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5.
Georgian Med News ; (294): 57-61, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31687950

RESUMO

Objective of the investigation - to increase the effectiveness of treatment of phlegmon of the maxillo-facial area and neck with the influence onto the pathogenic factors, complementing the main treatment plan with the injection of a second antibiotic in a regionary lymphatic way. 100 patients with acute inflammatory odontogenic diseases of the maxillofacial area were examined. Patients received both traditional medical treatment and regional lymphotropic antibiotic therapy added to the main method of treatment as well. Regionarnl lymphotropic antibiotic injection in the treatment of phlegmon of the maxillofacial area and neck leads to an accelerated onset of the second phase of the development of the wound process, more rapid detoxification of the body. Key words: acute inflammatory odontogenic diseases, maxillofacial area, lymphatic system.


Assuntos
Abscesso/diagnóstico , Abscesso/terapia , Antibacterianos/uso terapêutico , Celulite (Flegmão)/tratamento farmacológico , Dermatoses Faciais/tratamento farmacológico , Pescoço , Doença Aguda , Adolescente , Adulto , Idoso , Celulite (Flegmão)/sangue , Celulite (Flegmão)/diagnóstico , Face , Dermatoses Faciais/diagnóstico , Feminino , Infecção Focal Dentária/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento , Adulto Jovem
6.
Arch. Soc. Esp. Oftalmol ; 94(9): 453-459, sept. 2019. tab, ilus
Artigo em Espanhol | IBECS | ID: ibc-186226

RESUMO

Se presenta un caso raro de una mujer caucásica de 29 años con un granuloma en una cicatriz antigua, en la región periocular derecha, como primer signo clínico de una sarcoidosis sistémica. Se procedió a una biopsia escisional de la lesión con diagnóstico anatomopatológico de inflamación crónica granulomatosa no necrosante, con características histológicas sugestivas de sarcoidosis de cicatriz. Al año, la lesión recidivó, por lo que se trató con esteroides depot intralesionales. Esta patología se produce con más frecuencia cuando existen cuerpos extraños y puede ser la primera señal de sarcoidosis sistémica


An unusual case is presented of a 29 year-old Caucasian woman with a granuloma in an old scar in the right periocular region as a first clinical sign of a systemic sarcoidosis. An excisional biopsy was performed, for which the histological diagnosis was a chronic non-necrotising granulomatous inflammation, suggestive of scar sarcoidosis. The lesion re-appeared one year after initial treatment, and was treated with intralesional depot steroids, showing adequate progression. This disease occurs more frequently in wound areas where there are foreign bodies and could be the first sign of systemic sarcoidosis


Assuntos
Humanos , Feminino , Adulto , Cicatriz/patologia , Dermatoses Faciais/diagnóstico , Granuloma de Corpo Estranho/patologia , Sarcoidose/diagnóstico , Anti-Inflamatórios/uso terapêutico , Biópsia , Dermatoses Faciais/diagnóstico por imagem , Dermatoses Faciais/patologia , Traumatismos Faciais/complicações , Traumatismos Faciais/patologia , Granuloma de Corpo Estranho/diagnóstico por imagem , Granuloma de Corpo Estranho/etiologia , Imagem por Ressonância Magnética , Recidiva , Sarcoidose/tratamento farmacológico , Sarcoidose/patologia , Sarcoidose Pulmonar/complicações , Sarcoidose Pulmonar/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Triancinolona Acetonida/uso terapêutico , Cicatrização
8.
Indian J Dermatol Venereol Leprol ; 85(6): 597-604, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31293275

RESUMO

Background: Facial papules are a feature of several clinical conditions and may present both diagnostic and therapeutic challenges. Aim: To describe a grouped papular eruption on the nose and adjoining cheeks that has not been well characterized previously. Materials and Methods: A series of consecutive patients with a papular eruption predominantly involving nose and cheeks were evaluated, treated and followed up prospectively at tertiary care centers. Demographic details, clinical features, histopathology and response to treatment were recorded. Results: There were five men and six women (mean age 29.9 ± 6.9 years) who had disease for a mean duration of 17.3 ± 11.1 months. All patients presented with a predominantly asymptomatic eruption of monomorphic, pseudovesicular, grouped, skin colored to slightly erythematous papules prominently involving the tip of nose, nasal alae, philtrum and the adjoining cheeks. A total of 15 biopsies from 11 patients were analyzed and the predominant finding was a dense, focal lymphoid infiltrate restricted to the upper dermis with basal cell damage and atrophy of the overlying epidermis. The eruption ran a chronic course from several months to years. Limitations: Direct immunofluorescence could not be performed except in one case. Immunohistochemical stains for CD4 and CD8 could not be done owing to nonavailability. Phototesting was undertaken in one patient only. Conclusion: Small grouped papules on the nose and adjoining skin with a lichenoid histopathology appear to represent a distinct clinicopathological entity. It may be related to actinic lichen nitidus/micropapular variant of polymorphous light eruption.


Assuntos
Fármacos Dermatológicos/uso terapêutico , Dermatoses Faciais/diagnóstico , Líquen Nítido/diagnóstico , Erupções Liquenoides/diagnóstico , Nariz/patologia , Adulto , Dermatoses Faciais/complicações , Dermatoses Faciais/terapia , Feminino , Humanos , Líquen Nítido/complicações , Líquen Nítido/terapia , Erupções Liquenoides/complicações , Erupções Liquenoides/terapia , Masculino , Fototerapia/métodos , Adulto Jovem
9.
Int J Dermatol ; 58(11): 1300-1304, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31347152

RESUMO

BACKGROUND: Psoriasis is a chronic, inflammatory skin disorder characterized by well-demarcated erythematous-scaly lesions, affecting 0-6.6% of the world population. Facial lesions are neglected in most descriptions in current literature, although some studies indicate that it could be a predictor of psoriasis severity. OBJECTIVE: To compare the severity of psoriasis, measured by the Psoriasis Area and Severity Index (PASI) and Dermatology Life Quality Index (DLQI), in patients with and without facial lesions. MATERIAL AND METHODS: This is a cross-sectional study, whose sample size was 63 individuals for each group. Subjects were included in the HUPES Complex Dermatology Service (Salvador/BA - Brazil) from April 2014 to January 2016. Demographic information was obtained using a prestructured form. Assessments of psoriasis severity and quality of life were done using PASI and DLQI, respectively. RESULTS: Facial lesions were detected on 63 (50.0%) of the 126 patients included. The pinna was the most frequently affected region (63.5%). Mean PASI in the group with facial involvement was 14.0 vs. 6.0, when facial involvement was absent. DLQI means for these groups were, respectively, 7.5 and 4.7. CONCLUSIONS: Facial involvement in a psoriasis patient was a marker of disease severity, and its identification should influence the therapeutic decision.


Assuntos
Dermatoses Faciais/diagnóstico , Psoríase/diagnóstico , Qualidade de Vida , Índice de Gravidade de Doença , Adulto , Idoso , Brasil , Estudos Transversais , Dermatoses Faciais/complicações , Dermatoses Faciais/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psoríase/complicações , Psoríase/patologia , Pele/patologia
11.
Dermatol Online J ; 25(5)2019 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-31220901

RESUMO

We present a woman with a history of years of evolution of confluent hyperkeratotic papules and plaques with a generalized linear and reticulate pattern. Histopathological characteristics concordant with keratosis lichenoides chronica were finally evidenced after several non-specific biopsies. The cutaneous manifestations, chronicity. histopathology findings, and refractoriness to therapies are typical of this rare dermatosis.


Assuntos
Ceratose/patologia , Erupções Liquenoides/patologia , Idoso , Braço , Chile , Doença Crônica , Dermoscopia , Dermatoses Faciais/diagnóstico , Dermatoses Faciais/patologia , Feminino , Humanos , Ceratose/diagnóstico , Dermatoses da Perna/diagnóstico , Dermatoses da Perna/patologia , Erupções Liquenoides/diagnóstico
12.
Pediatr Dermatol ; 36(5): 651-654, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31197860

RESUMO

Demodex mites are commensal inhabitants of the pilosebaceous unit that are typically absent or at low numbers in childhood. When they are present, they can cause a primary eruption or exacerbate an underlying facial dermatosis. Here we report five cases of demodicosis occurring in childhood, the clinical presentations, and responses to treatment. Papulopustular lesions predominate, prompting the advice "pustules on noses, think demodicosis!"


Assuntos
Dermatoses Faciais/diagnóstico , Dermatoses Faciais/parasitologia , Infestações por Ácaros/diagnóstico , Infestações por Ácaros/terapia , Adolescente , Criança , Pré-Escolar , Dermatoses Faciais/terapia , Feminino , Humanos , Lactente , Masculino
13.
Pan Afr Med J ; 32: 58, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31223350

RESUMO

Vitiligo is a common and acquired skin pigmentation disorder characterized by a selective and often continuous loss of epidermal melanocytes. We report the case of a female patient who developed facial vitiligo following platelet-rich plasma injections. The diagnosis of Koebner phenomenon was retained in order to explain the occurrence of vitiligo on the areas where platelet-rich plasma (PRP) had been injected.


Assuntos
Dermatoses Faciais/etiologia , Plasma Rico em Plaquetas , Pele/patologia , Vitiligo/etiologia , Adulto , Dermatoses Faciais/diagnóstico , Dermatoses Faciais/patologia , Feminino , Humanos , Vitiligo/diagnóstico , Vitiligo/patologia
14.
Pediatr Dermatol ; 36(4): e95-e96, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31070265

RESUMO

Trichomegaly is a known adverse effect of systemic administration of cyclosporine but is less commonly associated with systemic tacrolimus or with topical calcineruin inhibitors. In this report, we describe the first case, to our knowledge, of trichomegaly due to long-term use of topical tacrolimus for periocular vitiligo.


Assuntos
Pestanas/efeitos dos fármacos , Tacrolimo/efeitos adversos , Vitiligo/tratamento farmacológico , Administração Tópica , Adolescente , Pestanas/anormalidades , Dermatoses Faciais/diagnóstico , Dermatoses Faciais/tratamento farmacológico , Humanos , Masculino , Doenças Raras , Medição de Risco , Tacrolimo/uso terapêutico , Vitiligo/diagnóstico
15.
Skinmed ; 17(2): 131-133, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31145068

RESUMO

A 41-year-old man presented with an asymptomatic, slowly enlarging plaque on the lower aspect of his left cheek, present for approximately 4 months. His past medical history was remarkable for allergic rhinitis. Three years before, he had had a nearly identical lesion surgically excised by Mohs method at the same site. On examination, there was a waxy, yellowish plaque, measuring 2.1 cm × 1.0 cm on the left cheek in proximity to the oral commissure (Figure 1). A shave biopsy revealed an atrophic epidermis with nodular aggregates of eosinophilic material in the dermis (Figure 2). Higher magnification showed an inflammatory infiltrate composed largely of plasma cells, which stained positively for CD20 and κ light chains (Figure 3). Congo red staining confirmed the diagnosis of nodular amyloidosis (Figure 4).


Assuntos
Amiloidose Familiar/diagnóstico , Amiloidose Familiar/patologia , Dermatoses Faciais/diagnóstico , Dermatoses Faciais/patologia , Dermatopatias Genéticas/diagnóstico , Dermatopatias Genéticas/patologia , Adulto , Amiloidose Familiar/terapia , Bochecha , Dermatoses Faciais/terapia , Humanos , Masculino , Recidiva , Dermatopatias Genéticas/terapia
17.
Arch Soc Esp Oftalmol ; 94(9): 453-459, 2019 Sep.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-31036427

RESUMO

An unusual case is presented of a 29 year-old Caucasian woman with a granuloma in an old scar in the right periocular region as a first clinical sign of a systemic sarcoidosis. An excisional biopsy was performed, for which the histological diagnosis was a chronic non-necrotising granulomatous inflammation, suggestive of scar sarcoidosis. The lesion re-appeared one year after initial treatment, and was treated with intralesional depot steroids, showing adequate progression. This disease occurs more frequently in wound areas where there are foreign bodies and could be the first sign of systemic sarcoidosis.


Assuntos
Cicatriz/patologia , Dermatoses Faciais/diagnóstico , Granuloma de Corpo Estranho/patologia , Sarcoidose/diagnóstico , Adulto , Anti-Inflamatórios/uso terapêutico , Biópsia , Dermatoses Faciais/diagnóstico por imagem , Dermatoses Faciais/patologia , Traumatismos Faciais/complicações , Traumatismos Faciais/patologia , Feminino , Granuloma de Corpo Estranho/diagnóstico por imagem , Granuloma de Corpo Estranho/etiologia , Humanos , Imagem por Ressonância Magnética , Recidiva , Sarcoidose/tratamento farmacológico , Sarcoidose/patologia , Sarcoidose Pulmonar/complicações , Sarcoidose Pulmonar/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Triancinolona Acetonida/uso terapêutico , Cicatrização
19.
Am J Dermatopathol ; 41(10): 767-770, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31045870

RESUMO

An otherwise healthy 50-year-old woman was evaluated for the presence of 2 erythematous, and slightly pruritic plaques, involving both cheeks for 30 years. Left-side skin biopsy showed a diffuse proliferation of ductal structures horizontally arranged and involving the reticular dermis that resembled tubular adenoma embedded in a sclerotic stroma and surrounded by a peculiar periductal desmoplasia. Nuclear atypia or mitosis was not found. Contralateral biopsy showed identical findings. Differential diagnosis included microcystic adnexal carcinoma (MAC) and plaque-like syringoma and a peculiarly horizontally arranged tubular adenoma. We ruled out MAC as the lesions were long-standing, without infundibular cysts, solid strands, or perineural infiltration. Our case closely resembled those previously described as sweat duct proliferation associated with aggregates of elastic tissue and atrophoderma vermiculatum, although striking differences were observed, as our case did not present aggregates of elastic tissue, did not involve the papillary and superficial reticular dermis, and presented evidences of decapitation secretion as a sign of apocrine differentiation. We consider our case as a MAC simulator and we propose the descriptive name of bilateral facial apocrine fibrosing hamartoma.


Assuntos
Dermatoses Faciais/patologia , Hamartoma/patologia , Neoplasias de Anexos e de Apêndices Cutâneos/patologia , Neoplasias Cutâneas/patologia , Doenças das Glândulas Sudoríparas/patologia , Diagnóstico Diferencial , Dermatoses Faciais/diagnóstico , Feminino , Hamartoma/diagnóstico , Humanos , Pessoa de Meia-Idade , Neoplasias de Anexos e de Apêndices Cutâneos/diagnóstico , Neoplasias Cutâneas/diagnóstico , Doenças das Glândulas Sudoríparas/diagnóstico
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