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Biography
Elisa Fontenelle is a distinguished Brazilian physician specializing in dermatology, with over 25 years of expertise in both pediatric and general dermatologic care. She earned her medical degree and completed her dermatology training in Rio de Janeiro, holding esteemed positions at top institutions, including the Division of Dermatology at the Pedro Ernesto University Hospital of the State University of Rio de Janeiro (UERJ) and the Division of Pediatric Dermatology at the Fernandes Figueira Institute – FIOCRUZ .
Dr. Fontenelle has cultivated a strong academic and clinical portfolio focused on pediatric dermatology. She has contributed to key case reports and research studies, notably on rare conditions such as infant bullous pemphigoid presenting as epidermolysis bullosa naevi–like lesions, monilethrix with its distinct “rosary bead” pattern on hair shafts, and drug-induced serum sickness–like cutaneous reactions in children
Her work often emphasizes detailed clinical and dermatoscopic analysis, improving diagnostic clarity and guiding nuanced therapeutic strategies.
Aside from her clinical commitments, Dr. Fontenelle is active in the wider medical community. She has authored review articles like “Immunosuppressive agents in Dermatology” and participated in training programs at UERJ’s Pedro Ernesto Hospital and the Santa Casa’s Rubem David Azulay Institute . Her leadership extends across both public hospitals and private practice, where she blends direct patient care with mentorship and education.
A respected voice in pediatric dermatology, Dr. Fontenelle continues to publish in peer-reviewed journals, contribute to evidence-based practice, and shape future dermatologists throughout Brazil
A respected voice in pediatric dermatology, Dr. Fontenelle continues to publish in peer-reviewed journals, contribute to evidence-based practice, and shape future dermatologists throughout Brazil. Her dedication to combining academic rigor, clinical excellence, and a patient-centered approach has made a substantial impact on dermatologic healthcare for children.
Research Interest
Elisa Fontenelle’s research interests center around pediatric dermatology, with a focus on rare and complex skin disorders in children. Her work explores clinical and dermoscopic features of pediatric diseases such as infantile bullous pemphigoid, monilethrix, and drug-induced serum sickness-like reactions. She is particularly interested in diagnostic challenges and visual pattern recognition using dermoscopy in pediatric patients. Dr. Fontenelle also investigates the therapeutic applications and safety profiles of immunosuppressive agents in dermatologic practice, contributing to advancements in evidence-based treatment strategies. Her research extends to dermatologic manifestations of systemic diseases in children and the impact of early diagnosis on long-term outcomes. Collaborating with leading institutions such as the State University of Rio de Janeiro (UERJ) and the Fernandes Figueira Institute – FIOCRUZ, she aims to bridge clinical dermatology and academic research, ultimately improving diagnostic accuracy and patient care in pediatric dermatology. Her contributions are widely recognized in Brazilian and international dermatologic communities.
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byLaura Serpa, Haizza Monteiro, Maria de Oliveira Buffara, Raíssa Rodriguez, Ana Luisa Alves, Viviane Maria Maiolini and Elisa Fontenelle
Epidermolysis Bullosa Naevi (EBN) is a subset of melanocytic nevi with atypical features arising at sites of blistering in patients with congenital EB. It may be clinically misdiagnosed as melanoma and may represent a challenge for the dermatologist. Bullous Pemphigoid (BP) consists of an autoimmune condition presenting with subepidermal blisters, usually affecting the elderly and rarely observed in children The case is reported of an infant who presented with pruritic erythematous bullous lesions, initially appearing over the trunk and legs wi...th progression to arms and face. Clinical and immunopathological features were consistent with the diagnosis of infant BP. In the course of the disease, he developed a pigmented heterogeneous macule with irregular contour and satellite-dotted lesions, located on the right flank. Dermoscopy revealed a regular pigmented network distributed in an agminated manner interspersed with areas of healthy skin. Due to its similarity to EBN, an expectant approach was carried out. The lesion regressed during the 24-month follow-up. To our knowledge, there is only one literature case report of a child who presented with EBN-like in a previous BP lesion. Our case reinforces the presence of atypical melanocytic nevi in bullous diseases. Knowing this type of lesion clinically and dermatoscopically in patients with bullous dermatoses may prevent unnecessary surgical procedures in children.
Division of Dermatology, Pedro Ernesto University Hospital of State University of Rio de Janeiro, Brazil | Division of Pediatric Dermatology, Fernandes Figueira Institute - FIOCRUZ, Rio de Janeiro, Rio de Janeiro, Brazil
https://orcid.org/0000-0001-9021-1722 
