Special considerations are necessary to contemplate any surgical procedure during pregnancy. Dermatologic surgeons must consider the best approach in order to minimize risks and provide optimal care to the mother and fetus. Nonemergency treatments should be postponed until after childbirth. When surgery is required, it is prudent to apply techniques and drugs that are well documented in the specialized literature.

Keywords: PREGNANT WOMEN, PREGNANCY, DRUG TOXICITY, AMBULATORY SURGICAL PROCEDURES

Introduction: Axillary hyperhidrosis is a common problem that can affect sufferers'''''''' personal and professional lives. Clinical histories and physical examinations are important tools to assess the severity of the condition and to indicate the most appropriate therapy for each case. There are a number of treatments for axillary hyperhidrosis, including topical and systemic therapy, iontophoresis, botulinum toxin, and surgical procedures. The authors have conducted a review of the most important treatments.

Keywords: HYPERHIDROSIS, AMBULATORY SURGICAL PROCEDURES, BOTULINUM TOXINS, LASER THERAPY, THERAPEUTICAL APPROACHES

Blue nail dyschromia has several differential diagnoses. Lesion growth, associated nail dystrophy, and nail extension require evaluation for surgical excision. We report the case of a 27-year-old woman presenting a bluish, semicircular stain, occupying about 50% of the lunula. The patient presented no changes in the overlying lamina, small alteration of the distal nail portion, localized onychoschizia-type layers, and no previous trauma or bleeding history. We performed partial avulsion of the plaque and shave biopsy, evidencing an intensely pigmented lesion. Histopathological examination was compatible with blue nevus. In this case, the nevus should be located in the sub-matricial position, thus not interfering with the nail plate color.

Keywords: Nevus, Blue; Nail diseases; Surgical procedures, Minor; Ambulatory surgical procedures; Nevus, pigmented; Skin neoplasms