Article: Syphilis mimicking other dermatological diseases: reactive arthritis and mucha-habermann disease.Sueli Coelho da Silva Carneiro, Rodrigo Pirmez, Taciana Rocha de Hollanda, Tullia Cuzzi, Marcia Ramos-E-Silva[show abstract] [hide abstract]
ABSTRACT: THE AUTHORS PRESENT TWO CASES OF SYPHILIS: one mimicking reactive arthritis and the other Mucha-Habermann disease. Both reports illustrate syphilis as 'the great imitator', a description given by Sir William Osler, and call attention to the strong need for awareness among physicians of all specialties, especially the younger ones, who are not used to seeing this increasingly prevalent disease, as it once was in the past.Case Reports in Dermatology 01/2013; 5(1):15-20.
Article: Granulomatous slack skin. Histopathology diagnosis preceding clinical manifestations by 12 years.Karen O Goldsztajn, Beatriz Moritz Trope, Maria Elisa Ribeiro Lenzi, Tullia Cuzzi, Marcia Ramos-E-Silva[show abstract] [hide abstract]
ABSTRACT: BACKGROUND: Granulomatous slack skin is a very rare subtype of T-cell cutaneous lymphoma, characterized by the slow development of cutaneous sagging, especially on flexural areas. Its behavior is indolent and the treatment, in the majority of cases, disappointing. MAIN OBSERVATION: We report a 54-year-old black patient with granulomatous slack skin, who at the beginning of the investigation showed intense xeroderma and generalized lymph node enlargement. The diagnosis was established based on histopathologic findings long before the disease's characteristic clinical presentation appeared. CONCLUSIONS: During the twelve years of follow-up, the clinical manifestation evolved to marked skin looseness, most predominant in flexural regions, illustrating the clinical hallmark of granulomatous slack skin, long after first histological abnormalities were observed.Journal of Dermatological Case Reports 12/2012; 6(4):108-112.
Luana V Mukamal, Adriana F Ferreira, Claudio de Moura Astro Jacques, Cesar A F L Amorim, Juan Pineiro-Maceira, Marcia Ramos-E-SilvaInternational journal of dermatology 12/2012; 51(12):1494-9. · 1.18 Impact Factor
Debora Braga De Pinho, Louise Leal Fernandes, Maria Da Gloria Carvalho Barreiros, Leonardo Pereira Quintella, Celso Tavares Sodré, Marcia Ramos-E-Silva[show abstract] [hide abstract]
ABSTRACT: The authors present a case report involving an immunocompromised patient with fusariosis, an often fatal fungal infection in this group of patients. This mycosis needs to be recognized and treated in the initial phases, although this does not guarantee improvement.Journal of Clinical and Aesthetic Dermatology 12/2012; 5(12):40-2.
Marcia Ramos-E-Silva, Cíntia Maria Oliveira Lima, Regina Casz Schechtman, Beatriz Moritz Trope, Sueli Carneiro[show abstract] [hide abstract]
ABSTRACT: Infectious and noninfectious skin diseases are observed in about 90% of HIV patients, and their incidence increases and is more severe as the immune system weakens. Cutaneous manifestations are considered good clinical predictors for the immunological condition of the patient with AIDS and the introduction of highly effective antiretroviral therapy totally changed the prognosis of the mycoses, among other diseases associated with AIDS, permitting longer survival and acceptable level of quality of life for these patients. This contribution describes the systemic mycoses that are more frequent in the seropositive population, that is, patients with HIV/AIDS, which are cryptococcosis, histoplasmosis, coccidioidomycosis, blastomycosis, paracoccidioidomycosis, sporotrichosis, penicilliosis, and aspergillosis. Their causative agents, mode of transmission, clinics, laboratorial diagnosis and therapy, in the aspects related to immunodepressed patients, are reviewed.Clinics in dermatology 11/2012; 30(6):616-27. · 3.11 Impact Factor