Asunto(s)
Dermatosis Facial/diagnóstico , Dermatosis Facial/etiología , Complicaciones del Embarazo/diagnóstico , Complicaciones del Embarazo/etiología , Dermatosis del Cuero Cabelludo/diagnóstico , Dermatosis del Cuero Cabelludo/etiología , Adulto , Femenino , Humanos , Embarazo , Remisión EspontáneaAsunto(s)
Dermatosis Facial/diagnóstico , Leprostáticos/uso terapéutico , Lepra Lepromatosa/diagnóstico , Mycobacterium leprae/aislamiento & purificación , Piel/microbiología , Adulto , Biopsia , Quimioterapia Combinada/métodos , Dermatosis Facial/microbiología , Dermatosis Facial/patología , Humanos , Lepra Lepromatosa/microbiología , Lepra Lepromatosa/patología , Masculino , Piel/patología , Resultado del TratamientoRESUMEN
BACKGROUND: Facial papules are a feature of several clinical conditions and may present both diagnostic and therapeutic challenges. AIM: To describe a grouped papular eruption on the nose and adjoining cheeks that has not been well characterized previously. MATERIALS AND METHODS: A series of consecutive patients with a papular eruption predominantly involving nose and cheeks were evaluated, treated and followed up prospectively at tertiary care centers. Demographic details, clinical features, histopathology and response to treatment were recorded. RESULTS: There were five men and six women (mean age 29.9 ± 6.9 years) who had disease for a mean duration of 17.3 ± 11.1 months. All patients presented with a predominantly asymptomatic eruption of monomorphic, pseudovesicular, grouped, skin colored to slightly erythematous papules prominently involving the tip of nose, nasal alae, philtrum and the adjoining cheeks. A total of 15 biopsies from 11 patients were analyzed and the predominant finding was a dense, focal lymphoid infiltrate restricted to the upper dermis with basal cell damage and atrophy of the overlying epidermis. The eruption ran a chronic course from several months to years. LIMITATIONS: Direct immunofluorescence could not be performed except in one case. Immunohistochemical stains for CD4 and CD8 could not be done owing to nonavailability. Phototesting was undertaken in one patient only. CONCLUSION: Small grouped papules on the nose and adjoining skin with a lichenoid histopathology appear to represent a distinct clinicopathological entity. It may be related to actinic lichen nitidus/micropapular variant of polymorphous light eruption.
Asunto(s)
Fármacos Dermatológicos/uso terapéutico , Dermatosis Facial/diagnóstico , Liquen Nítido/diagnóstico , Erupciones Liquenoides/diagnóstico , Nariz/patología , Adulto , Dermatosis Facial/complicaciones , Dermatosis Facial/terapia , Femenino , Humanos , Liquen Nítido/complicaciones , Liquen Nítido/terapia , Erupciones Liquenoides/complicaciones , Erupciones Liquenoides/terapia , Masculino , Fototerapia/métodos , Adulto JovenAsunto(s)
Síndrome de Inmunodeficiencia Adquirida/complicaciones , Dermatosis Facial/diagnóstico , Lupus Eritematoso Sistémico/diagnóstico , Pelagra/diagnóstico , Tiña/diagnóstico , Adulto , Dorso , Diagnóstico Diferencial , Dermatosis Facial/microbiología , Femenino , Humanos , Persona de Mediana Edad , Cuello , Tiña/complicacionesAsunto(s)
Angioedema/diagnóstico , Países en Desarrollo , Dermatosis Facial/diagnóstico , Lepra Multibacilar/diagnóstico , Sinusitis/diagnóstico , Adolescente , Angioedema/tratamiento farmacológico , Angioedema/patología , Biopsia , Enfermedad Crónica , Clofazimina/uso terapéutico , Dapsona/uso terapéutico , Diagnóstico Diferencial , Quimioterapia Combinada , Dermatosis Facial/tratamiento farmacológico , Dermatosis Facial/patología , Estudios de Seguimiento , Humanos , India , Lepra Multibacilar/tratamiento farmacológico , Lepra Multibacilar/patología , Masculino , Rifampin/uso terapéutico , Sinusitis/tratamiento farmacológico , Sinusitis/patología , Piel/patologíaAsunto(s)
Acné Vulgar/patología , Dermatosis Facial/patología , Lupus Eritematoso Cutáneo/patología , Rosácea/patología , Encuestas y Cuestionarios , Acné Vulgar/diagnóstico , Diagnóstico Diferencial , Dermatosis Facial/diagnóstico , Humanos , Lupus Eritematoso Cutáneo/diagnóstico , Masculino , Publicaciones Periódicas como Asunto , Rosácea/diagnóstico , Índice de Severidad de la Enfermedad , Enfermedades de la Piel/diagnóstico , Enfermedades de la Piel/patologíaAsunto(s)
Eritema Nudoso/diagnóstico , Eritema Nudoso/patología , Extremidades , Dermatosis Facial/diagnóstico , Dermatosis Facial/patología , Lepra Lepromatosa/diagnóstico , Lepra Lepromatosa/patología , Úlcera Cutánea/diagnóstico , Úlcera Cutánea/patología , Adulto , Biopsia , Diagnóstico Diferencial , Humanos , Masculino , Necrosis , Piel/patologíaRESUMEN
Leprosy is an easily recognizable disease due to its dermato-neurological manifestations. It must be present in the physician's diagnostic repertoire, especially for those working in endemic areas. However, leprosy reaction is not always easily recognized by non-dermatologists, becoming one of the major problems in the management of patients with leprosy, as it presents clinical complications characterized by inflammatory process, accompanied by pain, malaise and sometimes the establishment or worsening of the patient's disabilities. We report the case of a patient with type-1 periorbital reaction admitted to the hospital, diagnosed and treated as facial cellulitis, whose late diagnosis may have contributed to the appearance or worsening of facial neuritis.
Asunto(s)
Celulitis (Flemón)/diagnóstico , Dermatosis Facial/diagnóstico , Lepra Dimorfa/diagnóstico , Anciano , Biopsia , Diagnóstico Diferencial , Diagnóstico Precoz , Cara , Dermatosis Facial/tratamiento farmacológico , Humanos , Lepra Dimorfa/tratamiento farmacológico , Masculino , Factores de Tiempo , Resultado del TratamientoRESUMEN
Leprosy is aneasily recognizable disease due to its dermato-neurological manifestations. It must be present in the physician’s diagnostic repertoire, especially for those working in endemic areas. However, leprosy reaction is not always easily recognized by non-dermatologists, becoming one of the major problems in the management of patients with leprosy, as it presents clinical complications characterized by inflammatory process, accompanied by pain, malaise and sometimes the establishment or worsening of the patient’s disabilities. We report the case of a patient with type-1 periorbital reaction admitted to the hospital, diagnosed and treated as facial cellulitis, whose late diagnosis may have contributed to the appearance or worsening of facial neuritis.
.Asunto(s)
Anciano , Humanos , Masculino , Celulitis (Flemón)/diagnóstico , Dermatosis Facial/diagnóstico , Lepra Dimorfa/diagnóstico , Biopsia , Diagnóstico Diferencial , Diagnóstico Precoz , Cara , Dermatosis Facial/tratamiento farmacológico , Lepra Dimorfa/tratamiento farmacológico , Factores de Tiempo , Resultado del TratamientoAsunto(s)
Carcinoma Verrugoso/diagnóstico , Dermatosis Facial/diagnóstico , Leishmaniasis Cutánea/diagnóstico , Neoplasias Cutáneas/diagnóstico , Administración Cutánea , Anciano de 80 o más Años , Antiinfecciosos Locales/administración & dosificación , Antifúngicos/administración & dosificación , Diagnóstico Diferencial , Dermatosis Facial/tratamiento farmacológico , Femenino , Humanos , Cetoconazol/administración & dosificación , Leishmaniasis Cutánea/tratamiento farmacológico , Labio , Nariz , Povidona Yodada/administración & dosificaciónRESUMEN
Red face syndrome is characterized by an erythematous dermatitis that is produced by different entities. These include rosacea, seborrheic dermatitis, contact dermatitis, atopic dermatitis, psoriasis, cutaneous lupus, photodermatosis, post-topical steroid dermatosis, demodicosis, borderline borderline (BB) leprosy, mastocytosis, carcinoid, postneoplasia flushing, cutaneous lymphoma, tineas, ulerythema ophryogenes, and psychosomatic flushing. Red face is a relatively common dermatologic manifestation. Our goal is to review tinea corporis and other fungi that affect this region causing facial erythema and its therapeutic management.