Abstract This article seeks support in Foucault’s conceptions of ethics and aesthetics of existence to compose reflections on academic training in Physical Education. As a way to mobilize this intent, the notion of “technologies of the self”, found in the last stage of Michel Foucault’s work, is contextualized. Next, heterogeneous and differential approximations are outlined between the ethical problem posed to the constitution of the subject and academic training. Although these approximations must be seen with caution - in order not to take the constitution practices of ancient subjects as a distant origin to forge and explain a formative model for modern subjects - such approximations point to other non-hegemonic rationalities that oppose the enabling logics commonly attributed to academic training, which tend to be reduced to its instrumental aspects only. In this way, the reflections ahead here do not affirm general theories, nor good or bad truths about training, but give visibility to the composition of alternative discursive and non-discursive practices of elaboration and shaping of the self, established in the power dynamics that support them throughout the formative journey.

Resumen Este artículo busca apoyo en las concepciones de Foucault sobre ética y estética de la existencia para reflexionar sobre la formación académica en Educación Física. Como guía para esta reflexión, se contextualiza la noción de 'tecnologías del yo', que se encuentra en la última etapa de la obra de Michel Foucault. Posteriormente, se establecen aproximaciones heterogéneas y diferenciales entre la cuestión ética planteada en la constitución del sujeto y la formación académica. Aunque estas aproximaciones deben ser vistas con cautela - para no considerar las prácticas de constitución de sujetos antiguos como un origen lejano para forjar y explicar un modelo formativo para los sujetos modernos - tales aproximaciones apuntan a otras racionalidades no hegemónicas que se oponen a las lógicas capacitativas comúnmente atribuidas a la formación académica, que tienden a reducirse a sus aspectos instrumentales. De esta forma, las reflexiones que aquí se adelantan no afirman teorías generales ni verdades absolutas sobre la formación, pero dan visibilidad a la composición de prácticas alternativas, discursivas y no discursivas, de elaboración y transformación del yo, establecidas en los juegos de fuerza que las sustentan a lo largo del camino de la formación.

Resumo Este artigo busca respaldo nas concepções foucaultianas de ética e estética da existência para compor reflexões sobre a formação acadêmica na Educação Física. Como guisa à mobilização desse intento, se contextualiza a noção de “tecnologias de si”, encontrada na última etapa da obra de Michel Foucault. Na sequência, traçam-se aproximações, heterogêneas e diferenciais, entre a problemática ética colocada à constituição do sujeito e a formação acadêmica. Ainda que essas aproximações devam ser vistas com cautela - para não tomar as práticas de constituição dos sujeitos antigos como origem longínqua para forjar e explicar um modelo formativo para os sujeitos modernos - tais aproximações apontam para outras racionalidades não-hegemônicas que se contrapõem às lógicas capacitativas comumente atribuídas à formação acadêmica, que tendem a ser reduzidas apenas a seus aspectos instrumentais. Deste modo, as reflexões que aqui se avizinham não afirmam teorias gerais, tampouco verdades boas ou ruins sobre a formação, mas dão visibilidade para a composição de práticas discursivas e não-discursivas alternativas de elaboração e lapidação de si, estabelecidas nos jogos de força que as sustentam ao longo do percurso formativo.

Abstract Herpetic whitlow is a viral infection of the fingers caused by the herpes simplex virus. The disease has a bimodal age distribution, affecting children under 10 years of age and young adults between 20 and 30 years old. It can be easily mistaken for panaritium or bacterial cellulitis. In patients with AIDS, atypical, chronic and recurrent ulcerated lesions occur. The Tzanck test allows a quick and low-cost diagnosis of herpes simplex virus infection. The authors report the case of a child with AIDS with painful finger ulcers in which the diagnosis was confirmed by the Tzanck test.

ABSTRACT It is essential for health care providers to be familiared with the full spectrum of clinical presentations of syphilis. We present herein a case of syphilide psoriasiforme, an uncommon but well recognized clinical presentation of secondary syphilis. A 46-year-old HIV-infected female patient was referred to our attention with a presumptive diagnosis of palmoplantar psoriasis. On examination, there were exuberant pinkish-red papules and plaques covered with a thick silvery scale in the palms, flexor surfaces of the wrists, and the medial longitudinal arches of the feet. Serological and histopathological analyses uncovered the diagnosis of syphilis. Clinical remission was obtained after treatment. A detailed review of the literature on syphilide psoriasiforme, including descriptions from older syphilology textsis provided. The present case report emphasizes the need for clinicians to have a heightened awareness of the varied and unusual clinical phenotypes of syphilis.

ABSTRACT Mycobacterium haemophilum is a nontuberculous mycobacterium that causes localized or disseminated disease, mainly in immunocompromised hosts. We report the case of a 35-year-old HIV-infected woman who presented with several enlarging cutaneous lesions over the arms and legs. Histopathological examination revealed the diagnosis of a cutaneous mycobacterial disease. Mycobacterial analyses unveiled M. haemophilum infection. Six months after completion of a successful antimycobacterial treatment, she developed an immune reconstitution inflammatory syndrome (IRIS). This paradoxical relapse presented as tenderness, redness and swelling at the precise sites of the healed lesions and took place in the setting of significant recovery of the CD4 cell count (from 05 to 318 cells/mm 3 ). Microbiological analyses of these worsening lesions were negative, and they spontaneously remitted without the initiation of a novel antimycobacterial treatment cycle. M. haemophilum infection should always be considered as a cause of skin lesions in immunocompromised subjects. Physicians should be aware of the possibility of IRIS as a complication of successful antiretroviral therapy in HIV-infected patients with M. haemophilum infection.

ABSTRACT This article seeks to reflect on the possibility of a meeting ground where Michel Foucault and Norbert Elias’ thought comes together around the issue of the regulation of drives and bodily practices within modernity. Such drives - among which we highlight the use of force and violence, as well as the acceptable regulation of their release and applications - have been the object of particular procedures within the modern era, whether seen in relation to individuals or from to the social body.

ABSTRACT It is essential that healthcare providers are familiar with the full spectrum of clinical presentations of syphilis. A rare manifestation of secondary syphilis is the corymbiform (or corymbose) arrangement, in which a central greater papule is surrounded by smaller satellite lesions. Very few reports of corymbiform syphilis are available in current biomedical databases. We present the case of a 28 year-old HIV-infected male patient on regular, successful antiretroviral therapy who developed an asymptomatic corymbiform maculopapular lesion in the medial aspect of the right thigh. There were also a few brownish macular lesions on the left sole. New serological tests for syphilis (which had been negative in the past) were reactive. The coymbiform lesion slowly regressed and the non-treponemal test reverted to negative after benzathine penicillin G treatment. A review of the literature is provided. This is the first report of corymbiform syphilis in an HIV-infected patient.

ABSTRACT Leucoderma syphiliticum (LS), originally described as syphilide pigmentaire, encompasses a spectrum of dyschromic lesions that emerge during the course of secondary syphilis. Very few case reports are available in modern biomedical databases. We present the case of a 57-year-old HIV-infected male patient who presented with several round to oval, non-scaling, slightly raised and well-demarcated hypochromic lesions scattered over the trunk, abdomen, dorsum, and arms. Prior non-treponemal tests were negative for syphilis, but novel studies yielded positive results at high titers. Skin lesions slowly regressed and the hypochromic areas repigmented a few weeks after benzathine penicillin G treatment. This is the first report of LS in an HIV-infected patient. A review of modern and ancient literature was performed. The present case report emphasizes the need for clinicians to have a heightened awareness of the varied and unusual clinical phenotypes of syphilis.

Abstract Perforating dermatoses are a group of skin diseases characterized by transepidermal elimination of dermal material. The disease is divided into two groups: the primary group and the secondary group. The classical or primary perforating dermatoses are subdivided into four types according to the eliminated dermal materials: Kyrle disease, perforating reactive collagenosis, elastosis perforans serpiginosa, and perforating folliculitis. The secondary form is known as acquired perforating dermatosis. The term was proposed in 1989 by Rapini to designate the perforating dermatoses affecting adult patients with systemic disease, regardless of the dermal materials eliminated. This report describes a case of the disease with elimination of collagen and elastic fibers in a patient with chronic renal failure.

Abstract: Gastric syphilis is an uncommon extracutaneous manifestation of syphilis, occurring in less than 1% of patients, presenting nonspecific clinical manifestations. In general, it occurs on secondary stage. The critical point is the recognition of the syphilitic gastric involvement, without which there may be incorrect diagnosis of malignancy of the digestive tract. In this report, a case of secondary syphilis with gastric involvement that had complete remission with benzathine penicillin will be described.

Abstract The scleroderma en coup de sabre is a variant of localized scleroderma that occurs preferentially in children. The disease progresses with a proliferative and inflammatory phase and later atrophy and residual deformity, which are treated with surgical techniques such as injectable fillers, transplanted or autologous fat grafting and resection of the lesion. Among the most widely used fillers is hyaluronic acid. However, there are limitations that motivate the search for alternatives, such as polymethylmethacrylate, a permanent filler that is biocompatible, non-toxic, non-mutagenic and immunologically inert. In order to illustrate its application, a case of scleroderma en coup de sabre in a 17-year-old patient, who was treated with polymethylmethacrylate with excellent aesthetic results, is reported.

Abstract Sarcoidosis is a disease which still has uncertain etiology. Possible environmental causes are cited in the literature, like organic and inorganic particles and infectious agents. Recent studies have demonstrated the occurrence of sarcoidosis in patients with chronic C hepatitis; however, this association remains without statistical or causal evidence. In this report a case of sarcoidosis associated with chronic hepatitis C will be described, with subcutaneous lesions, considered rare, and good response to treatment with colchicine and prednisone. The hepatitis C virus was isolated in sarcoid tissue and the association between the two diseases will be discussed.

Abstract Eccrine syringofibroadenoma is a rare benign adnexal neoplasm derived from cells of the acrosyringium of eccrine sweat glands. ESFA usually manifests as a solitary nodule on the extremities of elderly patients, but it may also present as papules, nodules or plaques. Its clinical appearance is nonspecific and malignant neoplasms should beconsidered in the differential diagnosis. However, histopathological findings are typical. The main treatment is surgical excision. In order to illustrate a typical presentation of the tumor, we report a case of solitary eccrine syringofibroadenoma, including the surgical treatment used and its result.

Abstract Sporotrichosis is the most common subcutaneous mycosis. It is caused by the dimorphic fungus Sporothrix schenckii, and the infection is usually acquired by traumatic inoculation. We describe a case of sporotrichosis in an uncommon location with an unusual mode of transmission. A 49-year-old female patient who lived in an urban area of Rio de Janeiro presented with involvement of the left ear. No history of contact with soil, plants or animals was elicited. The suspected source of infection was a pair of handmade wooden earrings. The delay in the diagnosis and treatment resulted in higher morbidity, unsightly scarring and loss of ear lobe.

The main treatment for pemphigus vulgaris are systemic corticosteroids and immunosuppressive agents, but due to adverse reactions and therapeutic failure, new drugs such as rituximab and mycophenolate mofetil have been used. In this case report are described two cases of severe pemphigus vulgaris refractory to various treatments, with resolution after use of rituximab and mycophenolate mofetil, associated with corticosteroids. A higher-than-usual dose of rituximab was employed, without the occurrence of serious adverse reactions. Mycophenolate mofetil was added as adjunctive therapy due to lack of response to azathioprine.