Major depressive episode secondary to condylomata acuminata.

Psychiatric and psychological morbidity is often associated with skin diseases. Recent research has focused on the epidemiological and clinical aspects of human papillomavirus infection, whereas the psychosocial and emotional factors related to the disease have not been well established. We describe the experience of a 22-year-old male who, after being diagnosed of condyloma acuminata, developed a major depressive disorder.

Rheumatoid nodulosis: successful response to topical tacrolimus.

Rheumatoid nodulosis is considered a benign variant of rheumatoid arthritis. Several therapies have been used with variable results. We report a 63-year-old man who presented with nodular lesions on the metacarpophalangeal joints and knees which were diagnosed of rheumatoid nodulosis. Topical tacrolimus was started with good response on the following months.

Sarcoid granuloma on black tattoo.

We report the case of a patient with a black and turquoise tattoo who developed sarcoid granulomas on the areas of black pigment. Patch tests showed a positive reaction to nickel, cobalt, and cadmium; spectrophotometric analysis of the black pigment revealed the presence of nickel and cobalt among other metals. Although the pathogenesis of sarcoid granulomas is unknown, it seems that a delayed type hypersensitivity reaction is one of the mechanisms involved.

[Cutaneous metastases of rectal adenocarcinoma in a herpetiform distribution]. / Metástasis cutáneas de adenocarcinoma de recto con distribución herpetiforme.

We present the case of a 62-year-old male with cutaneous metastases of a rectal adenocarcinoma located on the groin and left thigh. Due to their clinical similarity, the lesions were initially diagnosed and treated as herpes zoster. Cutaneous metastases have variable clinical presentation patterns. They may mimic benign skin lesions like epidermoid cysts, lipomas, erysipelas or, as in our case, herpes zoster.

Tumoración sangrante perianal / Bleeding perianal tumor

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Presence of perineuritis in a case of papular purpuric gloves and socks syndrome associated with mononeuritis multiplex attributable to B19 parvovirus.

A previously healthy 16-year-old boy developed papular purpuric gloves and socks syndrome concomitant with mononeuritis multiplex attributable to acute infection with parvovirus B19. A cutaneous biopsy showed lymphocytic lichenoid vasculitis and perineuritis. We discuss the relevance of these pathologic findings, and we suggest a correlation with the patient's neurologic condition. This case illustrates the difficulties in differentiating dysesthesia accompanying cutaneous manifestations of exanthem from neurologic disease on the basis of the clinical appearance alone.

Metástasis cutáneas de adenocarcinoma de recto con distribución herpetiforme / Cutaneous metastases of rectal adenocarcinoma in a herpetiform distribution

Presentamos el caso de un varón de 62 años con metástasis cutáneas de un adenocarcinoma de recto localizadas en la ingle y muslo izquierdo. Debido a su similitud clínica, las lesiones inicialmente fueron diagnosticadas y tratadas como un herpes zóster. Las metástasis cutáneas tienen patrones de presentación clínica variables. Pueden simular lesiones cutáneas benignas como quistes epidermoides, lipomas, erisipela o, como en nuestro caso, un herpes zóster

We present the case of a 62-year-old male with cutaneous metastases of a rectal adenocarcinoma located on the groin and left thigh. Due to their clinical similarity, the lesions were initially diagnosed and treated as herpes zoster. Cutaneous metastases have variable clinical presentation patterns. They may mimic benign skin lesions like epidermoid cysts, lipomas, erysipelas or, as in our case, herpes zoster

Annular atrophic lichen planus.

We describe a new case of annular atrophic lichen planus. Annular atrophic lichen planus is a rare variant of lichen planus that is clinically characterized by violaceous plaques of annular morphology with central atrophy and histopathologic findings of annular and atrophic lichen planus, respectively. There have been 4 cases of this entity reported previously.

Micosis fungoide invisible / Invisible mycosis fungoides

Presentamos el caso de una mujer de 80 años que acudió a la consulta por cuadro de prurito generalizado de 1 año de evolución, sin lesiones cutáneas evidentes salvo signos de excoriación. Una biopsia de piel sin lesiones fue compatible con una micosis fungoide. A los tres meses la paciente desarrolló unas placas de aspecto purpúrico en tronco y muslos cuya biopsia evidenció una micosis fungoide asociada a extravasación eritrocitaria, cumpliendo las características de la variante de MF púrpura pigmentada-like

A 80-year-old woman who complain for a persistent pruritus, which began a year before is reported. There were not evident lesions except for excoriations on the upper back. A biopsy from normal-Iooking skin was compatible with mycosis fungoides . Three months after the patient developed some purpuric patches on her trunk and thighs which also showed histopathological features of mycosis fungoides with hemorrhage, clinically compatible with the pigmented purpura-like variant of mycosis fungoides

Acroqueratosis verruciforme de Hopf diagnosticada en un adulto / Acrokeratosis Verruciformis of Hopf Diagnosed in an Adult

La acroqueratosis verruciforme de Hopf (AV) es una enfermedad genética de transmisión autosómica dominante, caracterizada por pápulas queratósicas, aisladas o agrupadas formando mosaicos, localizadas en dorso de manos, pies, brazos, codos y rodillas. Presentamos el caso de una mujer de 61 años, que tenía un cuadro dermatológico de 30 años de evolución, sin síntomas subjetivos desde el inicio de la enfermedad, caracterizado por lesiones papulosas queratósicas simétricas en extremidades inferiores, con familiares portadores de un cuadro clínico semejante

Acrokeratosis verruciformis is an autosomic dominant trasmission genodermatosis characterized by queratotic papules, iso/ated or grouped drawing mosaic located on the back of hands, feet, arms elbows and knees. A 61 year-old woman that presented a dermatological condition of 30 years of evolution with no subjective symptoms is reported. It 15 characterized for simmetrical translucent queratotic papules on the leg and she has relatives with similar lesions

Eritrocianosis. A propósito de dos casos / erythrocyanosis. A report of two cases

Dos mujeres de 31 y 27 años acudieron a nuestra consulta por presentar brotes de lesiones eritematovioláceas en cara superoexterna de muslos coincidiendo con las épocas más frías del año. Fueron diagnosticadas de eritrocianosis, entidad incluida en el amplio grupo de las criodermatosis, pero diferenciable tanto de la paniculitis por frío como de la perniosis (AU)