RESUMO
Lichen sclerosus (LS) is a rare, chronic, inflammatory disease of the skin that primarily affects postmenopausal women but may occur in men and children as well. Approximately 7% to 15% of cases are believed to occur in children. The epidemiologic data for LS have been limited and treatment options are not well studied, particularly in children. We reviewed new developments available in the current literature on the epidemiology and management of LS for children.
Assuntos
Líquen Escleroso e Atrófico/tratamento farmacológico , Líquen Escleroso e Atrófico/epidemiologia , Qualidade de Vida , Administração Oral , Administração Tópica , Adolescente , Corticosteroides/uso terapêutico , Distribuição por Idade , Criança , Pré-Escolar , Feminino , Humanos , Imunossupressores/uso terapêutico , Líquen Escleroso e Atrófico/diagnóstico , Masculino , Retinoides/uso terapêutico , Medição de Risco , Índice de Gravidade de Doença , Distribuição por Sexo , Resultado do TratamentoRESUMO
Atopic keratoconjunctivitis is a chronic noninfectious inflammatory condition and is one of the most severe ophthalmic complications associated with atopic dermatitis. It requires prompt and effective treatment to prevent permanent vision loss. Complications of atopic keratoconjunctivitis include cataracts, keratoconus, infectious keratitis, blepharitis, tear dysfunction, and steroid-induced glaucoma. All treatment for atopic keratoconjunctivitis should be managed in conjunction with an ophthalmologist, and immediate referral is indicated when there is moderate to severe irritation, increased redness, discharge, or any visual symptoms. Treatment options include a combination of mast cell inhibitors, antihistamines, corticosteroids, and calcineurin inhibitors.
Assuntos
Catarata/prevenção & controle , Dermatite Atópica/complicações , Ceratoconjuntivite/tratamento farmacológico , Ceratoconjuntivite/etiologia , Transtornos da Visão/prevenção & controle , Corticosteroides/uso terapêutico , Inibidores de Calcineurina , Catarata/etiologia , Conjuntivite Alérgica/tratamento farmacológico , Conjuntivite Alérgica/etiologia , Conjuntivite Alérgica/fisiopatologia , Dermatite Atópica/diagnóstico , Dermatite Atópica/terapia , Quimioterapia Combinada , Diagnóstico Precoce , Feminino , Antagonistas dos Receptores Histamínicos/uso terapêutico , Humanos , Imunossupressores/uso terapêutico , Ceratoconjuntivite/fisiopatologia , Masculino , Prognóstico , Encaminhamento e Consulta , Medição de Risco , Índice de Gravidade de Doença , Resultado do Tratamento , Transtornos da Visão/etiologiaRESUMO
Bowen's disease (BD), or cutaneous squamous cell carcinoma (SCC) in situ, is rare in children. BD usually occurs in Caucasian adults on sun-exposed areas and may progress to invasive cutaneous SCC. Most cases of periungual BD have been linked to human papillomavirus infection. We report an immunocompetent child with periungual BD.
Assuntos
Doença de Bowen/diagnóstico , Doença de Bowen/imunologia , Imunocompetência , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/imunologia , Biópsia , Doença de Bowen/patologia , Pré-Escolar , Feminino , Humanos , Neoplasias Cutâneas/patologia , Polegar/patologiaRESUMO
We describe a patient with granuloma annulare (GA) who presented with firm periungual papules mimicking "coral beads", a characteristic sign of multicentric reticulohistiocytosis (MRH). We highlight the importance of distinguishing between GA and MRH because the prognoses differ significantly.
Assuntos
Granuloma Anular/patologia , Histiocitose de Células não Langerhans/diagnóstico , Idoso , Anti-Inflamatórios/uso terapêutico , Diagnóstico Diferencial , Feminino , Granuloma Anular/tratamento farmacológico , Humanos , Recidiva , Triancinolona/uso terapêuticoRESUMO
Cutaneous leishmaniasis is rarely seen in the United States. Four Cuban immigrants traveled along the same route at different times from Cuba to Ecuador, then northward, including through the Darién Jungle in Panama. These patients had chronic ulcerative non-healing skin lesions and were given a diagnosis of leishmaniasis.