RESUMEN
Golimumab is a fully human anti-tumour necrosis factor (TNF)-α monoclonal antibody approved for use in the treatment of active rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis. Psoriasis induced by treatment with anti-TNF drugs is well documented, but to our knowledge, the development of clinical features of psoriasiform exfoliative erythroderma during treatment with golimumab has not been previously described.
Asunto(s)
Anticuerpos Monoclonales/efectos adversos , Dermatitis Exfoliativa/inducido químicamente , Factor de Necrosis Tumoral alfa/antagonistas & inhibidores , Humanos , Masculino , Persona de Mediana EdadAsunto(s)
Piodermia Gangrenosa/diagnóstico por imagen , Ultrasonografía , Anciano , Femenino , Estudios de Seguimiento , Humanos , Inmunosupresores/uso terapéutico , Trastornos Mieloproliferativos/complicaciones , Prednisona/uso terapéutico , Piodermia Gangrenosa/diagnóstico , Piodermia Gangrenosa/tratamiento farmacológico , Piodermia Gangrenosa/etiología , Ultrasonografía Doppler en ColorRESUMEN
Verrucous Carcinoma (VC) of the foot often affects deep structures such as tendons, muscles or bone. The complete removal of the tumor is essential to avoid recurrences. Radiological studies should be performed before surgical planning in order to determine the extent of the tumor. A 54-year-old man presented with a VC of the foot. Magnetic resonance imaging (MRI) demonstrated a soft-tissue mass affecting the plantar aponeurosis and the sole muscles, without evidence of bone invasion. Computed tomography (CT) showed a lytic area with cortical disruption in the fourth metatarsal neck. A transmetatarsal amputation was performed. Histopathological examination confirmed the bone invasion. MRI is considered the imaging technique of choice in studying VC of the foot. Computed tomography is superior to MRI in determining minimum changes in the cortical bone related to tumor invasion. We conclude that when MRI images are not conclusive, CT scan is a good alternative to determine incipient bone invasion.
Asunto(s)
Huesos/diagnóstico por imagen , Carcinoma Verrugoso/diagnóstico por imagen , Enfermedades del Pie/diagnóstico por imagen , Invasividad Neoplásica/diagnóstico por imagen , Neoplasias de los Tejidos Blandos/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Amputación Quirúrgica/métodos , Carcinoma Verrugoso/diagnóstico , Carcinoma Verrugoso/cirugía , Enfermedades del Pie/diagnóstico , Enfermedades del Pie/cirugía , Humanos , Imagen por Resonancia Magnética , Masculino , Huesos Metatarsianos/cirugía , Persona de Mediana Edad , Músculo Esquelético/diagnóstico por imagen , Invasividad Neoplásica/diagnóstico , Neoplasias de los Tejidos Blandos/diagnóstico , Neoplasias de los Tejidos Blandos/cirugía , Tendones/diagnóstico por imagen , Tomografía Computarizada por Rayos X/normasAsunto(s)
Acenocumarol/efectos adversos , Anticoagulantes/efectos adversos , Calcifilaxia/inducido químicamente , Úlcera de la Pierna/inducido químicamente , Acenocumarol/uso terapéutico , Anciano de 80 o más Años , Anticoagulantes/uso terapéutico , Asma/complicaciones , Fibrilación Atrial/complicaciones , Fibrilación Atrial/tratamiento farmacológico , Calcifilaxia/diagnóstico , Calcio/análisis , Complicaciones de la Diabetes , Femenino , Humanos , Hipertensión/complicaciones , Livedo Reticularis/inducido químicamente , Polifarmacia , Trombofilia/tratamiento farmacológico , Trombofilia/etiologíaAsunto(s)
Acrodermatitis/etiología , Lactancia Materna , Leche Humana/química , Zinc/deficiencia , Acrodermatitis/diagnóstico , Acrodermatitis/genética , Acrodermatitis/metabolismo , Proteínas de Transporte de Catión/deficiencia , Proteínas de Transporte de Catión/genética , Humanos , Lactante , Absorción Intestinal , Masculino , Zinc/análisis , Zinc/metabolismo , Zinc/farmacocinética , Zinc/uso terapéuticoAsunto(s)
Lepra Tuberculoide/diagnóstico , Complicaciones Infecciosas del Embarazo/microbiología , Brasil/etnología , Dapsona/uso terapéutico , Diagnóstico Tardío , Dermatosis Facial/diagnóstico , Dermatosis Facial/tratamiento farmacológico , Dermatosis Facial/inmunología , Dermatosis Facial/microbiología , Femenino , Dermatosis del Pie/diagnóstico , Dermatosis del Pie/tratamiento farmacológico , Dermatosis del Pie/inmunología , Dermatosis del Pie/microbiología , Dermatosis de la Mano/diagnóstico , Dermatosis de la Mano/tratamiento farmacológico , Dermatosis de la Mano/inmunología , Dermatosis de la Mano/microbiología , Humanos , Hipoestesia/etiología , Inmunidad Celular , Lepra Tuberculoide/tratamiento farmacológico , Lepra Tuberculoide/inmunología , Lepra Tuberculoide/microbiología , Exposición Profesional , Prednisona/uso terapéutico , Embarazo , Complicaciones Infecciosas del Embarazo/inmunología , Rifampin/uso terapéutico , EspañaAsunto(s)
Infecciones por VIH/complicaciones , Folículo Piloso , Púrpura/etiología , Vasculitis Leucocitoclástica Cutánea/etiología , Adulto , Infecciones por VIH/diagnóstico , Enfermedades del Cabello/etiología , Enfermedades del Cabello/patología , Humanos , Masculino , Púrpura/patología , Vasculitis Leucocitoclástica Cutánea/patología , Adulto JovenRESUMEN
The acute onset and/or rapid increase in size and number of multiple seborrheic keratoses associated with internal malignancy is called sign of Leser-Trélat. Although some authors reject its existence, there are more than 80 well-documented case reports in the literature. Here, we report a 75-year-old man who presented with abrupt appearance of multiple seborrheic keratoses without any suspicious symptom of cancer. The screening for malignant neoplasms let us detect a rectal adenocarcinoma that was in a curative stage. This case-report illustrates a true sign of Leser-Trélat, and proves that these patients must be appropriately investigated for underlying malignancy.
Asunto(s)
Adenocarcinoma/complicaciones , Queratosis Seborreica/etiología , Neoplasias del Recto/complicaciones , Adenocarcinoma/clasificación , Adenocarcinoma/diagnóstico , Anciano , Sulfato de Bario , Medios de Contraste , Enema , Humanos , Queratosis Seborreica/patología , Masculino , Tamizaje Masivo , Estadificación de Neoplasias , Neoplasias del Recto/clasificación , Neoplasias del Recto/diagnósticoRESUMEN
Despite many years of study questions regarding the appropriate therapy for syphilis still remain. Alternatives to penicillin for the treatment of syphilis continue to be sought. This article examines the studies relating to syphilis treatment published during the last years and also the new treatment guidelines for every stage of this sexually transmitted disease.
Asunto(s)
Sífilis/tratamiento farmacológico , Humanos , Sífilis/complicaciones , Sífilis/diagnósticoRESUMEN
We reviewed the clinical and histopathologic findings in 25 Spitz's nevus who were evaluated at our institution from 1980-1988. 18 cases in patients aged 20 years or less and 7 cases in adults. 14 are female and 11 are male. Represent the 3.88% of melanocytic nevi etude in the same time. Eosinophilic globules were find in 64% of the cases. We include a pigmented spindle cell nevi (non-Spitz), we thinks is a variant of Spitz's nevus.
Asunto(s)
Nevo Pigmentado/patología , Neoplasias Cutáneas/patología , Adolescente , Adulto , Niño , Preescolar , Femenino , Humanos , Lactante , MasculinoRESUMEN
BACKGROUND: Erysipelas and cellulitis are relatively common cutaneous infections that can sometimes be the cause of a prolonged hospital admission. The objective of this study was to determine the most relevant epidemiologic factors and their influence on the length of hospital stay, comparing our results with those of previous studies. MATERIAL AND METHODS: We performed a retrospective, observational, cross-sectional study of 122 patients admitted over a 5-year period to the dermatology department of our hospital with a diagnosis of erysipelas or cellulitis. RESULTS: Patients with a diagnosis of erysipelas or cellulitis represented 8.6% of all admissions during the study period. The mean age was 58.93 years and the female to male ratio was 1.06:1. The most common site of involvement was on the legs (76.22%). Overweight or obesity was present in 42.6% of patients and tinea pedis was detected in 33.6% of cases. A skin abscess developed in 7.4% of cases. The mean length of admission was 10.20 days; length of stay increased with age and with the erythrocyte sedimentation rate (ESR) on admission (P < .01 for both differences). CONCLUSIONS: We confirm general epidemiologic factors such as sex and age distributions, predominant site, past history, and length of hospital stay. In view of their predictive value for the length of hospital stay, we propose that age and the ESR on admission should be considered to be indirect indicators of disease severity.
Asunto(s)
Celulitis (Flemón)/epidemiología , Erisipela/epidemiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Celulitis (Flemón)/complicaciones , Celulitis (Flemón)/diagnóstico , Estudios Transversales , Erisipela/complicaciones , Erisipela/diagnóstico , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Adulto JovenRESUMEN
Present report is focused in our personal experience with the anti TNF-alpha infliximab. There is a short, four case series, but they are a very representative sample of the clinical conditions that we can solve with infliximab.