Postirradiation Multiple Minute Digitate Porokeratosis: Case Report
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.29021/spdv.75.3.823 |
Resumo: | A spectrum of skin conditions – inflammatory, preneoplastic and neoplastic in nature – have been reported to occur as late side effects of radiation therapy. Postiradiation multiple minute digitate porokeratosis (PIMMDP), although seldom reported, has emerged as a distinctively unique variant among porokeratoses. The case of a 47-year-old Caucasianwoman who developed multiple filiform spiny papules mainly over the right chest wall, 12 months after receiving post-operative cobalt therapy for infiltrating ductal carcinoma of the right breast, is reported. The papules, mostly confined to the irradiation field, were pathologically found to consist of cornoid lamellae overlying a somewhat atrophic epidermis devoid of granular layer. PIMMDP is a rare, peculiar type of a late-onset radiation-induced porokeratotic skin reaction pattern that should be differentiated on pathological grounds from other clinical mimickers such as those included in the heterogenous group of multiple minute digitate hyperkeratoses. This case is ichnographically depicted and the relevant literature is discussed. |
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Postirradiation Multiple Minute Digitate Porokeratosis: Case ReportPoroqueratose Múltipla Digitada Pós-Irradiação: Caso ClínicoCarcinomaDuctalBreast/radiotherapyCobalt Radioisotopes/adverse effectsKeratosisPorokeratosis/etiologyRadiotherapy/adverse effects.Carcinoma Ductal da Mama/radioterapiaQueratosesPoroqueratose/etiologiaRadioisótopos de Cobalto/ efeitos adversosRadioterapia/efeitos adversosA spectrum of skin conditions – inflammatory, preneoplastic and neoplastic in nature – have been reported to occur as late side effects of radiation therapy. Postiradiation multiple minute digitate porokeratosis (PIMMDP), although seldom reported, has emerged as a distinctively unique variant among porokeratoses. The case of a 47-year-old Caucasianwoman who developed multiple filiform spiny papules mainly over the right chest wall, 12 months after receiving post-operative cobalt therapy for infiltrating ductal carcinoma of the right breast, is reported. The papules, mostly confined to the irradiation field, were pathologically found to consist of cornoid lamellae overlying a somewhat atrophic epidermis devoid of granular layer. PIMMDP is a rare, peculiar type of a late-onset radiation-induced porokeratotic skin reaction pattern that should be differentiated on pathological grounds from other clinical mimickers such as those included in the heterogenous group of multiple minute digitate hyperkeratoses. This case is ichnographically depicted and the relevant literature is discussed.Um espectro de dermatoses de natureza variada – inflamatória, pré-neoplásica ou neoplásica – foi relatado como sequelas tardias de terapia de radiação. A poroqueratose múltipla digitada pós-irradiação (PMDPI), embora raramente reportada, emergiu como uma variante distinta entre as poroqueratoses. É relatado um caso de doente Caucasiana, de 47 anos de idade, que desenvolveu múltiplas pápulas filiformes, espiculadas, sobretudo na área peitoral direita, 12 meses após ter sido submetida a cobaltoterapia por carcinoma ductal infiltrativo da mama direita. As lesões, maioritariamente confinadas ao campo irradiado, evidenciavam ao exame histopatológico lamelas córneas sobre uma epiderme algo atrófica, privada de camada granulosa. A PMDPI é um subtipo peculiar, raro, de padrão de reacção cutânea poroqueratósica que suscita ponderação diagnóstica diferencial histopatológica com variadas dermatoses afins, incluídas no grupo heterogéneo das hiperqueratoses múltiplas digitadas. O caso é iconograficamente ilustrado e a literatura relevante é discutida.Sociedade Portuguesa de Dermatologia e Venereologia2018-01-22T00:00:00Zjournal articleinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://doi.org/10.29021/spdv.75.3.823oai:ojs.revista.spdv.com.pt:article/823Journal of the Portuguese Society of Dermatology and Venereology; Vol 75 No 3 (2017): Julho - Setembro; 305-308Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 75 n. 3 (2017): Julho - Setembro; 305-3082182-24092182-2395reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spdv.com.pt/index.php/spdv/article/view/823https://doi.org/10.29021/spdv.75.3.823https://revista.spdv.com.pt/index.php/spdv/article/view/823/518Tavares Bello, RuiPonte, PedroVale, Esmeraldainfo:eu-repo/semantics/openAccess2022-10-06T12:35:05Zoai:ojs.revista.spdv.com.pt:article/823Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:11:04.226526Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Postirradiation Multiple Minute Digitate Porokeratosis: Case Report Poroqueratose Múltipla Digitada Pós-Irradiação: Caso Clínico |
title |
Postirradiation Multiple Minute Digitate Porokeratosis: Case Report |
spellingShingle |
Postirradiation Multiple Minute Digitate Porokeratosis: Case Report Tavares Bello, Rui Carcinoma Ductal Breast/radiotherapy Cobalt Radioisotopes/adverse effects Keratosis Porokeratosis/etiology Radiotherapy/adverse effects. Carcinoma Ductal da Mama/radioterapia Queratoses Poroqueratose/etiologia Radioisótopos de Cobalto/ efeitos adversos Radioterapia/efeitos adversos |
title_short |
Postirradiation Multiple Minute Digitate Porokeratosis: Case Report |
title_full |
Postirradiation Multiple Minute Digitate Porokeratosis: Case Report |
title_fullStr |
Postirradiation Multiple Minute Digitate Porokeratosis: Case Report |
title_full_unstemmed |
Postirradiation Multiple Minute Digitate Porokeratosis: Case Report |
title_sort |
Postirradiation Multiple Minute Digitate Porokeratosis: Case Report |
author |
Tavares Bello, Rui |
author_facet |
Tavares Bello, Rui Ponte, Pedro Vale, Esmeralda |
author_role |
author |
author2 |
Ponte, Pedro Vale, Esmeralda |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Tavares Bello, Rui Ponte, Pedro Vale, Esmeralda |
dc.subject.por.fl_str_mv |
Carcinoma Ductal Breast/radiotherapy Cobalt Radioisotopes/adverse effects Keratosis Porokeratosis/etiology Radiotherapy/adverse effects. Carcinoma Ductal da Mama/radioterapia Queratoses Poroqueratose/etiologia Radioisótopos de Cobalto/ efeitos adversos Radioterapia/efeitos adversos |
topic |
Carcinoma Ductal Breast/radiotherapy Cobalt Radioisotopes/adverse effects Keratosis Porokeratosis/etiology Radiotherapy/adverse effects. Carcinoma Ductal da Mama/radioterapia Queratoses Poroqueratose/etiologia Radioisótopos de Cobalto/ efeitos adversos Radioterapia/efeitos adversos |
description |
A spectrum of skin conditions – inflammatory, preneoplastic and neoplastic in nature – have been reported to occur as late side effects of radiation therapy. Postiradiation multiple minute digitate porokeratosis (PIMMDP), although seldom reported, has emerged as a distinctively unique variant among porokeratoses. The case of a 47-year-old Caucasianwoman who developed multiple filiform spiny papules mainly over the right chest wall, 12 months after receiving post-operative cobalt therapy for infiltrating ductal carcinoma of the right breast, is reported. The papules, mostly confined to the irradiation field, were pathologically found to consist of cornoid lamellae overlying a somewhat atrophic epidermis devoid of granular layer. PIMMDP is a rare, peculiar type of a late-onset radiation-induced porokeratotic skin reaction pattern that should be differentiated on pathological grounds from other clinical mimickers such as those included in the heterogenous group of multiple minute digitate hyperkeratoses. This case is ichnographically depicted and the relevant literature is discussed. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-22T00:00:00Z |
dc.type.driver.fl_str_mv |
journal article info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.29021/spdv.75.3.823 oai:ojs.revista.spdv.com.pt:article/823 |
url |
https://doi.org/10.29021/spdv.75.3.823 |
identifier_str_mv |
oai:ojs.revista.spdv.com.pt:article/823 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spdv.com.pt/index.php/spdv/article/view/823 https://doi.org/10.29021/spdv.75.3.823 https://revista.spdv.com.pt/index.php/spdv/article/view/823/518 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Dermatologia e Venereologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Dermatologia e Venereologia |
dc.source.none.fl_str_mv |
Journal of the Portuguese Society of Dermatology and Venereology; Vol 75 No 3 (2017): Julho - Setembro; 305-308 Revista da Sociedade Portuguesa de Dermatologia e Venereologia; v. 75 n. 3 (2017): Julho - Setembro; 305-308 2182-2409 2182-2395 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799130566730186752 |