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La reconstrucción del párpado inferior sigue siendo un reto, especialmente la reparación de defectos que abarcan más de la mitad de su superficie horizontal. El colgajo de Hughes del párpado superior ipsilateral es la técnica quirúrgica de elección para los tumores de gran tamaño del párpado inferior. Presentamos el caso de una paciente con carcinoma basocelular superficial de párpado inferior izquierdo que fue intervenida con extirpación del tumor con margen de seguridad y reparación del defecto primario mediante este colgajo. Describimos la técnica de Hughes paso a paso, sus potenciales complicaciones, así como los puntos clave en su ejecución para conseguir unos resultados satisfactorios., Lower eyelid reconstrution remains a challenge, especially the repair of defects that cover more than a half of its horizontal surface. The Hughes flap of the ipsilateral upper eyelid is the surgical technique of choice for large tumors of the lower eyelid. We present the case of a patient with superficial basal cell carcinoma of the lower left eyelid who underwent surgery with excision of the tumor with margin of safety and repair of the primary defect using this flap. We describe the Hughes technique step by step, its potential complications, as well as the key points in its execution to achieve satisfactory results.

Objective(s) To evaluate the frequency of nonmelanoma skin cancer (NMSC), NMSC precursors, and melanoma on a store-and-forward dermatology model featuring the pharmacist as the patient’s point-of-contact. The secondary objective was to define lesion changes and symptoms perceived by patients (clinical prediction rules by nonexpert observers) that can be predictive of malignity. Methods A cross-sectional study of teledermatology consultation was performed. All patients who underwent a teledermatology consultation between September 2018 and March 2020 were included. A patient could have more than 1 lesion per consultation. The object of the study was a defined dermatologic lesion. The differences between the variables were analyzed using a univariate model based on the chi-square test for independent qualitative variables and Fisher exact test in cases when the expected values in any of the cells of a contingency table were less than 5. Statistical significance was set at P Results A total of 225 lesions in 218 patients were considered for this study; 53.8% (n = 121) of the lesions were classified as benign, 16.4% (n = 37) as dubious, 23.1% (n = 52) as NMSC precursors, 5.8% (n = 13) as NMSC, and 0.9% (n = 2) as melanomas. Of the reported clinical lesion changes, spontaneous pain, pruritus, surface texture changes, color changes, or form changes had no statistically significant relationship with the diagnostic group, whereas the presence of spontaneous bleeding (P = 0.015) and size changes (P = 0.026) were more frequently observed in the “dubious lesion” and “of oncological relevance lesion” groups. Conclusion This “direct-to-consumer,” store-and-forward teledermatology with dermoscopy model featuring the pharmacist as the patient’s point-of-contact is useful for the diagnosis of melanoma, NMSC, and NMSC precursors when backed by a robust dermatology service.

Background: Psoriasis is a systemic autoinflammatory disease that is related to an increased risk of organic and psychological comorbidities. Type D personality has been related to poor quality of life and worse physical and psychological outcomes in different diseases. Aims: The aim of this study is to explore whether type D personality is associated with an increased risk of presenting physical and/or psychological comorbidities, their relationship with the capacity of social adaptation, and health‑related quality of life (HRQOL) in patients with psoriasis. Methods: This was a cross‑sectional study. In all, 130 patients with moderate to severe psoriasis were included in this study. Participants completed the DS14 test and different validated questionnaires regarding quality of life and psychological morbidities. Results: Type D personality was present in 38.4% (50/130) of the participants of the study. Patients with psoriasis and type D personality presented a higher risk of depression and anxiety. We observed that type D personality was associated with a lower educational level. These patients also presented a worse HRQOL in different dimensions of the Short Form Health Survey‑36 questionnaire, more sleep problems, poor social adaptation, and a higher frequency of sexual disturbances. Limitations: Due to the cross‑sectional design of the study, we could not confirm causality. Selection of sample was not random. Diagnoses of physical comorbidity were collected through clinical interview of patients under active treatment, which may imply a classification bias. Conclusion: Type D personality could represent a frequent personality profile in patients with psoriasis that could identify subjects with poor coping abilities to the disease with poorer levels of quality of life, increased psychological comorbidities, and inadequate social adaptation mechanisms.

In recent years, tattoos have become more commonplace. However, this can result in various inflammatory processes, the management of which can be challenging in daily clinical practice. Tattoo-related inflammatory reactions can comprise different patterns, including acute and immediate reactions, foreign body granulomas, sarcoid granulomas, isomorphic lesions, allergic contact dermatitis and photosensitivity. We report three cases who were referred to the Dermatology Outpatient Clinic of the Hospital Universitario San Cecilio, Granada, Spain, in 2017 with various skin reactions in the red-ink areas of their tattoos. Screening was performed for infectious diseases like atypical mycobacterial infections and systemic processes such as sarcoidosis. A good therapeutic response was achieved in all cases. An adequate differential diagnosis is essential for the therapeutic management of this emerging health problem.Keywords: Non-Therapeutic Body Modification; Tattooing, adverse effects; Inks; Foreign Body Reaction; Inflammation; Case Report; Spain.

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