Malacoplaquia é uma doença adquirida rara que pode afetar diversos órgãos e sistemas, mas é mais comum no trato urogenital. O acometimento cutâneo é ainda menos frequente. Atinge principalmente imunodeficientes. Relatamos caso de malacoplaquia cutânea em um paciente transplantado renal que havia recentemente deixado de receber a terapia imunossupressora, a fim de ilustrar uma revisão da literatura recente relevante.
Malacoplasia; Pele; Revisão; Transplante de Rim
Reported cases of cutaneous Malakoplakia
Reported cases of cutaneous Malakoplakia
| Reported Cases of Cutaneous Malakoplakia in the Literature* | |||||
| Case No. | Reference No. | Age/Sex | Location | Gross | Medical History |
| 1 | 5 | 51 y/M | Perianal, inguinal, scrotum | Nodules and ulcerations | Kidney Tx |
| 2 | 5 | 67 y/M | Right temple | Nodule | Kidney Tx |
| 3 | 33 | 69 y/F | Right axilla | Ulceration and mass | RA, breast carcinoma |
| 4 | 34 | 40 y/F | Inguinal, broad ligament | Ulceration | N/A |
| 5 | 10 | 64 y/M | Perianal | Indurated mass | RA |
| 6 | 35 | 35 y/M | Left eyelid | Nodule | Kidney Tx |
| 7 | 1 | 64 y/M | Perianal | Ulceration | Lymphoma |
| 8 | 36 | 75 y/F | Vulva | Ulceration | RA |
| 9 | 37 | 50 y/F | Abdominal wound | Polypoid mass | N/A |
| 10 | 38 | 31 y/M | Right axilla | Mass | HIV |
| 11 | 9 | 32 y/M | Abdomen | Abdomen Abscess | Kidney Tx |
| 12 | 9 | 44 y/M | Perianal and left lung | Abscess | Kidney Tx |
| 13 | 9 | 42 y/M | Right axilla | Chronic abscess | SLE |
| 14 | 39 | 70 y/M | Buttock | Nodule | Chronic hepatitis C |
| 15 | 40 | 75 y/M | Right hand and wrist | Abscess | N/A |
| 16 | 41 | 41 y/M | Peritoneal, supraclavicular | Cystic mass and firm nodule | DM |
| 17 | 42 | 74 y/M | Perianal | Nonhealing lesion | MPD |
| 18 | 43 | 55 y/M | Gluteal cleft | Ulcers | HIV |
| 19 | 44 | 67 y/M | Left neck | Mass | No significant PMH |
| 20 | 45 | 81 y/F | Frontal mass | Irregular plaque | DM |
| 21 | 46 | 56 y/M | Internal canthus of eye | Nodule | Sarcoidosis |
| 22 | 32 | 44 y/F | Buttock | Nodule | Kidney Tx |
| 23 | 47 | 60 y/F | Nasolabial sulcus | Ulceration | N/A |
| 24 | 14 | 2 mo/M | Colorectal and perianal | Polypoid masses | Immunodeficiency |
| 25 | 2 | 68 y/M | Left inguinal region | Papules | N/A |
| 26 | 2 | 66 y/M | Right axilla | Nodule | RA, DM |
| 27 | 48 | 53 y/F | Perineum | Papules | Kidney Tx |
| 28 | 49 | 42 y/M | Inguinal region | Mass with ulceration | Lymphoma |
| 29 | 50 | 41 y/M | Frontal scalp, right lung | Abscess, pulmonary lesions | HIV, Hepatitis B |
| 30 | 51 | 64 y/F | Left neck mass | Mass with cavitation | Thyroidectomy |
| 31 | 52 | 60 y/M | Gluteal fold | Cutaneous fistula | DM |
| 32 | 53 | 62 y/M | Chest | Ulceration | N/A |
| 33 | 54 | 65 y/M | Ureterocutaneous fistula | Abdominal fistula | N/A |
| 34 | 19 | 51 y/M | Perianal | Nodule | Heart Tx |
| 35 | 55 | 69 y/M | Left arm and flank | Ulceration, mass | Escherichia coli sepsis |
| 36 | 56 | 55 y/F | Abdominal wall | Papules | N/A |
| 37 | 57 | 22 y/F | Arm | Fluctuating mass | N/A |
| 38 | 58 | 52 y/F | Inferior abdomen | Fistula with abscess | Kidney Tx |
| 39 | 59 | 30 y/M | Perianal | Abscesses | Dermatomyositis |
| 40 | 60 | 51 y/M | Left thigh | Mass with draining abscess | HIV, DM |
| 41 | 16 | 60 y/F | Abdominal fold | Pink-yellow plaques | Healthy |
| 42 | 17 | 23 y/M | Perianal | Pink nodules | Healthy |
| 43 | 18 | 14 Y/M | Gluteal fold | Papule | Healthy |
| 44 | 20 | 55 y/F | Right Labia | "Boil" (nodule + abscess) | Heart Tx |
| 45 | 27 | 58 y/M | Perianal | Erosive plaque | Psoriasis |
| 46 | 61 | 63 y/F | Abdominal wall | Fistula | Pulmonary sarcoidosis |
| 47 | 62 | 83 y/F | Neck | Goma (nodule + fistula) | SLE, RA, Sjogren |
| 48 | 63 | 45 y/F | Perigenital | Papules, nodules and sinuses | HIV |
| 49 | 64 | 24 y/M | Abdominal wall | Fistula | Psoas abscess (Tuberculosis?) |
| 50 | 65 | 87 y/M | Buttock | Scaly plaques and polypoid nodules | No significant PMH |
| 51 | 66 | 66 y/M | Lower abdomen | Abscesses, nodules and fistula | Poor overall health |
| 52 | current article case | 51 y/M | Left groin | Plaque | Kidney Tx |
