Publications by authors named "Maria Leticia Cintra"

Article Synopsis
  • Initial treatment with doxycycline failed, leading to further testing, including a biopsy that identified a fungal infection and detected bacteria linked to cat scratch disease.
  • After using itraconazole for the fungal infection and adding azithromycin for the bacterial infection, the woman saw improvement in her conditions, emphasizing the need to investigate potential zoonotic diseases after cat scratches.
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  • * A rare case is reported involving an immunocompromised patient with two types of fungal infections: mycetoma-like hyalohyphomycosis on the foot from Colletotrichum gloeosporioides and cutaneous phaeohyphomycosis on the forearm from Exophiala oligosperma.
  • * The case highlights that certain fungal infections can mimic more common conditions, and muriform cells identified in skin examinations do not exclusively indicate chromoblastomycosis, as seen in this patient's forearm lesion.
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Xeroderma Pigmentosum (XP) is a genetic disorder characterized by photosensitivity, dyschromia, and high risk of skin cancer. From a clinical and histologic view, it can be difficult to diagnose cutaneous melanoma (CM) in XP patients and to define its resection margins. We aimed to study the role of PRAME (PReferentially Expressed Antigen in MElanoma) in differentiating intraepidermal CM from superficial atypical melanocytic proliferation of uncertain significance (SAMPUS) and evaluating the histological margins of CMs.

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Background: Histopathology can be crucial for diagnosis of inflammatory nail diseases. Longitudinal excision and punch biopsies are the most used techniques to obtain the tissue sample. However, there is a low clinical-histopathological correlation, besides the risk of nail dystrophy.

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  • Both Jorge Lobo's disease (JLD) and lepromatous leprosy (LL) have common features such as a weakened cellular immune response, primarily due to macrophage dysfunction, impacting disease maintenance.
  • The study compared macrophage subtypes in skin lesions from JLD patients and LL samples, using specific markers to identify different macrophage responses, revealing no significant density differences in certain markers, but higher resident macrophages in LL.
  • Findings indicate that both diseases have a dominant M2 (anti-inflammatory) response with notable amounts of iNOS+ macrophages, suggesting impaired immune function similar to M2 macrophages that limits effective pathogen eradication.
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  • Bartonelloses are diseases caused by Bartonella bacteria, transmitted to humans through blood-sucking insects, leading to conditions like bacillary angiomatosis and cat scratch disease.
  • A review of cases involving bartonelloses and blood cancers in HIV-negative patients identified 15 relevant cases, highlighting various symptoms such as chronic fever and lymphadenopathy.
  • Most patients responded well to antibiotic treatment, but clinicians need to be vigilant for Bartonella infections, especially in immunocompromised individuals.
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Background: Only a fraction of patients with cutaneous lupus erythematosus (CLE) will eventually progress toward systemic disease (SLE).

Objective: To find inflammatory biomarkers which could predict the progression of cutaneous lupus erythematosus (CLE) into systemic lupus erythematosus (SLE) using immunohistochemical (IHC) assays.

Methods: Immunohistochemical markers for cytotoxic, inflammatory, and anti-inflammatory responses and morphometric methods were applied to routine paraffin sections of skin biopsies, taken from lesions of 59 patients with discoid lupus, subacute lupus, and lupus tumidus.

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  • * This study aimed to check for the presence of Bartonella spp. in patients with tough-to-treat chronic ulcers diagnosed as primary LV using questionnaires, molecular tests, and blood cultures.
  • * Although 25% of LV patients had Bartonella henselae DNA, results weren't statistically significant compared to controls, highlighting the need for further research on Bartonella in primary LV cases.
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Introduction: Distinguishing scarring (SA) versus non-scarring alopecia (NSA) may not be a simple procedure on either clinical or histopathological views.

Aims: We sought to study the interobserver variability in the histopathological assessment of SA versus NSA, including clinical-pathological considerations.

Methods: Two dermatopathologists independently interpreted the same set of 100 specimens (89 patients).

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  • Congenital and self-healing Hashimoto-Pritzker reticulohistiocytosis is a benign variant of Langerhans cell histiocytosis, characterized by multiple skin lesions that emerge at birth or shortly after, which typically resolves on its own within weeks.
  • A case study highlighted a boy with a rare single skin lesion on his leg, showing specific immune markers through histopathological analysis; the lesion resolved spontaneously just seven days after a biopsy.
  • Favorable prognosis indicators include monolesional disease, a distal limb lesion, and a low percentage of Langerhans cells with Birbeck granules, although the child will be monitored for at least two years as a precaution.
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Background: The number of bariatric surgeries performed worldwide is growing. Among the main short, medium or long-term complications after surgery are nutritional deficiencies. Many of these, such as those of Zn, Cu and vitamins A, B1, B3, B6 and B12, are manifested by dermatological lesions before potentially fatal systemic disorders occur.

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M2 macrophages are copious in generalized pustular psoriasis (GPP). M2 macrophages seem to acquire new skills and share common characteristics in GPP. HAM56 may play a role in attracting immature neutrophils to the inflammatory environment in GPP.

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  • * A 51-year-old man with lepromatous leprosy experienced chronic type 2 reactions despite receiving a 24-month multidrug therapy, and Bartonella henselae DNA was detected in a skin biopsy taken before retreatment.
  • * Following targeted treatment for the Bartonella infection, the patient's leprosy reactions improved, and he remained stable for 60 months without any signs of leprosy or further reactions after completing the therapy.
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Solid tumors typically contain high levels of fibrillar collagen. The increased stromal collagen deposition usually promotes cancer progression since biochemical and biophysical cues from tumor-associated collagen fibers stimulate neoplastic cells. Few studies have investigated the relationship between Merkel cell carcinoma (MCC) and the extracellular matrix (ECM), but there are no works evaluating collagen.

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Pigmented lesions of the oral mucosa encompass several benign and malignant conditions that may be a matter of concern under both clinical and histopathological views. We reported a case of a 62-year-old woman, presenting with an asymptomatic, deeply pigmented lesion on the soft palate. On examination, it appeared asymmetrical, with irregular borders and an area of ulceration.

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Background: Dental implants allow functional and aesthetic reestablishment. Titanium (Ti) implants emerge as the preferred choice because Ti is considered an inert material, highly resistant to corrosion. However, virtually no material can be considered universally biocompatible and this includes titanium.

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Background: The main risk factor associated with basal cell carcinomas (BCCs) is believed to be exposure to ultraviolet radiation (UVR). In the case of lower limb BCC, the frequency is higher in women, possibly because of greater exposure of the leg to UVR. Chronic venous insufficiency (CVI), also more common in women, may have some association with leg BCCs.

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The goal was to characterize the clinical-epidemiological profile of patients with mucocutaneous tumoural herpes simplex virus (MCT HSV) lesions across the world. Two researchers extracted and independently reviewed data from the literature search engine PubMed/MEDLINE through October 2018. From 110 reported patients, the following data were available: the patients' ages ranged from 7 to 76 years; the majority was male (62.

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