RESUMO
Cyst formation in the parameatal area of the urethra is an uncommon entity. It was first reported in two male cases as recently as 1956 by Thompson and Lantin. Further reports have been rare. Herein, we report a case of a 21 year-old male having a spherical, cystic swelling 1 cm in size at the external urethral meatus. The diagnosis of parameatal urethral cyst was made and the cyst was excised. Histopathological examination revealed a monolocular cyst lined with transitional cells. The postoperative period was uneventful.
Assuntos
Cistos/patologia , Doenças do Pênis/patologia , Doenças Uretrais/patologia , Adulto , Cistos/cirurgia , Seguimentos , Humanos , Masculino , Doenças do Pênis/cirurgia , Resultado do Tratamento , Doenças Uretrais/cirurgiaRESUMO
A 55 year-old male presented with multiple pus-discharging abscesses and sinuses and mutilating scarring on the gluteal region and back prevalent for the last ten years with exacerbations and remissions. Physical examination revealed acromegaly with frontal bossing, prognathism, a barrel chest and acral hypertrophy. Dermatological examination revealed cutis verticis gyrata, thick eyelids, a large triangular nose, a thickened lower lip, macroglossia, widely spaced teeth and widened skin pores with wet and oily skin. Hair was fine and nails were flat and wide. There were multiple inflammatory papules, tender nodules, draining sinuses, and grouped, polyporous comedones as well as multiple and extensive depressed and keloidal scars localized predominantly over the gluteal region with a few scattered lesions over the back. A computed tomography (CT) scan showed widened sella turcica. His basal fasting growth hormone (GH) levels were markedly raised (230 ng/mL; normal 1-5 ng/mL) while the prolactin levels were moderately raised (87 ng/mL; normal 2-5 ng/mL). These findings were consistent with a diagnosis of acromegaly. The patient was put on antibiotics, nonsteroidal antiinflammatory drugs and isotretinoin at a dose of 1 mg/kg/day, which was increased to 1.5 mg/kg/day. Except for an initial mildly beneficial response, the skin lesions were largely resistant to high doses of isotretinoin at the end of four months.
Assuntos
Acne Vulgar/diagnóstico , Acromegalia/diagnóstico , Resistência a Medicamentos , Isotretinoína/uso terapêutico , Acne Vulgar/complicações , Acne Vulgar/tratamento farmacológico , Acromegalia/complicações , Acromegalia/tratamento farmacológico , Resistência a Medicamentos/efeitos dos fármacos , Resistência a Medicamentos/fisiologia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
A case of lupus erythematosus profundus, with associated mastitis, but without any lesions of discoid lupus erythematosus or systemic lupus erythematosus is being reported.
RESUMO
Bilateral inguinal adenitis and penoscrotal elephantiasis are uncommonly encountered presentations of Lymphogranuloma venereum. Herein, we report a male who presented with bilateral inguinal bubos along with penoscrotal elephantiasis that developed within 6 months of the primary lesion.