Introduction: Tuberculosis (TB) is a serious public health problem; however, the cutaneous form remains rare. Methods: A retrospective analysis examined notified cutaneous tuberculosis (CTB) cases from 2000 to 2013 at the University Hospital Clementino Fraga Filho. Results: Twenty-six CTB cases were documented during this period. Erythema induratum of Bazin was the most common form, and 86.7% of such cases occurred in women (p=0.068). Only one patient was HIV positive. Conclusions: This study confirms the rarity of CTB and highlights the need for multicenter studies in order to obtain an adequate number of cases for analysis.

No abstract

Background Spiny keratoderma shows “music box spine” keratotic papules limited to the palms and soles and these lesions do not cause any trouble besides the cosmetic impairment and the sensation of roughness of hands and soles. Aim To present cases and review the literature on spiny keratoderma. Patients/Methods, Results Three cases of spiny keratoderma are presented. The first case is a 52‐year‐old man with protein S deficiency presented with multiple spiny keratotic papules on palms and soles for more than 30 years, referring to remove them with a razor blade. The second case is an 84‐year‐old man who was hospitalized due to a rectal adenocarcinoma diagnosed 2 months before and presented multiples papules on palms and soles that were present for more than 50 years, with worsening after being bedridden. The third case is a 59‐year‐old woman who had since birth together with relatives the same type of spiny keratotic papules on palms and soles. Conclusion The authors discuss the epidemiologic data and differential diagnosis of spiny keratoderma, as well as the related literature. Associations with systemic disease or malignancy occur in some acquired cases. It is important to distinguish from other palmoplantar keratodermas as some of that can be linked to cutaneous and internal malignancies. To date, no cases of spiny keratoderma in patients with protein S deficiency and only one case of association with rectal carcinoma have been reported.

O tumor glômico é um tumor mesenquimal incomum originado do glomusneuromioarterial presente na derme reticular, localizado mais frequentemente nas mãos. Relatamos um caso de mulher, 51 anos, com história de longa duração de alterações no aspecto da unha do hálux esquerdo e dor local intensa. Após diversos tratamentos, já com o diagnóstico de verruga subungueal, foi suspeitada a existência de tumor glômico pela história clínica e testes semiológicos sugestivos. Foi realizada cirurgia, com a confirmação histopatológica das duas hipóteses. O possível diagnóstico é a soma de história clínica sugestiva, testes ambulatoriais e exames de imagem, contudo somente confirmado pela histopatologia. O tratamento é cirúrgico, tratando a dor e evitando a recorrência. O presente caso relata associação de diagnósticos (tumor glômico e verruga subungueal) culminando com as importantes alterações no aspecto da unha. Enfatiza-se neste trabalho a necessidade de avaliar a dor obscura de dígitos para tumor glômico.

O conceito e o instituto do casamento vêm experimentando tais mudanças no Brasil a pedir novos esforços de análise socioantropológica. Interpretações casuísticas e modificações sobretudo da legislação trabalhista, além de alterações morais − costumeiras − nos estilos de contato, de aproximação e de união entre homem e mulher ocasionam tipos de institutos não formais, porém socialmente consentidos, que aparentam o casamento do concubinato ou companheirismo que a lei trabalhista e assistencial e a Constituição de 1988 consagram e legitimam ante o poder civil. Desde os anos 30, o reconhecimento da validade civil do casamento religioso introduziu, por sua vez, nova condição a essa sanção, desde que registrada no órgão civil, laico, estatal. O pleito de assistência ou de direitos consuetudinários trouxe também o reconhecimento da validade e da caracterização judiciária − da antiga união livre, como legítima perante o Estado.

No abstract

Background: Hamartomas are excessive growth of mature cells and tissues usually present in the affected organ with architectural derangement. Lingual hamartomas are uncommon.Methods: A 49-year-old woman presented a mass on the body of the tongue to the left, with mild dysphagia and dyslalia. She has lesions of localized scleroderma in the limbs for the past 36 years. The diagnosis of hamartoma was based on the histopathological study.Results: Despite the large size of the lesion and the minor impairment it caused a conservative management and only regular consultations were proposed due also to the fact the surgical approach could produce greater morbidity. Conclusions:The authors discuss the epidemiologic data and differential diagnosis of lingual hamartoma, as well as the related literature. To date, no cases of lingual hamartomas in patients with scleroderma have been reported.