RESUMO
Primary localized cutaneous nodular amyloidosis is a rare plasma cell dyscrasia in which an amorphous material consisting of light chain amyloid is produced and deposited in the dermis, with varied clinical presentation. We describe the case with unusual and tumor lush clinical presentation in the face with no progression to systemic disease and no evidence of extracutaneous commitment.
Assuntos
Amiloidose Familiar/patologia , Derme/patologia , Dermatoses Faciais/patologia , Dermatopatias Genéticas/patologia , Adulto , Amiloidose Familiar/cirurgia , Derme/cirurgia , Dermatoses Faciais/cirurgia , Humanos , Masculino , Recidiva , Dermatopatias Genéticas/cirurgia , Resultado do TratamentoRESUMO
Zoon vulvitis or vulvitis chronica plasmacellularis is a rare, chronic benign inflammation of the vulvar mucosa, diagnosed histologically, with variable therapeutic responses. It is important to be diagnosed because it mimics the presentation of other genital conditions, such as lichen planus and squamous cell carcinoma, which require specific treatment. We report a case of a female patient with three asymptomatic shallow ulcers on the labia minora. Laboratory tests ruled out infectious diseases and the biopsy was consistent with Zoon Vulvitis.
Assuntos
Vulva/patologia , Vulvite/patologia , Biópsia , Diagnóstico Diferencial , Feminino , Humanos , Pessoa de Meia-Idade , Plasmócitos/patologiaRESUMO
Aplasia cutis congenita (ACC) is a rare disease characterized by congenital absence of skin, affecting preferentially the scalp. Diagnosis is made clinically; however, recent studies have shown that dermoscopy can be a useful tool for the diagnosis and differentiation from sebaceous nevus. The clinical findings include a shiny atrophic alopecic patch associated with dermoscopic findings of absent follicular openings, thicker vessels and a distinct collar hypertrichosis. We report 2 cases of alopecia presenting from birth. At dermoscopy, the absence of follicular openings and the increase in the caliber of vessels led us to establish the diagnosis of ACC.
RESUMO
Abstract Zoon vulvitis or vulvitis chronica plasmacellularis is a rare, chronic benign inflammation of the vulvar mucosa, diagnosed histologically, with variable therapeutic responses. It is important to be diagnosed because it mimics the presentation of other genital conditions, such as lichen planus and squamous cell carcinoma, which require specific treatment. We report a case of a female patient with three asymptomatic shallow ulcers on the labia minora. Laboratory tests ruled out infectious diseases and the biopsy was consistent with Zoon Vulvitis.
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Vulva/patologia , Vulvite/patologia , Plasmócitos/patologia , Biópsia , Diagnóstico DiferencialRESUMO
Melanocytic nevi result from the proliferation of melanocytes at the dermal-epidermal junction and/or in the dermis and very rarely affect the nail matrix and bed. Intradermal nevi are tumors often diagnosed in routine clinical dermatological practice, with typical clinical and histopathologic aspects, and found in a wide variety of skin sites. We report a case of intradermal melanocytic nevus of the proximal nail fold with uncommon intraoperative gross findings and without involvement of the nail bed or matrix, showing intradermal component only, which draws our attention to the possible different presentation of melanocytic lesions. No description of intradermal nevi at this site has been reported in the literature so far.
RESUMO
Os autores revisam as possibilidades de tratamento da dor oncológica crônica utilizando desde associações de opióides, não opióides e adjuvantes até bloqueios analgésicos.
Assuntos
Analgésicos não Narcóticos , Antidepressivos , Doença Crônica , Dor/tratamento farmacológico , NeoplasiasRESUMO
Os autores revisam a abordagem dos diversos diagnósticos diferenciais de prurido, enfatizando sua propedêutica clinica e seu tratamento especifico.