RESUMEN
We present two middle-aged patients with pruritic, crusted scalp erosions. Skin biopsy showed epidermal acantholysis with IgG and C3 intercellular deposits on direct immunofluorescence, leading to the diagnosis of localized pemphigus vulgaris. Resolution of the lesions without relapse occurred after low doses of oral prednisone and intralesional triamcinolone acetonide.
Asunto(s)
Pénfigo , Dermatosis del Cuero Cabelludo , Humanos , Pénfigo/patología , Pénfigo/diagnóstico , Pénfigo/tratamiento farmacológico , Dermatosis del Cuero Cabelludo/patología , Dermatosis del Cuero Cabelludo/tratamiento farmacológico , Dermatosis del Cuero Cabelludo/diagnóstico , Persona de Mediana Edad , Masculino , Triamcinolona Acetonida/uso terapéutico , Triamcinolona Acetonida/administración & dosificación , Femenino , Prednisona/uso terapéutico , Glucocorticoides/uso terapéutico , Cuero Cabelludo/patología , Acantólisis/patología , Acantólisis/diagnósticoRESUMEN
Pilomatrix carcinoma is a rare malignant tumor that originates from hair matrix cells. It is not usually considered in a differential diagnosis owing to its low incidence. We present a case of this uncommon entity and review the literature.
Asunto(s)
Neoplasias Faciales/diagnóstico , Enfermedades del Cabello/diagnóstico , Neoplasias Cutáneas/diagnóstico , Anciano de 80 o más Años , Biopsia , Diagnóstico Diferencial , Humanos , MasculinoRESUMEN
BACKGROUND: Angiolymphoid hyperplasia with eosinophilia is a rare, benign disorder characterized by reddish-brown nodules and plaques in the dermis and the subcutaneous tissues, typically occurring on the neck and head. Surgical excision, corticosteroids, radiotherapy, and other therapies have been used, however, recurrences are common. Treatment with vascular lasers such as pulsed dye laser (PDL) or Nd:YAG seems to be a promising therapeutic option. OBJECTIVE: To assess the efficacy and safety of PDL and combined sequential PDL-Nd:YAG laser in patients with ALHE. METHODS: Three patients with ALHE were treated with PDL at 595-nm wavelength or with a combined sequential application of 595-nm PDL and 1,064-nm Nd:YAG wavelengths. Topical anesthetic was applied before laser treatment. RESULTS: Complete resolution of the lesions was achieved in two patients with ALHE; a partial response was seen in one patient. No significant side-effects were reported. CONCLUSIONS: We consider that PDL should be a first-line therapy for AHLE. Sequential application of PDL and Nd:YAG laser seems to show promising results, so it could be an interesting new treatment option.
Asunto(s)
Hiperplasia Angiolinfoide con Eosinofilia/cirugía , Láseres de Colorantes/uso terapéutico , Adulto , Anciano , Hiperplasia Angiolinfoide con Eosinofilia/patología , Oído , Femenino , Humanos , Inducción de Remisión , Resultado del Tratamiento , Adulto JovenRESUMEN
Cutis verticis gyrata is a rare skin condition characterized by ridges and furrows resembling the surface of the brain. It can be considered as a manifestation of a variety of diverse causes such as cerebriform intradermal nevus. We report a 48-year-old man with cerebriform and soft folds on the left parietal and temporal areas. Histology showed solitary or clusters of nevus cells in the dermis. The diagnosis of cerebriform intradermal nevus was confirmed.
Asunto(s)
Neoplasias de Cabeza y Cuello/diagnóstico , Nevo Intradérmico/diagnóstico , Dermatosis del Cuero Cabelludo/etiología , Cuero Cabelludo , Neoplasias Cutáneas/diagnóstico , Alopecia Areata/etiología , Diagnóstico Diferencial , Neoplasias de Cabeza y Cuello/complicaciones , Humanos , Masculino , Melanosis/diagnóstico , Melanosis/etiología , Persona de Mediana Edad , Síndromes Neurocutáneos/diagnóstico , Nevo Intradérmico/complicaciones , Cuero Cabelludo/patología , Neoplasias Cutáneas/complicacionesAsunto(s)
Hemangioma/cirugía , Terapia por Láser , Neoplasias Cutáneas/cirugía , Adolescente , Niño , Preescolar , Femenino , Hemangioma/patología , Humanos , Láseres de Colorantes/uso terapéutico , Láseres de Gas/uso terapéutico , Láseres de Estado Sólido/uso terapéutico , Masculino , Neoplasias Cutáneas/patologíaAsunto(s)
Sarampión/diagnóstico , Mucosa Bucal/patología , Adulto , Femenino , Humanos , Sarampión/patologíaAsunto(s)
Antimetabolitos Antineoplásicos/efectos adversos , Desoxicitidina/análogos & derivados , Eritema/inducido químicamente , Fluorouracilo/análogos & derivados , Enfermedades de los Genitales Masculinos/inducido químicamente , Parestesia/inducido químicamente , Anciano , Anciano de 80 o más Años , Capecitabina , Desoxicitidina/efectos adversos , Fluorouracilo/efectos adversos , Enfermedades de los Genitales Masculinos/diagnóstico , Humanos , Masculino , Escroto/patologíaRESUMEN
No disponible
Asunto(s)
Humanos , Masculino , Lactante , Tiña/diagnóstico , Dermatosis Facial/diagnóstico , Cetoconazol/uso terapéutico , Enfermedades de los Gatos/transmisiónRESUMEN
No disponible