scholarly journals Lobomycosis post long-term corticosteroid therapy: a case report

2022 ◽  
Vol 11 (1) ◽  
pp. e10111124910
Author(s):  
Herman Saputra ◽  
Ni Putu Sriwidyani ◽  
Putu Erika Paskarani ◽  
Tanaka Tanaka

Introdução: A lobomicose é uma das infecções fúngicas mais raramente relatadas em todo o mundo. A maioria dos casos relatados de lobomicose é endêmica na América Central e do Sul, especialmente em torno da Amazônia. As áreas do corpo afetadas geralmente são as orelhas, extremidades inferiores, extremidades superiores, rosto, tórax e costas. Objetivo: apresentar a evolução da lobomicose após corticoterapia de longa duração. Metodologia: Estudo descritivo do tipo relato de caso, cujos dados foram obtidos no prontuário do paciente. Apresentação do caso: Este artigo relata uma mulher de 23 anos, que sofreu feridas que cobriam quase toda a superfície do corpo sem qualquer febre. Ao exame físico, foram encontradas múltiplas úlceras com maceração das bordas da ferida e múltiplas saliências avermelhadas nas regiões anterior e posterior do tronco. Não há aparecimento de quelóides. O paciente tinha história de pênfigo vulgar e pênfigo vegetante e estava em uso de corticoterapia por longo prazo. O exame microbiológico não revelou crescimento de fungos. O exame histopatológico do tecido com coloração de Hematoxilina-Eosina e Ácido Periódico de Schiff (PAS) confirmou o diagnóstico de lobomicose. Conclusão: Com base nos achados clínicos e laboratoriais, o paciente foi diagnosticado com Lobomicose.

BMC Neurology ◽  
2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Benoit Pegat ◽  
Sophie Drapier ◽  
Xavier Morandi ◽  
Gilles Edan

2005 ◽  
Vol 13 (2) ◽  
pp. 178-180 ◽  
Author(s):  
SK Rao ◽  
BC Navadgi ◽  
A Vasdev

Spontaneous bilateral rupture of Achilles tendon is rare. Rupture of the Achilles tendon has been described in patients on oral corticosteroid therapy. The sudden dorsiflexion of the plantar-flexed foot is the usual mechanism of injury. Spontaneous bilateral rupture is common in the degenerated tendon, which is often seen in patients with long-term corticosteroid therapy. This case is unusual because the patient has never taken steroids. We discuss the mechanism of injury and other probable causes.


2001 ◽  
Vol 86 (2) ◽  
pp. 675-678 ◽  
Author(s):  
Annamaria De Bellis ◽  
Alberto Falorni ◽  
Stefano Laureti ◽  
Silvia Perrino ◽  
Concetta Coronella ◽  
...  

2017 ◽  
Vol 1 ◽  
Author(s):  
Wahyuning Ratnawidya ◽  
Anandina Irmagita Soegyanto

<p class="AbstractContent"><strong>Background:</strong> Pemphigus vulgaris (PV) is an autoimmune mucocutaneus disease characterized by intraepithelial bulla formation involving the oral mucosa. The treatment requires long-term corticosteroid at variable doses according to the severity of the lesion.</p><p class="AbstractContent"><strong>Case report:</strong> A 41-years-old male was referred from the Dermatology Department with oral manifestations of PV. He was treated with systemic methylprednisolone. Oral examination showed severe intra oral PV lesion so that an additional of dexamethasone mouth rinse was prescribed. After 4 weeks of treatment, oral and systemic lesions were relieved. At that time the patient believed he has recovered and decided to stop the medication by himself. Several months later, his skin and oral lesion relapsed with more severe clinical condition than the previous one and he was re-treated with corticosteroid. The severity of PV was suspected by the lack of adherence in medication.</p><p class="AbstractContent"><strong>Conclusion:</strong> Discontinuation of corticosteroids without a rational reason might influence the recurrence and severity of PV. Good adherence toward corticosteroid therapy is an important factor in PV treatment.</p>


2019 ◽  
Author(s):  
BA Högerle ◽  
EL Bulut ◽  
L Klotz ◽  
F Eichhorn ◽  
M Eichhorn ◽  
...  

2005 ◽  
Vol 43 (05) ◽  
Author(s):  
R Schwab ◽  
P Lakatos ◽  
E Schäfer ◽  
J Weltner ◽  
A Sáfrány ◽  
...  

1966 ◽  
Vol 51 (1) ◽  
pp. 63-70 ◽  
Author(s):  
P. F. Roe ◽  
D. M. Mitchell ◽  
G. W. Pennington

ABSTRACT Adrenocortical function was assessed in 20 patients receiving long-term corticosteroid drugs for a variety of non-endocrine disorders. In all cases plasma 17-hydroxycorticosteroids (17-OHCS) levels were within or above normal limits 48 hours after abruptly stopping their drugs and a further marked rise occurred in 7 patients given metyrapone for 24 h. Urinary 17-OHCS excretion did not show a parallel rise. Taking the group as a whole, a small rise in the mean output occurred 48 hours after stopping therapy, and a further slightly greater rise followed metyrapone. 3 patients had a relapse of their underlying condition during the test in spite of normal plasma and urinary 17-OHCS levels.


Author(s):  
Ayse Gul Kocak Altintas ◽  
Ayse Gul Kocak Altintas

Duane retraction syndrome is the most frequently seen restrictive ocular motility disorders. It is clinically presented with limitation of horizontal movement, variable amounts of upshoots or downshoots and globe retraction combined with narrowing of the palpebral aperture on attempted adduction. An 8-year-old patient presented with severe restriction of abduction, reciprocal upshots or downshoots, and globe retraction combined with the palpebral fissure narrowing of on adduction. After the modified Y splitting of LR and recession of both horizontal rectus operation, all cosmetically disfiguring clinical features disappeared. In this case report modified Y splitting procedure and its long-term efficacy is presented.


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