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2.
Rev Med Interne ; 33(3): e14-6, 2012 Mar.
Artigo em Francês | MEDLINE | ID: mdl-21429634

RESUMO

Acquired ichthyosis and livedoid palmoplantar keratoderma have rarely been described in systemic lupus erythematosus (SLE). In the first case, a 51-year-old man presented with generalized acquired ichthyosis associated with renal glomurelosclerosis and neurolupus. rituximab allowed total resolution of the acquired ichthyosis. A livedoid palmoplantar keratoderma was observed in a 45-year-old woman as the initial clinical manifestation of a systemic lupus erythematosus associated with Raynaud's phenomenon, photosensitivity and inflammatory polyarthralgia. Although the pathophysiology is not well-defined, these unusual cutaneous manifestations should be considered by physicians when diagnosis of SLE is suspected.


Assuntos
Ictiose/diagnóstico , Ceratodermia Palmar e Plantar/diagnóstico , Lúpus Eritematoso Sistêmico/diagnóstico , Diagnóstico Diferencial , Feminino , Humanos , Ictiose/etiologia , Ceratodermia Palmar e Plantar/etiologia , Lúpus Eritematoso Sistêmico/complicações , Masculino , Pessoa de Meia-Idade , Dermatopatias/diagnóstico
3.
Ann Chir Plast Esthet ; 56(1): 70-3, 2011 Feb.
Artigo em Francês | MEDLINE | ID: mdl-21353940

RESUMO

Cutaneous melanoma patients are usually young adults. The evolution into a nodular form darkens the prognosis because it increases the risk of metastasis occurrence. The only curative treatment is wide surgical excision when extension check is negative. We report a case of abdomino-pubic melanoma original by its amazing size, its spreading, both superficial and nodular, without metastasis, and its late occurrence to a senior patient. Curative management was performed with a plastic surgery technique: the abdominal plasty. The melanoma was removed with free margins and the patient was free of disease at six month. This report illustrates the interest of plastic surgery techniques in oncology. It also confirms that plastic surgeon forms an integral part of a multidisciplinary team managing patients with cutaneous melanoma.


Assuntos
Melanoma/patologia , Neoplasias Cutâneas/patologia , Abdome , Idoso de 80 Anos ou mais , Feminino , Humanos , Melanoma/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Neoplasias Cutâneas/cirurgia
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