Giant congenial melanocytic nevi are uncommon lesions that have a higher risk of developing into cutaneous melanomas. When located on the face, they can cause neurological problems, including leptomeningeal melanocytosis and epilepsy. They can also be unattractive. A case of a 17-year-old female patient with congenial melanocytic nevus affect- ing one-third of the right side of her face is reported. The patient underwent the lesion’s resection and reconstruction with a partial skin graft in a single surgery. The objective of this study was to demonstrate a therapeutic proposal for congenial melanocytic nevi located in the periorbicular region.

Keywords: NEVUS, PIGMENTED, NEVI AND MELANOMAS, SKIN, TRANSPLANTATION, AUTOLOGOUS

Merkel cell carcinomas are highly aggressive neuroendocrine skin tumors that have a poor prognosis. The authors present a case report and emphasize the importance of early diagnosis and treatment.

Keywords: CARCINOMA, MERKEL CELL, IMMUNOHISTOCHEMISTRY, SKIN

Primary axillary hyperhidrosis is a common disease that affects the social and professional lives of individuals. There are various treatments described in the literature, such as topical, systemic, and surgical. The present study describes the technique applied in a female patient, bearer of axillary hyperhidrosis, who underwent surgical treatment of axillae, progressing with significant regression of local sweating. The objective of the present study is to demonstrate the effectiveness of this surgical technique, with low complication rates, as a therapeutic option for axillary hyperhidrosis.

Keywords: HYPERHIDROSIS; AXILLA; DERMATOLOGIC SURGICAL PROCEDURES; SWEAT GLANDS.

Chondroid syringoma is a rare benign cutaneous adnexal tumor, also called mixed tumor of the skin, due to the presence of epithelial and mesenchymal components, as well as sweat glands elements. Due to the fact that it clinically resembles a variety of skin lesions, histological examination is crucial for diagnosis and hence treatment.

Keywords: NEOPLASMS, ADNEXAL AND SKIN APPENDAGE; SYRINGOMA; ADENOMA, PLEOMORPHIC

Rhinophyma is characterized by the hyperplasia of sebaceous glands in the nasal region, associated with a nodular thickening of the skin, enlargement of the pores, and fibrosis in the later stages. It occurs most commonly in male patients bearing rosacea, and may be associated with phymas in the region of the mentum (gnatophyma), ears (otophyma) and forehead (metophyma). The present article describes a case of giant rhinophyma with significant impact on the patient's quality of life, hampering breathing, sleeping, and eating. The lesion was successfully treated with electrosurgery.

Keywords: ELECTROSURGERY; RHINOPHYMA; DERMATOLOGIC SURGICAL PROCEDURES

The reconstruction of the eyelid is a considerable challenge for surgeons due to the fact that it is a delicate organ of the utmost importance. The procedure is indicated in defects of congenital origin, post-trauma, or neoplasia. There are many techniques described in the literature. The authors report a case of a female patient bearer of xeroderma pigmentosum with extensive basal cell carcinoma in the lower right eyelid, who underwent tumor resection and reconstruction of the lower eyelid using the modified Fricker technique with excellent functional and aesthetic result.

Keywords: CARCINOMA, BASAL CELL; EYELIDS; SURGICAL FLAPS

The association of cysts and comedones in chronically sun-damaged skin characterizes the Favre-Racouchot syndrome. The authors report a case of a 64 year-old male patient with a history of smoking and tillage work activity. The patient had lesions in the malar, zygomatic and mandibular regions bilaterally, constituted by slightly erythematous cysts and large comedones in thickened skin with deep grooves. The condition was diagnosed as Favre-Racouchot syndrome, and treated by means of surgical excision. The objective of the present study is to describe an exuberant presentation of the syndrome, and its treatment via surgical excision.

Keywords: Facial dermatoses; Photosensitivity disorders; Skin aging