Asunto(s)
Queratosis Actínica/tratamiento farmacológico , Fotoquimioterapia/métodos , Fármacos Fotosensibilizantes/uso terapéutico , Luz Solar , Anciano , Femenino , Humanos , Queratosis Actínica/diagnóstico , Persona de Mediana Edad , Inducción de Remisión , Factores de Tiempo , Resultado del TratamientoRESUMEN
Acral melanocytic nevi are relatively frequent in the palmoplantar location. In congenital nevi various characteristic dermoscopic patterns have been described, such as reticular and globular patterns, brown pigmented areas, and areas with peripilar depigmentation. However, there are few reports on the dermoscopic pattern of acral congenital nevi. The homogeneous blue pattern is typical of blue nevus and is not typical of acral localization and metastasis of cutaneous melanoma. However, this pattern should be considered characteristic of acral congenital nevus.
Asunto(s)
Nevo Azul/diagnóstico , Neoplasias Cutáneas/diagnóstico , Adulto , Dermoscopía , Femenino , Humanos , Melanoma/diagnóstico , Nevo Azul/congénito , Nevo Azul/patología , Nevo Azul/cirugía , Neoplasias Cutáneas/congénito , Neoplasias Cutáneas/patología , Neoplasias Cutáneas/cirugía , Colgajos Quirúrgicos , Resultado del TratamientoRESUMEN
Palmar filiform parakeratotic hyperkeratosis (PFPH) is a rare dermatosis; hyperkeratotic lesions appear as small spines on the palms and/or soles. Palmar filiform parakeratotic hyperkeratosis has been associated with a variety of malignant tumors and endocrine disorders, although these associations have not been fully demonstrated. We report two new cases of this entity without systemic pathology associated.
Asunto(s)
Dermatosis de la Mano/patología , Queratodermia Palmoplantar/patología , Anciano , Humanos , MasculinoRESUMEN
Genital ulcers may be due to a number of causes, with the most frequent ones being of infectious, tumorous and physical etiology. The coexistence of genital lesions in a couple makes it necessary to rule out sexual transmission as a first option, as it is not always the cause. We present the case of a 78 and 73-year-old couple, both of whom presented with genital ulcers which had been developing for months and which began to manifest simultaneously. The negative results in the tests performed, the exclusion of other likely causes and the favorable evolution of the lesions suggest self-inflicted ulcers as a probable diagnosis, an infrequent form of presentation of "folie à deux". Despite its infrequent occurrence, dermatitis artefacta is a cause that should always be included in the differential diagnosis of any skin lesion, as it often goes unnoticed because of its many clinical presentations.
Asunto(s)
Trastornos Fingidos/diagnóstico , Enfermedades de los Genitales Masculinos/etiología , Úlcera Cutánea/etiología , Enfermedades de la Vulva/etiología , Anciano , Demencia/complicaciones , Oído , Femenino , Cuerpos Extraños/complicaciones , Enfermedades de los Genitales Masculinos/diagnóstico , Humanos , Masculino , Úlcera Cutánea/diagnóstico , Esposos , Enfermedades de la Lengua/etiología , Perforación de la Membrana Timpánica/etiología , Úlcera/etiología , Enfermedades de la Vulva/diagnósticoRESUMEN
Las úlceras genitales pueden deberse a múltiples causas, siendo las más frecuentes las de etiología infecciosa, tumoral y física. La coexistencia de lesiones genitales en una pareja obliga a descartar como primera opción la transmisión sexual, que no siempre es la causa. Presentamos el caso de un pareja, de 78 y 73 años de edad, en la que ambos presentaban úlceras genitales de meses de evolución, que comenzaron a manifestarse de forma simultánea. La negatividad de las pruebas realizadas, la exclusión de otras causas probables y la evolución favorable de las lesiones, sugieren como diagnóstico probable úlceras autoprovocadas, tratándose de una forma de presentación poco frecuente de «locura compartida». La dermatitis artefacta, a pesar de su baja frecuencia, es una causa que siempre debemos incluir en el diagnóstico diferencial de cualquier lesión cutánea, ya que pasa muchas veces desapercibida por su gran heterogeneidad clínica
Genital ulcers may be due to a number of causes, with the most frequent ones being of infectious, tumorous and physical etiology. The coexistence of genital lesions in a couple makes it necessary to rule out sexual transmission as a first option, as it is not always the cause. We present the case of a 78 and 73-year-old couple, both of whom presented with genital ulcers which had been developing for months and which began to manifest simultaneously. The negative results in the tests performed, the exclusion of other likely causes and the favorable evolution of the lesions suggest self-inflicted ulcers as a probable diagnosis, an infrequent form of presentation of «folie à deux». Despite its infrequent occurrence, dermatitis artefacta is a cause that should always be included in the differential diagnosis of any skin lesion, as it often goes unnoticed because of its many clinical presentations