RESUMEN
La Micosis Fungoide (MF) es el linfoma cutáneo más común de células T. Tiene un comportamiento indolente, llevando a algunos a utilizar el término de linfoma cutáneo de células T (LLCT) como sinónimo de la MF. Se caracteriza por una erupción cutánea crónica, generalizada, y clínicamente por la evolución de los parches en placas y tumores. A continuación se presentará un caso clínico que tras un diagnóstico de liquen plano refractario a tratamiento, se diagnostica micosis fungoide folicular.
Mycosis fungoides (MF) is recognized as the most common cutaneous T-cell lymphoma (CTCL). It has an indolent behavior, leading some to use the term cutaneous T-cell lymphoma as synonymous of MF. It is characterized by chronic, widespread rash, and clinically by the evolution of patches in plaques and tumors. We describe our experience with a case that after a diagnosis of lichen planus refractory to treatment, we diagnosed follicular mycosis fungoides.
Asunto(s)
Humanos , Masculino , Anciano , Linfoma Cutáneo de Células T/diagnóstico , Linfoma Cutáneo de Células T/patología , Micosis Fungoide/diagnóstico , Micosis Fungoide/patología , Neoplasias Cutáneas/diagnóstico , Neoplasias Cutáneas/patología , Linfoma Cutáneo de Células T/terapia , Micosis Fungoide/terapia , Neoplasias Cutáneas/terapiaRESUMEN
Background: Endothelial dysfunction is associated to erectile dysfunction. This last condition can even be considered as a cardiovascular risk factor. Aim: To determine the frequency of erectile dysfunction among hospitalized patients with and without acute coronary syndromes. Material and Methods: Prospective cross sectional study in which all male patients, aged 40 to 70 years admitted to the emergency room or medicine service of a general hospital in a period of two months, were included. Those with acute coronary syndromes were considered as cases and those without, as controls. The international erectile dysfunction index questionnaire (IIEF-5) was applied to all. Results: Forty four patients with acute coronary syndrome aged 57 +/- 8 years and 46 controls aged 56 +/- 9 years were included. Erectile dysfunction was present in 34 (77 percent) cases and 20 (44 percent) controls (p < 0.01). The odds ratio of having erectile dysfunction among coronary patients was 4.4 (95 percent confidence intervals 1.6-12.3). Conclusions: There was a higher frequency of erectile dysfunction among patients with acute coronary syndromes.
