Nodular hidradenoma: clinical, dermoscopic, and histopathological features.

Nodular hidradenoma is an infrequent benign tumor originating from the proximal portion of the sweat glands, most commonly associated with the apocrine glands. Owing to its variable clinical presentation, correctly diagnosing nodular hidradenoma can be challenging, with several potential conditions in the differential diagnosis to consider. This article presents a healthy 52-year-old woman with an atypical location of nodular hidradenoma, highlighting the critical role of integrating clinical, dermoscopic, and histopathological characteristics for an accurate diagnosis. We discuss the clinical features, dermoscopic findings, histological examination, differential diagnosis, and treatment options for nodular hidradenoma, emphasizing the importance of surgical intervention in preventing potential malignant transformation.

Hematopoietic Stem Cell Transplantation for Neurological Disorders: A Focus on Inborn Errors of Metabolism.

Hematopoietic stem cells have been investigated and applied for the treatment of certain neurological disorders for a long time. Currently, their therapeutic potential is harnessed in autologous and allogeneic hematopoietic stem cell transplantation (HSCT). Autologous HSCT is helpful in immune-mediated neurological diseases such as Multiple Sclerosis. However, clinical benefits derive more from the immunosuppressive conditioning regimen than the interaction between stem cells and the nervous system. Mainly used for hematologic malignancies, allogeneic HSCT explores the therapeutic potential of donor-derived hematopoietic stem cells. In the neurological setting, it has proven to be most valuable in Inborn Errors of Metabolism, a large spectrum of multisystem disorders characterized by congenital deficiencies in enzymes involved in metabolic pathways. Inborn Errors of Metabolism such as X-linked Adrenoleukodystrophy present with brain accumulation of enzymatic substrates that result in progressive inflammatory demyelination. Allogeneic HSCT can halt ongoing inflammatory neural destruction by replacing hematopoietic-originated microglia with donor-derived myeloid precursors. Microglia, the only neural cells successfully transplanted thus far, are the most valuable source of central nervous system metabolic correction and play a significant role in the crosstalk between the brain and hematopoietic stem cells. After transplantation, engrafted donor-derived myeloid cells modulate the neural microenvironment by recapitulating microglial functions and enhancing repair mechanisms such as remyelination. In some disorders, additional benefits result from the donor hematopoietic stem cell secretome that cross-corrects neighboring neural cells via mannose-6-phosphatase paracrine pathways. The limitations of allogeneic HSCT in this setting relate to the slow turnover of microglia and complications such as graft-vs.-host disease. These restraints have accelerated the development of hematopoietic stem cell gene therapy, where autologous hematopoietic stem cells are collected, manipulated ex vivo to overexpress the missing enzyme, and infused back into the patient. With this cellular drug vehicle strategy, the brain is populated by improved cells and exposed to supraphysiological levels of the flawed protein, resulting in metabolic correction. This review focuses on the mechanisms of brain repair resulting from HSCT and gene therapy in Inborn Errors of Metabolism. A brief mention will also be made on immune-mediated nervous system diseases that are treated with this approach.

Ectoparasites of bats (Mammalia: Chiroptera) in Atlantic forest fragments in north-eastern Brazil.

In Brazil, most studies involving parasites of bats (bat flies) treat the mid-west, south-east, and south of the country. This work aimed to characterize the ectoparasites community associated with bats in the Atlantic forest in the state of Sergipe, north-eastern Brazil. Sampling was conducted between January and June 2013 in the Serra de Itabaiana National Park (PNSI) and between November 2013 and June 2015 in the Wildlife Refuge Mata do Junco (RVSMJ). Parasitological indexes were determined, and the influence of host sex and the seasonality in prevalence rates and mean intensity for the most abundant parasites was evaluated. Some 129 parasites were collected in PNSI and 296 in RVSMJ, and 100 and 70.6 %, respectively, belong to the family Streblidae. The differences in parasitological rates in Sergipe in relation to other studies may be associated with the environmental characteristics and the composition of the host community. The influence of sex and the seasonal prevalence of Speiseria ambigua and Trichobius joblingi, associated with Carollia perspicillata, may be associated with a lower rate of female captures and low sampling in the dry season. This is a pioneer study in Sergipe that reveals the occurrence of 16 species of streblids and representatives of Acari and Basilia spp., highlighting the need for more studies to increase the wealth and understanding of host-parasite associations in the state.

Parasite-host interactions of bat flies (Diptera: Hippoboscoidea) in Brazilian tropical dry forests.

Studies on the parasitology of ectoparasitic bat flies are scarce, and they are needed to identify patterns in parasitism. Hence, in the present study, we assessed community composition, prevalence, average infestation intensity, and specificity in the fly-bat associations in Brazilian tropical dry forests. In order to do that, we used the parasitological indices known as prevalence and average infestation intensity, along with an index of host specificity. We collected 1098 bat flies of 38 species. Five of the associations found are new to Brazil, 9 are new to southeastern Brazil, and 10 are new to science. Average infestation intensity varied from 1 to 9 and prevalence 0 to 100 %. In terms of specificity, 76 % of the bat flies were associated to a single host (monoxenic). These results highlight the low capacity of bat flies to survive on a not usual host especially due to an immunological incompatibility between parasites and hosts and dispersal barriers.