Psoriasis is a chronic inflammatory skin disease with various triggering factors. Here we report a case of psoriasis coexisti ng with secondary syphilis which could have been a possible trigger for exacerbation of psoriasis.
KEYWORDSPsoriasis, Secondary Syphilis.
HOW TO CITE THIS ARTICLE:Kumar VS, Saradha KP, Anandan V, et al. Coexistence of syphilis and psoriasis.
and death were evaluated. The AKIN classification was used to define acute injury. Results: We identified 555 patients admitted to clinical and surgical wards, corresponding to 1,49% of the total number of patients hospitalized in the period, who was submited into hemodialyses and classified as having acute renal failure (lower incidence than that found in the literature-3.8%), of which 47,9% women and 52,1% men, with a mean age of 75,7 years. The double lumen catheter was the only type of vascular access used; peritoneal dialysis wasn't indicated for these patients. Systemic arterial hypertension was the main comorbidity presented, affecting 45% of the patients, followed by diabetes (27.8% of the cases). The causes of acute renal injury were:-septic (pneumonia 40%) responsible for 52%, cardiogenic shock 16%, major surgeries 15% and drug induced nephropathy 12%. There was recovery of renal function in 13.3% (lower than that found in the literature) with a 45,05% evolution for outpatient dialysis and the mortality rate was 41,80%. The mortality found was compatible with the data present in the literature, being a clinical entity with a high mortality rate. Conclusion: Despite the medical advances of recent years, acute dialysis renal failure, is a pathological entity with a high degree of mortality. Septic conditions, especially pneumonia, contribute to mortality and are among the main causes of renal impairment in patients with acute renal failure.
A ten-year old girl presented with unilateral swelling of right half of her body since birth. She developed itchy, oozing, painful skin lesions over right lower leg for the past three months. Clinical examination and investigations revealed unilateral lymphoedema with elephantiasis nostras verrucosa cutis and visceral involvement in the form of pericardial effusion, ascites and intestinal lymphangiectasia. She was diagnosed as a case of multisegmental lymphatic dysplasia with systemic involvement. We report this rare case of primary lymphoedema, highlighting the approach to a case of primary lymphedema.
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