PubMed Health⌕ Search

Biomedical subjects

R Moreno Izquierdo

Publications and source records attributed to R Moreno Izquierdo.

11 recordsLinked to original sources

[Treatment of erythrodermic and pustulous psoriasis with a combination of methotrexate and etretinate].

We present herein our experience concerning the use of etretinate and methotrexate as concurrent therapies in three patients with severe psoriasis. On this regimen, rapid clearing of the psoriatic lesions has been achieved in all patients. The efficacy, safety, indications and dosage schedules for this combination therapy are discussed. No significant side effects have been observed in our patients. However, caution must be exercised in the use of this experimental combination regimen, which should only be used in severe psoriasis.

Adult↗

[Malignant syphilis in patients with human immunodeficiency virus (HIV)].

Malignant or noduloulcerative syphilis is an infrequent variant of secondary syphilis which appears in HIV+ patients. It is associated with fever, general malaise and skin lesions in the form of pustules or ulcerative scabs. Histology studies on the lesions show a perivascular infiltration of plasma cells and a formation of granuloma of giant and epitheloid cells. Most patients test positive for syphilis. We discuss the case of a 37-yar-old man who attended our service complaining of fever and scabby nodular lesions all over his skin. Blood testing confirmed that he had syphilis and HIV. The patient responded rapidly to penicillin treatment, with remittance of his fever. The skin lesions disappeared after 8 weeks. The rareness of malignant syphilis and its unusual clinical manifestation is a challenge to medical personnel. This diagnosis ought to be considered in HIV+ patients with fever and ulcerative skin lesions. Penicillin is the treatment of choice.

Adult↗