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Generalized pustular psoriasis (von Zumbusch)
Romiti,Ricardo; Hirayama,André Luís da Silva; Arnone,Marcelo; Magalhães,Renata FerreiraAbstract Generalized pustular psoriasis (von Zumbusch) is a rare and acute eruption characterized by multiple sterile pustules over an erythematous and edematous background, eventually associated with psoriasis vulgaris. Classically, it manifests as a potentially severe systemic picture and demands prompt diagnosis and intervention. The duration of each flare-up and intervals between the pustular episodes is ex...
Systemic amyloidosis manifestation in a patient with psoriatic arthritis
Souza,Bruno de Castro e; Gavioli,Camila Fátima Biancardi; Oliveira,Walmar Roncalli Pereira de; Romiti,RicardoAbstract Systemic amyloidosis secondary to psoriatic arthritis is rare, and published data are based mainly on case reports and are associated with increased mortality. This is the report of a patient with long-term psoriatic arthritis and chronic sialadenitis, who showed an inadequate response to therapy. The diagnosis of secondary amyloidosis was attained through biopsies of genital skin lesions. Although ver...
Diagnostic and therapeutic guidelines for plaque psoriasis - Brazilian Society ...
Arnone,Marcelo; Takahashi,Maria Denise Fonseca; Carvalho,André Vicente Esteves de; Bernardo,Wanderley Marques; Bressan,Aline LopesAbstract: Psoriasis is a chronic inflammatory disease that affects 1.3% of the Brazilian population. The most common clinical manifestations are erythematous, scaling lesions that affect both genders and can occur on any anatomical site, preferentially involving the knees, elbows, scalp and genitals. Besides the impact on the quality of life, the systemic nature of the disease makes psoriasis an independent ris...
Translation and validation of the Simplified Psoriasis Index (SPI) into Brazili...
Morais,Marina Resener de; Martins,Gladys Aires; Romiti,Ricardo; Tonoli,Renata Elise; Carvalho,André Vicente EstevesAbstract: Background: The Simplified Psoriasis Index is a tool that assesses the current severity, psychosocial impact, past history and interventions in patients with psoriasis through separate components. Two versions are available, one in which the current severity of the disease is evaluated by the patient themselves and another by the physician. Objectives: Translate the Simplified Psoriasis Index into Bra...
Psoriasis comorbidities: complications and benefits of immunobiological treatment
Carvalho,André Vicente Esteves de; Romiti,Ricardo; Souza,Cacilda da Silva; Paschoal,Renato Soriani; Milman,Laura de Mattos; Meneghello,Luana PizarroAbstract During the last decade, different studies have converged to evidence the high prevalence of comorbidities in subjects with psoriasis. Although a causal relation has not been fully elucidated, genetic relation, inflammatory pathways and/or common environmental factors appear to be underlying the development of psoriasis and the metabolic comorbidities. The concept of psoriasis as a systemic disease dire...
Localized scleroderma: clinical spectrum and therapeutic update
Careta,Mariana Figueiroa; Romiti,RicardoScleroderma is a rare connective tissue disease that is manifested by cutaneous sclerosis and variable systemic involvement. Two categories of scleroderma are known: systemic sclerosis, characterized by cutaneous sclerosis and visceral involvement, and localized scleroderma or morphea which classically presents benign and self-limited evolution and is confined to the skin and/or underlying tissues. Localized sc...
A prospective, open, comparative study of 5% potassium hydroxide solution versu...
Camargo,Caio Lamunier de Abreu; Belda Junior,Walter; Fagundes,Luiz Jorge; Romiti,RicardoBACKGROUND: Genital warts are caused by human papillomavirus infection and represent one of the most common sexually transmitted diseases. Many infections are transient but the virus may recur, persist, or become latent. To date, there is no effective antiviral treatment to eliminate HPV infection and most therapies are aimed at the destruction of visible lesions. Potassium hydroxide is a strong alkali that has...
Trichostasis spinulosa of the scalp mimicking Alopecia Areata black dots
Chagas,Flavianne Sobral Cardoso; Donati,Aline; Soares,Isabella Ibrahim Doche; Valente,Neusa Sakai; Romiti,RicardoAlopecia areata is a common autoimmune disorder that leads to nonscarring hair loss. Black dots, also called comedo-like cadaver hairs, can be found in almost 50% of alopecia areata patients and indicate disease activity. Trichostasis spinulosa is a follicular disorder resulting from the retention of numerous hairs surrounded by a keratinous sheath in dilated follicles. Trichostasis spinulosa is a relatively co...
Psoriatic scarring alopecia
Almeida,Maiana Carneiro; Romiti,Ricardo; Doche,Isabella; Valente,Neusa Yuriko Sakai; Donati,AlinePsoriasis is a relatively frequent inflammatory dermatosis. Scarring alopecia due to scalp psoriasis was first reported in 1972, but few reports have been written since then, showing that this is a very rare complication of a common disorder. We report a young Brazilian woman with longstanding scalp psoriasis, which progressed to scaring alopecia.
Molusco contagioso em tatuagem
Molina,Luciana; Romiti,RicardoMolusco contagioso é uma dermatovirose causada por poxvírus e caracterizada por erupção benigna e autolimitada de uma ou múltiplas pápulas esféricas e brilhantes. A transmissão habitualmente ocorre por contato direto com indivíduos infectados. Relata-se caso de doente masculino, 22 anos, com história de surgimento de numerosas pápulas umbilicadas localizadas estritamente sobre a região de uma tatuagem. Exame hi...