Assuntos
Epiderme/patologia , Neoplasias de Cabeça e Pescoço/patologia , Sarda Melanótica de Hutchinson/patologia , Melanócitos/patologia , Melanoma Amelanótico/patologia , Microscopia Confocal , Neoplasias Cutâneas/patologia , Administração Cutânea , Idoso de 80 Anos ou mais , Aminoquinolinas/administração & dosagem , Antineoplásicos/administração & dosagem , Biópsia , Proliferação de Células , Epiderme/efeitos dos fármacos , Feminino , Neoplasias de Cabeça e Pescoço/tratamento farmacológico , Humanos , Sarda Melanótica de Hutchinson/tratamento farmacológico , Imiquimode , Melanócitos/efeitos dos fármacos , Melanoma Amelanótico/tratamento farmacológico , Valor Preditivo dos Testes , Neoplasias Cutâneas/tratamento farmacológico , Resultado do TratamentoAssuntos
Aciclovir/efeitos adversos , Antivirais/efeitos adversos , Dermatite Atópica/tratamento farmacológico , Toxidermias/etiologia , Líquen Plano/induzido quimicamente , Pele/efeitos dos fármacos , Pré-Escolar , Dermatite Atópica/diagnóstico , Dermatite Atópica/virologia , Toxidermias/diagnóstico , Humanos , Líquen Plano/diagnóstico , Masculino , Pele/patologiaRESUMO
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.
Assuntos
Neoplasias da Mama/patologia , Carcinoma Lobular/patologia , Neoplasias Cutâneas/patologia , Idoso , Neoplasias Ósseas/secundário , Carcinoma Lobular/secundário , Feminino , Humanos , Neoplasias Hepáticas/secundárioRESUMO
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.