RESUMO
The present report documents 6 patients who developed distinctive hyperpigmented skin lesions after bleomycin sclerotherapy for vascular malformations of the face, neck, and extremities. The patients ranged in age from 2 to 65 years and included both black and white and male and female patients. The bleomycin treatment dose varied from 15 to 45 U, with 5 of the 6 patients receiving foamed bleomycin. The hyperpigmented lesions were near the patient's vascular anomaly and attributable to postprocedural cutaneous pressure (eg, electrocardiographic [ECG] leads or tape). Hyperpigmentation faded slowly over time but was visible up to 3 years after the procedure.
Assuntos
Bleomicina/efeitos adversos , Hiperpigmentação/induzido quimicamente , Soluções Esclerosantes/efeitos adversos , Escleroterapia/efeitos adversos , Pigmentação da Pele/efeitos dos fármacos , Malformações Vasculares/terapia , Adolescente , Idoso , Criança , Pré-Escolar , Feminino , Humanos , Hiperpigmentação/diagnóstico , Hiperpigmentação/fisiopatologia , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto JovemAssuntos
Doenças da Unha , Unhas , Humanos , Fenômenos Magnéticos , Doenças da Unha/patologia , Unhas/patologiaRESUMO
Introduction: Cuticle reduction and removal techniques are commonly performed by nail technicians for nail cosmesis. However, manipulation of the nail cuticle can lead to localized infection and nail dystrophy. Case Presentation: In this case, a 20-year-old woman from the Philadelphia area in the USA presented with onychomadesis secondary to acute paronychia following a "Russian" manicure. In this technique, an electronic filer is used to completely remove the cuticle, leaving the proximal nail fold exposed and vulnerable. Conclusion: As this style of manicure is being inaccurately publicized as safe, it is important that dermatologists are aware of this technique and educate our patients about its potential for harm.