scholarly journals Localized Eruptive Blue Nevi after Herpes Zoster

2016 ◽  
Vol 8 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Fany Colson ◽  
Jorge E. Arrese ◽  
Arjen F. Nikkels
Keyword(s):  
Differential Diagnosis ◽  
Herpes Zoster ◽  
Histological Examination ◽  
Excisional Biopsy ◽  
Left Shoulder ◽  
Oral Acyclovir ◽  
Blue Nevus ◽  
Short Period ◽  
Previous Trauma ◽  
Dark Blue

A 52-year-old White man presented with a dozen small, well-restricted, punctiform, asymptomatic, blue-gray macules on the left shoulder. A few months earlier, he had been treated with oral acyclovir for herpes zoster (HZ) affecting the left C7–C8 dermatomes. All the blue macules appeared over a short period of time and then remained stable. The patient had not experienced any previous trauma or had tattooing in this anatomical region. The clinical diagnosis suggested blue nevi. Dermatoscopy revealed small, well-limited, dark-blue, compact, homogeneous areas evoking dermal blue nevi. An excisional biopsy was performed and the histological examination confirmed a blue nevus. As far as we are aware of, this is the first report of eruptive blue nevi following HZ, and it should be included in the differential diagnosis of zosteriform dermatoses responding to an isotopic pathway. In addition, a brief review concerning eruptive nevi is presented.

Peripheral lymphadenopathy: role of excisional biopsy in differential diagnosis based on a five-year experience

2019 ◽  
Vol 74 (3) ◽  
Author(s):  
Michela Campanelli ◽  
Francesca Cabry ◽  
Roberto Marasca ◽  
Roberta Gelmini
Keyword(s):  
Differential Diagnosis ◽  
Excisional Biopsy

scholarly journals Lipoma of the Thumb: Spindle Cell Subtype

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Johnny El Rayes ◽  
Roula Bou Sader ◽  
Elie Saliba
Keyword(s):  
Differential Diagnosis ◽  
Soft Tissue ◽  
Clinical Examination ◽  
Spindle Cell ◽  
Excisional Biopsy ◽  
Spindle Cell Lipoma ◽  
Cell Subtype ◽  
Soft Tissue Swelling ◽  
Palmar Aspect

We report hereby the case of a 61-year-old man who presented with a soft-tissue swelling on the palmar aspect of the thumb. A detailed clinical examination followed by ultrasonography and excisional biopsy confirmed a spindle cell lipoma. Lipomas are rare in the hand and exceptional in the fingers, and we report, to our knowledge, the first spindle cell lipoma in the thumb to help in the differential diagnosis of a similar swelling.

scholarly journals Diagnosis of invasive cervical resorption by using cone beam computed tomography: report of two cases

2012 ◽  
Vol 23 (5) ◽  
pp. 602-607 ◽  
Author(s):  
Karla de Faria Vasconcelos ◽  
Yuri Nejaim ◽  
Francisco Haiter Neto ◽  
Frab Norberto Bóscolo
Keyword(s):  
Computed Tomography ◽  
Differential Diagnosis ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Root Resorption ◽  
Imaging Modality ◽  
Relevant Information ◽  
Cone Beam ◽  
Short Period ◽  
Radiographic Interpretation

A radiographic interpretation is essential to the diagnosis of invasive cervical resorption (ICR) and the difficulty in distinguishing this lesion from internal root resorption has been highlighted in the literature. This paper reports the use of cone beam computed tomography (CBCT) in the diagnosis of ICR. The cases reports describe how CBCT can be used to make a differential diagnosis and also show that the use of this technology can provide relevant information on the location and nature of root resorption, which conventional radiographs cannot. As a result, the root canal treatment was not initially considered. The patients will be monitored and will undergo a scan after a short period of time to detect any small changes. It was observed that both cases benefited from CBCT in the diagnosis of ICR, because this imaging modality determined the real extent of resorption and possible points of communication with the periodontal space.

scholarly journals Cervicogenic headache: Josey's cases revisited

1997 ◽  
Vol 55 (4) ◽  
pp. 841-848 ◽  
Author(s):  
Maurice Vincent ◽  
Renato A. Luna
Keyword(s):  
Differential Diagnosis ◽  
Diagnostic Criteria ◽  
Clinical Picture ◽  
High Frequency ◽  
Female Gender ◽  
Cervicogenic Headache ◽  
Common Disorder ◽  
Recommended Treatment ◽  
Previous Trauma

Before Sjaastad coined the term cervicogenic headache (CH) 15 years ago, neck-related headaches have been considered by different authors for many years. Even after the publication of diagnostic criteria, dispute on the clinical picture, differential diagnosis, pathophysiology and treatment of CH still persists. A paper published in 1949 by Josey reports on 6 "illustrative" cases of cervical-related headaches. Indeed, looked from a more recent perspective, those cases could eventually correspond to CH. Important topics such as the relatively high frequency, fixed unilaterality of the pain, relation to previous trauma, irradiation from the back to the forehead, normal or slightly abnormal roentgenograms, and the mechanical precipitation of attacks are some of the topics considered by Josey. The female gender was not prevalent in Josey's series. Traction and analgesics were basically the recommended treatment. CH is probably a common disorder, an idea already considered by a clinician in 1949. This syndrome was not adequately described before Sjaastad's group papers in the 80's.

scholarly journals Oral acyclovir in acute herpes zoster

BMJ ◽  
1987 ◽  
Vol 294 (6573) ◽  
pp. 704-704 ◽  
Author(s):  
R J Marsh ◽  
M Cooper
Keyword(s):  
Herpes Zoster ◽  
Oral Acyclovir ◽  
Acute Herpes Zoster

scholarly journals Pulsatile Midline Solitary Plasmacytoma in the Frontal Head Region-A Case Report”

2016 ◽  
Vol 32 (1) ◽  
pp. 39-42
Author(s):  
Md Atikur Rahman ◽  
Aklaque Hossain Khan ◽  
Kanak Kanti Barua
Keyword(s):  
Multiple Myeloma ◽  
Differential Diagnosis ◽  
Case Report ◽  
Histological Examination ◽  
Plasma Cells ◽  
Extramedullary Plasmacytoma ◽  
Solitary Plasmacytoma ◽  
Rare Entity ◽  
Head Region ◽  
Malignant Plasma Cell

Primary craniocerebral plasmacytomas are uncommon and represent only 0.7 % of all plasmacytomas. In this case solitary plasmacytoma in the midline frontal head region of the skull and discuss the clinical features and prognosis of this tumor. Plasmacytoma can present as multiple myeloma, solitary plasmacytoma of the bone or extramedullary plasmacytoma. Solitary plasmacytoma is a rare entity that composes of malignant plasma cells and involves the bone to form only one or two lesions without evidence of disease dissemination. It accounts for only 4% of malignant plasma cell tumors. 50 years old male was suffering from plasmacytoma in the frontal head region in our case which is pulsatile. On images showed multiple differential diagnosis but after operation histological examination revealed plasmacytoma. Bangladesh Journal of Neuroscience 2016; Vol. 32 (1): 39-42

A IMPORTÂNCIA DO DIAGNÓSTICO DIFERENCIAL DA LEISHMANIOSE TEGUMENTAR EM HUMANOS

2021 ◽  
Author(s):  
Stephane Naiara Carvalho dos Santos ◽  
Ana Barbara Xavier da Silva ◽  
Samara Ferreira de Souza ◽  
Juliana Figueirêdo Costa Lima Suassuna Monteiro ◽  
Cláudio Júlio da Silva ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Herpes Zoster

Introdução: A Leishmaniose Tegumentar (LT) é uma doença negligenciada de relevância para saúde pública, responsável por acometer a pele com lesões e de amplo espectro clínico(1). Essa antropozoonose é causada pelo protozoário do gênero Leishmania e da família Trypanosomatidae a partir da hematofagia do flebótomo fêmea infectado com o parasito. O diagnóstico é realizado mediante ao inquérito epidemiológico, das manifestações clínicas e dos métodos laboratoriais(1). No entanto, no diagnóstico clínico, as lesões podem se assemelhar facilmente com dermatoses fúngicas, bacterianas e virais como Esporotricose, Paracoccidioidomicose, Erisipela, Sífilis e Herpes Zoster(2). Sendo necessário o diagnóstico laboratorial para identificação do seu agente etiológico ou antígenos por metodologias sensíveis e especificas afim de obter-se um diagnóstico e tratamento assertivo para o paciente. Objetivo: O estudo tem como objetivo destacar a importância do diagnóstico diferencial da LT frente a progressão e tratamento da doença. Métodos: Foi realizada uma busca no portal científico PubMed utilizando os descritores, Leishmaniasis; Differential diagnosis; Humans com os filtros sem restrição linguística para os últimos 5 anos (2016-2021) em modelos humanos. O retorno obtido foi de 130 artigos, dos quais 23 foram selecionados para revisão bibliográfica. Resultados: A depender da espécie envolvida na infecção e da resposta imune do hospedeiro as manifestações clínicas podem ser diversas, devido a esse fator os resultados mostram que a LT pode mimetizar outras dermatoses com suas manifestações de lesões ulcerativas, indolores, secas e duradouras(3). Além disso, utilização de teste sorológicos para o diagnóstico é outro elemento implicativo no diagnóstico laboratorial, pois sua sensibilidade é variável e reações cruzadas são recorrentes com os agentes etiológicos da Doença de Chagas, Esporotricose e Paracoccidiodomicose(1). Em consequência, pode-se ocorrer falsos-negativos levando o paciente com LT a fazer um tratamento incorreto, resultando na progressão da doença e surgimento de morbidades(4). Conclusões: A LT é prevalente no Brasil e sua incidência tem aumentado devido a urbanização e desmatamento. Nas áreas endêmicas a aplicação do diagnóstico diferencial nas dermatoses por inquérito epidemiológico e técnicas laboratoriais sensíveis e especificas como PCR ou qPCR é de extrema relevância para um laudo assertivo da LT para que o paciente tenha um tratamento direcionado e o não agravamento da doença.

Herpes Zoster-Associated Encephalitis in a Patient Undergoing CAPD: Case Report and Literature Review

2007 ◽  
Vol 27 (4) ◽  
pp. 391-394 ◽  
Author(s):  
Kim C.E. Sigaloff ◽  
Carola W.H. de Fijter
Keyword(s):  
Differential Diagnosis ◽  
Peritoneal Dialysis ◽  
Case Report ◽  
Herpes Zoster ◽  
Literature Review ◽  
Neurological Complications ◽  
Cognitive Status ◽  
Dialysis Patients ◽  
Varicella Zoster ◽  
Capd Patient

Neurological complications of varicella zoster virus (VZV) reactivation have rarely been described in dialysis patients. We report a case of a continuous ambulatory peritoneal dialysis (CAPD) patient who developed herpes zoster encephalitis. The patient was treated with acyclovir and steroids and had a slow but complete return to her prior cognitive status. The available literature is reviewed and the differential diagnosis with acyclovir toxicity is discussed.

Oral acyclovir in acute herpes zoster:: Authors' reply

BMJ ◽  
1987 ◽  
Vol 294 (6573) ◽  
pp. 704-704
Author(s):  
M W McKendrick ◽  
J I McGill ◽  
M J Wood
Keyword(s):  
Herpes Zoster ◽  
Oral Acyclovir ◽  
Acute Herpes Zoster
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