RESUMO
Capillary microscopy was performed on 19 patients with eosinophilic fasciitis. These patients were compared with 13 individuals with progressive systemic sclerosis (scleroderma). Capillary patterns were normal in 16 of 19 (84%) eosinophilic fasciitis patients; 3 exhibited either borderline or nonspecific changes, and none showed a definite scleroderma pattern. In contrast, characteristic nailfold capillary changes, consisting of both dilatation and loss of capillaries, were present in 11 of 13 (85%) scleroderma patients; the remaining 2 showed scleroderma-type abnormalities of only 1 finger and were, therefore, classified as borderline. These results suggest that capillary microscopy may help to distinguish these 2 disorders.
Assuntos
Capilares/patologia , Eosinofilia/patologia , Fasciite/patologia , Escleroderma Sistêmico/patologia , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Microscopia , Pessoa de Meia-Idade , Unhas , Pele/irrigação sanguíneaRESUMO
Metastatic carcinoma presenting as sternoclavicular joint arthritis has only recently been reported. We describe a unique case of carcinoma arising from the tongue presenting with bilateral enlargement of the sternoclavicular joints. Diagnosis of metastatic squamous cell disease was made antemortem by Wright's stain and cytology of a joint fluid aspirate; the primary eluded detection until postmortem examination. Primary carcinoma of the tongue and oral cavity should be considered when confronted with metastatic squamous cell disease.