OBJECTIVES: Report the case of pityriasis rubra pilaris (PRP) in a male patient at the age of 2 years and 10 months. METHODS: A review of the medical record as well as the literature regarding the present conditions, via PubMed database. RESULTS: Male patient, 2 years and 10 months, referred for the first year of appearance of pruritic erythematodescamative annular plaques in lower limbs with dissemination to the trunk, upper limbs, and face, associated with scaling in the plantar region and nail dystrophy. The biopsy presented stratum corneum parakeratotic with hypergranulosis and moderate acanthosis. The diagnosis of pityriasis rubra pilaris was considered conclusive. Isotretinoin and oral antihistamine were prescribed, having complete improvement. CONCLUSIONS: PRP remains a challenging disease, be it on its pathogeny, diagnosis or treatment. Randomized studies would aid on establishing a standardized treatment for PRP, improving the quality of life of patients suffering from this disease.
Deonizio JMD, Vilaça BM, Oldoni C, Meskau MPA, Goetze AC, Wroblevski FC, Bertoldi MB, Fujii FN. Síndrome de Morbihanrelato atípico de uma doença pouco conhecida / Morbihan syndrome -an atypical report a rare condition. Rev Med (São Paulo). 2019 maio-jun.;98(3):231-3. Pôster apresentado no 73º Congresso da Sociedade Brasileira de Dermatologia, set. 2018, Curitiba, PR.
Tuberculose peritoneal é uma doença de difícil diagnóstico e representa cerca de 1-2% das formas desta infecção. Sua apresentação clínica é variada e inespecífica, sendo dor abdominal e febre os achados mais frequentes. Relata-se caso de paciente do sexo feminino, de 48 anos, com ascite, febre e perda ponderal, cujo diagnóstico inicial era câncer de ovário com carcinomatose peritoneal. A investigação adicional com exames laboratoriais e biópsia de omento estabeleceram o diagnóstico de tuberculose peritoneal. Não havia tuberculose pulmonar. Foi feito tratamento específico com resposta satisfatória. O presente trabalho objetiva ressaltar que, dentre as diferentes patologias que acometem o peritônio, a peritonite tuberculosa deve ser um diagnóstico considerado, principalmente na presença de ascite e quadro abdominal inespecífico e discutir os principais achados e a abordagem investigativa.
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