Search

In our particular way of expressing ourselves, redacting, talking, writing#8230; either way, opening a space for communication with other colleagues, highlights our own and perhaps as sui generis medical style. In reality, no specialty has a heritage which as extensive as dermatology. It may be that different colleagues find it difficult for them to "decode" our semiological messages, which for us are quite simple, clear, and explicit. Oh surprise! When in an interconsultation our colleague who requested it exclaims: "now what does my colleague mean?"#8230; That's where we verify that we have reached a certain sublimity in our lineage, which for many is equivalent to a sea of descriptive confusion. To you our gentle reader, would you like to recall some of the peculiarities of our daily clinical jargon and that through the centuries has made us a special place among colleagues? In Spanish they are phonetically beautiful. We have managed to collect some comments about this different way of expressing ourselves. [ABSTRACT FROM AUTHOR]

Subcorneal pustular dermatosis is a disease that has coalescent, laccid, recurrent pustules. We do not know everything about its etiology or pathogenesis; however, its autoimmune mechanism links it with neoplastic or immunologic diseases. First line treatment is dapsone. We describe the case of a classic subcorneal pustular dermatosis in a patient in who we could not use dapsone (sulpha drugs allergy), instead we prescribed prednisone and methotrexate, with good clinical evolution. [ABSTRACT FROM AUTHOR]

Background: Adverse drug reactions have different clinical expressions. The skin is an organ directly involved in the processes of pharmacokinetics and pharmacodynamics and is capable of expressing multiple reactions in response to different stimuli medicated. Objectives: To determine the prevalence of adverse drug reactions, to identify and to establish the associated morbidity and mortality as well as the most frequent reactions in hospitalized patients in the Dermatology service of the Specialties Hospital, West National Medical Center, Mexican Institute of Social Security. Material and method: A cross-sectional and retrospective analysis performed with patients hospitalized in the Dermatology service from January 1st, 2004 to December 31st, 2012 according to a non-probabilistic counting of consecutive cases. Results: Adverse drug reactions corresponded to 34.4% of patients hospitalized in the Dermatology service; 63% were female. The most common reaction was Brocq-Lyell syndrome (32%), followed by Stevens-Johnson syndrome (14%). The most frequent comorbidity was epilepsy (16.1%) and diabetes mellitus (15%); 24% of the patients died. Conclusions: Stevens-Johnson and Brocq-Lyell syndrome were found more frequently related with adverse drug reactions in Dermatology service of the Specialties Hospital, West National Medical Center, Mexican Institute of Social Security. [ABSTRACT FROM AUTHOR]

Stevens-Johnson syndrome, overlap syndrome Stevens-Johnson-toxic epidermal necrolysis and toxic epidermal necrolysis or Brocq-Lyell syndrome are uncommon diseases caused by drugs in the most of cases. Toxic epidermal necrolysis is a potentially fatal illness, which is characterized by extensive epidermal detachment combined with severe inflammation and denudation of the mucosal surfaces. Because of low incidence of toxic epidermal necrolysis, the treatment is controversial, however, withdrawing causal medication, nutritional and electrolytic balance support and control of infections are the key to better evolution of the patients. Intravenous immunoglobulin and cyclosporine A can be effective therapies when there are no contraindications for its use. [ABSTRACT FROM AUTHOR]

Bullous pemphigoid is an autoimmune dermatosis characterized by deposition of immunoglobulin G (IgG) and/or complement along basement membrane zone. The lesions of bullous pemphigoid are tense blisters on trunk and extremities, oral lesions are unusual. Figurate erythema includes some dermatologic pictures characterized by annular and polycyclic lesions. Figurate erythema can be confused with erythema gyratum repens, dermatosis associated statistically to malignant neoplasias. The objective for reporting this case is to inform the simultaneous association between bullous pemphigoid and figurate erythema in 83 year old man without underlying malignancy. [ABSTRACT FROM AUTHOR]

The necrotizing scleritis and recurrent erythema nodosum, two clinical entities difficult to diagnose and which represent a challenge to the physician. Tuberculosis produces both processes by an immune reaction of delayed hypersensitivity type IV to various antigenic components of mycobacteria. Most tuberculosis patients have no ocular history of pulmonary or systemic disease in up to 50 % and no evidence of pathology in the chest radiograph. An adequate treatment leads to a favorable prognosis. It occurs when the diagnosis of infection is made on time. We describe the case of a woman with necrotizing scleritis associated with recurrent erythema nodosum secondary to infection with Mycobacterium tuberculosis complex.

Bullous pemphigoid is an autoimmune dermatosis characterized by deposition of immunoglobulin G (IgG) and/or complement along basement membrane zone. The lesions of bullous pemphigoid are tense blisters on trunk and extremities, oral lesions are unusual. Figurate erythema includes some dermatologic pictures characterized by annular and polycyclic lesions. Figurate erythema can be confused with erythema gyratum repens, dermatosis associated statistically to malignant neoplasias. The objective for reporting this case is to inform the simultaneous association between bullous pemphigoid and figurate erythema in 83 year old man without underlying malignancy.