RESUMEN
A wide spectrum of tumors may affect the periungual spaces of the digits. Superficial acral fibromyxoma (SAF) is a rare, benign soft tissue tumor with diverse clinical presentations. We present a case of a 55-year-old woman with a 2-year history of a solitary periungual tumor on the left thumb, subjected to multiple episodes of trauma. Initially suspected to be a periungual squamous cell carcinoma (SCC) based on clinical and dermoscopic features, the tumor was confirmed to be a CD34- SAF through histopathology and immunohistochemistry. Although CD34 immunoreactivity is common in SAF, one-third of these tumors, including this case, do not stain for this marker. Periungual SCC considered a "great mimicker of nail tumors," may resemble other benign nail tumors such as SAF. The patient underwent complete surgical excision with primary closure, resulting in no recurrence after 1 year. This case highlights SAF as an underrecognized benign entity that may manifest with features suspicious of malignancy, potentially leading to unnecessarily aggressive interventions. Recognizing SAF through accurate biopsy techniques and thorough histopathologic evaluation, even in the absence of CD34 reactivity, is crucial for appropriate treatment and preservation of hand function and appearance.
Asunto(s)
Parestesia , Plantas Tóxicas , Humanos , Parestesia/etiología , Plantas Tóxicas/efectos adversosRESUMEN
O objetivo deste trabalho foi avaliar o tratamento de água de chuva, de duas regiões industriais de Joinville (SC), por radiação ultravioleta. O reator operou em processo contínuo, de modo que cada partícula permanecesse sob radiação por 60 segundos. As amostras de água foram analisadas em termos de coliformes totais, coliformes termotolerantes e bactérias heterotróficas antes do tratamento por ultravioleta, após o tratamento e após tratadas e armazenadas por 24, 48 e 72 horas. Verificou-se a eficiência da desinfecção de água de chuva direta e de telhado por radiação ultravioleta com a inativação de 100 por cento dos coliformes totais e dos coliformes termotolerantes e o não recrescimento desses micro-organismos em amostras tratadas e estocados por até 72 horas, no entanto, bactérias heterotróficas persistiram e foram identificadas após 24, 48 e 72 horas ao tratamento.
The objective of this study was to evaluate the treatment of rainwater in two industrial regions in Joinville (SC, Brazil) by ultraviolet radiation. The reactor was operating in continuous process with each particle remaining under radiation for 60 seconds. The samples were evaluated in terms of total coliforms, fecal coliform and heterotrophic bacteria prior to ultraviolet treatment, after treatment and further treated and stored for 24, 48 and 72 hours. The efficiency of disinfection of direct rainwater and that collected from roofing by ultraviolet radiation was verified with 100 percent inactivation of total coliforms and fecal coliform and these microorganisms did not reappear in samples treated and stored for up to 72 hours, however, heterotrophic bacteria persisted and were identified after 24, 48 and 72 hours of treatment.