RESUMEN
Fibroepithelioma of Pinkus (FEP) is a rare cutaneous neoplasm. Evidence supports classification as a variant of either basal cell carcinoma (BCC) or trichoblastoma. Reports of FEP arising in sites of preceding radiation therapy have been documented in the literature, but the relationship between radiotherapy and the development of FEP has not yet been defined. We report a case of FEP following radiation therapy for testicular cancer.
Asunto(s)
Carcinoma Basocelular/patología , Neoplasias Fibroepiteliales/patología , Neoplasias Inducidas por Radiación/patología , Neoplasias Cutáneas/patología , Neoplasias Testiculares/radioterapia , Anciano de 80 o más Años , Carcinoma Basocelular/etiología , Carcinoma Basocelular/cirugía , Legrado , Humanos , Masculino , Neoplasias Fibroepiteliales/etiología , Neoplasias Fibroepiteliales/cirugía , Neoplasias Inducidas por Radiación/etiología , Neoplasias Inducidas por Radiación/cirugía , Neoplasias Cutáneas/etiología , Neoplasias Cutáneas/cirugía , Resultado del TratamientoRESUMEN
A 34-year-old, HIV-positive man living in Texas presented with a 2-week history of fever, malaise, myalgias, oral ulcers, and papules on his chest, back, face, and extremities, including the palms. Initially secondary syphilis was suspected. However, RPR was negative. Histopathologic examination revealed a lymphocytic infiltrate with numerous intra-histiocytic fungal organisms. GMS and PAS stains were positive, consistent with the diagnosis of histoplasmosis. We report a case of disseminated histoplasmosis clinically mimicking secondary syphilis.
Asunto(s)
Infecciones Oportunistas Relacionadas con el SIDA/diagnóstico , Histoplasmosis/diagnóstico , Sífilis/diagnóstico , Adulto , Anfotericina B/uso terapéutico , Antifúngicos/uso terapéutico , Biopsia , Criptococosis/diagnóstico , Diagnóstico Diferencial , Enfermedades Endémicas , Hepatomegalia/etiología , Histoplasmosis/tratamiento farmacológico , Histoplasmosis/epidemiología , Histoplasmosis/patología , Humanos , Itraconazol/uso terapéutico , Masculino , Texas/epidemiologíaRESUMEN
We report on a 63-year-old male who was found to have an acrochordon on his plantar foot. Although acrochordons constitute a common benign clinical finding, this observation represents, to our knowledge, only the second case reported on the foot and the first occuring on the plantar surface.