118 results

Dupilumab in the treatment of severe atopic dermatitis refractory to systemic immunosuppression: case report

Mara Huffenbaecher Giavina-Bianchi ORCID logo , Pedro Giavina-Bianchi ORCID logo , Luiz Vicente Rizzo ORCID logo

DOI: 10.31744/einstein_journal/2019RC4599

ABSTRACT Case report of a patient with severe atopic dermatitis who showed a good response to dupilumab. She had already used two immunosuppressive agents, cyclosporine A and mycophenolate mofetil, for the treatment of atopic dermatitis with no proper control of the disease. She had also been taking all measures to control severe cases of the disease: bath and environmental controls, topical potent corticosteroids and emollients. She presented constant pruritus and skin lesions, frequent skin infections e poor quality of life. […]

Peri-prosthetic infection in the postoperative period of endovascular abdominal aorta aneurysm repair: treatment by percutaneous drainage

Diego Lima Nava Martins ORCID logo , Priscila Mina Falsarella ORCID logo , Antonio Rahal Junior ORCID logo , Rodrigo Gobbo Garcia ORCID logo

DOI: 10.31744/einstein_journal/2019RC4668

ABSTRACT Endovascular aneurysm repair is an established technique for treating many infrarenal aortic aneurysms. Infection is one of the most serious complications of this technique, and although percutaneous treatment has been well established for intra-abdominal collections, its use to treat peri-prosthetic fluid collections has not been well determined. In this article we describe a small series of three patients who were treated with percutaneous drainage, with good clinical and imaging responses. Percutaneous drainage is a safe, effective and minimally invasive […]

Live fetus inside the urinary bladder: a case report

Úrsula Trovato Gomez ORCID logo , Pedro Paulo Pereira ORCID logo , Fábio Roberto Cabar ORCID logo , José Luiz Borges de Mesquita, Rossana Pulcineli Vieira Francisco ORCID logo

DOI: 10.31744/einstein_journal/2019RC4570

ABSTRACT Vesicouterine fistula is a rare condition. Its incidence, however, has been increasing due to the higher incidence of cesarean sections. The presence of a live fetus inside the bladder who passed through a vesicouterine fistula is an extremely rare situation. We report a case of woman who underwent two previous cesarean sections, was referred to a hospital due to mild pelvic pain and genital bleeding. At the moment, physical examination was normal. Ultrasound scan revealed a gestational sac inserted […]

Treatment of ligneous conjunctivitis with heterologous serum

Thiago Gonçalves dos Santos Martins ORCID logo , Thomaz Gonçalves dos Santos Martins ORCID logo , Diogo Gonçalves dos Santos Martins ORCID logo , Maria Carolina Francisco Kuba ORCID logo

DOI: 10.31744/einstein_journal/2019RC4714

ABSTRACT Ligneous conjunctivitis is a rare form of chronic and recurrent bilateral conjunctivitis, in which thick membranes develop on the tarsal conjunctiva and on other mucosae. We report the case of a 55-year old female patient with bilateral ligneous conjunctivitis who was successfully treated with 50% heterologous serum. There was no recurrence or side effects after one-year follow-up. We suggest the use of 50% heterologous serum should be further studied to better determine its efficacy as a treatment option for […]

Reproductive alternatives for patients with dystrophic epidermolysis bullosa

Denise Maria Christofolini ORCID logo , José Ricardo Magliocco Ceroni ORCID logo , Giovanna Guimarães Soares ORCID logo , Gustavo Bertollini Lamy ORCID logo , Ana Carolina Nemeth Calvo ORCID logo , Tamara Alba dos Santos ORCID logo , [...]

DOI: 10.31744/einstein_journal/2019RC4577

ABSTRACT Epidermolysis bullosa describes a group of skin conditions caused by mutations in genes encoding proteins related to dermal-epidermal adhesion. In the United States, 50 cases of epidermolysis bullosa per 1 million live births are estimated, 92% of which classified as simplex, 5% dystrophic, 1% junctional and 2% non-classified. Dystrophic epidermolysis bullosa is associated with autosomal, dominant and recessive inheritance. Epidermolysis bullosa causes severe psychological, economic and social impacts, and there is currently no curative therapy, only symptom control. Embryonic […]

Left ventricular noncompaction in a Para athlete

Ednei Costa Maia ORCID logo , Filippo Aragão Savioli ORCID logo , Sanna Roque Pinheiro ORCID logo , Leandro Santini Echenique ORCID logo , Japy Angelini Oliveira Filho ORCID logo

DOI: 10.31744/einstein_journal/2019RC4514

ABSTRACT The left ventricular noncompaction is a congenital cardiomyopathy characterized by the presence of abnormal trabeculations in the left ventricle. The present study describes the case of a 14-year-old female Para athlete, who plays goalball. She was asymptomatic, with history of congenital nystagmus and mild visual impairment, who presented nonspecific electrocardiographic abnormalities during pre-competition screening. Cardiac magnetic resonance imaging showed left ventricular non-compaction (non-compacted to compacted layer ratio equal to 2.5) and mild biventricular systolic dysfunction. Initially, the patient was […]

Oral squamous papilloma: a view under clinical, fluorescence and histopathological aspects

Sérgio Araújo Andrade ORCID logo , Sebastião Pratavieira ORCID logo , Juliana Fracalossi Paes ORCID logo , Marisa Maria Ribeiro ORCID logo , Vanderlei Salvador Bagnato ORCID logo , Fernando de Pilla Varotti ORCID logo

DOI: 10.31744/einstein_journal/2019RC4624

ABSTRACT Oral squamous papilloma is a benign tumor whose pathogenesis has been associated with human papillomavirus infection. Thus, it is noteworthy that human papillomavirus infection is one of the risk factors associated with the development of cervical, anogenital, pharynx, larynx and oral cavity carcinomas. Oral squamous papilloma can affect any region of the oral cavity, and transmission of human papillomavirus can occur by direct contact, sexual intercourse or from mother to child during delivery. The diagnosis is clinical and histopathological, […]

Kaposi sarcoma of the penis in an HIV-negative patient

José Francisco Aguilar Guevara ORCID logo , Seila Lacarra Fernández ORCID logo , Oliver Rojas Claros ORCID logo , Pedro Giral Villalta ORCID logo , José Luis Cebrián Lostal ORCID logo , Miguel Angel Resano Abarzuza ORCID logo

DOI: 10.31744/einstein_journal/2019RC4504

ABSTRACT Kaposi sarcoma is an angioproliferative disorder that ranges from a single indolent skin lesion to respiratory and gastrointestinal/visceral involvement. Kaposi sarcoma is rare in non-immunosuppressed patients. Nineteen cases of penile Kaposi sarcoma in HIV-negative patients were reported in 2012. We present the case report of a 48-year-old male patient with no previous medical history, who came to our urology clinic presenting a purple-color papule on the penis glans. Lab tests revealed negative serology for HIV, but tissue PCR was […]

Clinicopathological and immunohistochemical analysis of spindle cell squamous cell carcinoma of the tongue: a rare case

Diego Filipe Bezerra Silva ORCID logo , Hellen Bandeira de Pontes Santos ORCID logo , Jorge Esquiche León ORCID logo , Daliana Queiroga de Castro Gomes ORCID logo , Pollianna Muniz Alves ORCID logo , Cassiano Francisco Weege Nonaka ORCID logo

DOI: 10.31744/einstein_journal/2019RC4610

ABSTRACT Spindle cell squamous cell carcinoma of the tongue is a rare variant of squamous cell carcinoma. This paper reports the case of a spindle cell squamous cell carcinoma of the tongue, in a 64-year-old male patient, and presents a review of the etiopathogenesis, clinicopathological and immunohistochemical features and treatment of the malignancy. The patient presented for evaluation of a painful swelling on his tongue. Extraoral examination revealed palpable submandibular and superior cervical lymph nodes. Based on the presumptive diagnoses […]

Facial nerve hemangioma in the middle ear

Ludmilla Emilia Martins Costa ORCID logo , Rafael Freire de Castro ORCID logo , Fabiolla Maria Martins Costa ORCID logo , Mônica Alcântara de Oliveira Santos ORCID logo

DOI: 10.31744/einstein_journal/2018RC4509

ABSTRACT Facial nerve hemangioma is a rare and benign vascular tumor, and accounts for 0.7% of intratemporal tumors. We report the second case described in the literature of a facial nerve hemangioma in its tympanic segment. A 14-year-old male patient presented with a history of progressive right ear hearing loss with preserved facial mimicry. Pure tone audiometry showed a right ear moderate conductive hearing loss. Magnetic resonance imaging demonstrated an expansive lesion involving the tympanic segment of the right facial […]

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