ABSTRACT
This article provides an overview of hidradenitis suppurativa, lichen planus, lichen sclerosis, calcinosis cuti, pyogenic granuloma, intertrigo, and seborrheic keratosis. This article also focuses on recognition and management of these pleomorphic afflictions of the perianal region.
ABSTRACT
El pénfigo familiar benigno o enfermedad de Hailey Hailey, es una genodermatosis vesico-ampollar autosómica dominante, con penetrancia incompleta y expresividad variable de presentación infrecuente. Se presenta el caso de un paciente con un cuadro de cinco años de evolución, caracterizado por lesiones vesiculares intertriginosas, de olor desagradable, con mala respuesta al tratamiento tópico con antifúngicos y corticoides. Se realiza biopsia de piel compatible con pénfigo de Hailey Hailey, el que fue manejado con antibióticoterapia y corticoides sistémicos, evolucionando favorablemente.
The benign familial pemphigus or Hailey Hailey´s disease is a rare autosomal dominant disorder. We present the clinical case of a patient with a five years history, characterized by vesicular intertriginous malodorous lesions with poor response to topical antifungal therapy. Skin biopsy it was compatible with Hailey Hailey´s disease which was managed with antibiotic therapy and systemic corticosteroids. The patient evolved favorably.
Subject(s)
Humans , Male , Aged , Pemphigus, Benign Familial/pathology , Intertrigo/pathology , Skin/pathology , Biopsy , Chronic Disease , Pemphigus, Benign Familial/diagnosis , Diagnosis, Differential , Intertrigo/diagnosisABSTRACT
Well-demarcated, beefy-red lesions of the skin folds, without satellite lesions, are the clinical hallmarks of intertrigo, frequently misdiagnosed especially in young children. We present 6 cases of streptococcal intertrigo to draw attention to this easily diagnosed and treated, but frequently overlooked, infection.
Subject(s)
Intertrigo/microbiology , Streptococcal Infections/complications , Streptococcus pyogenes , Child , Child, Preschool , Female , Humans , Infant , MaleABSTRACT
Introdução: papilomavírus humano (HPV) é um vírus de DNA que pode infectar a pele e mucosas, com mais de 100 tipos diferentes descritos, sendo 45 deles considerados sexualmente transmissíveis. Objetivo: relatar o caso de condiloma acuminado extragenital, facilitado pela presença de intertrigo. Métodos: relato de caso de paciente com condiloma acuminado em região hipogástrica. Resultados: mulher atendida no ambulatório de DST/AIDS do setor de Ginecologia da Santa Casa de Misericórdia de Vitória, em 2007, com 46 anos de idade, apresentando lesão condilomatosa extensa associada à intertrigo em região hipogástrica, acima da cicatriz de Pfannestiel e pequenas lesões vulvares compatíveis, clinicamente, com condilomas. Feita a opção pela exérese cirúrgica em lesão de abdome, a qual evidenciou condiloma acuminado e cauterização química de lesões vulvares. Solicitados exames para doenças sexualmente transmissíveis, que foram normais, incluindo citologia oncótica, colposcopia e teste rápido para gonococo e clamídia. Conclusão: a umidade e o calor locais, provocados pelo abdome em avental, com concomitância de área de intertrigo, poderiam justifi car a presença de condiloma acuminado nesta região.
Introduction: the human papillomavirus (HPV) is a DNA virus that can infect skin and mucosa, already described in more than 100 different types,being 45 of those considered to be sexually transmitted. Objective: report the extra-genital case of condyloma acuminata, facilitated by the presenceof intertrigo. Method: report of a case of female patient presenting extensive condylomatous lesions associated to intertrigo in hypogastric region. Results: a 46-year-old female patient assisted in the DST/AIDS Clinic of the Gynecology Sector at Santa Casa de Misericórdia from Vitória in 2007, presenting extensive condylomatous lesions associated to intertrigo in hypogastric region above the Pfannestiel scar and small compatible vulvar verrucosa lesions suggestive of condyloma. Surgical excision was made in the abdomen lesion which evidenced condyloma acuminatum and chemical cauterization of vulvar warts. Tests for sexually transmitted diseases were requested, all of them were normal, including oncotic cytology, colposcopy and fast test for gonococcus and chlamydia. Conclusion: local humidity and heat provoked by abdomen in apron with concurrence of area of intertrigo could justify the presence of condyloma acuminatum in this region.