Siringomas vulvares; cuando el diagnóstico diferencial es un reto / Vulvar syringomas; when differential diagnosis is a challenge

El interés de esta entidad radica en su adecuado diagnóstico, ya que es a menudo confundida con otros procesos patológicos. Esto tiene como consecuencia la realización de pruebas innecesarias y tratamientos ineficaces, con las implicaciones que ello pudiera tener. Los siringomas son tumoraciones benignas que tienen su origen en las glándulas sudoríparas ecrinas a nivel dérmico. Dada su benignidad clínica e histológica no requieren tratamiento específico. Los de localización genital, por su infrecuencia, suponen un reto diagnóstico y obligan al clínico a realizar un extenso diagnóstico diferencial con otras entidades nosológicas: condiloma plano, verruga vulgar, linfangioma circunscrito y quiste epidermoide, entre otros.(AU)

The interest in this condition lies in its correct diagnosis, since it can be easily misdiagnosed. As a consequence, patients are often tested and treated in many and empiric ways, with the impact that these actions could have. Syringomas are benign tumours originating from the dermic eccrine glands. Considering its clinical and histopathological benign behaviour, they do not require any specific treatment. Genital syringomas are usually difficult to identify, as such, on a first examination, owing to their infrequency and similarity with other pathological processes such as flat condylomas, vulgar warts, circumscribed lymphangioma, or epidermoid cyst, among others.(AU)

Nódulos cutáneos múltiples en paciente embarazada / Multiple cutaneous nodules in a pregnant patient

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Vasculitis leucocitoclástica secundaria a nuevos anticoagulantes orales / Leucocytoclastic vasculitis secondary to new oral anticoagulants

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Dermatosis purpúricas pigmentadas. Revisión de la literatura científica / Pigmented Purpuric Dermatosis: A Review of the Literature

Las dermatosis purpúricas pigmentadas son un grupo de enfermedades benignas y de curso crónico. Las variantes descritas representan distintas formas clínicas de una misma entidad con unas características histopatológicas comunes para todas ellas. Exponemos a continuación un resumen de las variedades más frecuentes, sus características clínicas, dermatopatológicas y de epiluminiscencia. Al tratarse de una entidad clínica poco frecuente, benigna, y no conocerse claramente los mecanismos patogénicos de la misma, no existen tratamientos estandarizados. Se revisan los tratamientos publicados hasta el momento, la mayoría de ellos basados en casos aislados o pequeñas series de casos, sin poder establecer un nivel de evidencia suficiente como para ser recomendado ninguno de ellos como tratamiento de elección

The pigmented purpuric dermatoses are a group of benign, chronic diseases. The variants described to date represent different clinical presentations of the same entity, all having similar histopathologic characteristics. We provide an overview of the most common PPDs and describe their clinical, dermatopathologic, and epiluminescence features. PPDs are both rare and benign, and this, together with an as yet poor understanding of the pathogenic mechanisms involved, means that no standardized treatments exist. We review the treatments described to date. However, because most of the descriptions are based on isolated cases or small series, there is insufficient evidence to support the use of any of these treatments as first-line therapy

Pigmented Purpuric Dermatosis: A Review of the Literature. / Dermatosis purpúricas pigmentadas. Revisión de la literatura científica.

The pigmented purpuric dermatoses are a group of benign, chronic diseases. The variants described to date represent different clinical presentations of the same entity, all having similar histopathologic characteristics. We provide an overview of the most common PPDs and describe their clinical, dermatopathologic, and epiluminescence features. PPDs are both rare and benign, and this, together with an as yet poor understanding of the pathogenic mechanisms involved, means that no standardized treatments exist. We review the treatments described to date. However, because most of the descriptions are based on isolated cases or small series, there is insufficient evidence to support the use of any of these treatments as first-line therapy.