17 documents found, page 1 of 2
Case for diagnosis. Erythematous and infiltrated plaques in the infrahyoid region,
Bezerra,Natália Tenório Cavalcante; Schettini,Antonio Pedro Mendes; Leturiondo,André Luiz; Mathias,Liana Hortencia Miranda TubillaAbstract Leprosy is a chronic infectious disease caused by Mycobacterium leprae and, depending on the host immune status, presents different clinical forms. This report describes the case of a 46-year-old man who had hypoesthetic lesions in the infrahyoid region for 30 days. The bacilloscopy was negative. The anatomopathological examination showed alterations corresponding to the tuberculoid pole (epithelioid h...
Case for diagnosis. Atypical genital lesion
Sardinha,José Carlos Gomes; Ramos,Mauro Cunha; Schettini,Antonio Pedro Mendes; Talhari,SinesioAbstract: We present a case of a penile lesion with a clinical appearance similar to Mondor penile disease (thrombosis of the dorsal vein of the penis) or penile sclerosing lymphangitis. Laboratory evaluation, however, showed a solid lesion, with no vascular component to Doppler ultrasonography and no treponema to immunohistochemistry. Histological and serological tests were compatible with secondary syphilis. ...
Atypical crusted scabies in a patient with chronic liver disease caused by hepa...
Santos,Mônica; Maquiné,Gustavo Ávila; Talhari,Carolina; Schettini,Antonio Pedro MendesAbstract: Crusted scabies is a less common variant of scabies that is highly contagious, difficult to treat and involves infestation by Sarcoptes scabiei var. hominis. The classical clinical presentation includes crusted, scaly and generally non-pruritic lesions usually located on the head, neck, palmar, plantar and periungual region. It was first described in Norway in 1848 in patients with leprosy who present...
Chronic tophaceous gout in patients with psoriasis
Lobato,Laís Cruz; Coutinho,Jéssica Castiel; Frota,Maria Zeli Moreira; Schettini,Antonio Pedro Mendes; Santos,MônicaAbstract: Psoriasis is a chronic inflammatory disease of multifactorial etiology influenced by genetic, immunological, and environmental factors. We report the case of a patient with psoriasis for more than 25 years who developed hyperuricemia and chronic tophaceous gout with unusual appearance. In psoriasis, hyperuricemia may occur by increased epidermal cell turnover, which accelerates purine metabolism and h...
Generalized pustular psoriasis induced by systemic steroid dose reduction
Westphal,Danielle Cristine; Schettini,Antonio Pedro Mendes; Souza,Petra Pereira de; Castiel,Jessica; Chirano,Carlos Alberto; Santos,MônicaAbstract: Generalized pustular psoriasis, or psoriasis of von Zumbusch, is an acute and severe clinical form of psoriasis, which usually occurs in patients with psoriasis undergoing aggravating factors. In this work, we report the case of a female patient, 70 years old, who developed generalized pustular psoriasis symptoms while reducing the dose of oral corticosteroids, improperly introduced for the treatment ...
Lacaziosis - unusual clinical presentation
Sousa,Pétra Pereira de; Schettini,Antonio Pedro Mendes; Rodrigues,Carlos Alberto Chirano; Westphal,Danielle CristineLacaziosis or Jorge Lobo's disease is a fungal, granulomatous, chronic infectious disease caused by Lacazia loboi, which usually affects the skin and subcutaneous tissue. It is characterized by slow evolution and a variety of cutaneous manifestations with the most common clinical expression being nodular keloid lesions that predominate in exposed areas. We report the case of a patient who had an unusual clinica...
Granuloma faciale: a good therapeutic response with the use of topical tacrolimus
Lima,Raquel Sucupira Andrade; Maquiné,Gustavo Ávila; Silva Junior,Renato Cândido da; Schettini,Antonio Pedro Mendes; Santos,MônicaAbstractGranuloma faciale is a rare dermatosis of chronic course, benign, usually asymptomatic, first described in 1945 by Wingley. It is characterized by the appearance of well-defined, single or multiple papules, plaques and nodules, predominantly located in sun-exposed areas, especially the face. In this work we report the case of a female patient, 58 years old, evolving for ten years with multiple erythemat...
Mycobacterium abscessus skin infection after tattooing - Case report
Sousa,Pétra Pereira de; Cruz,Rossilene Conceição da Silva; Schettini,Antonio Pedro Mendes; Westphal,Danielle CristineAbstractMycobacterium abscessus is a rapidly growing mycobacterium that has been affecting people undergoing invasive procedures, such as videosurgery and mesotherapy. This bacterium has global distribution, being found in numerous niches. The frequency of published reports of infection by rapidly growing mycobacteria associated with tattooing procedures has increased in recent years. However, in Brazil there w...
Nail apparatus melanoma: a diagnostic opportunity
Carreño,Ana Maria; Nakajima,Sílvia Rocha; Pennini,Silmara N.; Candido Junior,Renato; Schettini,Antonio Pedro MendesMalignant Melanoma is a high mortality neoplasm. The involvement of the nail apparatus is rare, with only 2 out of 3 patients seeking medical attention as the result of recent nail melanocytic lesions. This results in late diagnosis and a prognosis worse than cutaneous melanoma. We report a female, presenting with ulcerative lesions with clinical and laboratory features compatible with leishmaniasis. On return ...
Assessment of completion of forms requesting skin biopsies
Schettini,Daniel Almeida; Schettini,Antonio Pedro Mendes; Sardinha,José Carlos Gomes; Ferreira,Luiz Carlos de Lima; Vasques,Felicien; Xerez,LuenaBACKGROUND: Information contained in request forms for histopathological examinations is essential for interpreting tissue changes observed in microscopy. OBJECTIVE: To determine the adequacy of information provided on forms requesting skin biopsies. METHOD: Assessment, in two health institutions, of 647 forms requesting skin biopsies in order to determine the completeness on the forms of the clinical details/i...