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Atencion Primaria Jan 2024
Topics: Adult; Female; Humans; Miliaria; Sunlight
PubMed: 37890348
DOI: 10.1016/j.aprim.2023.102781 -
JAAD Case Reports Sep 2019
PubMed: 31516988
DOI: 10.1016/j.jdcr.2019.04.024 -
Medecine Tropicale Et Sante... Sep 2023Tonsillar tuberculosis is the infectious localization of Koch's bacillus in the palatine tonsils. It is rare. Tonsillar tuberculosis associated with miliary tuberculosis...
UNLABELLED
Tonsillar tuberculosis is the infectious localization of Koch's bacillus in the palatine tonsils. It is rare. Tonsillar tuberculosis associated with miliary tuberculosis is even more exceptional.
OBJECTIVE
The aim of our work is to report a rare case of tuberculous tonsillitis associated with miliary tuberculosis.
PATIENT AND METHODS
This was a case of tonsillar tuberculosis associated with miliary tuberculosis. The main complaint was chronic odynophagia, which had been present for 7 months and was associated with weight loss. Questioning also revealed alcohol, tobacco and marijuana consumption.
RESULTS
Oropharyngoscopy revealed an enlarged, ulcerated and hemorrhagic right tonsil, suggesting a malignant lesion. Diagnostic tonsillectomy with anatomopathological examination of the surgical specimen led to the diagnosis of tonsillar tuberculosis. A postoperative chest X-ray revealed tuberculous miliaria. No other tuberculosis site was identified. No other confirmatory biological tests were carried out. The patient was treated with 4 anti-tuberculosis drugs (rifampicin, isoniazid, pyrazinamide, ethambutol) during 2 months and 2 anti-tuberculosis drugs (Rifampicin, Isoniazid) during 4 months. The evolution was favorable and the patient was declared cured at the end of treatment. There was no recurrence after 5 years.
CONCLUSION
Tonsillar tuberculosis is rare. Tonsillar tuberculosis associated with pulmonary miliaria is even more exceptional. Tonsil biopsy for anatomopathological examination is sufficient for diagnosis. A chest X-ray should be requested as part of the preoperative workup prior to any tonsillar biopsy or tonsillectomy. GeneXpert (MTB/RIF) should be carried out if possible, not only for its value in the biological confirmation of tuberculosis but also to identify rifampicin resistance. Antibacillary treatment often leads to a favorable outcome.
Topics: Humans; Palatine Tonsil; Rifampin; Isoniazid; Tuberculosis, Miliary; Burkina Faso; Antitubercular Agents
PubMed: 38094480
DOI: 10.48327/mtsi.v3i3.2023.422 -
Indian Journal of Dermatology 2023
PubMed: 38371549
DOI: 10.4103/ijd.ijd_118_23 -
Journal of the European Academy of... Aug 2020
Topics: Betacoronavirus; COVID-19; Coronavirus Infections; Face; Female; Humans; Miliaria; Pandemics; Pneumonia, Viral; SARS-CoV-2; Ventilators, Mechanical
PubMed: 32386442
DOI: 10.1111/jdv.16624 -
Granulomatous Variant of Giant Centrifugal Miliaria Profunda in a Hypothyroid Infant: A Case Report.Indian Dermatology Online Journal 2019The miliarias are a clinically heterogeneous group of diseases which occur when the free flow of eccrine sweat to the skin surface is impeded. Miliaria profunda is a...
The miliarias are a clinically heterogeneous group of diseases which occur when the free flow of eccrine sweat to the skin surface is impeded. Miliaria profunda is a variant with obstruction of the duct at or below the level of dermoepidermal junction. The giant centrifugal variant of miliaria profunda has been described in the past at the sites of occlusive tapes and in febrile patients. Thyroid hormone has a regulatory effect on the skin and its appendages and an association of hypothyroidism with this variant of miliaria profunda has not been described in the past. We report a case of giant centrifugal miliaria profunda in an infant with congenital hypothyroidism.
PubMed: 31544077
DOI: 10.4103/idoj.IDOJ_422_18 -
JAAD Case Reports Jul 2023
PubMed: 37332362
DOI: 10.1016/j.jdcr.2023.04.028 -
Indian Dermatology Online Journal 2019Sweat dermatitis is a peculiar kind of irritant inflammatory dermatoses occurring due to prolonged exposure of retained sweat over the skin. It is commonly seen in hot...
Sweat dermatitis is a peculiar kind of irritant inflammatory dermatoses occurring due to prolonged exposure of retained sweat over the skin. It is commonly seen in hot and dry climates like tropics during summer months due to thermal stress. Typically, parchment paper or cellophane paper like scaling is seen over occluded areas of back, shoulder, and other areas. Here we have reported a varied presentation of sweat dermatitis in the form of its coexistence with miliaria rubra (impending to thermal burn). Further we have also observed co existing pityriasis versicolor and sweat dermatitis where the former has prevented the development of latter. Till date there is very little discussion on this condition, so we have tried to provide a concise review about sweat dermatitis along with its classical to atypical presentation with special emphasis on dermoscopy.
PubMed: 31807452
DOI: 10.4103/idoj.IDOJ_5_19 -
Dermatologic Therapy Mar 2021
Topics: Health Personnel; Humans; Masks; Miliaria; N95 Respirators
PubMed: 33492777
DOI: 10.1111/dth.14809 -
Journal of the European Academy of... Sep 2021Descriptions of cutaneous findings associated with COVID-19 have not been consistently accompanied by histopathology or confirmatory testing for SARS-CoV-2.
BACKGROUND
Descriptions of cutaneous findings associated with COVID-19 have not been consistently accompanied by histopathology or confirmatory testing for SARS-CoV-2.
OBJECTIVE
To describe and classify the cutaneous findings with supporting histopathology of confirmed COVID-19 inpatients.
METHODS
We included consecutive inpatients with a confirmed diagnosis of COVID-19 for whom a dermatology consult was requested. A skin biopsy was performed in all cases. Skin findings were classified as being compatible with a cutaneous manifestation of COVID-19 or as representing a distinct clinical entity.
RESULTS
Twenty-eight patients were studied in whom thirty-one dermatologic diagnoses were made. Twenty-two of the dermatoses were compatible with a cutaneous manifestation of COVID-19; nine entities were not associated with infection by SARS-CoV-2. The most common COVID-19-associated pattern was an exanthematous presentation. In four patients, a new pattern was observed, characterized by discrete papules with varied histopathological findings including a case of neutrophilic eccrine hidradenitis. No cases of pernio-like lesions were identified. Skin findings not associated with COVID-19 represented 29% of diagnoses and included Malassezia folliculitis, tinea, miliaria and contact dermatitis.
LIMITATIONS
There is no gold-standard test to distinguish between viral exanthems and drug reactions.
CONCLUSION
A histopathological study is critical before attributing skin findings to a manifestation of COVID-19.
Topics: COVID-19; Chilblains; Humans; SARS-CoV-2; Skin; Skin Diseases
PubMed: 34013600
DOI: 10.1111/jdv.17381