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Lucio's Phenomenon: Response to Alternative Treatment with Multibacilar Polyche...

Araujo Dantas, Camila; Medeiros Prohmann, Caroline; Barcelos e Silva, Lorena; Figueiredo Gatti, Rafael; Marçal Machado, Thalita

Leprosy is an infectious disease of chronic evolution caused by Mycobacterium leprae. Its chronic course can be interrupted by acute or subacute reactional episodes. Lucius phenomenon is a vasculitic immune reaction that occurs in patients with lepromatous leprosy. It appears with purpuric macules that progress to ascending necrosis and ulceration and heal with an atrophic scar. The authors describe the case of...


Dermoscopy of Granuloma Faciale: Two Case Report

Figueiredo Gatti, Rafael; Medeiros Prohmann, Caroline; Ananias David, Alice; Oliveira Utiyama, Thaís; de Oliveira Pozetti, Eurides Maria

Granuloma faciale is a rare, benign, idiopathic skin disorder, observed predominantly in caucasian men between the third and fifth decades of life. It is characterized histologically by a mixed inflammatory infiltrate, in which phenomena of vasculitis and fibrosis are associated. It occurs predominantly in the face and has a chronic and slowly progressive course. Its diagnosis is based on clinical and histopath...


Paracoccidioidomycosis with Lymphonodal and Mucous Involvement - Case Report

Medeiros Prohmann, Caroline; de Araújo Dantas, Camila; Barcelos e Silva, Lorena; Figueiredo Gatti, Rafael; Marçal Machado, Thalita

Paracoccidioidomycosis (also known as Lutz disease, Lutz-Splendore-Almeida disease, Brazilian blastomycosis or South American blastomycosis) was first described by Lutz nearly a century ago. This is a systemic fungal infection that can appear in two clinical forms: acute / subacute or chronic. Oral lesions of paracoccidioidomycosis are typically characterized by erythematous and finely granular gingival hyperpl...


Hyperpigmentation in Addison’s Disease: Case Report

Figueiredo Gatti, Rafael; Medeiros Prohmann, Carolina; Araújo Dantas, Camila; Barcelos e Silva, Lorena; Marçal Machado, Thalita

The primary adrenal insufficiency or Addison's disease is a rare disorder of the adrenal glands and is a risk factor, since its diagnosis is often not recognized in the early stages of the disease. Currently, its main cause is idiopathic atrophy, but it can occur due to infectious, traumatic and neoplastic causes. Symptoms of the condition include: asthenia, weakness, nausea, weight loss, hypotension, and hyper...


Childhood Sporotrichosis Mimicking Leishmaniasis: Favourable Outcome with Potas...

Marçal Machado, Thalita; Araújo Dantas, Camila; Medeiros Prohmann, Caroline; Barcelos e Silva, Lorena; Ferreira Montes, Lorena; Figueiredo Gatti, Rafael

Sporotrichosis is a chronic infection of the skin and subcutaneous tissue, caused by the fungus Sporothrix schenkii. In childhood this entity is rare and currently the most frequent in this age group is the zoonotic transmission. The delay in diagnosis and inadvertent use of multiple antimicrobial regimens favor disease progression, therefore causing pain and subsequent scars. The main differential diagnosis fo...


JUVENILE SCLERODERMA

Lym, Chan I; Tinoco Plata, Glaura; Silveira Costa, Fernanda; de Campos Razé, Mariana; de Souza, Michelle Cristine; Figueiredo Gatti, Rafael

Juvenile scleroderma is a disease that has different features in comparison to scleroderma in adults. Its incidence is rare on infancy. It can be systemic or localized and, this last form is more frequent. We report a case of juvenile scleroderma in a 3-year-old female child presenting with a yellow plaque on the trunk simulating a xantomathous lesion. The lilac ring around the lesion contributed to the constru...


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