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.
Introduction: Ectopic deciduosis refers to decidual tissue outside the uterus. Ectopic decidua appears on the surface of the female reproductive organs and peritoneum; however, rare cases can be found in the appendix, lymph nodes, lungs, kidneys, and skin. Deciduosis is a benign condition that usually does not cause any symptoms and resolves spontaneously 4-6 weeks after delivery. However, an ectopic decidua involving the appendix wall often causes appendicitis and presents with acute abdominal signs. Methodology: The descriptive study of the case report type and the data obtained from the patient's medical record. Case presentation: This paper reports a woman aged 29 years with complaints of abdominal pain, like being stabbed in the pit of the stomach and then to the lower right abdomen for two days. A physical examination revealed tenderness in the lower abdomen with a positive McBurney sign. At that time, the patient was pregnant with a gestational age of 20-21 weeks. The patient underwent an appendectomy with the tissue sent to the anatomic pathology laboratory with the presence of decidual cells in the subserous layer and serous fat, and it was concluded as deciduosis of the appendix. Conclusion: Based on clinical and laboratory findings, the patient was diagnosed with deciduosis of the appendix.
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