Anemic nevus (AN) is a congenital-vascular anomaly of the skin. Although it is a benign and asymptomatic lesion, it could be a frequent ‘cutaneous finding' in neurofibromatosis type 1 (NF1). We performed a retrospective analysis to detect the prevalence of AN in all children with a presumptive diagnosis of NF1 treated in our center.
Follicular mucinosis represents a term for a histopathologic reaction pattern in follicular epithelium. It is a characteristic of alopecia mucinosa. However, it may also occur in a variety of unrelated conditions. Epidermal nevi are considered to be hamartomatous disorders and they can show a predominant component of non-organoid (keratinocytes) and/or organoid nevi. All the cases of epidermal nevi described with mucin deposits until now are reported as mucinous nevus or mucinous eccrine nevus; in the first type of disorder, diffuse mucin deposition is only seen in the papillary dermis, and in the second type, the mucin is found around the proliferation of eccrine structures. We believe this is the first reported case of epidermal nevus along Blaschko's lines exhibiting typical microscopic findings of mucinosis exclusively distributed inside the follicular epithelia.
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Resumen:La fascitis necrotizante por estrepotococo del grupo A es una infección infrecuente del tejido subcutáneo y de la fascia, con una tasa de mortalidad elevada debido a su rápida progresión a shock y fallo multiorgánico. Se desarrolla generalmente en extremidades tras un traumatismo o lesión previa. El diagnóstico temprano es esencial así como también el manejo rápido y agresivo. Presentamos un caso de fascitis necrotizante de evolución rápida a pesar del diagnóstico precoz y tratamiento específico instaurado.
Palabras clave: fascitis necrotizante; Streptococcus pyogenes; síndrome de shock tóxico
Abstract:Necrotizing fasciitis caused by group A Streptococcus is an uncommon infection of the subcutaneous tissue and fascia, with a high mortality rate due to its rapid progression to shock and multiorgan failure. It usually develops in extremities after trauma or previous injury. Early diagnosis is essential as well as fast and aggressive management. We present a case of rapidly evolving necrotizing fasciitis despite the early diagnosis and specific treatment established.
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