Nevus lipomatosus cutaneous superficialis

Abstract: Nevus lipomatosus cutaneous superficialis is a rare benign hamartomatous skin tumor characterized by dermal deposition of mature adipose tissue. Two clinical forms have been described (classical and solitary types). We describe a case of nevus lipomatosus cutaneous superficialis with a 13-year history of growth in a young woman who had a solitary skin-colored tumoral mass on the right buttock. Histopathological findings were typical and confirmed the diagnosis. In this case, the lesion was a skin-colored isolated mass, as described in the solitary type, but its localization and age of appearance were compatible with the classical type. The combination of simultaneous clinical findings of both types had not been published before.

Yellow dots in trichoscopy: relevance, clinical significance and peculiarities

Abstract: Yellow dots are follicular ostium filled with keratin and/or sebum. Initially, they were exclusively associated with alopecia areata. Currently they have also been described in androgenetic alopecia, chronic cutaneous (discoid) lupus erythematosus, and dissecting cellulitis. Due to the growing importance of trichoscopy and its findings in the evaluation of the scalp, this article describes the main diseases in which yellow dots are a common trichoscopic finding, highlighting its characteristics in each dermatosis.

Lichen planopilaris developed during childhood

Abstract: Lichen planopilaris is a disease that appears with lymphocytic cicatricial alopecia. It is considered a follicular variant of lichen planus. The examination of affected areas shows alopecia with perifollicular erythema and scaling, revealing a predilection for hair follicles. The involvement of children is uncommon, with few reports in this population in the literature. This study presents a clinical case of a male patient of 15 years of age with characteristic lesions of lichen planopilaris.

Herpes-zóster oftálmico apos injeção de onabotulinotoxina para tratamento cosmético - Relato de caso / Herpes zoster ophthalmicus after onabotulinumtoxin for cosmetic treatment: a case report

Episódios de herpes-zóster após procedimentos têm sido documentados recentemente na literatura. Uma vez que o uso da toxina botulínica atualmente se faz presente em diversas especialidades médicas, é crucial o estudo de seus efeitos colaterais e complicações. Uma revisão da literatura mostrou 65 casos de reativação de zóster após procedimentos, sendo três relacionados a injeções de toxina botulínica tipo A (dois para tratamento de rítides faciais e um para migrânea crônica). Em nosso caso, uma mulher de 43 anos previamente hígida apresentou herpe-zóster na face e couro cabeludo após injeções de toxina botulínica tipo A com fins estéticos, tendo recuperação completa após tratamento antiviral.

Herpes zoster outbreaks following minor procedures have been documented recently in literature. Since the use of botulinum toxin is nowadays spread in several medical areas for different purposes, it is crucial to study its side effects and complications. Literature review revealed 65 cases of zoster reactivation following minor procedures, and three cases related to BTA injections (two for facial lines treatment and one for chronic migraine). In our case, a 43 year old healthy woman had herpes zoster on the face and scalp after receiving BTA injections for cosmetic purpose, with complete recovery after anti-viral treatment.

Merkel cell carcinoma in an immunosuppressed patient

Abstract Merkel cell carcinoma is an uncommon neuroendocrine carcinoma with a rising incidence and an aggressive behavior. It predominantly occurs in older patients, with onset occurring at a mean age of 75-80 years. Recognized risk factors are ultraviolet sunlight exposure, immunosuppression, and, more recently, Merkel cell polyomavirus. We report a case of Merkel cell carcinoma in a young HIV positive patient with Merkel Cell polyomavirus detected in the tumor.

Sweet's syndrome associated with Crohn's disease

Abstract: Sweet's syndrome is an uncommon benign skin disorder, whose pathogenesis remains unknown. Its classic form is more common in women and presents itself as papular-nodular, painful and erythematous or violaceous lesions. It mainly affects the face, neck, and upper limbs. Fever and neutrophilic leukocytosis are also common features. Although it is considered a systemic disease marker in more than half of patients, the association of this condition with Crohn's disease is rare, with few cases reported in the literature, of which, none in Brazil. We report the case of a patient with Crohn's disease who developed the classical features of Sweet's syndrome.

Single cutaneous metastasis of colon adenocarcinoma - Case report

Abstract: Skin metastases are relatively rare and occur most often when the cancer is already advanced, invading other organs. As to location, they often seem to elect areas located close to the primary tumor, although distant sites, such as the scalp, may be affected with some frequency. We present a case of a 76-year-old woman with colon adenocarcinoma that had a single metastatic lesion on the scalp.

PARACOCCIDIOIDOMYCOSIS IN A RENAL TRANSPLANT RECIPIENT

Paracoccidioidomycosis (PCM) is the most common endemic mycosis in Latin America. The etiological agents, which comprise two species, Paracoccidioides brasiliensis and P. lutzii, are thermodimorphic fungi that usually affect previously healthy adults. They primarily involve the lungs and then disseminate to other organs. Such mycosis is rare in organ transplant recipients; there have been only three cases reported in literature, until now. We report a case of PCM in a renal transplant recipient with an unusual dermatological presentation.

Poliarterite nodosa cutânea / Cutaneous polyarteritis nodosa

A poliarterite nodosa (PAN) cutânea é uma rara forma de vasculite, com curso crônico e recidivante, que envolve pequenas e médias artérias da derme e do tecido subcutâneo, sem o mesmo prognóstico da sua forma sistêmica. É caracterizada por nódulos subcutâneos, livedo reticular e ulcerações cutâneas. O diagnóstico é baseado no exame histopatológico e o tratamento é, na maioria das vezes, com corticosteroides, ciclofosfamida ou outro imunossupressor, embora não haja nenhuma terapia definitiva eficaz. Apresentamos o caso de uma paciente com PAN cutânea, com somente nódulos subcutâneos dolorosos.

Adesão ao Tratamento e Perfil Epidemiológico dos Pacientes Hipertensos Cadastrados na Casa Família Água Cristal ­ Belém/PA / Treatment adherence and epidemiological profile of hypertensive patients registered in the family house �gua Cristal - Bel�m / PA

Este estudo teve por objetivo tra�ar o perfil epidemiol�gico de pacientes hipertensos, bem como analisar a ades�o/abandono ao tratamento recomendado. Para tal, foi realizada uma pesquisa caracterizada por ser de corte, prospectiva e descritiva com delineamento transversal. Foram estudados 164 portadores de hipertens�o arterial - HA cadastrados em uma Unidade Sa�de da Fam�lia ? USF, com faixa et�ria de 40 a 70 anos. Para a coleta de dados, foi elaborado um protocolo contendo perguntas relacionadas �s condi��es s�cio-econ�micas, � patologia e ao posicionamento do paciente em rela��o ao tratamento. Verificou-se predom�nio da patologia em pacientes do sexo feminino (65,24%), compreendidos na faixa et�ria de 53 a 59 anos (28,05%), com renda de 1 a 3 sal�rios m�nimos (74,39%), com 1� grau incompleto (55,49%), aus�ncia de obesidade (60,98%), que n�o praticavam exerc�cios (53,66%), n�o et�licos (75,61%), n�o fumantes (81,10%), com total esclarecimento sobre a doen�a (53,05%), que afirmaram seguir corretamente as orienta��es do m�dico (48,17%).

The present study aimed to evaluate the epidemiological profile of the hypertensives from a Family Health Unit, as well as analyzing the adhesion/desertion to the treatment. The research was characterized by cross-sectional study, with 164 hypertensives from 40 and 70 years of age. For data collection, a questionnaire was used about the economic conditions, pathology and positioning of the patient in relation to the treatment. There was predominance of the pathology in female patients (65.24%), between 53 and 59 years old (28.05%), with income from 1 to 3 minimum wages (74.39%), Fifty-forty nine percent of the individuals had incomplete fundamental degree, 60.98% were not obese, 53.66% did not practice exercises, 75.61% were not ethylic patients, and 81.10% had never smoked. 53.05% knew about the illness, and 48.17% had followed the doctor?s prescriptions correctly.

Perfil clínico-epidemiológico de pacientes com psoríase / Clinical and epidemiological profile of psoriasis patients

Objetivo: determinar o perfil clínico-epidemiológico dos portadores de psoríase atendidos, durante o ano de 2009 no Ambulatório de Dermatologia da UEPA, Belém-Pa. Método: estudo transversal, no qual foram entrevistados 50 pacientes portadores da doença. A entrevista baseou-se em um protocolo composto de uma parte inicial com perguntas relacionadas ao perfil sócio-econômico e aos aspectos relativos a fatores associados com doença em estudo e uma parte subseqüente, na qual foram avaliados aspectos da apresentação clínica da psoríase. Resultados: verificou-se que predominou o sexo feminino, faixa etária de 38 a 48 anos de idade, com ensino fundamental incompleto e que afirmaram estar passando por alguma situação estressante na época do surgimento da doença. Predominou a psoríase em placa, disseminada e os membros inferiores foi a localização mais acometida. Conclusão: é de grande importância o incentivo de pesquisas que visem delinear o perfil clínico-epidemiológico, a fim de se conhecer melhor as populações que são atingidas por esta dermatose no Brasil.

Objective: was to determine clinical and epidemiological profile of patients with psoriasis treated during the year of 2009 in UEPA Dermatology Clinic, Belém-Pa-Brazil. Methods: It was performed a transversal and prospective study, in which 50 patients with the disease were interviewed. The interview was based on a protocol that included in its initial portion questions related to socio-economic profile and aspects related to factors associated with the disease under study and a subsequent part, in which analyze psoriasis clinical presentation.Results: It was found that most patients were female, aged between 38 to 48 years-old, with incomplete basic education and they said they were going through some stressful situation at the time of disease onset. The predominant clinical presentation was disseminated plaque psoriasis and lower limbs was the most affected location. Conclusions: It is very important the incentive for research aimed at delineating clinical and epidemiological profile, in order to better understand people who are suffering from this dermatosis in Brazil.