Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
254 2 |
Ultima descărcare din IBN: 2024-03-18 15:04 |
Căutarea după subiecte similare conform CZU |
616.5-006-07 (3) |
Piele. Tegumente în general. Dermatologie clinică. Tulburări cutanate (210) |
SM ISO690:2012 BEŢIU, Mircea, DRAGOMIR, Alina, STURZA, Vasile, ŢÂBÂRNĂ, Vasile, BOTNARU, Doina. Clinical synthesis of papular mucinosis. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 236. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.5-006-07 | ||||||
Pag. 236-236 | ||||||
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Background. Lichen myxedematosus, also known as papular mucinosis is a rare skin pathology, with chronic and progressive evolution, characterized by the presence of mucin deposits on the skin. Objective of the study. Presentation of a rare clinical case in the medical practice of lichen myxedematosus in a detained patient. Material and Methods. The patient complained of disseminated skin lesions. From anamnesis the first lesions appeared about 5-6 months ago, on the limbs, without subjective sensations, which then spread. Objective and paraclinical examination were provided (general blood/urine analysis, coagulogram, biochemical analysis, RPR, viral hepatitis markers, thyroid hormones, abdominal ultrasonography, HIV test, histopathological examination). Results. Multiple erythematous, infiltrative, symmetrical grouped papules, having a diameter of 1-4 mm, with confluence tendency, were diffusely located on the face, trunk, extensible parts of the upper limbs and lower limbs. The patient was diagnosed HIV and HBs Ag positive. The thyroid function was normal and the rest of the investigations showed no considerable deviations. Histopathology examination revealed mucin deposits and fibroblast proliferation in the reticular dermis, the hypodermis; and a mild perivascular lymphocytic infiltrate. Conclusion. Early and correct diagnosis of lichen myxedematosus requires increased vigilance due to the possibility of association with extracutaneous manifestations and cancerous conditions. The diagnosis is based on four criteria: generalized papular and sclerodermoid lesions; mucin deposition, fibroblast proliferation, and fibrosis in the histopathology; monoclonal gammopathy and no thyroid disorders. |
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Cuvinte-cheie lichen myxedematosus, mucin deposits, fibroblastic proliferation, lichen mixedematos, depozite de mucină, proliferare fibroblastică |
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