RESUMO
Cutaneous diseases are often found in obese patients but, to our knowledge, mucinous disorders have not been previously reported in association with obesity. Two cases of localized lichen myxoedematosus (papular mucinosis) in two women with morbid obesity are described. Both patients underwent a low-calorie diet for a 1-year period in one case, and for 4 months in the other one, as the only treatment. There was complete resolution of cutaneous lesions at the same time that an important weight loss was observed. Nevertheless, although spontaneous regression is not frequent, it could not be disregarded in either of these two cases.
Assuntos
Mucinoses/etiologia , Obesidade Mórbida/complicações , Dermatopatias Papuloescamosas/etiologia , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Mucinoses/patologia , Dermatopatias Papuloescamosas/patologiaAssuntos
Clobetasol/análogos & derivados , Líquen Escleroso e Atrófico/patologia , Unhas/patologia , Administração Tópica , Adulto , Anti-Inflamatórios/uso terapêutico , Clobetasol/uso terapêutico , Diagnóstico Diferencial , Glucocorticoides , Humanos , Líquen Escleroso e Atrófico/tratamento farmacológico , MasculinoRESUMO
OBJECTIVE: The aim of the present study was to find out whether emotional stress is related to palmoplantar pustulosis (PPP). SUBJECTS AND METHODS: Our 21 patients with palmoplantar pustulosis and 21 age- and sex-matched controls were studied with the help of a psychological interview and two psychological tests: Eysenk's Personality Questionnaire for Adults (EPQ-A) and Inventory of Situations and Response of Anxiety (ISRA). RESULTS: Anxiety, ranging from moderate to severe was higher in PPP patients than in controls (P < 0.001). CONCLUSION: Our findings seem to indicate that stress may be related to exacerbation of the palmoplantar pustulosis.
Assuntos
Psoríase/diagnóstico , Psoríase/psicologia , Adulto , Distribuição por Idade , Ansiedade/diagnóstico , Ansiedade/psicologia , Estudos de Casos e Controles , Estudos de Coortes , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Personalidade , Psoríase/epidemiologia , Valores de Referência , Medição de Risco , Fatores de Risco , Sensibilidade e Especificidade , Distribuição por Sexo , Espanha/epidemiologia , Estresse Psicológico , Inquéritos e QuestionáriosRESUMO
La queratosis seborreica es uno de los tumores epidérmicos benignos más frecuentes encontrados en la práctica clínica. Su transformación maligna es excepcional. Presentamos el caso de la aparición inusual de dos queratosis seborreicas irritadas simétricas en los brazos de un trasplantado renal (AU)
Assuntos
Adulto , Masculino , Humanos , Ceratose Seborreica/diagnóstico , Ceratose Seborreica/etiologia , Transplante de Rim/efeitos adversos , Ceratose Seborreica/cirurgiaRESUMO
Paracoccidioidomycosis is a common fungal infection in Latin America. Few cases have been described in non-endemic countries and their diagnosis without the correct suspicion, bearing in mind that the latency period might be up to 60 years, may not be easy. We report the case of a 59-year-old man who worked as a taxi driver for 25 years in Venezuela. Cutaneous paracoccidioidomycosis was diagnosed one year after he returned to Spain. No internal signs or symptoms of the disease were found and cell-mediated immunity showed no depression. Our case suggested us to consider direct cutaneous infection, although respiratory tract is believed to be the most frequent portal of entry for this infection.
