Acute generalized exanthematous pustulosis (AGEP) is an acute febrile rash,
usually induced by drugs, which recently has been linked to spider bite. We
report a case of a male patient, 48 years old, with an erythematous rash
accompanied by fever and small non-follicular pustules. He reported previous
pain in the buttock with the onset of a necrotic plaque. The lesion was
compatible with spider bite of the genus Loxosceles. According to the EuroSCAR
group instrument, the patient scored +10 indicating definite diagnosis of AGEP.
As the patient had a compatible lesion and had no other triggers of AGEP, in an
Loxosceles endemic area, the AGEP would be associated with spider bite, as
described in other publications.
Giant cell tumor of the tendon sheath is a benign soft tissue tumor most frequent
between the third and fifth decades of life. It can mimic and make differential
diagnoses with several hand tumors. Definitive diagnosis and the treatment of
choice are reached with complete resection and histopathological examination.
Here we describe a case with clinical presentation similar to that of a myxoid
cyst.
A case of exuberant pretibial mucinosis in a patient with normal thyroid function
is reported. A review of literature on possible etiologies other than thyroid
disease for the accumulation of mucin in the pretibial area is presented. In the
patient described, it is possible that vascular insufficiency is involved.
However, this is not the only factor responsible for the accumulation of mucin,
since there are still unidentified causes and many patients with vascular
diseases do not develop similar injuries.
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