pruriginosa, placas e pápulas eritematosas e liquenificação, a dermatite atópica (DA) ocasiona dor e gera grande impacto na qualidade de vida (QdV) dos pacientes. De importante prevalência mundial, manifesta-se diferentemente em distintos grupos e pesquisas locais são necessárias para avaliar o padrão de acometimento regional. Os objetivos deste estudo são traçar o perfil fenotípico e avaliar os impactos da DA na QdV em pacientes em hospital terciário, referência no Paraná. De 28 participantes convidados, 20 foram submetidos a avaliação clínica somada a aplicação do Dermatology Life Quality Index. A análise descritiva mostrou a sintomatologia, constrangimento e uso de roupas como mais impactantes na QdV. Consistiam em adultos jovens, com sintomas de início na infância e adolescência e história familiar e pessoal de doenças atópicas. As lesões eram típicas, pruriginosas e recidivantes, e outros achados cutâneos e não cutâneos, como influência dos fatores emocionais e intolerância à lã

Characterized by dry, itchy skin, erythematous plaques and papules and lichenification, atopic dermatitis (AD) causes pain and has a great impact on patients' quality of life (QoL). Importantly prevalent worldwide, it manifests itself differently in different groups and local research is needed to assess the pattern of regional involvement. The objectives of this study are to trace the phenotypic profile and evaluate the impacts of AD on QoL in patients at a Tertiary Hospital, a reference in Paraná. Of 28 invited participants, 20 underwent clinical evaluation plus the application of the Dermatology Life Quality Index. The descriptive analysis showed the symptoms, embarrassment and use of clothes as the most impactful in QoL. They consisted of young adults, with symptoms beginning in childhood and adolescence and a family and personal history of atopic diseases. The lesions were typical, itchy and recurrent, and other skin and non-skin findings, such as the influence of emotional factors and intolerance to wool