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Mohs micrographic surgery: a review of indications, technique, outcomes, and co...

Bittner,Guilherme Canho; Cerci,Felipe Bochnia; Kubo,Elisa Mayumi; Tolkachjov,Stanislav N.

Abstract Mohs micrographic surgery is a specialized form of skin cancer surgery that has the highest cure rates for several cutaneous malignancies. Certain skin cancers can have small extensions or “roots” that may be missed if an excised tumor is serially cross-sectioned in a “bread-loaf” fashion, commonly performed on excision specimens. The method of Mohs micrographic surgery is unique in that the dermatolog...

Date: 2021   |   Origin: Oasisbr

Auricular reconstruction after Mohs micrographic surgery: analysis of 101 cases

Bittner,Guilherme Canho; Kubo,Elisa Mayumi; Fantini,Bruno de Carvalho; Cerci,Felipe Bochnia

Abstract Background: The ear is a region that has a high prevalence of cutaneous carcinomas and several guidelines indicate Mohs micrographic surgery as the first-choice treatment in such cases. Although the technique allows maximum preservation of healthy tissue, many auricular surgical wounds constitute a challenge due to the peculiar local anatomy, with evident curves and reliefs. Auricular reconstruction sh...

Date: 2021   |   Origin: Oasisbr

Do you know this syndrome? Harlequin syndrome

Hans-Bittner,Nelise Ritter; Bittner,Guilherme Canho; Hans Filho,Günter

Abstract: Harlequin syndrome is a rare condition in which one half of the face fails to flush and sweat due to damage of the sympathetic fibers on the ipsilateral side. The majority of cases are idiopathic, but may be iatrogenic or caused by space-occupying lesions or brainstem infarction. We report a case of idiopathic harlequin syndrome in a 34-year-old man with a 5-month history of unilateral facial flushing...

Date: 2018   |   Origin: Oasisbr

Fogo selvagem: endemic pemphigus foliaceus

Hans-Filho,Günter; Aoki,Valéria; Bittner,Nelise Ritter Hans; Bittner,Guilherme Canho

Abstract: Fogo selvagem or endemic pemphigus foliaceus is an autoimmune acantholytic anti-cadherin bullous disease that primarily affects seborrheic areas, which might disseminate. Brazil has the world's largest number of patients, mainly in the Central-West region, but the disease has also been reported in other South American countries. It affects young people and adults who have been exposed to rural areas, ...

Date: 2018   |   Origin: Oasisbr

Bullous systemic lupus erythematosus in a 10-year-old child

Hans-Bittner,Nelise Ritter; Bittner,Guilherme Canho; Hans Filho,Günter; Takita,Luiz Carlos

Abstract: Bullous systemic lupus erythematosus (BSLE) is a rare autoimmune subepidermal blistering disease, with few cases described in childhood. It has different clinical-pathological features. We report a case of BSLE in a 10-year-old child with systemic lupus erythematosus, treated with prednisone and hydroxychloroquine. There was complete remission with dapsone, with no recurrence of skin lesions throughou...

Date: 2017   |   Origin: Oasisbr

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