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Clin Cosmet Investig Dermatol ; 12: 373-381, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31239742


Molluscum contagiosum (MC) is a self-limited infectious dermatosis, frequent in pediatric population, sexually active adults, and immunocompromised individuals. It is caused by molluscum contagiosum virus (MCV) which is a virus of the Poxviridae family. MCV is transmitted mainly by direct contact with infected skin, which can be sexual, non-sexual, or autoinoculation. Clinically, MC presents as firm rounded papules, pink or skin-colored, with a shiny and umbilicated surface. The duration of the lesions is variable, but in most cases, they are self-limited in a period of 6-9 months. The skin lesions may vary in size, shape, and location, which is more frequent in immunosuppressed patients, and could present complications such as eczema and bacterial superinfection. The diagnosis is based on clinical findings. A useful clinical tool is dermoscopy. If the diagnostic doubt persists, confocal microscopy or skin biopsy could be performed. The need for active treatment for MC is controversial; however, there is a consensus that it should be indicated in cases of extensive disease, associated with complications or aesthetic complaints. There are several treatment modalities which include mechanical, chemical, immunomodulatory, and antivirals. The objective of this article is to review the current evidence in etiology, clinical manifestations, diagnosis, and management alternatives of MC.

Indian J Dermatol Venereol Leprol ; 85(3): 287-290, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30246704


Basaloid follicular hamartoma is a rare, benign and superficial malformation of hair follicles, characterized histologically by epithelial proliferation of basaloid cells with radial disposition. It can be mistaken for basal cell carcinoma. Even though these hamartomas are considered benign lesions, malignant transformation has rarely been reported. We report the case of a 45-year-old healthy woman, with linear, unilateral basaloid follicular hamartoma which developed inflamed papules histologically suggestive of basal cell carcinoma. We believe that identification of local inflammation could be a clinical clue to guide us towards a malignant transformation of basaloid follicular hamartoma.

Folículo Piloso/anormalidades , Folículo Piloso/patologia , Hamartoma/diagnóstico , Dermatopatias Genéticas/diagnóstico , Feminino , Folículo Piloso/cirurgia , Hamartoma/patologia , Hamartoma/cirurgia , Humanos , Inflamação/diagnóstico , Inflamação/patologia , Inflamação/cirurgia , Pessoa de Meia-Idade , Dermatopatias Genéticas/patologia , Dermatopatias Genéticas/cirurgia