Transmittance of UVB, UVA, and visible light (blue-violet) among the main Brazilian commercial opaque sunscreens,
Abstract White fibrous papulosis of the neck is a rare entity, with fewer than 50 cases described. It is a benign pathology whose main interest lies in its broad differential diagnosis, especially with pseudoxanthoma elasticum. The authors report the case of a 77-year-old woman with multiple yellow-white monomorphic papules on the posterior cervical region, with years of evolution. Cutaneous biopsy revealed a nodular area in the superficial and middle reticular dermis, with slight thickening of the collagen fibers and focally enlarged elastic fibers, aspects highlighted in the Verhoeff staining that additionally showed abs...
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Imaging tests in cutaneous malignant melanoma staging: a retrospective cohort,
Abstract White fibrous papulosis of the neck is a rare entity, with fewer than 50 cases described. It is a benign pathology whose main interest lies in its broad differential diagnosis, especially with pseudoxanthoma elasticum. The authors report the case of a 77-year-old woman with multiple yellow-white monomorphic papules on the posterior cervical region, with years of evolution. Cutaneous biopsy revealed a nodular area in the superficial and middle reticular dermis, with slight thickening of the collagen fibers and focally enlarged elastic fibers, aspects highlighted in the Verhoeff staining that additionally showed abs...
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Adalimumab for severe psoriasis in Chilean paediatric patients,
Abstract White fibrous papulosis of the neck is a rare entity, with fewer than 50 cases described. It is a benign pathology whose main interest lies in its broad differential diagnosis, especially with pseudoxanthoma elasticum. The authors report the case of a 77-year-old woman with multiple yellow-white monomorphic papules on the posterior cervical region, with years of evolution. Cutaneous biopsy revealed a nodular area in the superficial and middle reticular dermis, with slight thickening of the collagen fibers and focally enlarged elastic fibers, aspects highlighted in the Verhoeff staining that additionally showed abs...
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Multiple whitish papules on the posterior neck of an elderly woman,
Abstract White fibrous papulosis of the neck is a rare entity, with fewer than 50 cases described. It is a benign pathology whose main interest lies in its broad differential diagnosis, especially with pseudoxanthoma elasticum. The authors report the case of a 77-year-old woman with multiple yellow-white monomorphic papules on the posterior cervical region, with years of evolution. Cutaneous biopsy revealed a nodular area in the superficial and middle reticular dermis, with slight thickening of the collagen fibers and focally enlarged elastic fibers, aspects highlighted in the Verhoeff staining that additionally showed abs...
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Complete form of pachydermoperiostosis,
Abstract Pachydermoperiostosis (PDP) or primary hypertrophic osteoarthropathy (PHO) is a rare hereditary disease characterized by digital clubbing, pachydermia, and periostosis. Its pathogenesis is uncertain and the diagnosis is based on clinical and radiological data. A complete form of the syndrome is reported in a male patient with disease onset in adolescence, with compatible clinical and radiological findings, presenting the three cardinal findings as well as other associated manifestations, such as hyperhidrosis and acne. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Dermatoscopy of the Borst-Jadassohn phenomenon in hidroacanthoma simplex,
Abstract The Borst-Jadassohn phenomenon is a morphological finding that consists of the presence of well-defined nests of cells located in the spiny stratum of an acanthotic epidermis. One of the neoplasms where this phenomenon is found is hidroacanthoma simplex. This neoplasm is considered the intraepidermal form of the eccrine poroma. Despite its benign nature, malignant transformations are reported. The present article reports a case of hidroacanthoma simplex and discusses the dermoscopy of this phenomenon. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Leprosy in the elderly population of an endemic state in the Brazilian Northeast (2001-2017): epidemiological scenario,
Abstract This ecological study aims to analyze both the tendency and the characteristics of leprosy in the elderly population in the state of Bahia, 2001-2017. The tendency was analyzed through joinpoint regression. Epidemiological variables were also included in the study. The average detection rate was 38.73/100,000, with prevalence of men (45.19/100,000). A downward trend occurred in both genders, from 2004, with a greater magnitude in women (annual percent change [APC] = − 3.4%). Men presented higher proportions of the multibacillary forms and physical disabilities. The epidemiological scenario indicates the need of ...
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Safety of local anesthetics,
Abstract Local anesthetics are essential medications for the conduction of dermatological procedures. They stop the depolarization of nerve fibers and are divided into two main categories, the amide and ester types. Systemic toxicity with reflex on the central nervous and cardiovascular systems is their most feared adverse reactions, and the anaphylactic reaction is the most concerning one. Although potentially fatal, these events are extremely rare, so local anesthetics are considered safe for use in in-office procedures. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

In vivo and ex vivo dermoscopy of lesions from implantation of human papillomavirus in tattoos: report of two cases,
Abstract The number of individuals with tattoos has been increasing worldwide, alongside with reports of complications varying from reactions to the injected pigments to infections caused by agents inoculated in the pigmentation process. The diagnosis of such unwanted events can be obtained through complementary non-invasive methods, preserving the maximum of the tattoo design. The authors present two cases of patients with warts on tattooing, and correlate their clinical aspects to in vivo and ex vivo dermoscopy, and to the findings in the histopathological examination, aiming to determine patterns that aid the diagnosis ...
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Familial “benign” pemphigus? Erythroderma and fatal outcome,
Abstract Hailey-Hailey disease, or familial benign pemphigus, is a rare bullous genodermatosis that usually presents with flaccid blisters, erosions, and maceration limited to flexural areas, resulting in increased morbidity and reduced quality of life for affected patients. The authors report an unusual case of generalized Hailey-Hailey disease with erythroderma and fatal outcome. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Eruptive disseminated Spitz nevi - Case report,
This report presents the case of a 24-year-old patient with multiple papules on his limbs, which had appeared four years previously. On physical examination, 120 pink and skin-colored papules were seen, which under dermoscopy were observed to be homogeneous, pink vascular lesions. Histopathologic study revealed epithelioid cells arranged in groups or singly in the dermis and dermo-epidermal junction. They were HMB-45 positive in the superficial dermis, and Ki-67< 1%. Given these findings, a diagnosis of eruptive disseminated Spitz nevi was made. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Erythroderma as first manifestation of squamous cell lung cancer: rare case report,
Abstract Erythroderma as the first manifestation of a solid organ malignancy is rare. The underlying cancer is a challenging condition to diagnose. There are a few cases of erythroderma in cancer patients reported in the literature. We here describe the case of a 70-year-old man who presented with asthenia, weight loss, dry cough and total body erythema with desquamation over the past month. A chest computed tomography scan showed a nodular lesion, which was finally diagnosed as a squamous cell lung carcinoma. To our knowledge, as an erythroderma presentation, only 13 cases have been reported in the literature. This case r...
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Acantholytic pityriasis rubra pilaris associated with topical use of imiquimod 5%: case report and literature review,
This report describes a case of development of pityriasis rubra pilaris, a rare erythematous-papulosquamous dermatosis, in a woman aged 60 years during treatment with imiquimod 5% cream for actinic keratosis. It evolved with erythrodermic conditions and palmoplantar keratoderma, presenting progressive clinical resolution after the introduction of methotrexate. The authors emphasize the importance of recognizing possible systemic reactions associated with the topical use of imiquimod. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Cutaneous sarcoidosis: clinico-epidemiological profile of 72 patients at a tertiary hospital in São Paulo, Brazil,
Conclusions: This series highlights the dermatologist role in recognizing and diagnosing cutaneous sarcoidosis, evaluating patients for systemic disease involvement and treating the skin manifestations. Cutaneous sarcoidosis was once co nsidered exceedingly infrequent in Brazil in comparison to infectious granulomatous diseases; however, the present series seems to suggest that the disease is not so rare in this region. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research

Disabilities in leprosy: an open, retrospective analyses of institutional records,
Conclusion: New deformities continue to develop in certain forms of leprosy even after release from treatment. Long-term& regular follow up of patients who have been released from treatment is required. (Source: Anais Brasileiros de Dermatologia)
Source: Anais Brasileiros de Dermatologia - March 30, 2020 Category: Dermatology Source Type: research