RESUMO
Gastric syphilis is an uncommon extracutaneous manifestation of syphilis, occurring in less than 1% of patients, presenting nonspecific clinical manifestations. In general, it occurs on secondary stage. The critical point is the recognition of the syphilitic gastric involvement, without which there may be incorrect diagnosis of malignancy of the digestive tract. In this report, a case of secondary syphilis with gastric involvement that had complete remission with benzathine penicillin will be described.
Assuntos
Gastropatias/diagnóstico , Sífilis/diagnóstico , Antibacterianos/uso terapêutico , Biópsia , Endoscopia Gastrointestinal , Humanos , Masculino , Pessoa de Meia-Idade , Penicilina G Benzatina/uso terapêuticoRESUMO
Abstract: Gastric syphilis is an uncommon extracutaneous manifestation of syphilis, occurring in less than 1% of patients, presenting nonspecific clinical manifestations. In general, it occurs on secondary stage. The critical point is the recognition of the syphilitic gastric involvement, without which there may be incorrect diagnosis of malignancy of the digestive tract. In this report, a case of secondary syphilis with gastric involvement that had complete remission with benzathine penicillin will be described.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Gastropatias/diagnóstico , Sífilis/diagnóstico , Penicilina G Benzatina/uso terapêutico , Biópsia , Endoscopia Gastrointestinal , Antibacterianos/uso terapêuticoRESUMO
Sarcoidosis is a disease which still has uncertain etiology. Possible environmental causes are cited in the literature, like organic and inorganic particles and infectious agents. Recent studies have demonstrated the occurrence of sarcoidosis in patients with chronic C hepatitis; however, this association remains without statistical or causal evidence. In this report a case of sarcoidosis associated with chronic hepatitis C will be described, with subcutaneous lesions, considered rare, and good response to treatment with colchicine and prednisone. The hepatitis C virus was isolated in sarcoid tissue and the association between the two diseases will be discussed.
Assuntos
Anti-Inflamatórios/uso terapêutico , Colchicina/uso terapêutico , Glucocorticoides/uso terapêutico , Hepatite C Crônica/tratamento farmacológico , Prednisona/uso terapêutico , Sarcoidose/tratamento farmacológico , Feminino , Hepatite C Crônica/complicações , Humanos , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase , Sarcoidose/etiologia , Sarcoidose/patologia , Resultado do TratamentoRESUMO
Abstract Sarcoidosis is a disease which still has uncertain etiology. Possible environmental causes are cited in the literature, like organic and inorganic particles and infectious agents. Recent studies have demonstrated the occurrence of sarcoidosis in patients with chronic C hepatitis; however, this association remains without statistical or causal evidence. In this report a case of sarcoidosis associated with chronic hepatitis C will be described, with subcutaneous lesions, considered rare, and good response to treatment with colchicine and prednisone. The hepatitis C virus was isolated in sarcoid tissue and the association between the two diseases will be discussed.
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Sarcoidose/tratamento farmacológico , Prednisona/uso terapêutico , Colchicina/uso terapêutico , Hepatite C Crônica/tratamento farmacológico , Glucocorticoides/uso terapêutico , Anti-Inflamatórios/uso terapêutico , Sarcoidose/etiologia , Sarcoidose/patologia , Reação em Cadeia da Polimerase , Resultado do Tratamento , Hepatite C Crônica/complicaçõesRESUMO
Eccrine syringofibroadenoma is a rare benign adnexal neoplasm derived from cells of the acrosyringium of eccrine sweat glands. ESFA usually manifests as a solitary nodule on the extremities of elderly patients, but it may also present as papules, nodules or plaques. Its clinical appearance is nonspecific and malignant neoplasms should be considered in the differential diagnosis. However, histopathological findings are typical. The main treatment is surgical excision. In order to illustrate a typical presentation of the tumor, we report a case of solitary eccrine syringofibroadenoma, including the surgical treatment used and its result.
Assuntos
Glândulas Écrinas/patologia , Fibroadenoma/patologia , Neoplasias das Glândulas Sudoríparas/patologia , Siringoma/patologia , Idoso de 80 Anos ou mais , Tornozelo , Biópsia , Glândulas Écrinas/cirurgia , Feminino , Fibroadenoma/cirurgia , Humanos , Neoplasias das Glândulas Sudoríparas/cirurgia , Siringoma/cirurgia , Resultado do TratamentoRESUMO
Eccrine syringofibroadenoma is a rare benign adnexal neoplasm derived from cells of the acrosyringium of eccrine sweat glands. ESFA usually manifests as a solitary nodule on the extremities of elderly patients, but it may also present as papules, nodules or plaques. Its clinical appearance is nonspecific and malignant neoplasms should beconsidered in the differential diagnosis. However, histopathological findings are typical. The main treatment is surgical excision. In order to illustrate a typical presentation of the tumor, we report a case of solitary eccrine syringofibroadenoma, including the surgical treatment used and its result.
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