24 results on '"Schettini, Antonio"'
Search Results
2. Case for diagnosis. Erythematous and infiltrated plaques in the infrahyoid region.
- Author
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Bezerra NTC, Schettini APM, Leturiondo AL, and Mathias LHMT
- Subjects
- Drug Therapy, Combination, Humans, Leprostatic Agents therapeutic use, Male, Middle Aged, Mycobacterium leprae, Leprosy drug therapy, Leprosy, Borderline drug therapy
- Abstract
Leprosy is a chronic infectious disease caused by Mycobacterium leprae and, depending on the host immune status, presents different clinical forms. This report describes the case of a 46-year-old man who had hypoesthetic lesions in the infrahyoid region for 30 days. The bacilloscopy was negative. The anatomopathological examination showed alterations corresponding to the tuberculoid pole (epithelioid histiocytes) and virchowian pole (foamy histiocytes), compatible with borderline-virchowian leprosy (Ridley and Jopling classification). Rapid tests for HIV I, II, and syphilis were positive, with a CD4 count of 223. The patient started treatment with multibacillary multidrug therapy, antiretroviral therapy, and benzathine penicillin, with marked clinical improvement in two months., (Copyright © 2020 Sociedade Brasileira de Dermatologia. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
3. Atypical manifestations of recent syphilis: study of 19 cases.
- Author
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Sardinha JC, de Lima LL, Heibel M, Schettini A, Talhari S, and Talhari C
- Subjects
- Edema, Humans, Male, Penis, Balanitis, Hepatitis B, Syphilis diagnosis
- Abstract
Background: Syphilis is one of the most common diseases that start with genital ulcers. Aside from the initial, classic ulcerative lesion of syphilis, called hard chancre, atypical presentations are common, with erosions, erythema, edema, balanitis, and other dermatological manifestations. Associated with initial genital lesions, the presence of inguinal adenopathies is frequent, and the presence of hardened and painless lymphangitis on the dorsum of the penis is rare., Objectives: To describe atypical penile manifestations in patients with early syphilis., Methods: The present study reports patients who developed cord-like lesions on the penis., Results: The study included 25 patients with cord-like lesions on the penis; in 19 of those, the diagnosis of syphilis was confirmed., Study Limitations: Small number of patients included., Conclusions: In view of the findings of the present investigation, it is important to emphasize that all patients who present with cord-like lesions on the penis must undergo a rapid test for syphilis, VDRL, serologies for HIV viral hepatitis B and C and, whenever possible, histopathological and Doppler exams., (Copyright © 2020 Sociedade Brasileira de Dermatologia. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2020
- Full Text
- View/download PDF
4. What is your diagnosis? Keloidal cord-like lesion on the leg.
- Author
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Oliveira FDS, Lopes NP, Talhari C, and Schettini A
- Subjects
- Aged, Biopsy, Dermis microbiology, Dermis pathology, Humans, Male, Keloid diagnosis, Keloid pathology, Leg Dermatoses diagnosis, Leg Dermatoses pathology, Lobomycosis diagnosis, Lobomycosis pathology
- Abstract
We report a 74-year-old male presented to an outpatient dermatology clinic in Manaus, Amazonas, with a one-year history of pruritic, keloidal lesions on his left lower extremity. Histopathology showed round structures in reticular dermis. Grocott methenamine silver stain revealed numerous round yeasts with thick double walls, occurring singly or in chains connected by tubular projections. The diagnosis was lobomycosis. Although the keloidal lesions presented by this patient are typical of lobomycosis, their linear distribution along the left lower limb is unusual., (Copyright © 2020 Sociedade Brasileira de Dermatologia. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2020
- Full Text
- View/download PDF
5. Atypical crusted scabies in a patient with chronic liver disease caused by hepatitis B and D viruses.
- Author
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Santos M, Maquiné GÁ, Talhari C, and Schettini APM
- Subjects
- Antiparasitic Agents therapeutic use, End Stage Liver Disease complications, Humans, Male, Middle Aged, Scabies immunology, Treatment Outcome, End Stage Liver Disease virology, Hepatitis B virus, Hepatitis Delta Virus, Scabies drug therapy, Scabies pathology
- Abstract
Crusted scabies is a less common variant of scabies that is highly contagious, difficult to treat and involves infestation by Sarcoptes scabiei var. hominis. The classical clinical presentation includes crusted, scaly and generally non-pruritic lesions usually located on the head, neck, palmar, plantar and periungual region. It was first described in Norway in 1848 in patients with leprosy who presented with crusted lesions. In this study, we report the case of a patient with crusted scabies with florid clinical manifestations and chronic liver disease due to hepatitis B and delta virus infection.
- Published
- 2018
- Full Text
- View/download PDF
6. Case for diagnosis. Atypical genital lesion.
- Author
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Sardinha JCG, Ramos MC, Schettini APM, and Talhari S
- Subjects
- Adult, Diagnosis, Differential, Humans, Male, Penile Diseases pathology, Syphilis pathology, Ultrasonography, Doppler, Penile Diseases diagnosis, Syphilis diagnosis
- Abstract
We present a case of a penile lesion with a clinical appearance similar to Mondor penile disease (thrombosis of the dorsal vein of the penis) or penile sclerosing lymphangitis. Laboratory evaluation, however, showed a solid lesion, with no vascular component to Doppler ultrasonography and no treponema to immunohistochemistry. Histological and serological tests were compatible with secondary syphilis. The authors reinforce the need for the inclusion of syphilis in the differential diagnosis of penile cord injuries.
- Published
- 2018
- Full Text
- View/download PDF
7. Tufted angioma.
- Author
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Silva CMD, Schettini APM, Santos M, and Chirano CAR
- Subjects
- Biopsy, Child, Female, Hemangioma surgery, Humans, Skin Neoplasms surgery, Hemangioma pathology, Skin Neoplasms pathology
- Published
- 2017
- Full Text
- View/download PDF
8. Superficial acral fibromyxoma.
- Author
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Pinheiro MMF, Schettini APM, Rodrigues CAC, and Santos M
- Subjects
- Aged, Fibroma surgery, Humans, Immunohistochemistry, Male, Skin pathology, Skin Neoplasms surgery, Fibroma pathology, Skin Neoplasms pathology, Toes pathology
- Published
- 2017
- Full Text
- View/download PDF
9. Chronic tophaceous gout in patients with psoriasis.
- Author
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Lobato LC, Coutinho JC, Frota MZ, Schettini AP, and Santos M
- Subjects
- Chronic Disease, Gout pathology, Humans, Male, Middle Aged, Gout etiology, Hyperuricemia etiology, Psoriasis complications
- Abstract
Psoriasis is a chronic inflammatory disease of multifactorial etiology influenced by genetic, immunological, and environmental factors. We report the case of a patient with psoriasis for more than 25 years who developed hyperuricemia and chronic tophaceous gout with unusual appearance. In psoriasis, hyperuricemia may occur by increased epidermal cell turnover, which accelerates purine metabolism and has uric acid as the product of its catabolism. The association of psoriasis with hyperuricemia can trigger the onset of gouty arthritis, and pose a greater risk of developing other inflammatory comorbidities. Therefore, it is important to periodically investigate uric acid levels in order to treat changes triggered by hyperuricemia.
- Published
- 2017
- Full Text
- View/download PDF
10. Generalized pustular psoriasis induced by systemic steroid dose reduction.
- Author
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Westphal DC, Schettini AP, Souza PP, Castiel J, Chirano CA, and Santos M
- Subjects
- Acitretin therapeutic use, Aged, Dose-Response Relationship, Drug, Female, Humans, Keratolytic Agents therapeutic use, Psoriasis diagnosis, Psoriasis drug therapy, Prednisone administration & dosage, Psoriasis etiology, Steroids administration & dosage
- Abstract
Generalized pustular psoriasis, or psoriasis of von Zumbusch, is an acute and severe clinical form of psoriasis, which usually occurs in patients with psoriasis undergoing aggravating factors. In this work, we report the case of a female patient, 70 years old, who developed generalized pustular psoriasis symptoms while reducing the dose of oral corticosteroids, improperly introduced for the treatment of alleged acute generalized exanthematous pustulosis. The differential diagnosis of generalized pustular psoriasis should be made with other pustular dermatoses, such as subcorneal pustulosis, IgA pemphigus and especially with acute generalized exanthematous pustulosis. Personal history of psoriasis and histopathological findings with psoriasiform changes and subcorneal pustule favored the diagnosis. She was treated with acitretin 30 mg / day, progressing to complete regression of the lesions., Competing Interests: None
- Published
- 2016
- Full Text
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11. Granuloma faciale: a good therapeutic response with the use of topical tacrolimus.
- Author
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Lima RS, Maquiné GÁ, Silva Junior RC, Schettini AP, and Santos M
- Subjects
- Administration, Cutaneous, Eosinophilic Granuloma pathology, Facial Dermatoses pathology, Female, Humans, Middle Aged, Treatment Outcome, Eosinophilic Granuloma drug therapy, Facial Dermatoses drug therapy, Immunosuppressive Agents administration & dosage, Tacrolimus administration & dosage
- Abstract
Granuloma faciale is a rare dermatosis of chronic course, benign, usually asymptomatic, first described in 1945 by Wingley. It is characterized by the appearance of well-defined, single or multiple papules, plaques and nodules, predominantly located in sun-exposed areas, especially the face. In this work we report the case of a female patient, 58 years old, evolving for ten years with multiple erythematous-brownish and asymptomatic papules on the face, whose histological examination confirmed the diagnosis of granuloma faciale. The patient was treated with topical tacrolimus, evolving with regression of lesions.
- Published
- 2015
- Full Text
- View/download PDF
12. Mycobacterium abscessus skin infection after tattooing--Case report.
- Author
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Sousa PP, Cruz RC, Schettini AP, and Westphal DC
- Subjects
- Adult, Brazil, Female, Humans, Mycobacterium Infections, Nontuberculous pathology, Nontuberculous Mycobacteria, Skin Diseases, Bacterial pathology, Mycobacterium Infections, Nontuberculous etiology, Skin Diseases, Bacterial etiology, Tattooing adverse effects
- Abstract
Mycobacterium abscessus is a rapidly growing mycobacterium that has been affecting people undergoing invasive procedures, such as videosurgery and mesotherapy. This bacterium has global distribution, being found in numerous niches. The frequency of published reports of infection by rapidly growing mycobacteria associated with tattooing procedures has increased in recent years. However, in Brazil there were no case reports of M. abscessus after tattooing in the literature until now. In this paper, we describe the case of a patient with a nine-month history of lesion on a tattoo site. The diagnosis of infection with Mycobacterium abscessus was established by correlation between dermatological and histopathological aspects, culture and molecular biology techniques. The patient had significant improvement of symptoms with the use of clarithromycin monotherapy.
- Published
- 2015
- Full Text
- View/download PDF
13. Lacaziosis - unusual clinical presentation.
- Author
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Sousa PP, Schettini AP, Rodrigues CA, and Westphal DC
- Subjects
- Adult, Biopsy, Female, Humans, Lobomycosis therapy, Skin pathology, Lobomycosis pathology
- Abstract
Lacaziosis or Jorge Lobo's disease is a fungal, granulomatous, chronic infectious disease caused by Lacazia loboi, which usually affects the skin and subcutaneous tissue. It is characterized by slow evolution and a variety of cutaneous manifestations with the most common clinical expression being nodular keloid lesions that predominate in exposed areas. We report the case of a patient who had an unusual clinical presentation, with a single-plated lesion on the back. Histopathological examination confirmed the diagnosis of Lacaziosis.
- Published
- 2015
- Full Text
- View/download PDF
14. Nail apparatus melanoma: a diagnostic opportunity.
- Author
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Carreño AM, Nakajima SR, Pennini SN, Candido Junior R, and Schettini AP
- Subjects
- Adolescent, Biopsy, Female, Humans, Nails pathology, Melanoma pathology, Nail Diseases pathology, Skin Neoplasms pathology
- Abstract
Malignant Melanoma is a high mortality neoplasm. The involvement of the nail apparatus is rare, with only 2 out of 3 patients seeking medical attention as the result of recent nail melanocytic lesions. This results in late diagnosis and a prognosis worse than cutaneous melanoma. We report a female, presenting with ulcerative lesions with clinical and laboratory features compatible with leishmaniasis. On return after treatment initiation a longitudinal melanonychia was observed on her first right finger. Biopsy of the nail matrix was performed. Histopathology was compatible with melanoma in situ. Longitudinal melanonychia is not a specific sign for melanoma and it is important that the dermatologist should identify the suspect lesions correctly. The incidental diagnosis of nail melanoma in situ in our case significantly impacted the patient's survival.
- Published
- 2013
- Full Text
- View/download PDF
15. Allopurinol in the treatment of acquired reactive perforating collagenosis.
- Author
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Tilz H, Becker JC, Legat F, Schettini AP, Inzinger M, and Massone C
- Subjects
- Aged, Collagen Diseases etiology, Diabetes Mellitus, Type 1 complications, Humans, Hyperparathyroidism, Secondary complications, Kidney Failure, Chronic complications, Male, Allopurinol therapeutic use, Collagen Diseases drug therapy, Free Radical Scavengers therapeutic use
- Abstract
Acquired reactive perforating collagenosis is a perforating dermatosis usually associated with different systemic diseases, mainly diabetes mellitus and/or chronic renal insufficiency. Different therapies have been tried but treatment is not standardized yet and remains a challenge. In the last few years, allopurinol has been reported as a good therapeutic option for acquired reactive perforating collagenosis. We describe the case of a 73-year-old man affected by acquired reactive perforating collagenosis associated with diabetes type 1 and chronic renal failure with secondary hyperparathyroidism. The patient was successfully treated with allopurinol 100mg once/day p.o..
- Published
- 2013
- Full Text
- View/download PDF
16. Assessment of completion of forms requesting skin biopsies.
- Author
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Schettini DA, Schettini AP, Sardinha JC, Ferreira LC, Vasques F, and Xerez L
- Subjects
- Biopsy, Brazil, Clinical Laboratory Information Systems, Diagnostic Tests, Routine, Laboratories, Hospital standards, Medical Records standards, Forms and Records Control standards, Skin Diseases diagnosis
- Abstract
Background: Information contained in request forms for histopathological examinations is essential for interpreting tissue changes observed in microscopy., Objective: To determine the adequacy of information provided on forms requesting skin biopsies., Method: Assessment, in two health institutions, of 647 forms requesting skin biopsies in order to determine the completeness on the forms of the clinical details/items considered necessary for undertaking skin biopsies., Results: Of the total 18 items on the forms, 7 were found to relay complete information in under 10% of the forms and only 9 items were correctly completed in over 80% of the requests., Conclusion: We concluded that information on many of the essential items required for a correct interpretation of the anatomopathologic examination was missing from the request forms.
- Published
- 2012
- Full Text
- View/download PDF
17. Clinical and epidemiological profile of cutaneous malignant melanomas in two referral institutions in the city of Manaus, Brazil.
- Author
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Chiba FB, Schettini AP, Delfino AC, Chirano CA, and Damasceno Sde A
- Subjects
- Age Factors, Aged, Brazil epidemiology, Female, Humans, Male, Melanoma pathology, Referral and Consultation, Sex Factors, Skin Neoplasms pathology, Skin Pigmentation, Melanoma epidemiology, Skin Neoplasms epidemiology
- Abstract
Knowledge on the frequency and clinical and pathological characteristics of cutaneous melanoma in the different geographical regions of Brazil is important in evaluating the magnitude of the problem and in directing healthcare actions appropriately. The present study reviewed data from 55 cases of cutaneous melanoma in patients treated at two healthcare institutions in the city of Manaus, Amazonas, Brazil. Rates were higher in brown-skinned males and in individuals of 70-80 years of age. Lesions were most commonly located on the lower limbs, were of the acral lentiginous melanoma type and at advanced stages of the disease, with Breslow thickness > 1 mm and Clark level V.
- Published
- 2011
- Full Text
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18. Localized primary cutaneous nodular amyloidosis: case report.
- Author
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Souza Júnior Jd, Schettini RA, Tupinambá WL, Schettini AP, Chirano CA, and Massone C
- Subjects
- Adult, Humans, Immunoglobulin Light-chain Amyloidosis, Immunohistochemistry, Male, Amyloidosis pathology, Skin Diseases pathology, Skin Diseases, Metabolic pathology
- Abstract
Amyloidosis results from deposition of fibrous and insoluble amyloid protein in extracellular spaces of organs and tissues. Amyloid deposition can be localized or systemic and either primary or secondary. We report a case of localized primary cutaneous nodular amyloidosis manifested by papular-nodular, reddish-brown lesions affecting the nasal area, without evidence of systemic involvement. Immunohistochemistry showed the presence of immunoglobulin kappa light chain.
- Published
- 2011
- Full Text
- View/download PDF
19. Mixofibrossarcoma--case report.
- Author
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Tupinambá WL, Schettini RA, Souza Júnior Jd, Schettini AP, Rodrigues CA, and Oliveira Fda S
- Subjects
- Adult, Humans, Male, Knee pathology, Myxosarcoma pathology, Skin Neoplasms pathology
- Abstract
Myxofibrosarcoma, previously known as malignant fibrous histiocytoma, myxoid variant, is a rare tumor of mesenchymal origin, composed of spindle cells and myxoid stroma. It mainly affects elderly people, involving the lower extremities and frequently extending to the dermis and subcutaneous tissue. The tumor presents high rates of recurrence, and a deep biopsy is required to obtain the correct diagnosis. We report a case of high-grade mixofibrossarcoma characterized by a rapidly growing tumor and the presence of marked cellular pleomorphism and an abundant myxoid matrix.
- Published
- 2011
- Full Text
- View/download PDF
20. Reproducibility of histopathologic diagnosis of skin diseases by digital photomicrographs versus conventional optical microscopy.
- Author
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Schettini FA, Ferreira LC, Schettini AP, and Camelo RT
- Subjects
- Cross-Sectional Studies, Humans, Observer Variation, Reproducibility of Results, Photomicrography methods, Skin Diseases pathology, Telepathology methods
- Abstract
Background: Telepathology is considered a good alternative for a second opinion consultation. Its implementation is desirable, but studies to confirm its practical application are required., Objectives: To evaluate the reproducibility of histopathologic diagnoses of skin diseases obtained through digital photomicrographs compared with conventional microscopy., Methods: We evaluated the surgical specimens of 135 patients using an optical microscope. After 4 weeks, the same consultants independently evaluated a total of 1,738 digital photomicrographs obtained from the histopathological slides. We estimated the overall rate of intra and interobserver agreement, and the Kappa coefficient was obtained with the categorization of the skin diseases: neoplastic skin diseases, infectious-contagious skin diseases and non-infectious-contagious skin diseases., Results: Consultant 1 obtained an agreement of 88.1% (95% CI = 81.5% - 93.1%) between conventional microscopy and images. Consultant 2 obtained an agreement of 80.7% (95% CI = 73.1% - 87%). The interobserver agreement for the microscopy analysis was 81.5% (95% CI = 73.9% - 87.6%). The same analysis using microphotography showed an agreement of 85.9% (95% CI = 78.9% - 91.3%). The Kappa coefficient, which evaluated the categorized skin diseases, was 98.6% for Consultant 1, 93.1% for Consultant 2, 95.8% for interconsultant analyses of images and 95.9% for interconsultant analyses using conventional optical microscopy. All of these values are considered optimal., Conclusion: The evaluation of microphotographs shows a good level of reproducibility when compared to traditional microscopy and, therefore, is a viable option for a second opinion consultation in dermatopathology.
- Published
- 2011
- Full Text
- View/download PDF
21. Pyoderma gangrenosum: a clinical manifestation of difficult diagnosis.
- Author
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Santos M, Talhari C, Rabelo RF, Schettini AP, Chirano CA, and Talhari S
- Subjects
- Adult, Female, Humans, Pyoderma Gangrenosum drug therapy, Treatment Outcome, Pyoderma Gangrenosum pathology
- Abstract
Pyoderma gangrenosum is an uncommon ulcerative cutaneous dermatosis associated with a variety of systemic diseases including inflammatory bowel disease, arthritis, hematological malignancies, hepatitis and acquired immunodeficiency syndrome (AIDS). The pathogenesis of pyoderma gangrenosum remains unknown. Its diagnosis is usually based on clinical evidence and confirmed through a process of elimination of the other possible causes of cutaneous ulcers. This report describes a case of pyoderma gangrenosum with extensive ulceration that responded well to treatment.
- Published
- 2011
- Full Text
- View/download PDF
22. Case for diagnosis. Mycosis fungoides.
- Author
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Ribas J, Schettini AP, Ribas CB, and Corrêa Cde A
- Subjects
- Adolescent, Biopsy, Female, Follow-Up Studies, Humans, Immunohistochemistry, Mycosis Fungoides pathology, Skin pathology, Skin Neoplasms pathology
- Abstract
An 18-year old female patient presented with a single, erythematous, desquamative plaque. The clearly outlined lesion was situated in the abdominal region. The patient reported that it had been present for the past year and that she had used no previous medication. Histopathology showed lymphocytic infiltration with atypia, principally affecting the superficial dermis with epidermotropism and mild spongiosis. Immunophenotyping revealed a predominance of CD3-positive cells, confirming the diagnosis of mycosis fungoides.
- Published
- 2010
- Full Text
- View/download PDF
23. Exogenous ochronosis hydroquinone induced: a report of four cases.
- Author
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Ribas J, Schettini AP, and Cavalcante Mde S
- Subjects
- Adult, Dermatologic Agents administration & dosage, Facial Dermatoses pathology, Female, Humans, Hydroquinones administration & dosage, Melanosis drug therapy, Middle Aged, Ochronosis diagnosis, Ochronosis pathology, Dermatologic Agents adverse effects, Facial Dermatoses chemically induced, Hydroquinones adverse effects, Ochronosis chemically induced
- Abstract
Exogenous ochronosis is an infrequent dermatosis characterized as a dark blue hyperpigmentation localized where the causing agent was applied. It may be caused by the use of systemic medication such as antimalarials and by the use of topic substances such as phenol, resorcinol, benzene, or hydroquinone, which is a fenolic compound with depigmentation action, largely used in the treatment of melasma and other hyperpigmentation. The physiopathology of this process is not well clear up to this moment, and the therapeutic measures are not satisfactory either. Here we present four cases of female patients that developed hyperpigmentation on their faces after the use of hydroquinone containing compounds, characterized clinically and histological as ochronosi. We emphasize the possibility of exogenous ochronosis cases being misdiagnosed as a melasma treatment failure. We also emphasize the risks of the indiscriminated use of hydroquinone containing compounds, used, in many instances, without medical prescription.
- Published
- 2010
- Full Text
- View/download PDF
24. [Do you know this syndrome?].
- Author
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Parente JN, Schettini AP, Massone C, Parente RT, and Schettini RA
- Subjects
- Aged, Humans, Male, Syndrome, Skin Neoplasms pathology
- Abstract
Brooke-Spiegler syndrome is an autosomal dominant inherited disease with predisposition to cutaneous adnexal neoplasms, most commonly cylindromas and trichoepitheliomas. Its onset is in the second or third decades of life. The histopathological exams of the lesions revealed a plethora of benign adnexal neoplasms, showing apocrine, follicular, and sebaceous differentiation. The treatment can be performed by excisional surgery, laser, cryotherapy, electrofulguration and dermabrasion. Due to the risk of malignancy, there is the need for clinical follow-up and genetic counseling.
- Published
- 2009
- Full Text
- View/download PDF
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