RESUMO
Glomeruloid haemangioma is considered a specific marker of POEMS (polyneuropathy, organomegaly, endocrinopathy, M-protein and skin changes) syndrome and it is usually but not always associated with multicentric Castleman's disease. We report a 78-year-old man who presented with a single, red-violet soft nodule with superficial telangiectases on the scalp. Histopathologically, the lesion consisted of lobules of coiled aggregated capillaries that involved the lumina of dilated vascular structures, mimicking renal glomeruli. A collagenous stroma separated the capillary lobules, and eosinophilic, periodic-acid-Schiff positive globules of varying sizes and shapes were seen within the cytoplasm of endothelial cells. Immunohistochemical studies with antibodies against IgA and IgG, and against the kappa and lambda light chains of immunoglobulins showed immunoreactivity within the eosinophilic globules. Results of complete blood count, liver, renal and thyroid function tests, fasting blood sugar measurement, serum levels of oestradiol, testosterone, prolactin and cortisol, serum protein electrophoresis, immunoelectrophoresis and immunofixation yielded normal or negative results. No Bence-Jones proteinuria was found in a sample from a 24-h urine collection. To our knowledge, only two cases of glomeruloid haemangioma have been previously reported in patients without POEMS syndrome. We describe the third case of glomeruloid haemangioma in a patient without features of POEMS syndrome.
Assuntos
Neoplasias de Cabeça e Pescoço/diagnóstico , Hemangioma/diagnóstico , Síndrome POEMS/diagnóstico , Couro Cabeludo , Neoplasias Cutâneas/diagnóstico , Idoso , Neoplasias de Cabeça e Pescoço/patologia , Hemangioma/patologia , Humanos , Masculino , Neoplasias Cutâneas/patologiaRESUMO
Superficial spreading capillary hemangioma has been described for the first and sole time by Mihara and collaborators in 1986, as a proliferation of capillaries in the dermal papillae, separated by thin elongated rete ridges. Clinically it appeared as an asymptomatic, isolated, small and long-standing red plaque of slow growth located in the plantar surface of a 57-year-old Japanese woman. We report a 23-year-old Caucasian woman with an asymptomatic, long-standing, brownish plantar lesion of stable size. In the pathological study we observed a capillary proliferation in tangles with slack stroma located in the papillary dermis. We report, therefore, the second case of superficial spreading capillary hemangioma published in the literature.
Assuntos
Doenças do Pé/patologia , Hemangioma Capilar/patologia , Adulto , Diagnóstico Diferencial , Feminino , Doenças do Pé/diagnóstico , Hemangioma Capilar/classificação , Hemangioma Capilar/diagnóstico , HumanosRESUMO
After a careful check of the response linearity of the spectrophotometer in absorbances and transmittances at wavelengths between 250 and 550 nm with potassium dichromate, the influence of the concentration of solutions on the tristimulus coordinates and the coordinates of the CIE 1931 (Commission Internationale de l'Éclairage) and CIELAB colorimetric systems was analyzed. How to use the value of only some chromatic coordinates to obtain a sample's concentration simultaneously is also shown.