GIANT SOLITARY CUTANEOUS ANGIOSARCOMA OF THE FOREARM OCCURRING OUTSIDE THE SETTING OF LYMPHEDEMA

Angiosarcoma (AS) is an aggressive vascular malignancy that can affect various anatomic sites. Although rare, cutaneous angiosarcoma (CAS) is the most common clinical manifestation of AS, accounting for approximately 50% to 60% of all AS. CAS is typically known to occur in three settings: (1) idiopathic, (2) following radiation treatment, or (3) is classically diagnosed following mastectomy with subsequent chronic lymphedema (known as Stewart Treves syndrome). We present a case of CAS on the forearm in a man with no history of lymphedema or radiation therapy, highlighting the necessity to discuss this diagnosis even outside the setting of conventional angiosarcomas.

Skin candidiasis as a consequence of carbohydrate disorder

Summary. The purpose is to conduct a scientific literature sources research about features of the clinical course of skin candidiasis in patients suffered from diabetes mellitus. Material and methods. A retrospective analysis of the literature has been carried out about the presence of various skin form of candidiasis in patients suffered from diabetes mellitus. Results of research and discussion. An analysis of literature sources has established that 285 million adults are suffering from diabetes mellitus all over the world. One third of them has skin rash, which can be divided into 3 groups: primary, secondary, dermatoses, caused by drugs used for the diabetes mellitus treatment. The most common clinical manifestation of diabetes mellitus is candidiasis, caused by more than 186 species of the genus Candida pathogens. Conclusion. The precursor of the diabetes mellitus onset is often skin candidiasis, so you need to have a profound knowledge of its various forms diagnostics.

Seroprevalence of feline immunodeficiency virus and feline leukemia virus in domestic cats of Fortaleza, Ceará

Feline Immunodeficiency Virus (FIV) and Feline Leukemia Virus (FeLV) are important etiologic agents of immunosuppressive diseases in felines. The objective of the present study was to determine the prevalence of these retroviruses in domestic cats in Fortaleza, Ceará and the epidemiological factors associated with these infections. Between 2015 and 2016, 138 blood samples were collected and tested for FIV and FeLV by the enzyme immunoadsorption assay (ELISA). Parameters such as breed, gender, age, reproductive status, multi-cat environment, outdoor access and clinical manifestations were evaluated. The results showed that 12.32% were positive for FIV, 5.80% for FeLV and 1.45% for co-infection (FIV/FeLV). FIV+ animals were mostly mixed breed, neutered male adult cats, with indoor lifestyle and living in a multi-cat household. The most common clinical manifestation observed was disorders of the oral cavity. Factors found to increase the risk for FeLV seropositivity include mixed breed, young, spayed female cats, indoor lifestyle living in a multi-cat household were the most common epidemiological factors observed. The most common clinical manifestation was anorexia and apathy. The prevalence of these viruses were relatively high, compared with other region of Brazil. This study demonstrated that mixed breed, castrated, multi-cat environment and indoor lifestyle animals are of greater relevance for FIV and FeLV infection diseases. Factors related to cat demographics and health such as age, sex and type of household are important predictors for seropositive status to FeLV or FIV in Fortaleza. High prevalence of FeLV or FIV observed in our study is of concern, in view of the immunosuppressive potential of the two pathogens.

Cross-reactive food allergy to PR-10 homologues in birch pollen sensitized patients

Pollen allergy (pollinosis) is one of the most common allergic diseases. Majority of pollen allergy patients (47-70%) have a cross-reactive food allergy to fruits, vegetables, nuts and seeds. Oral allergic syndrome is the most common clinical manifestation of cross-reactive food allergy. The article presents the data on cross-reactive food allergy to Pr-10 homologues in birch pollen sensitized patients.

Tonic spasms are a common clinical manifestation in patients with neuromyelitis optica

Tonic spasms have been most commonly associated with multiple sclerosis. To date, few reports of series of patients with neuromyelitis optica and tonic spasms have been published.Methods:We analyzed the characteristics and frequency of tonic spasms in 19 subjects with neuromyelitis optica. Data was collected using a semi-structured questionnaire for tonic spasms, by both retrospectively reviewing medical records and performing clinical assessment.Results:All patients except one developed this symptom. The main triggering factors were sudden movements and emotional factors. Spasms were commonly associated to sensory disturbances and worsened during the acute phases of the disease. Carbamazepine was most commonly used to treat the symptom and patients showed good response to the drug.Conclusions:Tonic spasms are a common clinical manifestation in patients with neuromyelitis optica.

Antiphospholipid Syndrome: Clinical Characteristics of Patients and Affected Family Members From Multiplex Families.

Abstract 2972 Poster Board II-950 Background: Antiphospholipid syndrome (APS) is characterized by venous and/or arterial thromboembolic events, recurrent fetal loss, and persistently elevated antiphospholipid antibody (aPL) levels. Familial clustering of individuals with elevated aPL levels occurs, and up to 37% of patients with APS have one or more relatives with at least one clinical feature of APS. Individuals with elevated aPL levels or APS are also frequently identified in families with other autoimmune (AI) disorders, such as lupus or rheumatoid arthritis. Individuals with different autoimmune disorders appear to share common susceptibility loci, suggesting that a common set of susceptibility genes may contribute to clinically distinct autoimmune disorders. To investigate the heritability of APS, we are enrolling patients with APS who have one or more family members affected by APS (multiplex APS) or by other, non-APS, autoimmune disorders (multiplex AI). This study summarizes clinical characteristics of probands and family members enrolled to date in these two groups. Methods: Probands meeting clinical and laboratory criteria for APS (Miyakis, et al. J.Thromb.Haemost, 2006;4: 295-306) who had at least one clinically affected relative positive for either APS or another autoimmune disorder (e.g., lupus, rheumatoid arthritis) were recruited and enrolled into the study. A detailed personal and family history was obtained and relevant family members were also approached to participate in the study. Blood specimens were collected for genetic, serologic, and coagulation testing. Results: Review of more than 200 potential participants identified 13 probands with multiplex APS families and 49 with multiplex AI families. Probands from both groups more frequently had primary rather than secondary APS, and thromboembolic events were the most common clinical manifestation. Catastrophic APS was reported in 1 multiplex APS proband and 4 multiplex AI probands. Proband characteristics are summarized in the Table. In the multiplex APS families, 1 to 3 family members had APS, and the most common clinical manifestation was thromboembolism. In addition, 8 multiplex APS families also had one or more family members who were affected with other autoimmune disorders, most commonly lupus and rheumatoid arthritis. In the multiplex AI families, 1 to 8 family members were affected by a variety of autoimmune disorders, including lupus, Hashimoto's disease, Sjögren's syndrome, rheumatoid arthritis, myasthenia gravis, type I diabetes mellitus, and other diseases. Affected family members most commonly included siblings and/or parents of the probands. Conclusions: In the participants enrolled to date, probands with APS who belonged to multiplex APS or multiplex AI families most commonly had primary APS, and thromboembolic complications were the most common clinical manifestation. Families that were multiplex AI were more common than families that included more than one family member affected with APS, and families that were multiplex APS frequently included members that had other autoimmune disorders. Disclosures: No relevant conflicts of interest to declare.