RESUMO
A woman in her thirties developed multiple necrotic lesions on her face in a short space of time. A dermatologist recognised clinical features associated with a rare diagnosis, which was eventually confirmed by diagnostic workup. Known atopic eczema increased the risk of a severe course of what was initially a mild disease, and a multidisciplinary approach proved necessary.
Assuntos
Dermatite Atópica , Humanos , Feminino , NecroseAssuntos
Anti-Infecciosos Locais/efeitos adversos , Dermatite Alérgica de Contato/etiologia , Hipersensibilidade a Drogas/etiologia , Dermatopatias/tratamento farmacológico , Benzamidinas/efeitos adversos , Dermatite Alérgica de Contato/diagnóstico , Diagnóstico Diferencial , Hipersensibilidade a Drogas/diagnóstico , HumanosRESUMO
BACKGROUND: Several diseases may affect both skin and oral mucosa. This article presents hereditary, autoimmune and other inflammatory conditions within this group. MATERIAL AND METHODS: Review of the literature as well as the authors' own experience in the field. RESULTS AND INTERPRETATION: Lichen planus, erythema multiforme and lupus erythematosus are relatively common disorders with generally favourable prognosis. The much less frequent bullous diseases pemphigoid and pemphigus are characterized by a high morbidity, often requiring a deliberate use of immunosuppressants. Stevens-Johnson syndrome, toxic epidermal necrolysis and the more severe forms of epidermolysis bullosa are potentially life-threatening conditions. It is recommendable that medical doctors and dentists are familiar with the clinical presentations and diagnostic procedures of diseases affecting skin and oral mucosa.
Assuntos
Doenças da Boca/diagnóstico , Dermatopatias/diagnóstico , Doenças Autoimunes/diagnóstico , Doenças Autoimunes/imunologia , Doenças Autoimunes/patologia , Competência Clínica , Assistência Odontológica , Imunofluorescência , Humanos , Comunicação Interdisciplinar , Doenças da Boca/imunologia , Doenças da Boca/patologia , Mucosa Bucal/imunologia , Mucosa Bucal/patologia , Pele/imunologia , Pele/patologia , Dermatopatias/imunologia , Dermatopatias/patologiaRESUMO
We report a case of vitiligo in a 63-year-old man who had undergone intravesical bacillus Calmette-Guérin treatment following removal of a superficial transitional cell carcinoma in the bladder.
Assuntos
Autoanticorpos/sangue , Vacina BCG/administração & dosagem , Vacina BCG/imunologia , Carcinoma de Células de Transição/tratamento farmacológico , Neoplasias da Bexiga Urinária/tratamento farmacológico , Vitiligo/imunologia , Administração Intravesical , Vacina BCG/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade , Vitiligo/induzido quimicamenteRESUMO
BACKGROUND: Plants and plant products may lead to a variety of skin disorders, commonly referred to as phytodermatoses. MATERIAL AND METHODS: On the basis of literature studies and on the author's own experience, this article discusses the main groups of phytodermatoses, focusing on Norwegian plants that may cause skin disorders. RESULTS: A small number of plant families account for more than 95% of the phytodermatoses. Contact allergy to plants of the Compositae family is an important cause of skin disorder. Phytodermatoses are commonly related to the patient's occupation. INTERPRETATION: Doctors should be familiar with the term phytodermatoses and be aware of plants and plant products as possible causes of skin disorder.