Case Report
Volume 4 Issue 12 - 2021
False Diagnostics of Some Skin Diseases as a Result of the Impact of Viral Infections
Ylfete Shatri Mucaj1* and Gentianë Muçaj Brahimaj2
1Dermatologist and Clinical Pharmacologist, “GENTIANA- GreLorGen” Clinic, Prishtina, Kosova University Clinic Center in Prishtina, Kosova
2Resident of Dermatology in CCUK, Kosova
*Corresponding Author: Ylfete Shatri Mucaj, Dermatologist and Clinical Pharmacologist, “GENTIANA- GreLorGen” Clinic, Prishtina, Kosova University Clinic Center in Prishtina, Kosova.
Received: October 22, 2021; Published: November 29, 2021


Retrospective research and treatment.

Time period: year 2015/2016.

Patients N.N. male, born in 1966 from Prishtina, is presented in the specialist ambulance at KDV in UCCK, due to numerous concerns and changes in the skin and with a host of medical documentation.

He was especially referred to me, due to my specialization as a Clinical Pharmacologist and my experience with both specializations, by some colleagues of other specialist profiles.

Suffered from: Xeroderma Q 82.1, St. post OP MM C 43.9, Keratosis seborrhoica L 87.0; Seborrheic dermatitis and seborrheic verrucae; Actinic keratosis.

There was a voluminous dossier, approximately 4 - 5 years old.

His main concern was because he had realized: "that there were metastases in the lungs and lymph glands enlarged in the region of the neck and axilla".

He also had CT of the lungs, where he had described lymph nodes 12 - 13 mm in size, which are associated with defects, as well as on palpation those in the neck and axillary the size of a hazelnut. It was treated with DTIC according to the protocol for MOE as well as radiation (one year ago).

Based on the clinical picture and anamnesis I asked for blood tests and some microbiology.

I described the prescription with magistral preparations for local treatment, only Vitamin C eferveta or oribleta 1000 mg per day and Vit B6 tablet 100 mg per day and asked for re-examination with the results of the analysis for modification of therapy.

In the re-examination there were many positive test results, which I had requested: among them; positive viral serological tests: CMV, HSV1, HSV2 and EBV in IgG but at values many times higher than the reference. Increased CRP; Feces in positive mycotic field, mass of Candida spp; Low Vit D, low Magnesium; Zinc in normal minimum values; Low folic acid; Total proteins along with low albumin etc.

I prescribed antiviral therapy (with Acyclovir) and antifungal therapy with antifungals (Fluconazole), vitamins, diet and other supplements.

After an extended period of time due to systemic multitherapy, cryotherapy and local therapy the patient was satisfied and with him we as medical staff.

Initially, emotion and psychic relaxation, because the patient in question, had no metastases, but also problems - the clinical picture changes for the better in every aspect.

Conclusion: From this case and many, many other similar cases, in my experience as a clinician, we understand that in Medicine 1 + 1 never makes 2.

Patience to listen to the patient and a good anamnesis is 90% of the correct diagnosis.

The combination of the required analyzes, based on the anamnesis and clinical picture, enable us to eliminate many differential dg, which are very similar to each other.

As well as the main thing: high values of antibodies in IgG in viral serological tests should be treated with antiviral anyway.

Keywords: MM; Viral Infection; Anamnesis; Metastasis; Lymphatic System; Therapy; Clinical Picture; Diagnosis; Magistral Preparations


  1. Epidemiology
  2. Arjana Tamburi and Robert Andoni. Medical Microbiology.
  3. Robbins Basic Pathology 8th
  4. Davidson's Principles & Practice of Medicine.
  5. James M Ritter., et al. A textbook of Clinical Pharmacology 4th
Citation: Ylfete Shatri Mucaj and Gentianë Muçaj Brahimaj. “False Diagnostics of Some Skin Diseases as a Result of the Impact of Viral Infections”. EC Clinical and Medical Case Reports 4.12 (2021): 27-31.

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