RESUMO
Acquired perforating dermatosis (APD) is characterized by pruritic craterlike lesions with a predilection for patients affected by chronic kidney disease or diabetes mellitus (DM). We present a case of a 57-year-old black woman admitted for chest pain and dyspnea who was found to have 2 teardrop-shaped yellow-white-chalky plaques consistent with APD that developed at the site of a preexisting split-thickness skin graft (STSG). We also review the literature on APD.
Assuntos
Diabetes Mellitus Tipo 2 , Insuficiência Cardíaca , Falência Renal Crônica , Dermatopatias/diagnóstico , Transplante de Pele , Dor no Peito/etiologia , Diagnóstico Diferencial , Dispneia/etiologia , Feminino , Antebraço , Humanos , Pessoa de Meia-Idade , Dermatopatias/patologiaRESUMO
Sweet syndrome (SS), also known as acute febrile neutrophilic dermatosis, is an uncommon condition that is clinically characterized by painful, well-demarcated, indurated, erythematous plaques or nodules that typically favor the head, neck, and arms, and are accompanied by fever. The disease is divided into several categories based on the underlying etiology, with the drug-induced variant comprising a rising number of the total cases and being reported in association with an increasing number of medications. We report a rare case of SS induced by an oral acetaminophen-codeine suspension and tablets. The importance of this case lies in the ability to educate both physicians and pharmacists alike regarding a newly recognized cutaneous adverse effect of acetaminophen-codeine so that the medication may be discontinued or substituted upon recognition of this adverse reaction to decrease patient morbidity.
Assuntos
Acetaminofen/efeitos adversos , Codeína/efeitos adversos , Diabetes Mellitus Tipo 2 , Síndrome de Sweet/diagnóstico , Adulto , Diagnóstico Diferencial , Combinação de Medicamentos , Ossos Faciais/lesões , Ossos Faciais/cirurgia , Fraturas Ósseas/cirurgia , Humanos , Masculino , Síndrome de Sweet/induzido quimicamenteRESUMO
Human hair has been classified into 3 major groups, as determined by ethnic origin. In these populations, significant structural and biochemical variations of the hair follicle and shaft are seen, as well as unique hair grooming practices. These structural variations of the hair are closely linked to the common disorders of the hair and scalp, such as acquired trichorrhexis nodosa, seborrheic dermatitis, traction alopecia, central centrifugal cicatricial alopecia, dissecting cellulitis, frontal fibrosing alopecia, and pseudofolliculitis barbae.