Divided nevus, also known as kissing nevus, is a rare variant of congenital
melanocytic nevi in which there are two adjacent nevi in areas of the body that
undergo embryonic cleavage. The original description of this type of lesion was
on the eyelid. The location on the penis is even rarer, with only 17 case
reports in the literature so far, and only one of them described the dermoscopic
findings. We report the case of a patient with divided nevus of the penis and
its clinical, dermoscopic and histopathological features.
BackgroundFemale pattern hair loss (FPHL) is a common complaint in adult women and
inflicts major impact in quality of life, however, there is no specific
questionnaire available in Portuguese for such evaluation.ObjectivesTranslation into Brazilian Portuguese, cultural adaptation and validation of
the WAA-QoL (Women's Androgenetic Alopecia Quality of Life
Questionnaire).MethodsMethodological study. After authorization by the author, cultural
(linguistic) translation and adaptation to Portuguese of the WAA-QoL
questionnaire were carried out. The translated version (WAA-QoL-BP) and DLQI
(Dermatology Life Quality index) were submitted to patients with FPHL for
concurrent validation. Twenty patients were reevaluated to assess temporal
stability.ResultsA total of 116 patients with APF were evaluated, the mean age (SD) was 47
(14) years, and 89 (76%) patients were classified as grades II and III
(Sinclair). There was high internal consistency: Cronbach´s alpha was 0.97
for the WAA-QoL-BP and 0.87 for the DLQI. The correlation between WAA-QoL
and DLQI resulted in (rho) 0.81 (p <0.01). The intraclass correlation
coefficient for complete agreement of WAA-QoL-BP was 0.95 (p <0.01) in
the test-retest comparison.Study LimitationsSampling of patients only from the State of São Paulo.ConclusionsA Brazilian version for WAA-QoL was translated and adapted, which proved to
be valid and consistent.
We present a different and rare manifestation of Darier's disease, namely linear
Darier's disease. Only a few cases have been described in the literature. The
case report is a male patient, 60 years old, presenting brown to red papules and
plaques with hyperkeratosis distributed on the abdomen, following Blaschko's
lines, with 6 years' evolution. It was a difficult diagnosis until the
dermatological workup and biopsy.
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