Hair loss, inflammatory and infectious scalp diseases and hair shaft disorders are common entities in the daily practice, with a differential diagnosis sometimes broad and difficult. In this setting, trichoscopy has been recently developed, consisting in the dermoscopic examination of the hair and scalp. Being an easy in-office technique that may be widely applied, not only diagnosing hair and scalp disorders, ...
A urticária ao frio é uma forma de urticária crónica, rara na idade pediátrica, mas potencialmente grave. A etiopatogenia não está completamente esclarecida e o tratamento não é consensual. São apresentados dois casos pediátricos que começaram com lesões eritematopapulares pruriginosas, associadas à exposição a ambientes frios, e episódios de lipotímia desencadeados por banho de mar. O teste do cubo do gelo foi...
Tinea corporis is a dermatophyte infection of the body. It usually begins as a pruritic circular or oval erythematous scaling patch or plaque that spreads centrifugally. Multiple lesions may run together to produce “flower petal” configurations. Tinea corporis contracted from infected animals is often intensely inflammatory. The history and clinical picture combination is characteristic, but the diag...
A Doença de Behçet é uma vasculite sistémica de carácter recorrente, de expressão rara na idade pediátrica.Apresenta-se o caso clínico de uma criança de 10 anos de idade com quadro de úlceras bipolares, genitais e orais, recorrentes e exuberantes.Perante um diagnóstico presuntivo de Doença de Behçet, foi instituída terapêutica com talidomida, substituída 6 meses depois por colchicina, com boa resposta com ambos...
The recent resurgence of syphilis and the diversity of its cutaneous presentations are mandatory to heighten clinical suspicion of this entity, even in the presence of concomitant diseases. The authors describe the case of a 58 year-old man, with a longtime history of psoriasis, that developed a secondary syphilis after the introduction of cyclosporine for a presumed flare of his chronic cutaneous disease. Poss...
Introduction: Tumors of skin appendages represent a heterogeneous group of benign and malignant neoplasms with different morphological differentiation. Material and Methods: A retrospective study of the skin appen- dages tumors diagnosed in the outpatient Department of Dermatology of the Centro Hospitalar do Porto, EPE-HSA from 2000 to 2009 was performed. Results: 404 tumors of skin appendages were diagnosed. ...
Ashy dermatosis, or erythema dyschromicum perstans, is a rare dermatosis of unknown etiology. The au- thors report the case of a 46-year-old healthy man that presented with a 1-year history of asymptomatic gray macules on the trunk. The constellation of clinical features, laboratory studies and histopathology allowed the diagnosis of Ashy dermatosis. Treatment with oral clofazimine was started, with complete re...
Congenital Volkmann's ischemic contracture is a rare disease observed in infants soon after birth, charac- terized clinically by a necrotic plaque usually located on an upper limb and accompanied by flaccid paralysis. It occurs in the intrauterine period and arises due to mechanical compression of the limb. The malpositioning of the limb, the constriction by amniotic band, the presence of oligohydramnios and dy...
Psoriasis is a chronic systemic T-cell-mediated inflammatory disease with high morbidity. Psoriasis’s investigation has been intense, improving knowledge on physiopathology and leading to new biologic therapies for moderate and severe psoriasis’s treatment. This review will focus the present and the future of anti-cytokine therapies, beside the class of tumor necrosis factor-α (TNF-α) blockers.KEYWORDS – Antibo...
It is estimated that 2 billion people worldwide have been infected with the hepatitis B virus (HBV) and over 350 million are chronic carriers. Patients who present antibodies to hepatitis B core antigen (anti-HBc) with con- current HBsAg negativity do not have chronic hepatitis, but only experienced HBV infection and were able to clear it. Nevertheless, some of these patients may be occult carriers, in whom int...
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