Epidermolytic hyperkeratosis: a follow-up of 23 years of use of systemic retinoids.

Epidermolytic hyperkeratosis is a form of ichthyosis normally resistant to topical treatments. Female patient monitored since 1978 diagnosed with epidermolytic hyperkeratosis. Clinical examination showed generalized hyperkeratosis and scaling.

Use of the ML-Flow test as a tool in classifying and treating leprosy.

Background: The treatment of leprosy is defined by the classification of patients as paucibacillary (PB) or multibacillary (MB). The WHO (World Health Organization) classifies patients according to the number of lesions, but Ridley-Jopling (R & J) also uses complementary exams, which are difficult to use outside reference services. In 2003, a test called ML-Flow, an alternative to Elisa serology, was developed to help classify patients as PB or MB and decide about their treatment.

Febrile ulceronecrotic Mucha-Habermann disease in adult patient successfully treated with systemic corticosteroid.

The Febrile Ulceronecrotic Mucha-Habermann (FUMHD) disease is a rare variant of pityriasis lichenoides et varioliformis acuta (PLEVA). Its etiology still remains unknown and it is characterized by a sudden onset of ulceronecrotic skin lesions associated with systemic symptoms. It is reported here the case of a male patient with a sudden and acute evolution of macules and papules, ulceronecrotic and vesicle-bullous lesions associated with systemic symptoms.

Secondary Ekbom syndrome to organic disorder: report of three cases.

The Ekbom syndrome, also known as delusion of parasitosis or acarophobia is an obsessive phobic state in which the patient thinks, imagines or believes that his or her skin is infested by parasites. In the hallucinatory state, he/she removes parts of the skin, identifying them as parasites. It can be primary or secondary to other organic or psychiatric diseases.

[Evaluation of the degree of incapacity of patients with a diagnosis of leprosy at a dermatology service in the state of São Paulo].

Unlabelled: IINTRODUCTION: Leprosy is a chronic infectious disease that can lead to physical incapacity.

Methods: The medical records of 167 patients diagnosed with leprosy between 2003 and 2007 were reviewed.

Results: Most of the patients (60%) presented physical incapacity at the time of diagnosis: 34% with grade I and 26% with grade II.

[Variability of psychological diagnosis in patients with psychogenic excoriation].

Among psychiatric dermatoses, the psychogenic excoriation is characterized by patient's confession to provoking the lesions, without presenting any dermatological underlying pathology. This topic has been rarely approached in the literature, focusing on the diversity of psychological diagnoses. Epidemiological data indicated that prevalence varies from 2 to 3% in the general population, 2% among dermatological patients and 9% in patients with itching, with significant prevalence in women.