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Acute Pyelonephritis II: Diagnostic Studies and Management01:28

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Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...

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Case for diagnosis. Acrokeratoelastoidosis.

Mariana Carvalho Costa1, Eduardo Bornhausen Demarch, Amanda Hertz

  • 1Prof. Rubem David Azulay Institute of Dermatology, Santa Casa de Misericórdia do Rio de Janeiro, Brazil. maricosta133@gmail.com

Anais Brasileiros De Dermatologia
|January 28, 2012
PubMed
Summary
This summary is machine-generated.

Acrokeratoelastoidosis is a rare genetic skin disorder affecting the hands and feet, characterized by small, yellowish papules. This genodermatosis typically appears in childhood or adolescence and presents with symmetrical skin changes.

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Area of Science:

  • Dermatology
  • Genetics
  • Histopathology

Background:

  • Acrokeratoelastoidosis is a rare genodermatosis affecting the palms and soles.
  • It presents as an autosomal-dominant condition but can occur sporadically.
  • Onset is typically in childhood or adolescence, not from birth.

Observation:

  • Clinically, it manifests as symmetrical, yellowish, keratotic papules (2-4 mm) on the sides of hands and feet.
  • Lesions may be glossy and umbilicated.
  • Symmetrical distribution is a hallmark clinical sign.

Findings:

  • Histopathological examination reveals hyperkeratosis and mild acanthosis.
  • Orcein staining highlights elastorrhexis, a key finding.
  • These microscopic features are crucial for diagnosis.

Implications:

  • Understanding the clinical and histopathological features aids in diagnosing this rare condition.
  • Further research can elucidate the genetic basis and specific molecular mechanisms.
  • Accurate diagnosis is essential for patient management and genetic counseling.