Onychocola canadensis is a non-dermatophyte fungus that has been reported to cause onychomycosis in elderly patients. Cutaneous infection is extremely rare. Because of its slow growth and rarity, its identification is difficult, potentially giving rise to falsely negative mycologic cultures. A 65-year-old male patient presents with an exsudative circular erythematous lesion, with 3cm, on the lateral border of h...
Breast angiosarcoma is a rare tumor that can be divided in 3 groups: primary, secondary to chronic lymphoedema and secondary to radiotherapy (RT). It has a poor prognosis and a bad response to surgery and chemotherapy (QT). A female patient was observed with a very indurated erythematous-violaceous plaque, with an ecchymotic halo that occupied the right breast, and was evolving for 8 months. The patient had his...
Introduction: In multiple myeloma, the cutaneous lesions are rare and usually occur in late stages of MM as a reflection of increased tumour cell burden. Case report: The authors present the case of a 66 year-old woman with IgG lambda multiple myeloma that, after 16 months and apparently under control haematological, developed a tender and firm erythemato-violaceous plaque, on the back of the right thigh. A dia...
A 77-year-old female patient submitted to excision of a basal cell carcinoma, resulting in an oval shaped defect with 20x25mm in diameter and exposure of the medial portions of alar cartilages. The reconstruction was perfor- med with transposition of muscle flaps from nasalis muscle in order to obtain a suitable vascular bed for a full-thickness skin graft harvested from a glabelar fold. The final result was co...
Background: Coexistence of lichen sclerosus and morphea, in most cases with extragenital localization, has been reported in the literature. Case report: A 58-year-old woman presented in 1998 with sclerotic and atrophic linear plaques on the right hemibody, whose histopathological study was compatible with linear morphea. Nine years later, on the residual atrophic areas, small whitish lesions grouped into plaque...
Benign cephalic histiocytosis is a type of non-Langerhans histiocytitic disorder. Of unknown etiology, is a self-healing disease, arising in childhood and is characterized by papular lesions primarily affecting the face. We describe a 10-month-old girl who presented with 6 months of evolution, yellow-red papules asymptomatic, on her face. The histological and immunohistochemical study showed the presence of a d...
Conservative treatment of penile squamous cell carcinoma has been advocated as a method of choice for tumours at early stages. Thirty patients with a mean age of 63.2 years were treated with CO2 laser ablation, radical local excision with preputial flap, direct closure or healing by secondary intention, circumcision alone or associated with CO2 laser and topical imiquimod. Sixteen patients had local recurrence....
We report a case of a 63-year-old man hospitalized for a polymorphous generalized eruption consisting of maculopapules with peripheral scaling, vesicopustules, and ulceronecrotic and crusted lesions measuring 5-20 mm, localized on his trunk and extremities, particularly exuberant in the flexural area. Histopathology showed necrotic keratinocytes with exocytosis of red blood cells and lymphocytes and a dermal pe...
Pincer nail is characterized by an exaggerated transverse curvature of the nail plate that increases distally along its longitudinal axis. It is more common in toenails. It can lead to narrowing of the nail bed, usually accompanied by pain and functional disability. Several treatment options are described for correction of pincer nail and there is no consensus on the best approach. Zook's technique differs from...
Introduction: Melanoma of the oral mucosa is a rare and aggressive neoplasm, representing 0.2 to 8% of all melanomas and 0.5% of all cancers of the oral cavity. Case report: We describe the case of a female patient of 84 years of age, referred to the outpatient dermatology by hyperpigmented macula, black, irregular borders, with about 3 x 4 cm of diameter, on which watched three nodular elements, implemented in...