Erosive pustular dermatosis of the scalp is a rare inflammatory disorder of the scalp, affecting elderly patients after local trauma and leading to scarring or cicatricial alopecia. Case Report: An elderly female patient complained of painful pustules on the parietal region bilaterally with progressive enlargement and ulceration. A biopsy suggested erosive pustular dermatosis of the scalp and the patient was treated with prednisone 40 mg/day and 0.1% topical tacrolimus. After 10 weeks complete closure of the eroded areas was observed and a stable scarring alopecia developed.
Ichthyoses are a common group of keratinization disorders. A non-inflammatory generalized persistent skin desquamation is observed. It is characterized by increased cell turnover, thickening of the stratum corneum and functional changes of sebaceous and sweat glands. All of these favor fungal proliferation. Dermatophytes may infect skin, hair and nails causing ringworm or tinea. They have the ability to obtain nutrients from keratinized material. One of its most prevalent genera is Trichophyton rubrum. Although tineas and ichthyoses are quite common, the association of the two entities is rarely reported in the literature. Three cases of ichthyosis associated with widespread infection by T. rubrum are presented. Resistance to several antifungal treatments was responsible for worsening of ichthyosis signs and symptoms.
Resumo: Atletas apresentam risco para micoses cutâneas. Estudados 23 jogadores de futebol, através de exames clínico, micológicos (direto e cultura) e clipping ungueal, dezoito (78,26%) não apresentavam micoses; dois (8,70%) apresentavam tinea pedis e três (13,04%) onicomicose, associada à tinea pedis, principalmente por Trichophyton mentagrophytes. Tinea pedis infectada produziu celulite em um atleta. É necessário um programa educativo de cuidados com a pele no esporte. COMUNICAÇÃO COMUNICAÇÃOA terminologia "pé-de-atleta" ou "frieira" é associada à prática desportiva, entretanto, são escassos, na literatura, estudos na população que exerce o esporte profissionalmente. No futebol, a tinea pedis, principalmente, quando infectada ou associada à onicomicose, ultrapassa o sujeito individual para refletir no coletivo, sendo fundamental a prevenção. [1][2][3][4] Pesquisa transversal e descritiva, aprovada pelo Comitê de Ética do HC-UFPR, avaliou a prevalência de dermatofitoses podais em 23 jogadores masculinos de futebol profissional em Curitiba (PR), através de exames micológicos direto e culturas dos pés: unha, região plantar, interdigital e ainda, exame histopatoló-gico de fragmento ungueal, corado pelo PAS com digestão. 5Os atletas apresentavam idade entre 18 a 30 anos (média 23,48 ± 3,06), peso 75,57 ± 6,29 kg, estatura 1,79 ± 0,05 metros, tempo de profissão 6,13 ± 2,77 anos, sendo dez (43,48%) brancos, nove (39,13%) mulatos e quatro (17,39%) negros. Procediam do sul (39,13%) e sudeste (21,74%) do país. Dezoito atletas (78,26%) cursaram de quatro a oito anos de ensino regular; quatro atletas (17,39%) possuíam ensino médio completo e um (4,35%) cursava a Faculdade de Educação Física.Três casos (13,04%) apresentavam onicomicose, associada à tinea pedis, e dois (8,70%), somente tinea pedis. Todos os casos de onicomicose estavam associados a tinea pedis interdigital. (Tabela 1)
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