Asunto(s)
Aciclovir/efectos adversos , Antivirales/efectos adversos , Dermatitis Atópica/tratamiento farmacológico , Erupciones por Medicamentos/etiología , Liquen Plano/inducido químicamente , Piel/efectos de los fármacos , Preescolar , Dermatitis Atópica/diagnóstico , Dermatitis Atópica/virología , Erupciones por Medicamentos/diagnóstico , Humanos , Liquen Plano/diagnóstico , Masculino , Piel/patologíaAsunto(s)
Epidermis/patología , Neoplasias de Cabeza y Cuello/patología , Peca Melanótica de Hutchinson/patología , Melanocitos/patología , Melanoma Amelanótico/patología , Microscopía Confocal , Neoplasias Cutáneas/patología , Administración Cutánea , Anciano de 80 o más Años , Aminoquinolinas/administración & dosificación , Antineoplásicos/administración & dosificación , Biopsia , Proliferación Celular , Epidermis/efectos de los fármacos , Femenino , Neoplasias de Cabeza y Cuello/tratamiento farmacológico , Humanos , Peca Melanótica de Hutchinson/tratamiento farmacológico , Imiquimod , Melanocitos/efectos de los fármacos , Melanoma Amelanótico/tratamiento farmacológico , Valor Predictivo de las Pruebas , Neoplasias Cutáneas/tratamiento farmacológico , Resultado del TratamientoRESUMEN
We present a case of carcinoma en cuirasse as a presentation of advanced lobular breast carcinoma. On further investigation, she was found to have metastasis to her liver and bone. We report this case to highlight the phenomenon of cutaneous metastasis. It is important to consider this diagnosis as an initial manifestation of breast cancer, but rarely, it can also be associated with other adenocarcinomas, for example, carcinoma of lung, kidney or gastrointestinal tract.
Asunto(s)
Neoplasias de la Mama/patología , Carcinoma Lobular/patología , Neoplasias Cutáneas/patología , Anciano , Neoplasias Óseas/secundario , Carcinoma Lobular/secundario , Femenino , Humanos , Neoplasias Hepáticas/secundarioRESUMEN
We present a patient who developed genital ulceration within hours following episiotomy procedure during a normal vaginal delivery. This was initially treated by the gynaecology and medical team as cellulitis with no improvement. A diagnosis of pyoderma gangrenosum (PG) was made by the dermatology team 12 days later. On further investigation, she was found to be hepatitis C positive. We report this case to highlight the phenomenon of pathergy and frequent misdiagnosis of PG by other medical teams. When a postsurgical wound is not healing despite relevant systemic treatment, the clinician should suspect PG as an early diagnosis and treatment is crucial.