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3.
BMJ Case Rep ; 16(11)2023 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-37923336

RESUMO

Trigeminal trophic syndrome (TTS) is a rare disease that occurs after injury to the trigeminal nerve. Though this condition has been reported in the early 20th century, it is still a rare entity, with only around 200 cases reported so far. It characteristically presents with persistent facial ulceration with loss of sensation and paraesthesia along the distribution of the trigeminal nerve. We here report a case of TTS developing as a complication of herpes zoster, which possibly occurred due to the nerve damage caused by varicella-zoster virus.


Assuntos
Herpes Zoster , Úlcera Cutânea , Doenças do Nervo Trigêmeo , Humanos , Úlcera/complicações , Úlcera Cutânea/complicações , Face , Nervo Trigêmeo , Doenças do Nervo Trigêmeo/etiologia , Doenças do Nervo Trigêmeo/complicações , Herpes Zoster/complicações , Herpes Zoster/diagnóstico
4.
BMJ Case Rep ; 16(7)2023 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-37460248

RESUMO

Subepidermal calcified nodule (SCN) is a clinical form of idiopathic calcinosis cutis, which commonly affects children, and presents as yellowish-white lesions involving the face. It is often misdiagnosed for other disorders like warts and molluscum contagiosum and treated by ablative procedures. In such a scenario, lack of histopathological examination makes it difficult to reach the correct diagnosis. We here report a case of SCN which was diagnosed after an excisional biopsy. Further, histopathological finding of dermal calcium deposits must prompt the clinician to rule out other disorders leading to calcinosis cutis, before labelling the case as SCN.


Assuntos
Calcinose Cutânea , Calcinose , Molusco Contagioso , Verrugas , Criança , Humanos , Calcinose/diagnóstico por imagem , Calcinose/cirurgia , Biópsia
5.
BMJ Case Rep ; 16(6)2023 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-37295812

RESUMO

Pseudo-Behçet's disease (PBD) is a close clinical mimicker of Behçet's disease (BD) which can present with orogenital ulceration and uveitis. However, these manifestations in PBD are associated with occult tuberculosis. Sometimes, diagnosis of PBD is established retrospectively when the lesions respond to anti-tubercular therapy (ATT). We here describe a case who presented with a penile ulcer, initially suspected to be a sexually transmitted infection, but was later diagnosed as PBD and resulted in complete healing with ATT. Knowledge about this condition is essential to prevent misdiagnosis as BD and unnecessary treatment with systemic corticosteroids, which can lead to worsening of tuberculosis.


Assuntos
Síndrome de Behçet , Tuberculose , Uveíte , Humanos , Síndrome de Behçet/complicações , Síndrome de Behçet/diagnóstico , Síndrome de Behçet/tratamento farmacológico , Estudos Retrospectivos , Úlcera/diagnóstico , Uveíte/diagnóstico , Tuberculose/complicações
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