On variations in micrographic surgery and the use of horizontal histological sections in the evaluation of the surgical margin - Reply
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Histopathological aspects of the inclusion of surgical material in micrographic surgery using the Munich method and its comparison with horizontal histological sections,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

On the different methods of micrographic surgery and their differences in the visualization of the tumor and surgical margin, and in the contribution to clinical and oncological aspects,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

On variations in micrographic surgery and the use of horizontal histological sections in the evaluation of the surgical margin,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

ASIA case after injection of liquid silicone,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Acute generalized exanthematous pustulosis with features mimicking toxic epidermal necrolysis secondary to amiodarone,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Rare presentation of Rothmund-Thomson syndrome with novel compound heterozygous mutations of the RECQL4 gene,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Sporadic form of epidermolysis bullosa simplex with mottled pigmentation,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Cutaneous metastases from primary solid and hematopoietic neoplasms at a referral hospital in Colombia: a cross-sectional study,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Melanoma risk factors in a Latin American population,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Daylight photodynamic therapy for Bowen's disease,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Molecular detection of Merkel cell polyomavirus in basal cell carcinoma and perilesional tissue: a cross-sectional study,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Case for diagnosis. Single-digit clubbing,
Abstract A 58-year-old female patient presented with a single-digit clubbing on the second finger of her right hand two years previously. After investigation with imaging and incisional biopsy, superficial acral fibromyxoma was diagnosed. A brief review on single-digit clubbing and its causes is presented, focusing on superficial acral fibromyxoma. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Case for diagnosis. Pruritic erythematosquamous lesion in the auricle,
Abstract Chromoblastomycosis is a subcutaneous mycosis with chronic evolution that mainly affects the lower limbs and, less frequently, the auricles. Clinically, it presents with papillary verrucous, nodular, and/or tumoral lesions, whether isolated or infiltrated, forming plaques and, sometimes, atrophic in some areas. Histopathologically, it is characterized by a dermal granulomatous inflammatory infiltrate, and the diagnosis can be confirmed by the presence of fumagoid bodies in anatomopathological or direct mycological exams. The treatment to be indicated will depend on the extent and location of the lesions, using sys...
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Dermatoscopic findings of syphilitic alopecia,
Abstract Syphilis is an infectious disease that has afflicted mankind for centuries, but a recent increase in worldwide incidence has been evidenced. The authors describe a patient with typical lesions of secondary syphilis and moth-eaten alopecia, whose dermoscopic examination demonstrated empty hair follicles, vellus hair, follicular hyperkeratosis, peripheral black dots, dilated and tortuous vessels, reddish brown background, and hypopigmentation of the hair shafts. Furthermore, this case presented an erythematous background more evident than previously described cases. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Trichoscopic stages of dissecting cellulitis: a potential complementary tool to clinical assessment,
This article illustrates the evolutive trichoscopy of dissecting cellulitis, from its early phase, through the abscess phase, to the fibrotic cicatricial phase. Trichoscopy complements clinical-pathological classification, representing a complementary tool useful in early diagnosis and monitoring of the patient during treatment. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Cutaneous infection by Mycobacterium lentiflavum after subcutaneous injection of lipolytic formula,
Abstract The incidence of nontuberculous mycobacterial infections is increasing worldwide; by 2017, more than 190 species and subspecies have been documented. Although classically associated with immunosuppression, the recognition of these etiological agents in diseases affecting immunocompetent individuals and in healthcare-associated infections, such as after surgical and cosmetic procedures, makes the study of the epidemiology and pathogenesis of these microorganisms relevant in medical practice. Mycobacterium lentiflavum is slow-growing and rarely affects the skin. A case of cutaneous mycobacteriosis caused by M. lenti...
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Epidemiological monitoring of leprosy indicators in Sergipe (2001-2015): segmented regression analysis,
This study analyzed the trend of leprosy indicators in Sergipe, between 2001 and 2015. It was a time series study that analyzed the trend for general detection coefficient, children under 15 years of age, and new cases with grade 2 disability. The joinpoint model was used. Two (2.6%) municipalities had an increasing trend in general detection coefficient, five (6.6%) had an increasing trend in detection rate in children under 15, and 19 (25.3%) had an increasing trend in detection coefficient of new leprosy cases with grade 2 disability. The findings suggest maintenance of the chain of transmission. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Update on vasculitis: overview and relevant dermatological aspects for the clinical and histopathological diagnosis - Part II,
This article assesses the main dermatological aspects relevant to the clinical and laboratory diagnosis of small- and medium-vessel cutaneous and systemic vasculitis syndromes. The most important aspects of treatment are also discussed. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Signet ring cells in carcinomatous lymphangitis due to gastric adenocarcinoma,
This report describes the case of a female patient, 72 years old, with surgically treated gastric antrum adenocarcinoma. Pathology showed poorly differentiated adenocarcinoma with signet ring cells. It evolved with bone involvement, lymph node enlargement in the inguinal region, and skin infiltration in the lower limbs, abdomen, and root of the upper limbs. Skin biopsy demonstrated signet ring carcinoma embolizing the dermal and hypodermic vessels and invasion of adipose tissue, confirming carcinomatous lymphangitis. Carcinomatous lymphangitis is the cutaneous and subcutaneous lymphatic invasion by tumor cells. Cutaneous m...
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Annular epidermolytic ichthyosis: a case report and literature review,
This report presents the case of an 8-year-old girl who developed migratory, erythematous, scaly plaques associated with palmoplantar keratoderma. The initial hypothesis was erythrokeratodermia variabilis et progressiva; however, the finding of epidermolytic hyperkeratosis in histopathological examination led to the diagnosis of annular epidermolytic ichthyosis. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Multinucleate cell angiohistiocytoma: an uncommon cutaneous tumor,
This report presents the case of a 62-year-old woman with a typical clinical condition, who chose not undergo treatment, considering the benign character of her illness. The clinical and immunohistological aspects of this unusual dermatological entity are emphasized. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Atypical lymphangioma and hyperkeratosis in a patient with morbid obesity,
This report details a 51-year-old man with morbid obesity who presented, for the last eight months, multiple asymmetric tumor lesions with extension to the scrotal region. The diagnosis of circumscribed lymphangioma with associated infection was confirmed. This case report demonstrates an unusual presentation of the characteristics of the lymphangioma that are seldom described in the literature. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Partial repigmentation of vitiligo with tofacitinib, without exposure to ultraviolet radiation,
This report details the case of a patient with rheumatoid arthritis associated with vitiligo in treatment for two years, whose condition partially improved initially after eight months of oral tofacitinib at a dose of 5 mg twice a day, without exposure to ultraviolet radiation and with continuous improvement during these two years of treatment. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Successful therapeutic approach in a patient with elephantiasic pretibial myxedema,
This report presents the case of a patient with elephantiasic pretibial myxedema who was subjected to intralesional corticosteroid applications, resulting in an excellent and encouraging therapeutic response that was maintained. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Identification of Leishmania species by high-resolution DNA dissociation in cases of American cutaneous leishmaniasis,
Conclusions The method detected and identified Leishmania species in paraffin-embedded skin biopsies with a sensitivity of 96.4% and could be routinely used in the public health system. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Dietary patterns of patients with psoriasis at a public healthcare institution in Brazil,
Conclusion Two dietary patterns were identified in a Brazilian sample of psoriasis patients. The prevalence of obesity and metabolic syndrome were greater than in the adult Brazilian population. The fresh diet was associated with lower indicators of metabolic syndrome in this sample. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Ischemia-modified albumin as a possible marker of oxidative stress in patients with telogen effluvium,
Abstract Background Telogen effluvium is the most common form of non-scarring alopecia characterized by diffuse hair loss. Ischemia-modified albumin is a marker of oxidative stress and inflammation. Objective The aim of this study was to compare the levels of ischemia-modified albumin of telogen effluvium patients with healthy controls. Methods Ninety-one patients diagnosed with telogen effluvium and 35 healthy volunteers were included in the study. Serum ischemia-modified albumin level was determined by a fast-colorimetric method, and albumin cobalt binding test. The results were evaluated statistically. Results There was...
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Clinical and epidemiological characteristics and associated factors of hair graying: a population-based, cross-sectional study in Turkey,
This study aimed to evaluate the clinical and epidemiological characteristics and associated factors of hair graying. Methods A total of 1541 volunteers between 15 and 65 years old were included in this population-based, cross-sectional study. A questionnaire on characteristics and associated factors of hair graying was filled in by face-to-face interview method. Results One thousand sixty three participants (69.0%) had hair graying. The mean onset age of hair graying was 32.9 ± 9.8 years. It was 31.7 ± 9.5 years in females, whereas 33.7 ± 10.0 years in males (p = 0.001). The most common involved area ...
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Nosological profile of dermatological diseases in primary health care and dermatology secondary care in Florianópolis (2016-2017),
Conclusion This study presents different nosological profiles of skin diseases in primary health care and dermatology secondary care, reinforcing the importance of primary health care's role in the management of less complex conditions, referring more complex cases that require more specialized experience to dermatology services.. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Healing effects of natural latex serum 1% from Hevea brasiliensis in an experimental skin abrasion wound model,
Conclusion In conclusion, non-toxic latex stimulated migration/proliferation of keratinocytes in vitro and significantly accelerated wound healing in animal excoriation models compared to chlorhexidine or saline. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Severe bacterial skin infections,
This article focuses on the epidemiology, clinical dermatological manifestations, methods of diagnosis, and treatment of each of the diseases mentioned. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - August 13, 2020 Category: Dermatology Source Type: research

Primary melanoma of leptomeninge in a patient with giant congenital melanocytic nevus,
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. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Cyclosporine-induced childhood generalized hypertrichosis,
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. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Herpes zoster incognito: an immunohistochemical diagnosis,
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. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Inflammatory segmental vitiligo during oral isotretinoin use: a casual association?,
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. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Terra firma-forme dermatosis: an underdiagnosed condition,
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. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Cutaneous and pulmonary cryptococcosis,
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. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Pediatric chondrodermatitis nodularis chronica helicis,
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. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

The string of pearls pattern in dermoscopy of a chest papule,
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. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Atypical cutaneous mycobacteriosis caused by M. fortuitum acquired in domestic environment,
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. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Case for diagnosis. Keloidal cord-like lesion on the leg,
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. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Leproma's dermoscopy,
Abstract In situations in when a dermoscopic record of a large lesion is desirable, the resulting images are usually restricted to a small field of view due to the limited diameter of dermatoscope lenses. This limitation often produces several photographs separately, thus losing the possibility of a single-image global evaluation. In these case reports, we show examples of a recently published image montage technique called Wide Area Digital Dermoscopy, in this case, applied to basal cell carcinomas. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Wide area digital dermoscopy applied to basal cell carcinoma,
Abstract In situations in when a dermoscopic record of a large lesion is desirable, the resulting images are usually restricted to a small field of view due to the limited diameter of dermatoscope lenses. This limitation often produces several photographs separately, thus losing the possibility of a single-image global evaluation. In these case reports, we show examples of a recently published image montage technique called Wide Area Digital Dermoscopy, in this case, applied to basal cell carcinomas. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Systemic sporotrichosis in an alcoholic patient,
Abstract A 44-year-old male patient presented with nodules that evolved with inflammation, following drainage of seropurulent secretion and ulceration. The patient had a 6 year-history of alcohol addiction and reported contact with cats. At the physical examination, the patient had skin-colored and erythematous nodules, and ulcers covered with thick, blackened crusts on the face, trunk and limbs. A culture of a nodule fluid revealed growth of Sporotrix sp. He also had pulmonary involvement and therefore the disease was classified as systemic sporotrichosis, a rare form that usually affect patients infected with HIV. Chroni...
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Pseudomycetoma of the scalp caused by Microsporum canis,
We present a 24-year-old man with an exuberant tumor in the occipital region with fistula, whose histopathological examination evidenced grains composed of hyaline hyphae and the culture for fungi isolated the agent Microsporum canis. Combined treatment of surgical excision followed by oral griseofulvin for two years was performed, with resolution of the condition. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Update on vasculitis: an overview and dermatological clues for clinical and histopathological diagnosis - part I,
This article reviews the Chapel-Hill 2012 classification, etiology, recent insights in pathophysiology, some important dermatological clues for the diagnosis and summarizes treatment of some of these complex vasculitis syndromes. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Osteonevus of Nanta: a case report in a combined melanocytic nevus,
We report a case of osteonevus of Nanta in combined nevus, possibly the first description of this association. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Intravascular histiocytosis: case report of a rare disease probably associated with silicone breast implant,
We describe a case of a 55 year-old female patient presenting erythematous/purple patches on the breasts, back and limbs. She previously presented ductal carcinoma in the right breast in 2006 which was treated with mastectomy and proceeded to silicone breast implant in 2009. Clinical hypothesis was telangiectatic metastatic carcinoma. Histopathology showed vascular ectasia, thrombosis and recanalization of upper dermis small vessels. On immunohistochemistry, intravascular cells were CD 68+ and negative for estrogen and progesterone receptors, CK7, EMA and AE1/AE3 and endothelial cells were CD64+, leading to the diagnosis o...
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research

Disseminated tuberculosis associated with reactive arthritis of Poncet in an immunocompetent patient,
We report a previously healthy 23-year-old male patient with watery diarrhea associated with erythematous ulcers on the lower limbs and oligoarthritis of the hands. Histopathological examination of the skin showed epithelioid granulomatous process with palisade granulomas and central caseous necrosis. AFB screening by Ziehl-Neelsen staining showed intact bacilli, the culture was positive for Mycobacterium tuberculosis, and colonoscopy revealed multiple shallow ulcers. Disseminated tuberculosis associated with reactive Poncet arthritis was diagnosed, with an improvement of the clinical and skin condition after appropriate t...
Source: Anais Brasileiros de Dermatologia - July 25, 2020 Category: Dermatology Source Type: research