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Abstract This publication is an update of the “Consensus on the therapeutic management of atopic dermatitis - Brazilian Society of Dermatology” published in 2019, considering the novel, targeted-oriented systemic therapies for atopic dermatitis. The initial recommendations of the current consensus for systemic treatment of patients with atopic dermatitis were based on a recent review of scientific published data and a consensus was reached after voting. The Brazilian Society of Dermatology invited 31 experts from all regions of Brazil and 2 international experts on atopic dermatitis who fully contributed to the process. The methods included an e-Delphi study to avoid bias, a literature search and a final consensus meeting. The authors added novel approved drugs in Brazil and the indication for phototherapy and systemic therapy for AD. The therapeutical response to systemic treatment is hereby reported in a suitable form for clinical practice and is also part of this updated manuscript.

Introdução: A ocorrência de verruga anogenital em crianças é relativamente infrequente, porém gera angústias para a família e para o médico diante da possível associação com abuso sexual. Objetivo: Demonstrar casos de verruga anogenital em crianças e opções terapêuticas utilizadas. Métodos: Estudo retrospectivo descritivo de verrugas anogenitais em menores de 12 anos de idade, com média de idade de quatro anos, atendidos entre 2011 e 2015, em ambulatório público de doenças sexualmente transmissíveis na cidade de São Paulo. Resultados: Demonstramos 20 casos, sendo 12 crianças do sexo feminino e oito do sexo masculino. A localização preferencial das lesões foi em região perianal (70%), e 30% das crianças apresentavam verruga extragenital. O tratamento de escolha em 65% dos casos foi com medicamentos tópicos (podofilina e imiquimode). O tempo máximo para a cura foi de 20 semanas. Conclusões: O condiloma anogenital foi mais frequente em meninas, a média de idade foi de quatro anos, a localização mais acometida foi a região perianal e apresentou boa resposta terapêutica com o tratamento tópico de escolha.

Abstract: Donovanosis is a chronic infectious disease caused by the Gram-negative bacteria Klebsiella granulomatis, which mainly affects the skin and mucous membranes of the genital, perigenital, and inguinal regions. Also known as venereal granuloma or granuloma inguinale, it is endemic in tropical and subtropical regions of the globe and often associated with sexual transmission. We report the case of an 11-year-old female victim of chronic sexual abuse, who was diagnosed with donovanosis and presented a good therapeutic response to doxycycline.

Abstract: Subcutaneous fat necrosis of the newborn is a rare benign panniculitis found in term and post-term neonates. Diagnosis is based on clinical characteristics and specific alterations in the adipocytes, detected by anatomical pathology. Subcutaneous fat necrosis of the newborn can occur in uncomplicated pregnancy and childbirth. However, perinatal complications such as asphyxia, hypothermia, seizures, preeclampsia, meconium aspiration, and even whole-body cooling used in newborns with perinatal hypoxia/anoxia may be associated with this entity.

Abstract: Tinea capitis is the most common fungal infection in children. The identification of the etiologic agent helps clinicians make their therapeutic choice. Studies conducted in different countries show a changing pattern of the main etiological agents according to their regions. We performed a retrospective study in the tertiary public service in São Paulo, analyzing the isolated etiological agents in patients with tinea capitis from March 2013 to May 2015. Microsporum canis was the main agent (56.6%), followed by Trichophyton tonsurans (36.6%). Despite recent migratory movements in the city, we observed no change in the causative agent of tinea capitis.