Chromoblastomycosis is a chronic subcutaneous mycotic infection caused by
dematiaceous saprophytic moulds. The most frequently isolated agent is Fonsecae
pedrosoi. This article reports a case of a man from the Amazon region in Northern
Brazil who presented with a lesion of 12 months' duration, which gradually increased
in size until covering the majority of his right leg. A successful treatment with
itraconazole was performed.
HIV/syphilis co-infection is common because both conditions affect similar risk
groups. HIV interferes with the natural history of syphilis, which often has atypical
clinical features and nervous system involvement in the early stage of disease. We
report the case of an HIV-positive patient with secondary syphilis, scaling
palmoplantar keratoderma, scrotal eczema, balanitis and urethritis mimicking Reiter’s
syndrome. Immunohistochemistry using polyclonal antibodies against Treponema pallidum
revealed the presence of spirochetes, associated with the paretic form of parenchymal
neurosyphilis. The patient was given crystalline penicillin, with complete resolution
of dermatological and neurological symptoms, and no sequelae.
Sebaceous adenocarcinoma is a rare adnexal tumor that can affect the skin and is
divided into ocular, a more common form and extra ocular, of a rarer occurrence. We
report the case of a patient diagnosed with Acquired Immune Deficiency Syndrome
(AIDS) who developed an extra ocular, bulky and fast-growing sebaceous adenocarcinoma
on the face. The literature has suggested that transplanted patients and HIV-positive
patients have an excess risk for developing adnexal tumors, including sebaceous
adenocarcinoma.
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