https://bjcasereports.com.br/index.php/bjcr/issue/feed Brazilian Journal of Case Reports 2023-11-22T17:34:35+00:00 Dr. Howard Lopes Ribeiro Junior bjcasereports@gmail.com Open Journal Systems <p><strong>Aims &amp; Scope</strong></p> <p>The <strong><em>Brazilian Journal of Case Reports</em> (BJCR) (ISSN 2763-583X)</strong> is an international, <span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">open access, </span></span><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">quarterly publication with continuous editorial and publication flow, and </span></span>double blind peer-reviewed publication featuring original contributions of interest to <strong>human and animal health researchers</strong>. Since 2021 <span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0"><strong>BJCR</strong> focuses on the dissemination of clinical studies that demonstrate rare and important findings that stand out in the medical field, whether human or animal.</span></span> The Journal features the following sections (all topics may related with human or animal studies):</p> <ul> <li><strong><em>Clinical Case Reports;</em></strong></li> <li><strong><em>Clinical Imagens Reports;</em></strong></li> <li><strong><em>Letter to editor (Correspondence or Comments);</em></strong></li> <li><strong><em>Health Review (human or animal health and health education);</em></strong></li> <li><strong><em>Experience Reports (human or animal health and health education);<br /></em></strong></li> <li><strong><em>Experimental Reports (human or animal health and health education);</em></strong></li> <li><strong><em>Medical Hypothesis </em></strong><strong><em>(human or animal health and health education).</em></strong></li> </ul> <div class="publication-metric"><strong><span class="HwtZe" lang="en"><span class="jCAhz ChMk0b"><span class="ryNqvb">Health Review, Experience Reports, Experimental Reports and Medical Hypothesis sessions </span></span></span><span class="HwtZe" lang="en"><span class="jCAhz ChMk0b"><span class="ryNqvb">will only be accepted at the BJCR until December 2023. After this date, the articles received will be transferred to the Brazilian Journal of Clinical Medicine and Review (<a href="https://www.bjclinicalmedicinereview.com.br">https://www.bjclinicalmedicinereview.com.br</a>).</span></span></span></strong></div> <div class="publication-metric"> </div> <div class="publication-metric"><strong>Time to first decision: </strong>Two weeks.</div> <div class="publication-metric"> </div> <div class="publication-metric"><strong>Language: </strong><span class="static-information"><strong>English</strong> is the official language of <strong>BJCR</strong>. <span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="auto" data-phrase-index="0">However, we will also receive articles in <strong>Portuguese</strong>.</span></span></span></div> <div class="publication-metric"> </div> <div class="publication-metric"><strong>Aims and Scope</strong></div> <p>BJCR will consider any original case report that expands the field of general medical knowledge about human and/or veterinary sciences, and original review studies relating to clinical case reports.</p> <p><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">All articles in the BJCR may follow</span></span> one of the following topics, but not necessarily (all topics may related with human or animal studies):</p> <ul> <li><strong><em><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">Rare clinical findings;<br /></span></span></em></strong></li> <li><strong><em><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0"> Clinical images (ie. X-ray, CT scans, MRIs, and ultrasound);</span></span></em></strong></li> <li><strong><em><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">Clinical Laboratory findings (ie. blood analysis, and histopathology);</span></span></em></strong></li> <li><strong><em>Pathology diagnosis;</em></strong></li> <li><strong><em>Surgery procedures;</em></strong></li> <li><strong><em>Clinical Experimental researches;</em></strong></li> <li><strong><em>Experiences reports in health or biological science;</em></strong></li> <li><strong><em>Experimental reports in health or biological science;</em></strong></li> <li><strong><em>New ideias about new scientific researchs;</em></strong></li> <li><strong><em>Health Education.</em></strong></li> </ul> <p><strong><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">Article Processing Charges</span></span></strong></p> <p><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">All articles published in <strong>BJCR</strong> are open access and freely available online, immediately upon publication. APC is essential </span></span><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">to cover the costs of all journal publishing functions. The APC for <strong>BJCR</strong> is <strong>USD120,00</strong>, <em>for foreign authors</em>, or <strong>R$500,00</strong> <em>for Brazillian authors</em>. </span></span><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">There are no charges for <em>Letter to editor</em>, submission or rejected articles, and no surcharges based on the article composition (ie. color figures or number of pages).</span></span></p> <p><strong><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">Scientific Mission</span></span></strong></p> <p><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0"><span class="Q4iAWc">Our mission is the publication and digital visibility of national and international scientific research in the health area, with a focus on open access publications, which seek to disseminate the results of relevant scientific studies, peer-reviewed by a qualified editorial board, valuing quality, impact and its scientific and social relevance.</span></span></span></p> <p><span class="VIiyi" lang="en"><span class="JLqJ4b ChMk0b" data-language-for-alternatives="en" data-language-to-translate-into="pt" data-phrase-index="0">If you have any questions, please do not hesitate to contact us at <strong>bjcasereports@gmail.com </strong>or by Whatsapp (+55853038-4127).</span></span></p> https://bjcasereports.com.br/index.php/bjcr/article/view/revisao_narrativa_baseada_experiencia Revisão narrativa baseada na experiência de um grupo de contracepção e prevenção de saúde sexual na atenção básica 2023-11-10T16:34:41+00:00 Anna Luiza Lobo Trevisan annaluizatrevisan@gmail.com Raiane Cardanha de Lima raianecardanha@hotmail.com Marianna Minare Vigo mariannamvigo@hotmail.com Eduardo Ribeiro Esper eduardoesper.r@gmail.com Ana Júlia Bertussi Mirandola anajumirandola@outlook.com Lucas Cardanha de Lima lucascardanhadelima@gmail.com Maria Luiza Minare Vigo malumvigo@icloud.com Belkiss Rodrigues Rolim Fracon belkiss.rolim@baraodemaua.br <p><span style="font-weight: 400;">Infecções Sexualmente Transmissíveis (ISTs), apesar dos esforços de conscientização e prevenção, ainda representam um desafio para a saúde pública. Ademais, a ocorrência de gestações não planejadas permanece uma preocupação global em determinadas populações. Diante dos preocupantes dados destas causas em Ribeirão Preto, uma Unidade Básica de Saúde implementou o "Grupo de Anticoncepção e Prevenção de ISTs", estratégia que envolve a educação em saúde e busca melhorar a saúde comunitária local. Este artigo descreve detalhadamente essa estratégia, suas metas e impacto inicial observado na comunidade, bem como as evidências literárias que embasaram sua implementação. O grupo realiza rodas de conversa, desmistificando questões, esclarecendo dúvidas sobre contracepção, fornecendo orientações sobre gestação, planejamento familiar e prevenção de ISTs. O objetivo é aproximar as realidades das pacientes, encorajando sua participação ativa e compreensão desses assuntos. Posteriormente, as pacientes recebem orientações médicas individuais e escolhem o método contraceptivo desejado, mantendo uma relação horizontal para possíveis necessidades futuras. Como resultado, nota-se compreensão satisfatória dessas questões, embora haja uma preferência pela contracepção em detrimento de abordagem detalhada das ISTs. No entanto, são necessários estudos adicionais e exploração de outras abordagens para abranger efetivamente esses problemas e também prolongar o seguimento dessa estratégia educativa para resultados objetivos.</span></p> 2023-11-27T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports https://bjcasereports.com.br/index.php/bjcr/article/view/botulinum_toxin_a_delivery_via_mmp Botulinum Toxin A Delivery via MMP Technique: An Emerging Therapeutic Approach for Frontal Fibrosing Alopecia 2023-04-25T12:36:12+00:00 Simone Ramos Nogueira Guerra Neri simoneneri@simoneneri.com.br Marta de Oliveira Domingos marta.domingos@butantan.gov.br Nílceo Schwery Michalany nsmichalany@gmail.com Alexandre Ozores Michalany alexandre.michalany@gmail.com Celia Luiza Petersen Vitello Kalil celia@celiakalil.com.br <p>Frontal Fibrosing Alopecia (FFA) is a disease of unknown etiology and pathogenesis whose prevalence has been increasing since its first description in 1994. With no cure, treatments only control the inflammatory process and disease progression, but do not reverse the changes induced by it. We report the case of a patient with early-stage FFA who underwent three monthly sessions of 30 units of Botulinum Toxin Type A administered by MMP® (Microinfusion of drugs through the skin) technique. The results showed a substantial improvement in the patient's clinical condition with inhibition of the inflammatory process and an evident increase in follicular density in the treated area.</p> 2023-06-29T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports https://bjcasereports.com.br/index.php/bjcr/article/view/chronic_meningitis_by_cryptococcosis_gatti Chronic meningitis by Cryptococcosis gatti in an immunocompetent patient: a case report 2023-06-30T22:58:11+00:00 Bruno Pereira Conte b.conte@ufn.edu.br Fabio Lopes Pedro fabiopedro.balboa@gmail.com Roberta Letsch da Silveira robertaletsch@yahoo.com.br Jerusa Marquardt Corazza jerusamcorazza@gmail.com <p>This paper aims to present an unusual case of neurocryptococcosis in an immunocompetent patient. As the previous literature proposes, the diagnosis is usually not evident and there is a delay in the cases resolution due to the symptoms being nonspecific, the tests being very sensitive, as well as the unusual neurological condition of fungal origin in a patient with no evidence of immunodeficiency. The history of alcoholism and the diagnosis of long-term type 2 diabetes raises the hypothesis that the patient had immunosuppression events. The diagnosis was made through hospital support in conjunction with a multidisciplinary team. Discussing the present case helps to elucidate the possible diagnoses involved in chronic meningitis, especially in fungal meningitis.</p> 2023-07-06T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports https://bjcasereports.com.br/index.php/bjcr/article/view/frontoparietal_cavernous_malformation Frontoparietal cavernous malformation in a 39-year-old woman: a case report 2023-06-24T22:44:40+00:00 Camilla Costa Sallem camillasallem@gmail.com Beatriz Esmeraldo Teixeira biaeteixeira@gmail.com Caio Sérgio Gomes Sá caiosergiogs@gmail.com Lara Maria Fujita Vieira Lima larafujitav@gmail.com Letícia Passos Chaves Capibaribe Barros leticiapassosccb@gmail.com Nayla Lima dos Santos nayla.lima14@gmail.com Halisson Rodrigues de Andrade halisson.andrade@outlook.com Tulia Fernanda Meira Garcia tulia.garcia@ufrn.br Felipe Rios Moraes Andrade de Alencar felipe.alencar@academico.uncisal.edu.br Álvaro Moreira Rivelli Rivelli alvaro.rivelli@unifagoc.edu.br Júlio César Claudino dos Santos julio.santos@alu.ufc.br <p>Cerebral cavernous malformation (CCMs) is an angiographically occult, low-flow neurovascular disease resulting from capillary dilatation of cerebral blood vessels that may also occur in the spinal cord, causing extravasation of blood cells from the affected vessel that leads to multiple repercussions in the patient’s life. This condition’s clinical characteristics include recurrent bleeding, seizures, persistent neurological deficits, epilepsy, and death. In this study, we describe the clinical course of a patient with a Cavernous Malformation and its prognosis regarding the association between clinical progression and therapeutic perspectives. It's relevant to elucidate possible lack of studies that may urge further research on this theme and new learning pathways should be opted for to increase awareness of this condition in order to improve its prognosis.</p> 2023-07-06T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports https://bjcasereports.com.br/index.php/bjcr/article/view/gastric_pouch_obstruction Gastric pouch obstruction in a bariatric patient caused by the ingestion of cocaine packets: a case report 2023-07-09T12:46:24+00:00 Matheus Vitoretti mvitoretti@gmail.com David de Freitas Mota dmota@gmail.com Gabriel Thiago da Silva gthiago@gmail.com Gabriella Catharno Caliman gcaliman@gmail.com Izabella Dias Munis de Andrate izamuniz@gmail.com Ana Clara Warkentin Araujo Carneiro anacarneiro@gmail.com Priscila Pádua ppadua@gmail.com Renato Migliore renato.migliore@hotmail.com Henrique Perobelli Schlenstein ipad@gmail.com João Kleber de Almeida Gentile joaokleberg@gmail.com <p>The term "Body Packing" refers to individuals who carry intra-abdominal foreign objects containing illicit drugs that have been ingested to conceal them for smuggling purposes. With the increasing rates of international smuggling, drug transportation across borders has been constantly evolving among traffickers. Once introduced into the body, it becomes a matter of significant medical concern, as it can cause bowel obstruction, perforation, peritonitis, or intoxication. We present a case of a female, 44 years old, with a history of Fobi-Capella bariatric surgery, who was admitted to an Emergency Department for intractable vomiting, excessive drooling, and confirmed ingestion of 25 cocaine packages. The abdominal CT revealed multiple foreign bodies in the gastroenteroanastomosis topography, gastric pouch, and small bowel. Exploratory laparotomy with gastrostomy, enterotomy, and colotomy was performed. A second approach with intraoperative endoscopy was conducted to remove the remaining packages that were revealed by CT. This case report provides information about body packers' clinical condition, diagnosis, and treatment, to assist surgeons and clinicians with similar cases.</p> 2023-07-12T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports https://bjcasereports.com.br/index.php/bjcr/article/view/the_intervention_of_physiotherapy The Intervention of Physiotherapy in the improvement of facial mimicry in a Peripheral Facial Palsy associated with a Pregnancy: A Case Report 2023-06-16T23:50:58+00:00 João Carlos Martins Felício jcfelicio@ualg.pt <p>Peripheral Facial Palsy is a peripheral paralysis of the facial nerve that results in muscle weakness on one side of the face. Patients develop unilateral facial paralysis within one to three days with involvement of the facial musculature associated or not with neurological alterations, the best-known being Bell's Palsy. Symptoms usually peak in the first week and then gradually subside over three weeks to three months. In this context, a female patient with the clinical Diagnosis of Peripheral Facial Paralysis, was subjected to an intervention plan in Physiotherapy lasting 4 months (sessions of 45 minutes at a frequency of 3 times a week), with the particularity of be 28 weeks pregnant at the start of the sessions. After the end of the sessions, there was a considerable improvement in facial movements, translating into considerable functional changes. The patient acquired greater motor recruitment in flaccid muscles, greater facial symmetry, and consequently greater autonomy in eating, chewing, containing liquids and intraoral sensibility.</p> 2023-07-14T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports https://bjcasereports.com.br/index.php/bjcr/article/view/cytomegalovirus_esophagitis_associated_with_gastroesophageal Cytomegalovirus esophagitis associated with gastroesophageal reflux disease in an immunocompetent patient: case report 2023-06-23T13:02:52+00:00 Cesar Romaro Pozzobon crpozzobon@me.com Fernanda Manhães Pozzobon nandamanhaes@gmail.com Geysa Bigi Maya Monteiro geysa.bibi@gmail.com Eduardo Madeira mdeduardomadeira@gmail.com Maria Chiara Chindamo maria.chiara@barrador.com.br <p>Cytomegalovirus infection has a wide variability of clinical presentations depending on the patient's immunity, ranging from asymptomatic infections in immunocompetent individuals to infections with significant morbidity and mortality in immunocompromised patients. We originally described a clinical case of severe cytomegalovirus esophagitis, confirmed by blood polymerase chain reaction (PCR) test and esophageal biopsy, in a young immunocompetent patient with a long-standing diagnosis of gastroesophageal reflux disease. Clinical improvement occurred only after the initiation of specific treatment with ganciclovir, providing a negative viral load. This report reinforces the importance of ruling out the etiology of cytomegalovirus infection in severe ulcerative esophagitis, even in immunocompetent individuals.</p> 2023-07-19T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports https://bjcasereports.com.br/index.php/bjcr/article/view/a_clinical_odyssey A Clinical Odyssey: a case report on the diagnostic complexity and neurological management of Behçet's disease 2023-11-04T14:20:44+00:00 Thaís Malta Romano thaismromano@yahoo.com.br Sandra Isamar da Silva Leandro sandraisamar@yahoo.com Karoliny de Lima Nardin karolnardin@hotmail.com Beatriz Mazzer Zamoner beatrizmazzerzamoner@gmail.com Bruna Capello Gervásio brunagervasio@icloud.com Fernanda Susy Bessa Menezes Cavalcante susymenezes15@hotmail.com Kelvin Corrêa Miranda Alves kelvincorreamiranda@hotmail.com Lavínnya Yáskara de Aquino Matoso lavmatoso@gmail.com Francisco Ícaro Silvério de Oliveira icarosilverio_@outlook.com Paulo Guilherme Müller paulo.guilhermemuller@gmail.com Álvaro Moreira Rivelli alvaro_rivelli@hotmail.com Marina Carvalho de Souza Lima marinacslima4@hotmail.com Roger Wilson Gonçalves de Oliveira roger18wilson@gmail.com Júlio César Claudino dos Santos julio.santos@alu.ufc.br <p>Behcet's Syndrome (BS) is a pathological condition that encompasses a diverse spectrum of clinical manifestations of a polysystemic nature. It is a chronically progressive inflammatory vasculitis, characterized mainly by recurrent episodes of oral and genital aphthous ulcers, ocular involvement, and other clinical expressions, including skin lesions and gastrointestinal disorders. The aim of this study is to present an atypical case of BS, as well as its correlation with the medical literature, to elucidate particularities of relevant significance for medical practice.</p> 2023-11-17T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports https://bjcasereports.com.br/index.php/bjcr/article/view/cerebral_toxoplasmosis_pneumocysti Cerebral Toxoplasmosis in a patient with Pneumocystis: a case report 2023-10-31T22:34:56+00:00 João Vítor Moreira Nogueira jvmnogueira10@gmail.com Luana Cariello de Sá Queiroz Rocha luanacariello@hotmail.com Letícia Rocha Macambira Albuquerque leticiamacambira03@gmail.com Athos Hiago da Silva Oliveira athoshiago@gmail.com Felipe Bergamasco Perri Cefali felipe.perri@unesp.br Nathalia Alves da Silva nasilva16@gmail.com Tayenne Nélly de Lucena Viana tayenne@edu.unifor.br Rodolfo Basílio Madeira Neto rodolfobasilio10@gmail.com Desirée Louise Procópio Alves desireelprocopio@hotmail.com Felipe Rios Moraes Andrade de Alencar felipe.alencar@academico.uncisal.edu.br Anderson Arthur Marques de Carvalho andersonarthur263@gmail.com Maria Carolina Marinho de Andrade Gonçalves mcarolandradee@gmail.com Antônio Kerlon Araújo Lira a@a.com Lavínnya Yáskara de Aquino Matoso lavmatoso@gmail.com Álvaro Moreira Rivelli alvaro_rivelli@hotmail.com João Bosco Façanha Elias Filho jbfefilho02@gmail.com Júlio César Claudino dos Santos julio.santos@alu.ufc.br <p style="font-weight: 400;">Acquired Immune Deficiency Syndrome, or AIDS, is characterized by a clinical condition in which the body's defenses suffer a gradual depletion, making it susceptible to a wide variety of infections. Among these, neurotoxoplasmosis is a characteristic opportunistic infection caused by Toxoplasma gondii. This infection generates numerous neurological deficits that can regress if early diagnosis and intervention are carried out. However, underdiagnosis of these cases due to incorrect management or inaccurate diagnosis leads to damaging and permanent results due to the expansive nature of the mass, which affects a wide range of organic functions. It is then associated with infection by Pneumocystis jirovecii, also characteristic of immunodeficient patients, demonstrating a synergism between the mechanisms that facilitate the infectious process. Because of the seriousness of these infections and their association, a clinical picture like this must be well visualized.</p> 2023-11-22T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports https://bjcasereports.com.br/index.php/bjcr/article/view/bowens_disease_compact_orthokeratosis Bowen's disease with compact orthokeratosis at perianal region: a case report 2023-11-22T17:34:35+00:00 Anna Luiza Lobo Trevisan annaluizatrevisan@gmail.com Nicole Silva Gomes nicole_silva03@hotmail.com Laura Ballalai Swenson lauraballalai@hotmail.com Natálya de Paula natdepaula20@gmail.com Matheus Ribeiro Finetti matheus.finetti@icloud.com Laís Helena Venturelli laventurelli@hotmail.com Gabriela Carlin Gonçalves gabicarlin@hotmail.com Licério Miguel licerio.miguel@baraodemaua.br Marcela Calixto Brandão Miguel marcela.calixto@baraodemaua.br <p class="s5">Bowen's Disease (BD) is an in situ squamous cell carcinoma (SCC) of epidermis, potentially malignant, which mainly affects sun-exposed areas. Nevertheless, the disease had an increased incidence in non-photo exposed areas, such as the anogenital region, correlating ambiental exposures, highlighting the Human Papillomavirus (HPV) infection as an important risk factor. BD has a positive prognosis according to its slow progress and prolonged time taken for full expression. In the anogenital region, presented in this case, the risk of invasive carcinoma is less than 6%. This case reports an unusual presentation of BD, describing a lesion with compact orthokeratosis in the anogenital region. The condition was diagnosed in a prevention routine of primary care attention, emphasizing the importance of premature diagnosis and satisfactory treatment, not just at BDs, but in a variety of conditions.</p> 2023-11-29T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports https://bjcasereports.com.br/index.php/bjcr/article/view/pleomorphic_dermal_sarcoma Pleomorphic Dermal Sarcoma: a case report 2022-12-25T20:21:20+00:00 Carmen Déa Ribeiro de Paula carmendrp@gmail.com Carolina Bezerra Benévolo Abbud carolina.benevolo@gmail.com Luiz Eduardo de Almeida Prado Franceschi lediagnose@gmail.com Aridne Souza Costa Campos aridnecampos@gmail.com Lucas Frizon Greggianin frizon1903@gmail.com Isadora Ataide Caldeira isadoraataidecaldeira@gmail.com Vanessa Queiroz Bastos vanessaqbastos@gmail.com Juliana Tomaz Esper juuhtesper@gmail.com <div><span lang="EN-US">This case report brings a 79-year-old man, with a history of melanoma in situ on the extensor part of the left arm, who presented with an ulcerated nodule on the scalp, right parietal region, with rapid and progressive growth for 3 months. The lesion was clinically compatible with squamous cell carcinoma, Merkel carcinoma, amelanotic melanoma and pleomorphic dermal sarcoma. Exeresis was performed and the diagnosis of Pleomorphic Dermal Sarcoma (PDS) was confirmed by histological and immunohistochemical evaluation. Pleomorphic Dermal Sarcoma (PDS), formerly known as malignant fibrous histiocytoma or undifferentiated pleomorphic sarcoma of the skin, is a rare spindle cell mesenchymal tumor that may recur locally or metastasize. Our objective is to present this rare tumor to the reader, discussing the clinical, histological and immunohistochemical presentation, and to highlight the need for further studies on surgical management protocols and the development of guidelines for the standardization of management and safe follow-up of these patients.</span></div> 2023-12-04T00:00:00+00:00 Copyright (c) 2023 Brazilian Journal of Case Reports