Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa

Detalhes bibliográficos
Autor(a) principal: Subtil, João
Data de Publicação: 2014
Outros Autores: Montalvão, Pedro, Saraiva, José
Tipo de documento: Artigo
Idioma: por
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.34631/sporl.462
Resumo: Introduction: The authors present a case of a circumferential cutaneous papilloma on the external auditory canal wrongly diagnosed and unsuccessfully treated as chronic otitis externa during fifteen years. This case is interesting for the unusual location and extension of this papilloma, as well as for the treatment used for eradicating the disease with no complication. Material and methods: The external ear canal and tympanic membrane on both ears showed circumferential lesions suggesting cutaneous papilloma, confirmed by histology of biopsy specimen. Surgical treatment was withheld because of unacceptable morbidity and instead was treated with topical imiquimod. Results: Complete resolution was obtained after twelve weeks of treatment, and no recurrence was observed after one year. Conclusions: Imiquimod has been used as a topical agent with an important action over the cutaneous immune system, and is being growingly accepted as an alternative treatment for aggressive or difficult skin problems, such as the one we present.  
id RCAP_ca9b9ea1c75d55ea52e4dccc6851fbe7
oai_identifier_str oai:journalsporl.com:article/2691
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externaPapiloma circunferencial do canal auditivo externo bilateral como otite externa crónica - Caso clínicocutaneous papillomaexternal ear canalexternal otitisimiquimodpapiloma cutâneocanal auditivo externootite externaimiquimodIntroduction: The authors present a case of a circumferential cutaneous papilloma on the external auditory canal wrongly diagnosed and unsuccessfully treated as chronic otitis externa during fifteen years. This case is interesting for the unusual location and extension of this papilloma, as well as for the treatment used for eradicating the disease with no complication. Material and methods: The external ear canal and tympanic membrane on both ears showed circumferential lesions suggesting cutaneous papilloma, confirmed by histology of biopsy specimen. Surgical treatment was withheld because of unacceptable morbidity and instead was treated with topical imiquimod. Results: Complete resolution was obtained after twelve weeks of treatment, and no recurrence was observed after one year. Conclusions: Imiquimod has been used as a topical agent with an important action over the cutaneous immune system, and is being growingly accepted as an alternative treatment for aggressive or difficult skin problems, such as the one we present.  Introdução: Apresentamos um caso de papiloma circunferencial do canal auditivo externo diagnosticado erradamente e tratado sem sucesso como otite externa crónica 15 anos. O interesse deste caso é a invulgaridade e extensão da localização da lesão, apresentando uma intervenção terapêutica aparentemente eficaz e sem sequelas. Material e métodos: A nossa observação revelou lesão exofítica circunferencial exsudativa do canal e tímpano, bilateralmente, sugestiva de papiloma, que foi biopsado, confirmando a hipótese. Dada a extensão e localização da lesão e o compromisso anatómico que impediam a exérese, foi instituída terapêutica experimental com imiquimod tópico. Resultados: Observou-se melhoria significativa e rápida das lesões, com resolução integral em ambos os lados ao fim de 3 meses de aplicação, mantendo-se bem cerca de um ano depois. Conclusões: O imiquimod é uma alternativa eficaz para o tratamento conservador em caso de lesões agressivas ou de localização complicada, tendo sido material neste caso para o sucesso terapêutico.  Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço2014-06-18info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.34631/sporl.462https://doi.org/10.34631/sporl.462Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 52 No. 2 (2014): Junho; 95-97Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 52 Núm. 2 (2014): Junho; 95-97Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 52 N.º 2 (2014): Junho; 95-972184-6499reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://journalsporl.com/index.php/sporl/article/view/2691https://journalsporl.com/index.php/sporl/article/view/2691/695Subtil, JoãoMontalvão, PedroSaraiva, Joséinfo:eu-repo/semantics/openAccess2024-06-06T12:59:48Zoai:journalsporl.com:article/2691Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-06-06T12:59:48Repositório 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 Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa
Papiloma circunferencial do canal auditivo externo bilateral como otite externa crónica - Caso clínico
title Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa
spellingShingle Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa
Subtil, João
cutaneous papilloma
external ear canal
external otitis
imiquimod
papiloma cutâneo
canal auditivo externo
otite externa
imiquimod
title_short Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa
title_full Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa
title_fullStr Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa
title_full_unstemmed Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa
title_sort Circumferential cutaneous papilloma on the external auditory canal presenting as chronic otitis externa
author Subtil, João
author_facet Subtil, João
Montalvão, Pedro
Saraiva, José
author_role author
author2 Montalvão, Pedro
Saraiva, José
author2_role author
author
dc.contributor.author.fl_str_mv Subtil, João
Montalvão, Pedro
Saraiva, José
dc.subject.por.fl_str_mv cutaneous papilloma
external ear canal
external otitis
imiquimod
papiloma cutâneo
canal auditivo externo
otite externa
imiquimod
topic cutaneous papilloma
external ear canal
external otitis
imiquimod
papiloma cutâneo
canal auditivo externo
otite externa
imiquimod
description Introduction: The authors present a case of a circumferential cutaneous papilloma on the external auditory canal wrongly diagnosed and unsuccessfully treated as chronic otitis externa during fifteen years. This case is interesting for the unusual location and extension of this papilloma, as well as for the treatment used for eradicating the disease with no complication. Material and methods: The external ear canal and tympanic membrane on both ears showed circumferential lesions suggesting cutaneous papilloma, confirmed by histology of biopsy specimen. Surgical treatment was withheld because of unacceptable morbidity and instead was treated with topical imiquimod. Results: Complete resolution was obtained after twelve weeks of treatment, and no recurrence was observed after one year. Conclusions: Imiquimod has been used as a topical agent with an important action over the cutaneous immune system, and is being growingly accepted as an alternative treatment for aggressive or difficult skin problems, such as the one we present.  
publishDate 2014
dc.date.none.fl_str_mv 2014-06-18
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://doi.org/10.34631/sporl.462
https://doi.org/10.34631/sporl.462
url https://doi.org/10.34631/sporl.462
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://journalsporl.com/index.php/sporl/article/view/2691
https://journalsporl.com/index.php/sporl/article/view/2691/695
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 Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
publisher.none.fl_str_mv Sociedade Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
dc.source.none.fl_str_mv Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery; Vol. 52 No. 2 (2014): Junho; 95-97
Revista Portuguesa de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço; Vol. 52 Núm. 2 (2014): Junho; 95-97
Revista Portuguesa de Otorrinolaringologia-Cirurgia de Cabeça e Pescoço; Vol. 52 N.º 2 (2014): Junho; 95-97
2184-6499
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
repository.mail.fl_str_mv mluisa.alvim@gmail.com
_version_ 1817546031115534336