IMCAS Americas 2023
Program

Disclosures

Did you receive any funding to support your research for this TOPIC?
Yes
Please specify entities (individual, company, society): COMPANY

Were you provided with any honoraria, payment or other compensation for your work on this study?
Yes
Please specify entities (individual, company, society): COMPANY

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
Yes
Please specify entities (individual, company, society): COMPANY

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work is presented thanks to the support of: ASOCOLDERMA

Disclosures

Did you receive any funding to support your research for this TOPIC?
Yes
Please specify entities (individual, company, society): COMPANY

Were you provided with any honoraria, payment or other compensation for your work on this study?
Yes
Please specify entities (individual, company, society): COMPANY

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
Yes
Please specify entities (individual, company, society): COMPANY

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work is presented thanks to the support of: ASOCOLDERMA

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Hacer un abordaje sencillo y claro de las lesiones cutáneas en pacientes con neoplasias de base, pasando por sus simuladores y evaluando la epidemiología asociada a este tipo de hallazgos en piel.

Introduction: 66-year-old female patient, with history of diffuse large cell non-Hodgkin lymphoma, in treatment with R-CHOP therapy with an inadequate response. During her hospital stay, the patient was referred to dermatology consult due to a 3-day history of lesions in the anterior thorax associated with burning pain and pruritus. Upon physical exam, she presented with multiple erythematous and edematous plaques with irregular, well-defined edges who merged in the left parasternal region.

Materials / method: Herpes zoster was initially suspected, leading to IV acyclovir treatment due to her immunocompromised status. Because there was no satisfactory response, a skin biopsy was performed.
Pathology report showed the presence of an infiltrate with a neoplastic appearance that extended to the reticular dermis, lymphocytes with prominent nucleus, and a high mitotic rate. Immunohistochemistry with revealed a population of neoplastic cells which marked positive for common leukocyte antigen, CD20, BCL2, FOXP1 and MMU1 with Ki67 a 90% positivity.

Results: Diffuse large B-cell lymphoma (CBCL) is the most common type of B cell lymphoma, accounting for 30 to 50% of all non-Hodgkin lymphoma cases. However, its clinical manifestations on the skin are atypical and infrequent. Its presentation is aggressive and can be expressed in different clinical forms . It is more common in individuals older than 60 years as a novelty presentation or due to the transformation of small cell non-Hodgkin lymphoma . Its symptoms will depend on tumor location and up to 30% of cases can be associated with constitutional symptoms.

Conclusion: B-cell lymphoma is a frequently reported pathology, however; skin involvement is an infrequent manifestation and can easily be confused with other diseases. Its course is generally aggressive with a high burden of morbidity and mortality despite targeted and timely treatment.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: 1. Sospechar y diagnosticar el carcinoma basocelular.
2. Plantear un adecuado manejo, teniendo en cuenta las preferencias del paciente
3. Conocer una alternativa de colgajo local de piel que ofrezca un adecuado resultado estético

Introduction: Mujer joven de 41 años de edad, quien presenta lesión sospechosa de carcinoma basocelular contiguo al ala nasal derecha, la cual fue confirmada mediante histopatología, es llevada a resección del tumor y cierre con colgajo de Webster, logrando un adecuado resultado estético.

Materials / method: Se realiza reporte de caso clínico y revisión de la literatura.

Results: En el caso de la paciente se hizo la resección del tumor, y posteriormente se cerró mediante un colgajo de Webster modificado, realizando tanto la escisión como la sutura sobre el surco alar, teniendo en cuenta la preferencia de la paciente de menor sutura y menor cicatriz, respetando la tensión del colgajo.

Conclusion: 1. El carcinoma basocelular es el tipo de tumor maligno más frecuente en humanos

2. El colgajo de Webster consiste en un colgajo de avance cutáneo y subcutáneo desde la mejilla

3. Es una excelente alternativa en la reconstrucción perinasal y del labio, con un adecuado resultado estético

4. Si bien el objetivo principal de la cirugía en Dermatología Oncológica es la resección del tumor, para algunos pacientes, como en el caso presentado, puede ser más relevante la preocupación por el resultado estético final

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Describir el reporte de un caso de síndrome de Gorlin con una mutación infrecuente, sus características clínicas más relevantes y claves diagnósticas como los pits palmares, que pueden confundir con otras enfermedades dermatológicas.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: Describir un caso clínico de síndrome de la piel escaldada por estafilococos en un paciente pediátrico.

Introduction: Se presenta el caso clínico de una recién nacida a término, con peso y talla adecuada para la edad gestacional, quien consulta a los 14 días de vida, por un cuadro clínico que inicia hace 3 días consistente en rash maculopapular asociado a la presencia de ampollamiento y esfacelación que compromete la cara, el tronco y las extremidades.

Materials / method: Descripción de caso clínico.

Results: Ante la sospecha clínica de síndrome de la piel escaldada por estafilococos, se inicia antibioticoterapia sistémica, inicialmente con resultados limitados, posteriormente con ajuste de su manejo, con adecuada evolución clínica.

Conclusion: Se concluye que el síndrome de piel escaldada estafilocócica es una infección cutánea rara pero potencialmente mortal que se presenta principalmente en recién nacidos y niños pequeños, cuyo diagnostico preciso y temprano conjunto al inicio rápido de la antibioticoterapia resultan en un desenlace clínico adecuado, con impacto en la mortalidad de esta infección descrita desde un 3,6 hasta un 11%.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

Were you provided with any honoraria, payment or other compensation for your work on this study?
No

Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No

Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No

This work was not supported by any direct or non direct funding. It is under the author's own responsability