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Gomes N, Costa-Silva M, Cerejeira A, Amoedo P, Matos P, Marques A, Pardal J, Azevedo F, Magina S. Aseptic Pustulosis of the Folds Successfully Treated with Methotrexate. Skinmed 2022; 20:466-468. [PMID: 36537685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
An otherwise healthy 47-year-old woman presented with confluent pustular lesions on the scalp for 5 months and asymptomatic pustular lesions on the trunk and extremities for 2 weeks. She did not have systemic clinical manifestations and was treated with oral antifungals and antibiotics (amoxicillin, and clavulanic acid and flucloxacillin), with no effect. The lesions were unrelated to her menstrual cycle, and she had no history of dermatosis, including acne, psoriasis, or folliculitis. (SKINmed. 2022;20:466-468).
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Affiliation(s)
- Nuno Gomes
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal;
| | - Miguel Costa-Silva
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - André Cerejeira
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Patrícia Amoedo
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Pedro Matos
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Ana Marques
- Department of Pathology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Joana Pardal
- Department of Pathology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Sofia Magina
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
- Faculty of Medicine, Porto University, Porto, Portugal
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Cerejeira A, Amoedo P, Costa-Silva M, Azevedo F. Postauricular Pull-through Transposition Flap for an Anterior Auricular Defect. J Cutan Aesthet Surg 2022; 15:434-435. [PMID: 37035603 PMCID: PMC10081467 DOI: 10.4103/jcas.jcas_50_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023] Open
Affiliation(s)
- André Cerejeira
- Department of Dermatology and Venereology, Centro Hospitalar Universitário São João, EPE Porto, Portugal
| | - Patrícia Amoedo
- Department of Dermatology and Venereology, Centro Hospitalar Universitário São João, EPE Porto, Portugal
| | - Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar Universitário São João, EPE Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar Universitário São João, EPE Porto, Portugal
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Gomes N, Costa-Silva M, Nogueira A, Lopes JM, Marques A, Brito I, Trigo F, Couto C, Azevedo F, Mota A. Langerhans Cell Histiocytosis-A Benign Presentation Heralding a Serious Disease. Skinmed 2021; 19:233-236. [PMID: 34303398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
A 3-year old White boy was referred to our dermatology department with a papular disseminated eruption, evolving for 7 months. Several topical antibiotics and corticosteroids were used without improvement. The dermatosis was locally asymptomatic, and systemic symptoms were absent. Examination revealed multiple, skin-colored to pinkish monomorphic papules with a generalized distribution involving the face, trunk, and limbs (Figure 1). The lesions spared the scalp, palms, and soles. Cervical, axillary, and inguinal lymphatic nodes were not palpable. Cutaneous biopsy of one of the abdominal lesions revealed an unremarkable epidermis but a reticular dermis with clusters of histiocytic, lymphocytic, and rare eosinophil cells. In the immunohistochemical study, expression of CD1a was observed in the histiocytic cells and S100 in the antigen-presenting cells of the dermal infiltrate (Figures 2 and 3). Taking into account the clinical presentation and the histopathologic result, a diagnosis of Langerhans cell histiocytosis (LCH) was established.
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Affiliation(s)
- Nuno Gomes
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal;
| | - Miguel Costa-Silva
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Ana Nogueira
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - José Manuel Lopes
- Department of Pathology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
- Faculty of Medicine, Porto University, Porto, Portugal
| | - Ana Marques
- Department of Pathology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Inês Brito
- Department of Clinical Hematology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Fernanda Trigo
- Department of Clinical Hematology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Cristiana Couto
- Department of Pediatrics, Instituto Português de Oncologia do Porto, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
| | - Alberto Mota
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João EPE, Porto, Portugal
- Faculty of Medicine, Porto University, Porto, Portugal
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Cerejeira A, Gomes N, Amoedo P, Costa-Silva M, Azevedo F. Circumscribed palmar hypokeratosis successfully treated with cryotherapy. Dermatol Online J 2021; 27:13030/qt346530cw. [PMID: 33865288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Accepted: 04/12/2021] [Indexed: 06/12/2023] Open
Affiliation(s)
- A Cerejeira
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto.
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Cerejeira A, Gomes N, Amoedo P, Costa-Silva M, Azevedo F. Circumscribed palmar hypokeratosis successfully treated with cryotherapy. Dermatol Online J 2021. [DOI: 10.5070/d3273052781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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Gomes N, Costa-Silva M, Nogueira A, Marques A, Lopes J, Azevedo F, Lisboa C. Juvenile gangrenous vasculitis of the scrotum - a diagnosis not to forget. Int J Dermatol 2019; 59:e49-e50. [PMID: 31829431 DOI: 10.1111/ijd.14747] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Nuno Gomes
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - Miguel Costa-Silva
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - Ana Nogueira
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - Ana Marques
- Department of Pathology, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - José Lopes
- Department of Pathology, Centro Hospitalar Universitário de São João, Porto, Portugal.,Cancer Signaling and Metabolism Group, Institute for Research and Innovation in Health Sciences (i3S), University of Porto, Porto, Portugal.,Institute of Molecular Pathology and Immunology of the University of Porto (IPATIMUP), Porto, Portugal.,Pathology Department, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João, Porto, Portugal
| | - Carmen Lisboa
- Department of Dermatovenereology, Centro Hospitalar Universitário de São João, Porto, Portugal.,Microbiology Division of Pathology Department, Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal
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Costa-Silva M, Sobrinho-Simões J, Azevedo F, Lisboa C. Concurrent reactivation of varicella zoster virus and herpes simplex virus in an immunocompetent elderly male. An Bras Dermatol 2019; 94:762-763. [PMID: 31789259 PMCID: PMC6939090 DOI: 10.1016/j.abd.2019.01.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Accepted: 01/14/2019] [Indexed: 01/02/2023] Open
Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar Universitário de São João, EPE, Porto, Portugal.
| | - Joana Sobrinho-Simões
- Clinical Pathology Department, Centro Hospitalar Universitário de São João, EPE, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar Universitário de São João, EPE, Porto, Portugal
| | - Carmen Lisboa
- Department of Dermatology and Venereology, Centro Hospitalar Universitário de São João, EPE, Porto, Portugal; Microbiology Department, Faculty of Medicine, University of Porto, Porto, Portugal
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Costa-Silva M, Moreira C, Lopes S, Esteves M, Azevedo F. Painless Round Ulcers on the Leg. Cutis 2019; 104:E4-E5. [PMID: 31774894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
| | - Catarina Moreira
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, and the University of Porto, Portugal
| | - Sofia Lopes
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
| | - Mariana Esteves
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
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Lopes S, Costa-Silva M, Magina S, Silva M, Magro F, Azevedo F, Lisboa C. Concurrent Lip Chancre and Maculopapular Syphilides in a Patient under Anti-TNFα Therapy. Skinmed 2019; 17:343-345. [PMID: 31782712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- Sofia Lopes
- Department of Dermatology and Venereology, Centro Hospitalar e Universitário de São João EPE, Porto, Portugal;
| | - Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar e Universitário de São João EPE, Porto, Portugal
| | - Sofia Magina
- Department of Dermatology and Venereology, Centro Hospitalar e Universitário de São João EPE, Porto, Portugal
- Department of Biomedicine, Faculty of Medicine, University of Porto, Porto, Portugal
| | - Marco Silva
- Department of Gastroenterology, Centro Hospitalar e Universitário de São João EPE, Porto, Portugal
| | - Fernando Magro
- Department of Biomedicine, Faculty of Medicine, University of Porto, Porto, Portugal
- Department of Gastroenterology, Centro Hospitalar e Universitário de São João EPE, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar e Universitário de São João EPE, Porto, Portugal
| | - Carmen Lisboa
- Department of Dermatology and Venereology, Centro Hospitalar e Universitário de São João EPE, Porto, Portugal
- Division of Microbiology, Department of Pathology and Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, Porto, Portugal
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Gomes NP, Costa-Silva M, Moreira E, Azevedo F. Case for diagnosis. Suppurative nodule or something deeper? An Bras Dermatol 2019; 94:363-364. [PMID: 31365672 PMCID: PMC6668938 DOI: 10.1590/abd1806-4841.20198675] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2018] [Accepted: 10/22/2018] [Indexed: 12/02/2022] Open
Abstract
The authors report the case of a 62-year-old man with a history of total left hip arthroplasty nine years previously presenting with a large infiltrated plaque on the posterior area of the left thigh with three months of evolution without systemic symptoms or elevated inflammatory markers. Computed tomography of the left lower limb revealed a 12-centimeter linear extension of the lesion to the posterior part of the left proximal femur. Prosthesis joint infection, although rare, is a surgical complication to be taken into account, even if the surgery was performed many years before.
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Affiliation(s)
- Nuno Preto Gomes
- Dermatology and Venereology Service, Centro Hospitalar
São João, Porto, Portugal
| | - Miguel Costa-Silva
- Dermatology and Venereology Service, Centro Hospitalar
São João, Porto, Portugal
| | - Elisabete Moreira
- Dermatology and Venereology Service, Centro Hospitalar
São João, Porto, Portugal
| | - Filomena Azevedo
- Dermatology and Venereology Service, Centro Hospitalar
São João, Porto, Portugal
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Cerejeira A, Gomes N, Costa-Silva M, Moreira E, Azevedo F. Undifferentiated pleomorphic sarcoma presenting as an exophytic pedunculated tumor on the left scapula. Dermatol Online J 2019; 25:13030/qt738094fs. [PMID: 31450284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Accepted: 08/02/2019] [Indexed: 06/10/2023] Open
Abstract
Undifferentiated pleomorphic sarcoma is a common soft tissue sarcoma. Unfortunately, any attempt to describe the line of differentiation fails. It represents a final common pathway in tumors that undergoes progression towards dedifferentiation. We report a man with an undifferentiated pleomorphic sarcoma presenting as an exophytic pedunculated tumor of the left scapula. Histopathology analysis revealed spindle-shaped cells with great pleomorphism and numerous mitoses. Immunohistochemistry showed diffuse expression of vimentin. Wide local excision was performed after an oncology consultation. After two-years of follow-up, the patient has shown no evidence of recurrence or metastases.
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Affiliation(s)
- A Cerejeira
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto.
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Lopes S, Vide J, Costa-Silva M, Azevedo F, Magina S. Awareness, knowledge, and practice patterns of general practitioner residents and specialists toward hidradenitis suppurativa: a survey study. Acta Dermatovenerologica Alpina Pannonica et Adriatica 2019. [DOI: 10.15570/actaapa.2019.16] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Lopes S, Vide J, Costa-Silva M, Azevedo F, Magina S. Awareness, knowledge, and practice patterns of general practitioner residents and specialists toward hidradenitis suppurativa: a survey study. Acta Dermatovenerol Alp Pannonica Adriat 2019; 28:61-63. [PMID: 31233168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Hidradenitis suppurativa (HS) is an unrecognized chronic inflammatory and debilitating disease with severe consequences for patients' quality of life. METHODS A survey was performed among general practitioner (GP) residents and consultants in order to determine awareness, knowledge, and attitudes about HS. RESULTS Among 372 respondents, 74% were GP residents in the first 2 years, 22% GP residents in the 3rd and 4th year, and 4% consultants. For a patient with boils and/or recurrent abscesses in folds, 90% considered a diagnosis of HS with no significant difference according to years of experience. These patients were referred to dermatology by 273 residents (80%) and eight consultants (53%), and this difference is statistically significant (p < 0.05). Regarding acute treatment, 84% prescribed topical antibiotics and 76% oral antibiotics. Respecting therapeutic approach, we observed that treatment with non-steroidal anti-inflammatory drugs is higher among older residents (51%) compared to younger ones (36%, p < 0.02) and the prescription of oral clindamycin is higher among consultants (31%) compared to residents (12%, p < 0.04). CONCLUSIONS Our survey demonstrates that knowledge of HS is lacking among primary care physicians. Communication channels between GPs and dermatologists are often hampered, and so we recommend incorporating medical education into GP residency programs on how to treat mild HS, when to refer, and how to approach HS.
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Affiliation(s)
- Sofia Lopes
- Department of Dermatology and Venereology, Centro Hospitalar São João, Porto, Portugal
| | - Júlia Vide
- Department of Dermatology and Venereology, Centro Hospitalar São João, Porto, Portugal
| | - Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar São João, Porto, Portugal
| | - Sofia Magina
- Department of Dermatology and Venereology, Centro Hospitalar São João, Porto, Portugal
- Faculty of Medicine, University of Porto, Porto, Portugal
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Cerejeira A, Gomes N, Costa-Silva M, Moreira E, Azevedo F. Undifferentiated pleomorphic sarcoma presenting as an exophytic pedunculated tumor on the left scapula. Dermatol Online J 2019. [DOI: 10.5070/d3257044812] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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Costa-Silva M, Vide J, Baudrier T, Azevedo F. Medication-Related Osteonecrosis of the Jaw in a Patient with Nonuremic Calciphylaxis. Skinmed 2018; 16:424-426. [PMID: 30575515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
A 62-year-old man was referred to the emergency department of our hospital with pain and swelling in the left mandibular region that had evolved over the previous 2 months (Figure 1). His medical history included nonuremic calciphylaxis and systemic sclerosis (Figure 2). Since the diagnosis of the nonuremic calciphylaxis 5 years before, the patient had been treated with intravenous (IV) sodium pamidronate 60 mg per week for 11 months, without improvement, followed by IV sodium thiosulfate 25 mg twice a week for 18 month. During year 3 of treatment, the calciphylaxis lesions reappeared, and IV sodium pamidronate 60 mg per week was reintroduced to the patient's treatment. The patient remained with double treatment for the next 2 years, but 3 months before the patient's presentation, the IV treatment had been suspended due to an absence of peripheral venous access.
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Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal;
| | - Julia Vide
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
| | - Teresa Baudrier
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
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Rato M, Costin A, Furtado C, Sousa C, Toscano C, Veríssimo C, Trindade F, Tavares Almeida F, Da Cunha Velho G, Catorze G, Raposo I, Selada J, A Ferreira J, Batista J, Santos L, Sereijo M, Silva M, Apetato M, Sanches M, Costa-Silva M, L Filipe P, Santos P, D. Fonseca P, Mascarenhas R, Bajanca R, Lopes V, Lewis V, Duarte MDL, Galhardas C, Anes M. Epidemiologia das infeções fúngicas superficiais em Portugal - revisão de 3 anos (2014-2016). SPDV 2018. [DOI: 10.29021/spdv.76.3.910] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Introdução: As infeções fúngicas superficiais são as dermatoses infeciosas mais frequentes e a sua incidência continua a aumentar. Os dermatófitos são os principais agentes causais apresentando, contudo, uma distribuição geográfica variável.Material e Métodos: O presente estudo teve como objetivo a caracterização epidemiológica das infeções fúngicas superficiais diagnosticadas nos Serviços/Unidades de Dermatologia pertencentes ao Serviço Nacional de Saúde Português entre janeiro de 2014 e dezembro 2016 através da análise retrospetiva dos resultados das culturas realizadas durante esse período.Resultados: Foram estudados 2375 isolamentos, pertencentes a 2319 doentes. O dermatófito mais frequentemente isolado foi o Trichophyton rubrum (53,6%), tendo sido o principal agente causal da tinha da pele glabra (52,4%) e das onicomicoses (51,1%). Relativamente às tinhas do couro cabeludo, globalmente o Microsporum audouinii foi o agente mais prevalente (42,6%), seguido do Trichophyton soudanense (22,1%). Enquanto na área metropolitana de Lisboa estes dermatófitos foram os principais agentes de tinha do couro cabeludo, nas regiões Norte e Centro o agente mais frequente foi o Microsporum canis (58,5%). Os fungos leveduriformes foram os principais responsáveis pelas onicomicoses das mãos (76,7%).Conclusão: Os resultados deste estudo estão globalmente concordantes com a literatura científica. O Trichophyton rubrum apresenta-se como o dermatófito mais frequentemente isolado em cultura. Na tinha do couro cabeludo, na área metropolitana de Lisboa, as espécies antropofílicas de importação assumem particular destaque.
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Costa-Silva M, César A, Nuno PG, Azavedo F. Mycobacterium abscessus infection in a spa worker. Acta Dermatovenerologica Alpina Pannonica et Adriatica 2018. [DOI: 10.15570/actaapa.2018.33] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Costa-Silva M, César A, Nuno PG, Azavedo F. Mycobacterium abscessus infection in a spa worker. Acta Dermatovenerol Alp Pannonica Adriat 2018; 27:159-160. [PMID: 30244269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Mycobacterium abscessus (M. abscessus) is a non-tuberculous mycobacterium widely present in the natural environment and is now being increasingly identified as a cause of human disease. However, it can cause skin and soft tissue infection following trauma or surgery. We report a case of a skin ulcer associated with M. abscessus in a spa worker. Frequently, contamination with atypical mycobacteria occurs through tap water. However, in most outbreaks the infection source remains unknown. For an early diagnosis, it is important to perform biopsies and mycobacterium cultures. No specific treatment for skin infection with M. abscessus has been established; it depends on the immune status of the host and the extent of disease. Although it is rare, non-tuberculous mycobacterial infection should be part of the differential diagnosis of cutaneous ulcers, especially on trauma-prone areas.
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Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
| | - Artur César
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
| | - Preto Gomes Nuno
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
| | - Filomena Azavedo
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
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Abstract
Anogenital warts are caused by infection with the human papillomavirus. We reviewed the clinical data of 34 children younger than 13 with anogenital warts referred to the department of dermatovenereology of a tertiary care hospital. Suspicion of sexual abuse was raised in 11 (32.4%). Human papilloma virus testing and genotyping was performed in 19 (55.9%) children, and human papilloma virus type 16 was found in 4, which raises the question regarding what type of follow-up is required for children infected with high-risk oncogenic HPV types. Although the diagnosis of anogenital warts in children raises concerns regarding sexual abuse, our study supports that pediatric anogenital warts can be associated with nonsexual transmission.
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Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatovenereology, Centro Hospitalar de São João, EPE, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatovenereology, Centro Hospitalar de São João, EPE, Porto, Portugal
| | - Carmen Lisboa
- Department of Dermatovenereology, Centro Hospitalar de São João, EPE, Porto, Portugal.,Faculty of Medicine, Department of Microbiology, University of Porto, Porto, Portugal
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Costa-Silva M, Calistru A, Barros AM, Lopes S, Esteves M, Azevedo F. Dermatoscopy of flat pigmented facial lesions-evolution of lentigo maligna diagnostic criteria. Dermatol Pract Concept 2018; 8:198-203. [PMID: 30116664 PMCID: PMC6092074 DOI: 10.5826/dpc.0803a10] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2018] [Accepted: 04/14/2018] [Indexed: 11/10/2022] Open
Abstract
Recognition of facial lentigo maligna (LM) is often difficult, particularly at early stages. Algorithms and multivariate diagnostic models have recently been elaborated on the attempt to improve the diagnostic accuracy. We conducted a cross-sectional and retrospective study to evaluate dermatoscopic criteria aiding in diagnosis of flat pigmented facial lesions (FPFL). We examined 46 FPFL in 42 Caucasian patients and found that 4 of 20 dermatoscopic criteria reached the significance level required for features indicating malignancy namely, hyperpigmented follicular openings, obliterated follicular opening, annular-granular structures, and pigment rhomboids. Concomitant presence of at least 2 or 3 of the 4 mentioned criteria was significantly more frequent in LM than in pigmented actinic keratosis (PAK). However, despite more frequently seen in LM, these features were also displayed in some of the PAK and other FPFL, so we found them not specific for LM. Although dermatoscopy enhances the diagnostic accuracy in evaluating FPFL, histopathology remains the gold standard for correct diagnosis, making evident the need for improvements in early noninvasive diagnosis of LM.
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Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
| | - Ana Calistru
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
| | - Ana Margarida Barros
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
| | - Sofia Lopes
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
| | - Mariana Esteves
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
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21
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Costa-Silva M, Osorio F, Pedrosa A, Santos P, Azevedo F. Scalp porocarcinoma and lichen planopilaris. Dermatol Online J 2018; 24:13030/qt1s307797. [PMID: 30261574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2018] [Accepted: 09/12/2018] [Indexed: 06/08/2023] Open
Abstract
Porocarcinoma (PC) is a malignant neoplasm arising from the intraepidermal ductal portion of the sweat gland duct. Lichen planopilaris (LPP) is a not so rare variant of cutaneous lichen planus (LP) with a preferential involvement of hair follicles, consisting of a chronic lymphocytic inflammation, leading to cicatricial alopecia. A 42-year-old woman, recently diagnosed with HIV infection, was referred to our clinic because of an alopecic patch of 6 years' duration. In the upper region of the alopecia a 1.5cm nodule was noticed, which the patient stated had started growing soon after the appearance of the hair loss. Biopsy of the alopecia margin confirmed the diagnosis of LPP, whereas biopsy of the nodule revealed an infiltrating tumor consistent with the diagnosis of PC. We present a scalp PC emerging in a background of LPP in an HIV patient. We do not know the role, if any, HIV infection and LPP played in this particular case. Immunosuppression and HIV have been implicated in the etiology of PC. However, her HIV diagnosis was made after the appearance of the scalp nodule. We did not find any association between LPP and PC in the literature. Even though an association by chance cannot be excluded, this deserves further investigation.
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Affiliation(s)
- M Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar Sao Joao, EPE Porto.
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22
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Costa-Silva M, Vide J, Cruz MJ, Baudrier T, Azevedo F. Nonuremic Calciphylaxis: Four Cases Associated with Autoimmune Diseases. Skinmed 2018; 16:235-237. [PMID: 30207525] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Calciphylaxis is a rare and severe syndrome of vascular calcification with unclear pathogenesis. This disease mainly affects patients with end-stage renal disease; however, it also has been described in nonuremic patients. We report four cases of nonuremic calciphylaxis (NUC) with ulcerated lesions associated with autoimmune disease. These cases support the literature suggesting that bisphosphonates and sodium thiosulfate are effective drugs in the treatment of calciphylaxis regardless of renal function.
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Affiliation(s)
- Miguel Costa-Silva
- From the Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal;
| | - Julia Vide
- From the Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
| | - Maria João Cruz
- From the Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
| | - Teresa Baudrier
- From the Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
| | - Filomena Azevedo
- From the Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
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23
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Costa-Silva M, Vide J, Lopes S, Azevedo F, Magina S. Psoriasis and comorbidities: general practitioners’ awarenes. Acta Dermatovenerologica Alpina Pannonica et Adriatica 2018. [DOI: 10.15570/actaapa.2018.2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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24
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Vide J, Osório F, Costa-Silva M, Lopes S, Azevedo F, Camila Dias C, Magina S, Magro F. Cutaneous Morbidity Among Inflammatory Bowel Disease Patients: A Cohort Study. J Crohns Colitis 2018; 12:442-451. [PMID: 29300856 DOI: 10.1093/ecco-jcc/jjx178] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/23/2017] [Accepted: 12/27/2017] [Indexed: 12/13/2022]
Abstract
BACKGROUND AND AIMS Patients with inflammatory bowel diseases are prone to cutaneous manifestations. The aim of this study was to investigate their prevalence, type and association to demographic and clinical factors. METHODS This was a cross-sectional study. Information relative to patients of a central Portuguese hospital with a definitive diagnosis of an inflammatory bowel disease, who were prospectively recruited, was collected. RESULTS The final cohort included 342 patients, 62% of whom had Crohn's disease and 38% had ulcerative colitis. Cutaneous extraintestinal manifestations were present in 44.4% of all patients; this prevalence was lower [14.9%] when excluding cutaneous manifestations secondary to nutrition deficiency or drugs. These skin lesions were classified as granulomatous [0.3%], reactive [4.4%], immunologically associated [10.5%] and secondary to nutritional deficiencies [6.4%] or to bowel-related therapy [29.5%]. Excluding those secondary to nutrition or drugs, cutaneous manifestations were significantly associated with females (odds ratio [OR] 3.210 [1.625-6.340], p = 0.001) and younger patients (OR 0.954 [0.924-0.985], p = 0.004). Additionally, their occurrence was related to patients up to 16 years (OR 13.875 [1.332-144.484], p = 0.028) among the Crohn's disease sub-cohort, whereas in the ulcerative colitis sub-cohort they were more likely to occur in patients with extensive colitis (OR 5.317 [1.552-18.214], p = 0.008). CONCLUSIONS Nearly half of the patients analysed had at least one cutaneous extraintestinal manifestation. The fact that certain lesions tend to be more common among patients with defined characteristics should alert the physicians and allow an early diagnosis and, when pertinent, a reference to dermatology.
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Affiliation(s)
- Júlia Vide
- Department of Dermatology and Venereology, Centro Hospitalar de São João EPE, Porto, Portugal
| | - Filipa Osório
- Department of Community Medicine Health Information and Decision, Faculty of Medicine of Porto University, Porto, Portugal
| | - Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar de São João EPE, Porto, Portugal
| | - Sofia Lopes
- Department of Dermatology and Venereology, Centro Hospitalar de São João EPE, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar de São João EPE, Porto, Portugal
| | - Cláudia Camila Dias
- Department of Community Medicine Health Information and Decision, Faculty of Medicine of Porto University, Porto, Portugal
| | - Sofia Magina
- Department of Biomedicine, Faculty of Medicine of Porto University, Porto, Portugal.,Department of Pharmacology, Faculty of Medicine of Porto University, Porto, Portugal
| | - Fernando Magro
- Department of Biomedicine, Faculty of Medicine of Porto University, Porto, Portugal.,Department of Pharmacology, Faculty of Medicine of Porto University, Porto, Portugal.,Department of Gastroenterology, Centro Hospitalar de São João EPE, Porto, Portugal
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25
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Abstract
An 81-year-old woman was admitted with a nodular cutaneous melanoma of the abdominal wall involving the umbilicus. After performing wide excision with 2 cm margin of the melanoma, umbilical reconstruction and defect closure were planned. After careful consideration, we decided to use an island pedicle flap which allowed closure of the defect and reconstruction of the umbilicus.
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Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João EPE, Porto, Portugal
| | - Barbara Ferreira
- Department of Dermatology and Venereology Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
| | - Ana Brinca
- Department of Dermatology and Venereology Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
| | - Ricardo Vieira
- Department of Dermatology and Venereology Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal.,Faculty of Medicine, University of Coimbra, Coimbra, Portugal
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Costa-Silva M, Vide J, Lopes S, Azevedo F, Magina S. Psoriasis and comorbidities: general practitioners' awareness. Acta Dermatovenerol Alp Pannonica Adriat 2018; 27:5-7. [PMID: 29589638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
INTRODUCTION Systemic inflammatory diseases such as psoriasis, systemic lupus erythematosus (SLE), and rheumatoid arthritis (RA) are associated with an increased prevalence of cardiovascular diseases (CVD) and other comorbidities. The primary aim of this study was to assess the screening practices of general practitioners (GPs) with regard to the most frequent comorbidities in patients with psoriasis. METHODS We adapted, with permission, a questionnaire that was used by Parsi et al. in 2012, which was then distributed to GP residents and consultants. RESULTS Overall, 372 questionnaires were collected. Significantly more physicians screen for CV risk factors in patients with RA and SLE than in patients with psoriasis. There was no statistically significant difference between GP residents in the initial and final phase of residency, or between GP residents and consultants regarding awareness of increased prevalence of CVD in psoriasis or comorbidity screening practices in psoriasis patients. CONCLUSIONS Most GP residents and consultants that participated in this study are not aware of an increased CV risk in patients with psoriasis and assign greater importance regarding this risk to other inflammatory diseases such as RA and SLE.
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Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João EPE, Porto, Portugal
| | - Julia Vide
- Department of Dermatology and Venereology, Centro Hospitalar São João EPE, Porto, Portugal
| | - Sofia Lopes
- Department of Dermatology and Venereology, Centro Hospitalar São João EPE, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar São João EPE, Porto, Portugal
| | - Sofia Magina
- Department of Dermatology and Venereology, Centro Hospitalar São João EPE, Porto, Portugal
- Department of Pharmacology and Therapeutics, Faculty of Medicine, University of Porto, Porto, Portugal
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Abstract
The approach to children with anogenital warts in the context of sexual abuse is
a challenge in clinical practice. This study aims to review the current
knowledge of anogenital warts in children, the forms of transmission, and the
association with sexual abuse and to propose a cross-sectional approach
involving all medical specialties. A systematic review of the literature was
conducted in Portuguese and English from January 2000 to June 2016 using the ISI
Web of Knowledge and PubMed databases. Children aged 12 years or younger were
included. The ethical and legal aspects were consulted in the Declaration and
Convention on the Rights of Children and in the World Health Organization.
Non-sexual and sexual transmission events of human papillomavirus in children
have been well documented. The possibility of sexual transmission appears to be
greater in children older than 4 years. In the case of anogenital warts in
children younger than 4 years of age, the possibility of non-sexual transmission
should be strongly considered in the absence of another sexually transmitted
infection, clinical indicators, or history of sexual abuse. The importance of
human papillomavirus genotyping in the evaluation of sexual abuse is
controversial. A detailed medical history and physical examination of both the
child and caregivers are critical during the course of the investigation. The
likelihood of an association between human papillomavirus infection and sexual
abuse increases directly with age. A multidisciplinary clinical approach
improves the ability to identify sexual abuse in children with anogenital
warts.
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Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Faculdade de Medicina da Universidade do Porto - Porto, Portugal
| | - Inês Fernandes
- Department and Laboratory of Microbiology, Faculdade de Medicina da Universidade do Porto - Porto, Portugal
| | - Acácio Gonçalves Rodrigues
- Department and Laboratory of Microbiology, Faculdade de Medicina da Universidade do Porto - Porto, Portugal
| | - Carmen Lisboa
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Faculdade de Medicina da Universidade do Porto - Porto, Portugal.,Department and Laboratory of Microbiology, Faculdade de Medicina da Universidade do Porto - Porto, Portugal
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28
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Costa-Silva M, Vide J, Lopes S, Azevedo F, Magina S. Psoriasis and comorbidities: general practitioners’ awarenes. Acta Dermatovenerologica Alpina Pannonica et Adriatica 2018. [DOI: 10.15570/actaapa.2017.37] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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29
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Costa-Silva M, Osorio F, Pedrosa A, Santos P, Azevedo F. Scalp porocarcinoma and lichen planopilaris. Dermatol Online J 2018. [DOI: 10.5070/d3247040923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
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30
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Costa-Silva M, Calistru A, Sobrinho-Simões J, Lisboa C, Azevedo F. Pitiryasis Lichenoides et Varioliformis Aacuta Associated With Human Herpesvirus 7. Actas Dermosifiliogr (Engl Ed) 2017; 109:e6-e10. [PMID: 29221609 DOI: 10.1016/j.ad.2017.03.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2017] [Revised: 02/24/2017] [Accepted: 03/10/2017] [Indexed: 01/17/2023] Open
Abstract
Pityriasis lichenoides et varioliformis acuta and pityriasis lichenoides chronica represent 2 ends of a disease spectrum of unknown etiology. Herein we describe 2 cases of pityriasis lichenoides et varioliformis acuta, in which human herpesvirus 7 DNA was detected in skin samples by polymerase chain reaction methodology, an association not previously described. This report may support the involvement of viral infection in the etiopathogeny of this disease.
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Affiliation(s)
- M Costa-Silva
- Unidad de Dermatología y Venereología, Centro Hospitalario São João, EPE, Oporto, Portugal.
| | - A Calistru
- Unidad de Dermatología y Venereología, Centro Hospitalario São João, EPE, Oporto, Portugal
| | - J Sobrinho-Simões
- Unidad de Patología Clínica, Centro Hospitalarrio de S.João, EPE, Oporto, Portugal
| | - C Lisboa
- Unidad de Dermatología y Venereología, Centro Hospitalario São João, EPE, Oporto, Portugal; Unidad de Microbiología, Facultad de Medicina, Universidad de Oporto, Oporto, Portugal
| | - F Azevedo
- Unidad de Dermatología y Venereología, Centro Hospitalario São João, EPE, Oporto, Portugal
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31
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Costa-Silva M, Coutinho D, Sobrinho-Simões J, Azevedo F, Lisboa C. Cross-sectional study of Treponema pallidum PCR in diagnosis of primary and secondary syphilis. Int J Dermatol 2017; 57:46-49. [PMID: 29090453 DOI: 10.1111/ijd.13823] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/27/2017] [Revised: 09/26/2017] [Accepted: 09/29/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND Syphilis remains a major challenge and a complex diagnosis. We aim to evaluate the role of polymerase chain reaction (PCR) in Treponema pallidum (Tp) detection in various types of biological samples in the diagnosis of early syphilis. METHODS We conducted a cross-sectional study including all attendees of the STI clinic with clinical suspicion of early syphilis. One or more specimens for the detection of Tp by PCR testing were collected. RESULTS The overall sensitivity of Tp PCR test was 82.61% (95% CI: 68.6-92.2%). Tp PCR test had sensitivity of 84.6% (95% CI: 54.6-98.1%) in primary syphilis cases and 81.8% (95% CI: 64.5-93%) in secondary syphilis cases. PCR test performance was independent of HIV status. CONCLUSION Tp PCR test is a fast and reliable method for the detection of Tp in skin lesions of early syphilis, and it is a powerful tool in clinical settings.
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Affiliation(s)
- Miguel Costa-Silva
- Dermatovenereology Department, Centro Hospitalar de São João, EPE, Porto, Portugal
| | - Daniel Coutinho
- Infectious Diseases Department, Centro Hospitalar do Baixo Vouga, EPE, Aveiro, Portugal
| | | | - Filomena Azevedo
- Dermatovenereology Department, Centro Hospitalar de São João, EPE, Porto, Portugal
| | - Carmen Lisboa
- Dermatovenereology Department, Centro Hospitalar de São João, EPE, Porto, Portugal.,Microbiology Department, Faculty of Medicine, University of Porto, Porto, Portugal
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Costa-Silva M, Pedrosa A, Azevedo F, Mota A. Neutrophilic dermatosis of the dorsal hands: a restrictive designation for an acral entity. Acta Dermatovenerol Alp Pannonica Adriat 2016; 25:85-86. [PMID: 28006883 DOI: 10.15570/actaapa.2016.25] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
In 2000, Galaria et al. proposed the designation neutrophilic dermatosis of the dorsal hands (NDDH). The authors describe a case of NDDH with predominant involvement of the palmar aspect of the hands in a patient suffering from lung cancer, a possible paraneoplastic manifestation. Therefore, the term NDDH is not accurate because palmar manifestations of this dermatosis are also possible.
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Affiliation(s)
- Miguel Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
| | - Ana Pedrosa
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal.,Faculty of Medicine, University of Porto, Porto, Portugal
| | - Filomena Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal
| | - Alberto Mota
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE Porto, Portugal.,Faculty of Medicine, University of Porto, Porto, Portugal
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33
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Vide J, Costa-Silva M, Sobrinho-Simões J, Ceia F, Pinto A, Carvalho AC, Sarmento A, Lisboa C, Azevedo F. Europe importation of Panton-Valentine leukocidin-positive Staphylococcus aureus: a case report of recurrent furunculosis. J Eur Acad Dermatol Venereol 2016; 31:e196-e197. [PMID: 27550411 DOI: 10.1111/jdv.13938] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- J Vide
- Department of Dermatology and Venereology, Centro Hospitalar de São João EPE, Porto, Portugal
| | - M Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar de São João EPE, Porto, Portugal
| | - J Sobrinho-Simões
- Laboratório de Biologia Celular e Molecular, Centro Hospitalar de São João, Porto, Portugal
| | - F Ceia
- Department of Infectious Diseases, Centro Hospitalar de São João EPE, Porto, Portugal
| | - A Pinto
- Department of Infectious Diseases, Centro Hospitalar de São João EPE, Porto, Portugal
| | - A C Carvalho
- Department of Infectious Diseases, Centro Hospitalar de São João EPE, Porto, Portugal.,Faculty of Medicine, University of Porto, Porto, Portugal
| | - A Sarmento
- Department of Infectious Diseases, Centro Hospitalar de São João EPE, Porto, Portugal.,Faculty of Medicine, University of Porto, Porto, Portugal
| | - C Lisboa
- Department of Dermatology and Venereology, Centro Hospitalar de São João EPE, Porto, Portugal.,Faculty of Medicine, University of Porto, Porto, Portugal
| | - F Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar de São João EPE, Porto, Portugal
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Costa-Silva M, Azevedo C, Azevedo F, Lisboa C. Early syphilis treatment in HIV-infected patients: single dose vs. three doses of benzathine penicillin G. J Eur Acad Dermatol Venereol 2016; 30:1805-1809. [PMID: 27329618 DOI: 10.1111/jdv.13766] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Accepted: 03/16/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Current treatment guidelines for early stages of syphilis are the same regardless of HIV serostatus. There is still controversy about the best treatment for syphilis in HIV patients and the current recommendations are based on limited data. OBJECTIVE The primary goal of this study was to compare the serological response rates to a single dose vs. three weekly doses of benzathine penicillin G (BPG) in HIV-infected patients with early syphilis and to assess the adequacy of current recommendations. METHODS Clinical and laboratory data of HIV patients with early syphilis treated in Sexually Transmitted Disease Clinic between January 2000 and December 2014 were recorded. A good serological response was defined as a ≥4-fold decline in Venereal Disease Research Laboratory (VDRL) titre within 12 months after treatment. Serological failure was defined as a lack of at least fourfold decrease in VDRL titres within 12 months after treatment. RESULTS After applying inclusion and exclusion criteria, 60 patients were enrolled in the study. Seventeen (28.3%) patients were treated with a single dose of BPG, while in 43 (71.7%) patients, three weekly doses were used. Fifty eight (96.7%) had a good serological response at 12 months and seroconversion was confirmed in 29 (48.3%) patients. There was no statistically significant difference between the two treatment groups regarding serological response, seroconversion rate and the time needed to obtain a good serological response. Furthermore, treatment response was not affected by the number of CD4 cells. CONCLUSIONS The results of our study support the current international treatment guidelines, recommending early syphilis treatment with a single dose of BPG in HIV patients.
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Affiliation(s)
- M Costa-Silva
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal.
| | - C Azevedo
- Department of Infectious Diseases, Centro Hospitalar São João, EPE, Porto, Portugal
| | - F Azevedo
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal
| | - C Lisboa
- Department of Dermatology and Venereology, Centro Hospitalar São João, EPE, Porto, Portugal.,Department of Microbiology, Faculty of Medicine, University of Porto, Porto, Portugal
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35
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Barros L, Costa-Silva M, Biolchini C, Neves R, Machado-Silva J. Effect of praziquantel administration on hepatic stereology of mice infected with Schistosoma mansoni and fed a low-protein diet. Braz J Med Biol Res 2009; 42:812-5. [DOI: 10.1590/s0100-879x2009000900007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2008] [Accepted: 06/22/2009] [Indexed: 11/21/2022] Open
Affiliation(s)
- L.A. Barros
- Universidade do Estado do Rio de Janeiro, Brasil; FIOCRUZ, Brasil
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