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1A</a>&#41;&#46; O exame laboratorial foi normal&#46; O n&#243;dulo foi removido cirurgicamente&#44; sob anestesia local&#46; O exame histopatol&#243;gico revelou estrutura c&#237;stica relativamente bem circunscrita localizada no tecido subcut&#226;neo &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1B</a>&#41;&#46; O cisto estava preenchido por material acid&#243;filo amorfo&#44; e as paredes do cisto eram revestidas por c&#233;lulas epiteliais sem forma&#231;&#227;o de camada granulosa &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1C</a>&#41;&#46; Cortes histol&#243;gicos seriados mostraram cristais de colesterol e c&#233;lulas gigantes tipo por corpo estranho dentro e ao redor do cisto &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1D</a>&#41;&#46; Ap&#243;s a cirurgia&#44; j&#225; se passaram dez anos sem recidiva local&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">O caso foi diagnosticado como cisto triquilemal com base nas caracter&#237;sticas histopatol&#243;gicas de estrutura c&#237;stica bem definida revestida por c&#233;lulas epiteliais mostrando queratiniza&#231;&#227;o triquilemal&#46; 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que desenvolveu cisto triquilemal no p&#234;nis ap&#243;s reparo da hiposp&#225;dia&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> Os autores especularam que o reparo da hiposp&#225;dia distal havia desencadeado metaplasia escamosa com queratiniza&#231;&#227;o&#44; levando ao desenvolvimento de cisto triquilemal em &#225;rea do corpo sem pelos&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">No departamento dos autores&#44; 25 casos&#44; incluindo o presente&#44; foram diagnosticados como cisto triquilemal nos &#250;ltimos dez anos&#46; Houve apenas um caso pedi&#225;trico &#40;o presente&#41;&#46; Os pacientes inclu&#237;ram 12 homens e 13 mulheres&#44; com idade m&#233;dia de 49 anos&#44; e os locais afetados foram mais frequentemente observados no couro cabeludo &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>16&#41;&#44; seguido da face &#40;sete&#41;&#44; abdome &#40;um&#41; e antebra&#231;o &#40;um&#41;&#46; Entre as les&#245;es faciais&#44; duas foram observadas na sobrancelha&#44; duas nas p&#225;lpebras superiores e inferiores&#44; duas na regi&#227;o frontal e uma foi observada na regi&#227;o bucinadora&#46; O cisto triquilemal &#233; um dos n&#243;dulos que surgem na cabe&#231;a e pesco&#231;o&#44; e raramente acomete crian&#231;as&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Suporte financeiro</span><p id="par0025" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Contribui&#231;&#227;o dos autores</span><p id="par0030" class="elsevierStylePara elsevierViewall">Mai Endo&#58; Planejamento do estudo&#59; reda&#231;&#227;o do manuscrito&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; revis&#227;o e aprova&#231;&#227;o da vers&#227;o final do manuscrito&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">Toshiyuki Yamamoto&#58; Planejamento do estudo&#59; reda&#231;&#227;o do manuscrito&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; revis&#227;o e aprova&#231;&#227;o da vers&#227;o final do manuscrito&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflito de interesses</span><p id="par0040" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span></span>"
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Cartas ‐ Caso clínico
Caso pediátrico de cisto triquilemal na face
Mai Endo
Corresponding author
enmai04@fmu.ac.jp

Autor para correspondência.
, Toshiyuki Yamamoto
Departamento de Dermatologia, Fukushima Medical University, Fukushima, Japão
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1A</a>&#41;&#46; O exame laboratorial foi normal&#46; O n&#243;dulo foi removido cirurgicamente&#44; sob anestesia local&#46; O exame histopatol&#243;gico revelou estrutura c&#237;stica relativamente bem circunscrita localizada no tecido subcut&#226;neo &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1B</a>&#41;&#46; O cisto estava preenchido por material acid&#243;filo amorfo&#44; e as paredes do cisto eram revestidas por c&#233;lulas epiteliais sem forma&#231;&#227;o de camada granulosa &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1C</a>&#41;&#46; Cortes histol&#243;gicos seriados mostraram cristais de colesterol e c&#233;lulas gigantes tipo por corpo estranho dentro e ao redor do cisto &#40;<a class="elsevierStyleCrossRef" href="#fig0005">fig&#46; 1D</a>&#41;&#46; Ap&#243;s a cirurgia&#44; j&#225; se passaram dez anos sem recidiva local&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">O caso foi diagnosticado como cisto triquilemal com base nas caracter&#237;sticas histopatol&#243;gicas de estrutura c&#237;stica bem definida revestida por c&#233;lulas epiteliais mostrando queratiniza&#231;&#227;o triquilemal&#46; 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que desenvolveu cisto triquilemal no p&#234;nis ap&#243;s reparo da hiposp&#225;dia&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> Os autores especularam que o reparo da hiposp&#225;dia distal havia desencadeado metaplasia escamosa com queratiniza&#231;&#227;o&#44; levando ao desenvolvimento de cisto triquilemal em &#225;rea do corpo sem pelos&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">No departamento dos autores&#44; 25 casos&#44; incluindo o presente&#44; foram diagnosticados como cisto triquilemal nos &#250;ltimos dez anos&#46; Houve apenas um caso pedi&#225;trico &#40;o presente&#41;&#46; Os pacientes inclu&#237;ram 12 homens e 13 mulheres&#44; com idade m&#233;dia de 49 anos&#44; e os locais afetados foram mais frequentemente observados no couro cabeludo &#40;n<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>16&#41;&#44; seguido da face &#40;sete&#41;&#44; abdome &#40;um&#41; e antebra&#231;o &#40;um&#41;&#46; Entre as les&#245;es faciais&#44; duas foram observadas na sobrancelha&#44; duas nas p&#225;lpebras superiores e inferiores&#44; duas na regi&#227;o frontal e uma foi observada na regi&#227;o bucinadora&#46; O cisto triquilemal &#233; um dos n&#243;dulos que surgem na cabe&#231;a e pesco&#231;o&#44; e raramente acomete crian&#231;as&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Suporte financeiro</span><p id="par0025" class="elsevierStylePara elsevierViewall">Nenhum&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Contribui&#231;&#227;o dos autores</span><p id="par0030" class="elsevierStylePara elsevierViewall">Mai Endo&#58; Planejamento do estudo&#59; reda&#231;&#227;o do manuscrito&#59; obten&#231;&#227;o&#44; an&#225;lise e interpreta&#231;&#227;o dos dados&#59; 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          "pt" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; N&#243;dulo subcut&#226;neo cupuliforme acima da sobrancelha esquerda &#40;seta&#41;&#46; &#40;B&#41; Exame histopatol&#243;gico mostrando estrutura c&#237;stica localizada no tecido subcut&#226;neo &#40;Hematoxilina &#38; eosina&#44; 20<span class="elsevierStyleHsp" style=""></span>&#215;&#41;&#46; &#40;C&#41; Aumento maior mostra que as paredes do cisto queratinizam em dire&#231;&#227;o ao l&#250;men sem forma&#231;&#227;o de camada granulosa &#40;Hematoxilina &#38; eosina&#44; 200<span class="elsevierStyleHsp" style=""></span>&#215;&#41;&#46; &#40;D&#41; Cristais de colesterol e c&#233;lulas gigantes tipo por corpo estranho &#40;Hematoxilina &#38; eosina&#44; 200<span class="elsevierStyleHsp" style=""></span>&#215;&#41;&#46;</p>"
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Cor&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Imamura H&#44; et al&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">15<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>20 mm&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">N&#243;dulo el&#225;stico&#44; macio e indolor&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">Levemente azulado&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Madan S&#44; Joshi R&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5&#47;masculino&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Face ventral do fr&#234;nulo do p&#234;nis&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">15<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>16 mm&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Tumora&#231;&#227;o macia&#44; c&#237;stica&#44; de superf&#237;cie lisa&#44; el&#225;stica&#44; indolor e relativamente m&#243;vel&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">N&#227;o identificado&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">Presente caso&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Acima da sobrancelha&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">7<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>5 mm&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">N&#243;dulo subcut&#226;neo cupuliforme&#44; indolor&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">Levemente avermelhado&nbsp;\t\t\t\t\t\t\n
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                        "tituloSerie" => "Japanese J Clinical Dermatology &#40;in Japanese&#41;&#46;"
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Article information
ISSN: 26662752
Original language: Portuguese
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Idiomas
Anais Brasileiros de Dermatologia
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