MARCELLO MENTA SIMONSEN NICO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Dermatologia, Faculdade de Medicina - Docente
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/06 - Laboratório de Imunopatologia da Esquistossomose e outras Parasitoses, Hospital das Clínicas, Faculdade de Medicina
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/06 - Laboratório de Imunopatologia da Esquistossomose e outras Parasitoses, Hospital das Clínicas, Faculdade de Medicina
7 resultados
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- Squamous Cell Carcinoma Arising in Discoid Lupus Erythematosus of the Nail Unit(2023) YENDO, Tatiana Mina; GABBI, Tatiana Villas Boas; NICO, Marcello Menta SimonsenIntroduction: Discoid lupus erythematosus can affect periungual tissues leading to onychodystrophy. Squamous cell carcinoma can occur in persistent scars of discoid lupus; this rare occurrence has not yet been reported on the nail unit. Case presentation: we report a case of squamous cell carcinoma occurring on the distal phalanx of the thumb in a patient with longstanding periungual discoid lupus on several fingernails. Discussion: Periungual discoid lupus erythematosus is rare. The scars caused by this disease can very rarely develop into squamous cell carcinoma. This is the first report of this occurrence at the periungual tissues.
- Oral lichen planus: case series and experience in a tertiary dermatology service in Brazil(2023) ERTHAL, Aline; LOURENCO, Silvia Vanessa; NICO, Marcello Menta SimonsenBackground: Lichen planus is an inflammatory disease that can affect both the skin and mucous membranes, including the oral mucosa. There is very little original Brazilian dermatology literature about oral lichen planus. Objective: To describe the clinical, pathological, and treatment data of 201 patients diagnosed with oral lichen planus followed at the Stomatology Outpatient Clinic of Hospital das Clinicas, Universidade de Sao Paulo, from 2003 to 2021. Method: The patients demographic profile, the morpho-topographic features of the lesions, the treatment employed, and the possible presence of squamous cell carcinoma were analyzed. Results: The disease was more common in women over 50 years of age, tending to be chronic, with a large number of cases showing cicatricial sequelae in the mucosa. Topical treatment with potent corticosteroids was shown to be effective in the vast majority of cases. Squamous cell carcinoma in oral lichen planus cicatricial sequelae was observed in eight cases. Study limitations: Retrospective study of medical records, with gaps regarding the filling out of data; unequal observation time among the studied cases. Conclusions: This is the largest Brazilian dermatology series on oral lichen planus. The response to topical corticoid therapy was excellent in the vast majority of cases. The high prevalence of atrophic lesions, demonstrating the chronicity and tissue destruction potential of this disease, may explain the large number of cases of squamous cell carcinoma. (c) 2023 Sociedade Brasileira de Dermatologia.
- Three cases of oral mucosal tuberculosis in patients on tumour-necrosis-factor-alpha blockers(2023) NICO, Marcello Menta Simonsen; FANCIOZI, Amithis Bernstorff; COSTA, Alvaro Furtado da; LOURENCO, Silvia VanessaWe present three cases of oral mucosal lesions caused by Mycobacterium tuberculosis in patients treated with anti-tumour necrosis factor-alpha for psoriasis or rheumatoid arthritis. Diagnosis of oral mucosal tuberculosis was not easily established in any of the cases. A comparison between these cases and other previously described forms of oral mucosal tuberculosis is presented.
- Bullous lesions following phototherapy in a newborn(2023) TOSCANO, Marina Moura; CINTRA, Flavia Fernandes; RESENDE, Ludmila Oliveira; CASTELETI, Paula; MORAES, Lucas Hirano Arruda; RIVITTI-MACHADO, Maria Cecilia da Matta; NICO, Marcello Menta Simonsen; BIGIO, Juliana Zoboli Del; CARVALHO, Werther Brunow deA male infant presented with progressive jaundice immediately after birth. Fecal acholia and choluria associated with extensive bullous skin lesions in his trunk, abdomen, and upper and lower limbs developed during phototherapy. Several diagnostic hypotheses were presented, including neonatal porphyria, hemochromatosis, Alagille syndrome, and neonatal lupus. A 24-hour urine sample for the dosage of urinary porphyrins was collected, showing high results (1823.6 & mu;g in 100mL). At 50 days of life, fluorescence spectroscopy using a Wood's lamp revealed simultaneous bright red fluorescence of urine-stained diapers and sample blood. A definitive diagnosis of congenital erythropoietic porphyria was made following identification of a mutation of the uroporphyrinogen synthetases III gene on genetic testing. The patient was subsequently maintained in a low light environment since then, resulting in improvement of the lesions. Congenital erythropoietic porphyria is a disease of the group of porphyrias that presents shortly after birth with blistering occurring in regions exposed to the sun or other ultraviolet light. Atrophic scars, mutilated fingers, and bright red fluorescence of the urine and teeth may also be observed. There is no specific treatment, and prophylaxis comprising a total avoidance of sunlight is generally recommended. A high degree of suspicion is required for diagnosis. An early diagnosis can lead to less damage. Here, we present the case of a newborn with congenital erythropoietic porphyria diagnosed after presenting with bullous lesions secondary to phototherapy.
- Delusional infestation treated with risperidone: a series of 27 patients(2024) GUEDES, Nycolle L. K. O.; DWAN, Alexandre J.; GERLERO, Paula; NICO, Marcello M. S.Background Patients with delusional infestation (DI) frequently refuse to be treated with psychoactive drugs. In the past, pimozide was commonly used as a first-line agent but is now prescribed more rarely. Risperidone was first used to treat DI in 1995. A recent review identified 12 studies that evaluated the use of risperidone in 43 patients with DI.Objectives To study the characteristics of and therapeutic results in patients with DI treated with risperidone at a university medical centre in Sao Paulo, Brazil.Methods We performed a retrospective study of patients with DI treated with risperidone at a dermatological university clinic since 2016. Records were reviewed for personal data and findings related to treatment.Results Twenty-seven patients were studied (20 women and 7 men). The maintenance dose of risperidone varied from 1 mg three times weekly to 8 mg daily. Control of symptoms was achieved in the majority of patients. A reduction in dosage due to side-effects was seen in four patients; risperidone had to be switched to another antipsychotic in three cases, despite a good response. Only one patient did not respond to risperidone.Conclusions Risperidone is an effective, well-tolerated and safe treatment for delusional parasitosis. Adequate follow-up is mandatory in order to obtain long-term control of symptoms. Patients with delusional infestation (DI) frequently refuse to be treated with psychoactive drugs. Risperidone was first used to treat DI in 1995. A recent review identified 12 studies evaluating risperidone, with a total of 43 patients with DI. We studied the characteristics and therapeutic results in 27 patients with DI treated with risperidone in a university medical centre in Sao Paulo, Brazil. Control of symptoms was achieved in the majority. Risperidone is an effective, well-tolerated and safe treatment for DI. Adequate follow-up is mandatory to obtain long-term control of symptoms.
- Melkersson-Rosenthal syndrome in children and adolescents: a series of seven cases(2022) GAVIOLI, Camila Fatima Biancardi; CIDADE, Yasmin da Silva Amorim; FLOREZI, Giovanna Piacenza; LOURENCO, Silvia Vanessa; NICO, Marcello Menta Simonsen
- Histopathologic findings in ointment pseudo-cheilitis: An alert to dermatopathologists(2024) NICO, Marcello Menta Simonsen; SIERRA, Jose Ollague; MOYA, Fernanda Goncalves; LOURENCO, Silvia VanessaOintment pseudo-cheilitis is a recently recognized distinctive type of self-induced cheilitis. Lesions consist of a variable amount of crusts adhered to the vermilion. These crusts consist of dried saliva and dead cells mixed with applied medications attached to the lip surface. Patients are typically severely anxious or depressed; the condition impacts quality of life. Ointment pseudo-cheilitis is frequently misdiagnosed as exfoliative cheilitis or cheilitis glandularis. Biopsy reports are often non-revealing because there are no established histopathological criteria for this disease, and clinicians usually do not formulate the correct diagnostic hypothesis. Here, we present the histopathological findings of four cases of ointment pseudo-cheilitis. The most consistent finding was the presence of laminated parakeratotic material detached from the epithelium in biopsies that are devoid of other significant diagnostic changes. This material at the lip surface possibly represents physiologic labial desquamation mixed with dried saliva and applied medication. With this report, we intend to alert dermatopathologists to the diagnosis of ointment pseudo-cheilitis if they receive biopsies from patients who present clinically exuberant labial lesions that show only minimal histopathological changes.