Lluís Puig

Escorbuto: púrpura folicular como signo guía

Scurvy is a set of clinical manifestations characterized by general weakness, anemia, gingivitis and cutaneous bleeding, caused by a lack of ascorbic acid in the diet. This pathology is currently a clinical rarity, although it can still be seen in cases of malnutrition associated with alcoholism or with dietary deficiencies, especially in childhood and old age. We present the case of a 45-year-old male who consulted his physician because of lower limb edema with follicular purpura, accompanied by asthenia, polyarthralgia and bleeding gums. After treatment with 1 g/day of vitamin C was initiated, the patients symptoms quickly improved. The diagnosis of scurvy was based on the patients clinical symptoms, dietary history and the rapid resolution of the symptoms when vitamin C supplements were initiated.

Sindrome de Touraine-Solente-Golé. Descripción de un caso

Resumen —El sindrome de Touraine-Solente-Gole u osteoartropatia hipertrofica primaria es una enfermedad hereditaria infrecuente, que clinicamente se presenta con un engrosamiento cutaneo, seborrea, cutis verticis gyrata, hiperhidrosis, acropaquia y compromiso oseo. Se presenta un nuevo caso de esta entidad, en el que el motivo de consulta fue una proliferacion de partes blandas en las piernas asociada a una dermatitis de estasis. El diagnostico se establecio mediante los hallazgos clinicos y radiologicos, tras descartar que se tratara de una forma secundaria de osteoartopatia hipertrofica.