RESUMO
The oral cavity is the most common extragenital site of infection. We report a case of a 50-year-old female with isolated oral ulceration as the presenting manifestation of secondary syphilis. In contrast with the oral lesions of primary syphilis, which tend to be solitary, painless, indurated ulcers, oral lesions of secondary syphilis are typically painful, multiple, and accompanied by a concomitant cutaneous eruption.
Assuntos
Úlceras Orais/etiologia , Sífilis/diagnóstico , Erros de Diagnóstico , Feminino , Humanos , Pessoa de Meia-Idade , Estomatite Herpética/diagnóstico , Sorodiagnóstico da Sífilis , Fatores de TempoRESUMO
The treatment of Dupuytren's disease involves two problems: the amount of aponeurectomy and choice of the incision. It is the purpose of this study to critically review 124 cases of Dupuytren's disease treated by selective aponeurectomy, using the Skoog and/or Dieckman/Iselin routes of access. The results obtained appeared to be favorable as compared to other series, and this is attributed to the method used and to patient selection.
Assuntos
Contratura de Dupuytren/cirurgia , Tendões/cirurgia , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Fatores de TempoAssuntos
Hospedeiro Imunocomprometido , Imunossupressores/uso terapêutico , Transplante de Rim , Sarcoma de Kaposi/tratamento farmacológico , Sirolimo/uso terapêutico , Neoplasias Cutâneas/tratamento farmacológico , Adulto , Humanos , Transplante de Rim/imunologia , Masculino , Sarcoma de Kaposi/imunologia , Neoplasias Cutâneas/imunologiaRESUMO
Eosinophil-associated diseases represent a spectrum of heterogeneous disorders, where blood and cutaneous eosinophilia is the most important feature and eosinophils are the principal cause of cutaneous lesions. These diseases show some similarities in the clinical features but also many distinctive characteristics [Saurat et al., Dermatologia e malattie sessualmente trasmesse, Milano, Masson, 2000]. Wells syndrome is one of these disorders and is an uncommon recurrent inflammatory dermatosis, rarely associated to signs and symptoms of multiple organ involvement [Arch Dermatol 2006;142:1157-1161]. Hypereosinophilic syndrome, in contrast, constitutes a group of idiopathic disorders characterized by blood eosinophilia for at least 6 months, associated with single or multiple organ system dysfunction [Arch Dermatol 2006;142:1157-1161]. Clinically atypical Wells syndrome with multiorgan involvement is reported here. A correct diagnosis is difficult in this case, but clinical and histopathological features are compatible with this diagnosis. The reported condition likely represents a borderline hypereosinophilic disease, in which clinical features of both hypereosinophilic syndrome and Wells syndrome are present.