Assuntos
Adenoma de Glândula Sudorípara/diagnóstico , Adenoma/diagnóstico , Neoplasias das Glândulas Sudoríparas/diagnóstico , Adenomas Tubulares de Glândulas Sudoríparas/diagnóstico , Adenoma/complicações , Adenoma de Glândula Sudorípara/complicações , Adolescente , Diagnóstico Diferencial , Humanos , Masculino , Neoplasias das Glândulas Sudoríparas/complicações , Adenomas Tubulares de Glândulas Sudoríparas/complicaçõesRESUMO
Eccrine syringofibroadenoma (ESFA) is a rare adnexal tumour of eccrine ductal proliferation. A 50 year old treated case of leprosy presented with a chronic non healing ulcer of 5 years duration on the deformity laden right foot. Multiple verrucous papules and plaques were seen surrounding the ulcer which showed histopathological findings consistent with ESFA. Although ESFA constitutes a rare association with leprosy, considering the load of treated cases in our country and elsewhere, it may represent an under-reported entity which requires more attention in the post elimination era.
Assuntos
Adenoma de Glândula Sudorípara/patologia , Úlcera do Pé/complicações , Úlcera do Pé/patologia , Hanseníase/complicações , Neoplasias das Glândulas Sudoríparas/patologia , Adenoma de Glândula Sudorípara/complicações , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias das Glândulas Sudoríparas/complicaçõesRESUMO
Eccrine syringofibroadenomatosis (ESFA) is a rare adnexal tumor with acrosyringeal differentiation. Clinically, it can be mistaken for granulomatous infections or malignancies such as squamous cell carcinoma. Despite the rarity of the condition, we recently encountered two cases of the reactive subtype, which occurred in patients with poorly controlled chronic psoriasis. Both patients presented with long-standing, thick verrucous lesions on the lower legs. The diagnosis was made after histological examination and exclusion of infectious and neoplastic disorders. As this is a reactive disorder, management is focused on treating the underlying condition. Unfortunately, psoriasis was difficult to manage in both our patients and they defaulted further treatment. It is important to recognize ESFA as it can be confused with infectious or malignant disorders.