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The reconstruction of large defects of the glabella, especially when involving the forehead, is a surgical challenge. Surgical reconstruction of this location should take into account aesthetic subunits, avoid approximation of eyebrows and maintain symmetry of the face. The authors present a case with reconstruction of a surgical defect involving the glabella and the forehead after Mohs surgery. An A-T advancem...
Disseminate and recurrent infundibulo-folliculitis is a rare entity of unknown etiology, characterized clinically by a papular and follicular eruption and histologically by spongiotic changes in the infundibular portion of the hair follicle. It usually occurs in young adults males with phototype V-VI of Fitzpatrick. The dermatosis habitually reaches the trunk and limbs, has a recurrent course and is characteriz...
Multiple eruptive dermatofibromas is a rare event characterized by the appearance multiple dermatofibromas in few months. It is usually associated with immunodysregulation/immunosuppression. An appropriate work-up of underlying diseases must be done after this diagnosis, including search for HIV infection and lupus erythematosus. We present a case of multiple eruptive dermatofibromas in a female patient with HI...
Sungungual keratoacanthoma is a rare and more aggressive variant of keratoacanthoma. The authors present a case of a 49-year-old male with a one year history of a growing exophytic nodule on the nail bed of the left first toe. Physical examination revealed a two centimeters large exofitic nodule with a verrucous hyperkeratotic central area on the nail bed. A plain radiograph showed a cup-shaped lytic defect in ...
The incidence of new HIV infections remains high despite efforts in early diagnosis and treatment in the last decade. In Western Europe and in countries where access to health care is not an obstacle, there have been changes in epidemiology. The subgroup of men who have sex with men has been particularly targeted and Portugal is no exception. In 2015, for the first time since 1984, more than 50% of the diagnose...
Sexually transmitted infections are an important area of public health, requiring clinicians to be alert to their diagnosis. We present three issues that we consider pertinent: the Zika virus as a new sexually transmitted infection, hepatitis, including the epidemic hepatitis C infection in men who have sex with men that are HIV positive and the sexually transmitted hepatitis A outbreak verified in Europe, and ...
The coexistence of two or more different neoplasms, benign or malignant, in the same cutaneous lesion is called a "collision tumor”. The clinical diagnosis is difficult and dermatoscopy is an often useful tool, however it may not be enlightening. We present the case of a rare association between a blue nevus and a histiocytofibroma that both clinically and dermatoscopically could be confused with malignant mela...
The main biological effect of vitamin D is to promote bone mineralization and regulate calcium-phosphorus metabolism, but its extra-skeletal biological function has also been extensively studied. Vitamin D deficit has been associated with an increased risk for various diseases, including autoimmune, neoplastic, cardiovascular and neurological disorders. However, areas of controversy remain: a direct cause-effec...