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1.
An. bras. dermatol ; 95(5): 602-608, Sept.-Oct. 2020. tab
Artigo em Inglês | LILACS, Coleciona SUS | ID: biblio-1130937

RESUMO

Abstract Background: Dermoscopy increases the diagnostic accuracy in dermatology. The aspects related to training, usage profile, or perceptions of usefulness of dermoscopy among dermatologists in Brazil have not been described. Objectives: To evaluate the profile of the use of dermoscopy and the perception of the impact of the technique on clinical practice. Methods: The Brazilian Society of Dermatology invited all members to complete an online form with 20 items regarding demographic data, dermatological assistance, use of dermoscopy, and perceptions of the impact of the technique on clinical practice. The proportions between the categories were compared by analysis of residuals in contingency tables, and p-values < 0.01 were considered significant. Results: The answers from 815 associates (9.1% of those invited to participate) were assessed, 84% of whom were female, and 71% of whom were younger than 50 years of age. The use of dermoscopy was reported in the daily practice of 98% of dermatologists: 88% reported using it more than once a day. Polarized light dermoscopy was the most used method (83%) and pattern analysis was the most used algorithm (63%). The diagnosis and follow-up of melanocytic lesions was identified as the main use of the technique, while the benefit for the diagnosis of inflammatory lesions was acknowledged by less than half of the sample (42%). Study limitations: This was a non-randomized study. Conclusion: Dermoscopy is incorporated into the clinical practice of almost all Brazilian dermatologists, and it is recognized for increasing diagnostic certainty in different contexts, especially for pigmented lesions.


Assuntos
Humanos , Feminino , Neoplasias Cutâneas , Dermoscopia , Algoritmos , Brasil , Dermatologistas , Melanócitos , Pessoa de Meia-Idade
2.
Gac. méd. Méx ; 156(5): 467-468, sep.-oct. 2020.
Artigo em Espanhol | LILACS | ID: biblio-1249947

RESUMO

Resumen Un capítulo novedoso es la atención y promoción por parte de médicos especialistas de aspectos relacionados con procedimientos estéticos, más que con la salud. La aspiración humana de la búsqueda de la belleza personal ha generado nuevos escenarios en la labor médica. El Comité de Ética y Transparencia en la Relación Médico Industria (CETREMI) de la Academia Nacional de México ha revisado esta circunstancia y emite recomendaciones tanto a los médicos como a los productores y potenciales consumidores de procedimientos estéticos.


Abstract A novel chapter in current medical settings is the promotion and attention of esthetic aspects rather than health issues by health professionals. The human aspiration related to the search for personal beauty has generated new scenarios in medical practice. The Committee on Ethics and Transparency in the Physician-Industry Relationship (CETREMI) of the National Academy of Medicine of Mexico has analyzed this phenomenon and has issued recommendations directed both to medical professionals and to producers and potential consumers of esthetic procedures.


Assuntos
Humanos , Cirurgia Plástica/ética , Indústria da Beleza/ética , Guias como Assunto , Comércio/ética , Cosméticos , Dermatologistas/ética , Comitês Consultivos , Marketing/ética , México
3.
An. bras. dermatol ; 95(3): 298-306, May-June 2020. tab, graf
Artigo em Inglês | LILACS, Coleciona SUS | ID: biblio-1130892

RESUMO

Abstract Background: The increasingly frequent use of dermoscopy makes us think about the possibility of transfer of microorganisms, through the dermatoscope, between doctor and patients. Objectives: To identify the most frequent gram-positive cocci in dermatoscopes and smartphone adapters, as well as the resistance profile, and to evaluate the factors associated with a higher risk of bacterial contamination of the dermatoscopes. Methods: A cross-sectional study was carried out with 118 dermatologists from Porto Alegre/Brazil between September 2017 and July 2018. Gram-positive cocci were identified by MALDI-TOF MS and habits of use of the dermatoscope were evaluated through an anonymous questionnaire. Results: Of the dermatoscopes analysed, 46.6% had growth of gram-positive cocci on the lens and 37.3% on the on/off button. The microorganisms most frequently found were S. epidermidis, S. hominis and S. warneri. Attending a hospital, using the dermatoscope at the hospital, with inpatients and in the intensive care unit were significantly associated with colonisation by gram-positive cocci. The highest resistance rates were observed for penicillin, erythromycin and sulfamethoxazole-trimethoprim. Study limitations: The non-search of gram-negative bacilli, fungi and viruses. Moreover, the small number of adapters did not make it possible to better define if the frequency differences were statistically significant. Conclusion: Coagulase-negative staphylococci were frequently identified. S. aureus was detected only on the lens.


Assuntos
Humanos , Masculino , Feminino , Adulto , Infecções por Bactérias Gram-Positivas/epidemiologia , Cocos Gram-Positivos/isolamento & purificação , Dermoscopia/instrumentação , Smartphone , Dermatologistas/estatística & dados numéricos , Brasil/epidemiologia , Testes de Sensibilidade Microbiana , Estudos Transversais , Inquéritos e Questionários , Fatores de Risco , Infecções por Bactérias Gram-Positivas/microbiologia , Cocos Gram-Positivos/crescimento & desenvolvimento , Cocos Gram-Positivos/efeitos dos fármacos , Distribuição por Sexo , Distribuição por Idade , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Farmacorresistência Bacteriana , Pessoa de Meia-Idade , Antibacterianos/farmacologia
4.
Medwave ; 20(7): e8010, 2020.
Artigo em Inglês, Espanhol | LILACS | ID: biblio-1122665

RESUMO

Las terapias target constituyen hoy en día una alternativa terapéutica cada vez más utilizada para el manejo de pacientes con melanoma metastásico. Sin embargo, se han descrito múltiples efectos farmacológicos adversos asociados a su uso, siendo los cutáneos los de mayor prevalencia. Se presenta el caso de un hombre de 55 años con diagnóstico de melanoma cutáneo metastásico etapa IV, BRAFV600E mutado, en tratamiento con dabrafenib/trametinib que consultó por desarrollo de lesiones nodulares eritematosas sensibles en extremidades superiores e inferiores, asociadas a sensación febril durante el curso del tratamiento. Se descartó alguna infección sobreagregada. Se realizó una biopsia de las lesiones cutáneas, con confirmación diagnóstica histopatológica de una paniculitis mixta de predominio septal, granulomatosa y con vasculitis leucocitoclástica. La paniculitis asociada a esta terapia ha sido descrita en la literatura y se ha considerado un efecto farmacológico inmunomediado adverso, relacionándose a un mejor pronóstico para el melanoma metastásico en tratamiento. Por lo tanto, así como en el caso presentado, se evita la suspensión del fármaco y se asocia terapia sintomática en caso de mayores molestias del paciente. Es de alta relevancia para el dermatólogo conocer e interpretar adecuadamente este efecto adverso farmacológico, y así indicar el manejo más adecuado para el paciente.


Target therapies are currently a therapeutic option increasingly used for the management of patients with metastatic melanoma. However, there are multiple adverse pharmacological effects associated with their use that have been described. Cutaneous adverse reactions are the most frequent. We report the case of a 55-year-old man with a diagnosis of stage IV BRAFV600E-mutated metastatic cutaneous melanoma undergoing treatment with dabrafenib/trametinib, who consulted due to the development of erythematous nodular lesions in the upper and lower limbs associated with febrile sensation during the course of treatment. Infection was ruled out and a biopsy of the skin lesions was done, which provided the histopathological confirmation of a predominantly septal, granulomatous with leukocytoclastic vasculitis, mixed panniculitis. Panniculitis associated with this therapy has been described in the literature and has been considered an immune-mediated pharmacological adverse effect. It is considered to be related to a better prognosis in the treatment of metastatic melanoma. Consequently, as shown in this case report, target therapy should not be discontinued and symptomatic medication should be given to alleviate patient discomfort. The dermatologist should know and properly interpret this adverse effect and prescribe the most appropriate management for the patient.


Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Paniculite/induzido quimicamente , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Terapia de Alvo Molecular/métodos , Oximas/administração & dosagem , Piridonas/administração & dosagem , Pirimidinonas/administração & dosagem , Neoplasias Cutâneas/tratamento farmacológico , Paniculite/diagnóstico , Paniculite/terapia , Protocolos de Quimioterapia Combinada Antineoplásica/administração & dosagem , Terapia de Alvo Molecular/efeitos adversos , Dermatologistas , Imidazóis/administração & dosagem , Melanoma/tratamento farmacológico
6.
Rev. chil. dermatol ; 36(4): 172-177, 2020. graf
Artigo em Espanhol | LILACS | ID: biblio-1400471

RESUMO

Introducción: Existe una amplia heterogeneidad en la distribución de médicos y especialistas en las distintas regiones de Chile. Dermatología no está exenta de esta realidad. Conocer la población consultante resulta clave para complementar la situación sanitaria que la distribución de médicos y diferencias en el acceso, reflejan a nivel nacional. Objetivo: Analizar descriptivamente las consultas a Dermatología durante el 2019 en el Sector Público de salud en Chile; según región, rango etario y consultas en operativos. Materiales y Métodos: 250.649 consultas realizadas a Dermatología reportadas por el DEIS durante el 2019. Resultados: Del total de las consultas a cualquier especialidad en el sector público de salud, las consultas a Dermatología suponen un 2.7%. De estas, la Región Metropolitana concentra el 45.2% mientras que la Región de Aysén es la que más consulta en función de su población. Se establece un promedio nacional de 14.1 consultas por cada 1000 habitantes. Las Zonas Norte y Centro consultan bajo este promedio, mientras que la Zona Sur consulta por sobre este. En cuanto al rango etario, se establecen peaks de consultas entre los 0-4 años, 15-19 y finalmente 75-79. Discusión: Dermatología presenta un porcentaje no despreciable del total de consultas a especialidad. Destaca la baja consulta en la Zona Norte, dado el antecedente de mayor prevalencia de cáncer de piel no melanoma respecto a la media nacional. Asimismo, la mayor consulta en Aysén se condice con una mayor densidad de médicos en la región, respecto a otras regiones.


Introduction: There is wide heterogeneity in the distribution of physicians in the different regions of Chile. Dermatology is no different from this reality. Studying the consulting population is key to complement the health situation that the distribution of physicians and differences in healthcare access reflect at the national level. Objective: To perform a descriptive analysis of the consultations made to Dermatology during 2019 in the Chilean Public Health Sector; according to region, age-range, and consultations in Health operatives. Materials and Methods: 250,649 consultations to Dermatology reported by the DEIS during 2019. Reslts: Of the total number of consultations to any specialty on the public sector, Dermatology accounts for 2.7%. Of these, the Metropolitan Region concentrates 45.2% of the consultations. Aysén is the region with the most consultations according to its population. There is a national average of 14.1 consultations per 1000 inhabitants. The Northern and Central regions consult below this average, while the Southern regions consult above it. Regarding age range, peaks of consultations are established between 0-4 years, 15-19 and finally 75-79. Discussion: Dermatology accounts for a non-negligible percentage of the total number of consultations to specialty. The low number of consultations in the Northern Zone is remarkable, given the history of high UV radiation in the area. Likewise, the greater number of consultations in Aysén is consistent with a greater density of physicians in the region when compared to other regions.


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Adulto Jovem , Dermatologia/estatística & dados numéricos , Chile , Saúde Pública/estatística & dados numéricos , Distribuição por Idade e Sexo , Dermatologistas/provisão & distribuição
7.
An. bras. dermatol ; 94(6): 771-772, Nov.-Dec. 2019. tab, graf
Artigo em Inglês | LILACS, Sec. Est. Saúde SP, HANSEN, Hanseníase, SESSP-ILSLPROD, Sec. Est. Saúde SP, SESSP-ILSLACERVO, Sec. Est. Saúde SP | ID: biblio-1054901
8.
Rev. chil. infectol ; 36(3): 283-291, jun. 2019. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-1013785

RESUMO

Resumen Introducción: Los condilomas o verrugas genitales (VG) son la infección de transmisión sexual (ITS) más diagnosticada en los centros de ITS en Chile, pero no existen estadísticas poblacionales. Objetivos: Describir la prevalencia de VG en pacientes de 18-60 años que acuden a consulta ambulatoria de dermatología, ginecología y urología; características demográficas de los pacientes y prácticas de diagnóstico y tratamiento. Material y Métodos: A una muestra de especialistas chilenos estratificados por región, población y sexo de pacientes se les proporcionó un diario de registro y aplicó un cuestionario. Resultados: Prevalencia VG grupo total: 2,4%; en grupo etario 18-34 años: 3,7%; en grupo etario 35-60 años: 1,29% (p = 0,0000). La edad media de los pacientes con VG fue 29,4 años en mujeres y 32,7 años en hombres (p = 0,019); la distribución por edad fue diferente según sexo y sistema de salud. La inspección visual fue el método diagnóstico más frecuente y la crema de imiquimod el tratamiento más común. Hubo diferencias en el uso de herramientas diagnósticas y terapéuticas según sexo del paciente, especialidad del médico y sistema de salud. Conclusiones: Existe una alta prevalencia de VG, que debería ser tomada en cuenta para planificar las intervenciones de salud pública para abordar este problema.


Introduction: Condylomas or genital warts (GW) are the most frequently diagnosed sexually transmitted infection (STI) in STI centers in Chile, but there are no population statistics available. Objectives: To describe the prevalence of GW in patients from 18-60 years of age who attend outpatient dermatology, gynecology and urology practice; the demographic characteristics of the patients and the diagnostic and treatment tools. Methods: A sample of Chilean specialists stratified by region, population and gender of patients was provided with a logbook and answered a questionnaire. Results: The GW prevalence was 2.44% for the whole group; 3.76% for the 18-34 age group and 1.29% for the 35-60 years group (p = 0.0000). The average age of patients with GW was 29.4 years in women and 32.7 years in men (p = 0.019). The distribution by age was different according to gender and health system. Visual inspection was the most frequent diagnostic method used and imiquimod cream the most common treatment, however, there were differences in the use of diagnostic and therapeutic tools according to the patient's gender, specialty of the doctor and health system. Conclusions: The high prevalence of GW confirmed the need and importance of public health interventions to address this problem.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Adulto Jovem , Pacientes Ambulatoriais/estatística & dados numéricos , Condiloma Acuminado/epidemiologia , Atenção Primária à Saúde/estatística & dados numéricos , Prática Profissional/estatística & dados numéricos , Condiloma Acuminado/diagnóstico , Condiloma Acuminado/tratamento farmacológico , Chile/epidemiologia , Demografia/estatística & dados numéricos , Incidência , Prevalência , Inquéritos Epidemiológicos , Dermatologistas/estatística & dados numéricos , Urologistas/estatística & dados numéricos , Imiquimode/uso terapêutico , Ginecologia/estatística & dados numéricos , Instituições Privadas de Saúde/estatística & dados numéricos , Antineoplásicos/uso terapêutico
11.
An. bras. dermatol ; 93(5): 752-754, Sept.-Oct. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-1038278

RESUMO

Abstract: Melanoma Guidelines of the Brazilian Dermatology Society recommend histologic review by pathologists trained in melanocytic lesions whenever possible. Out of 145 melanoma cases identified at a private clinic in São Paulo/Brazil, 31 that had been submited to histologic review were studied to evaluate whether revision had led to change in therapeutic approach.. Differences in original/reviewed reports were found in 58.1% (n=18) of the reports, leading to changes in therapeutic approach in 41.9% (n=13). Change in diagnosis was observed in 6 out of 31 (19,3%) cases. These findings suggest that second opinion by pathologists trained in melanocytic lesions is likely to show significant differences from the original report.


Assuntos
Humanos , Patologia Clínica/normas , Patologistas , Melanócitos/patologia , Melanoma/patologia , Encaminhamento e Consulta , Brasil , Variações Dependentes do Observador , Estudos Retrospectivos , Técnicas Histológicas/métodos , Técnicas Histológicas/normas , Dermatologia/normas , Dermatologistas , Melanoma/diagnóstico , Melanoma/terapia , Estadiamento de Neoplasias/classificação
13.
An. bras. dermatol ; 93(3): 426-428, May-June 2018. graf
Artigo em Inglês | LILACS | ID: biblio-949873

RESUMO

Abstract: Fabry disease is a rare lysosomal storage disorder, inherited in an X-linked manner. It is characterized by the deficiency of the enzyme alpha-galactosidase, leading to a buildup of glycosphingolipids in the cells. Angiokeratoma is one of the cutaneous manifestations of this condition, and it helps making the diagnosis. The typical site involves the genital area in men and lumbosacral, buttocks and trunk region in both sexes. We report a case of genital angiokeratoma in a woman with Fabry disease. The diagnosis is through molecular analysis and, when made early, starting treatment reduces the morbidity and mortality of the disease. Thus, the dermatologist has an important role in the identification of angiokeratoma as a cutaneous marker, and the knowledge of its different presentations is essential for the early diagnosis and management of Fabry disease.


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Neoplasias Cutâneas/diagnóstico , Neoplasias Vulvares/diagnóstico , Doença de Fabry/diagnóstico , Angioceratoma/diagnóstico , Papel do Médico , Neoplasias Cutâneas/patologia , Neoplasias Vulvares/patologia , Diagnóstico Diferencial , Terapia de Reposição de Enzimas , Dermatologistas , Angioceratoma/patologia
14.
An. bras. dermatol ; 93(2): 172-180, Mar.-Apr. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-887196

RESUMO

Abstract: Gnathostomiasis is a parasitic infection caused by the third larval stage of nematodes of the genus Gnathostoma. The disease is endemic in some countries around the world. In the American continent, the majority of cases is concentrated in Mexico, Ecuador, and Peru. However, due to increasing traveling either at the intercontinental or intracontinental level, the disease is seen each time more frequently in tourists. Furthermore, countries, such as Brazil, that have never been considered endemic are reporting autochthonous cases. The disease usually presents as a deep-seated or slightly superficial migratory nodule in patients with history of eating raw fish, in the form of ceviche, sushi, or sashimi. Along with the clinical presentation, diagnostic criteria include either blood or tissue eosinophilia. In most instances, these criteria are enough for the attending physician to institute therapy. Chances of finding the parasite are low, unless the biopsy is taken from a very specific area that develops after antiparasitic treatment is started. The potential of other organ involvement with more serious consequences should always be kept in mind.


Assuntos
Humanos , Animais , Pele/parasitologia , Dermatopatias Parasitárias/patologia , Gnatostomíase/patologia , Peru , Pele/patologia , Dermatopatias Parasitárias/diagnóstico , Biópsia , Brasil , Parasitologia de Alimentos , Gnatostomíase/diagnóstico , Dermatologistas , Gnathostoma
15.
An. bras. dermatol ; 93(1): 99-103, Jan.-Feb. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-887137

RESUMO

Abstract: The medical-dermatological demographics favors health planning and guides expansion of the specialty. We conducted an ecological study of dermatologists members of the Brazilian Society of Dermatology (SBD). We evaluated: gender, age, address; which were compared with population and human development index indicators of municipalities. We evaluated 8384 members, distributed in 527 (9.5%) municipalities throughout Brazil. The female sex represented 78.4% of the members and the median age was 43 (36-54) years. The median density of dermatologists was 0.35 (0.21-0.37) per 10,000 inhabitants. The correlation (Spearman's rho) between density of dermatologists and human development index was 0.39 (p <0.01). The Brazilian dermatologist is characterized as: female, age <50 years and presenting an heterogeneous distribution throught the country.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Densidade Demográfica , Dermatologistas/provisão & distribuição , Sociedades Médicas/estatística & dados numéricos , Brasil , Cidades/estatística & dados numéricos , Distribuição por Sexo , Distribuição por Idade
16.
Rev. Asoc. Méd. Argent ; 130(1): 11-14, mar. 2017.
Artigo em Espanhol | LILACS | ID: biblio-973061

RESUMO

Destacado dermatólogo, el doctor Julio V. Uriburu propició el estudio de las afecciones micóticas en nuestro medio. Realizamos una breve actualización del diagnóstico y tratamiento de tiñas de cuero cabelludo.


Dr. Julio V. Uriburu was a very important specialist in skin disorders. He worked in the investigation of micotics infections of hair and scalp disorders. We did a review of diagnostic and treatment of tinea capitis.


Assuntos
Micologia/história , Tinha do Couro Cabeludo/diagnóstico , Tinha do Couro Cabeludo/tratamento farmacológico , Antifúngicos/uso terapêutico , Dermatologia/história , Dermatologistas/história , Tinha do Couro Cabeludo/terapia , Estudos Retrospectivos , Estudo Observacional
17.
An. bras. dermatol ; 92(1): 63-71, Jan.-Feb. 2017.
Artigo em Inglês | LILACS | ID: biblio-838008

RESUMO

Abstract: The mind-skin connection has been studied since the nineteenth century. The last 40 years have set the development of new research areas which allowed the clarifying of how these two dimensions interact. The diseases that involve skin and mind constitute the field of psychodermatology and require that specialists in dermatology, psychiatry and psychology together and integrated take part in it, since skin, nervous system and mind are simultaneously affected. This paper aims to expose how psychodermatoses are currently conceptualized and the need of integration of these three specialties for conveniently treating the patients.


Assuntos
Humanos , Equipe de Assistência ao Paciente , Transtornos Psicofisiológicos/psicologia , Transtornos Psicofisiológicos/terapia , Dermatopatias/psicologia , Dermatopatias/terapia , Psiquiatria , Psicologia Clínica , Psicofisiologia , Estresse Psicológico/fisiopatologia , Percepção do Tato , Dermatologistas
18.
MedUNAB ; 20(1): 48-53, 2017. tab, graf
Artigo em Espanhol | LILACS, COLNAL | ID: biblio-878012

RESUMO

Introducción: La deficiencia de vitamina D es considerada una pandemia. En la actualidad existen numerosas publicaciones que documentan esta deficiencia en pacientes con osteopenia y/o osteoporosis; sin embargo, no hay estudios en Colombia ni en Latinoamérica que evalúen la deficiencia e insuficiencia de vitamina D en población sana, ni en dermatólogos, quienes pueden ser susceptibles de adquirir esta deficiencia por las largas jornadas laborales y la falta de exposición solar. Objetivo: Determinar la prevalencia de deficiencia de vitamina D en dermatólogos y residentes de dermatología en Colombia, y establecer sí la región de origen estaba asociada a niveles de vitamina D. Metodología: estudio tipo piloto, observacional, analítico de corte transversal, en el cual se incluyeron dermatólogos y residentes de dermatología asistentes al congreso Colombiano de dermatología 2016. A todos los participantes se les aplicó un cuestionario, se practicó examen físico y se midió niveles de 25 hidroxi vitamina D3. Resultados: 100 participantes fueron incluidos en el estudio: la edad media fue 39 años, el 67 % eran mujeres, con prevalencia de insuficiencia o deficiencia de vitamina D del 96% y concentración media de vitamina D de 18.20 ng/ml. Conclusiones: La deficiencia de vitamina D es altamente prevalente en dermatólogos y residentes de dermatología en Colombia, se sugieren intervenciones preventivas en esta población, debido a la alta morbimortalidad relacionada con tal deficiencia...(AU)


Introduction: Vitamin D deficiency is considered as a pandemic. Now, there are lots of publications documenting this deficiency in patients with osteopenia and / or osteoporosis; however, there are no studies either in Colombia or Latin America that evaluate vitamin D deficiency and insufficiency in a healthy population, or in dermatologists, who can be susceptible to acquire this deficiency by the long working hours and the lack of sun exposure. Objective: To determine the prevalence of vitamin D deficiency in dermatologists and residents of dermatology in Colombia and to establish if the area of origin was associated with vitamin D levels. Methodology: This is a pilot, observational, cross-sectional and analytical study in which dermatologists and dermatology residents attending to the 2016 Colombian Congress of Dermatology were included. All participants were given a questionnaire; a physical exam was performed to them and their levels of 25-hydroxyvitamin D3 were measured as well. Results: 100 participants were included in this study: their average age was 39 years; 67% of them were women, with a prevalence of vitamin D deficiency or insufficiency of 96% and with a mean of vitamin D concentration of 18.20 ng/ml. Conclusions: Vitamin D deficiency is highly prevalent in dermatologists and residents of dermatology in Colombia. With this population, some preventive interventions are suggested due to the high morbimortality related to such deficiency...(AU)


Introdução: a deficiência de vitamina D é considerada uma pandemia. Existem agora inúmeras publicações documentando essa deficiência em pacientes com osteopenia e / ou osteoporose; no entanto, não há estudos na Colômbia ou na América Latina que avaliem a deficiência e insuficiência de vitamina D na população saudável, nem em dermatologistas, que podem ser suscetíveis de adquirir essa deficiência devido aos longos dias de trabalho e falta de exposição solar. Objetivo: Determinar a prevalência de deficiência de vitamina D em dermatologistas e residentes de dermatologia na Colômbia e determinar se a região de origem estava associada a níveis de vitamina D. Metodologia: estudo piloto, observacional, transversal, analítico em que dermatologistas e residentes de dermatologia presentes no Congresso Colombiano de Dermatologia 2016 foram incluídos. Todos os participantes receberam um questionário, exame físico e níveis de 25 hidroxi vitamina D3. Metodologia: estudo piloto, observacional, transversal, analítico em que dermatologistas e residentes de dermatologia presentes no Congresso Colombiano de Dermatologia 2016 foram incluídos. Todos os participantes receberam um questionário, exame físico e níveis de 25 hidroxi vitamina D3. Resultados: 100 participantes foram incluídos no estudo: idade média foi de 39 anos, 67% eram mulheres, com prevalência de deficiência de vitamina D ou insuficiência de 96% e concentração média de vitamina D de 18.20 ng/ml. Conclusões: A deficiência de vitamina D é altamente prevalente em dermatologistas e residentes de dermatologia na Colômbia. As intervenções preventivas nesta população, são sugeridas por causa da alta morbidade e mortalidade associada a esta deficiência...(AU)


Assuntos
Humanos , Vitamina D , Deficiência de Vitamina D , Luz Solar , Colômbia , Dermatologistas
19.
Rev. chil. dermatol ; 32(1): 22-26, 2016. graf
Artigo em Espanhol | LILACS | ID: biblio-911558

RESUMO

La incidencia de cáncer de piel ha aumentado, por lo que la detección precoz puede ser beneficiosa. Se ha sugerido que los dermatólogos son una población de alto riesgo para desarrollar cáncer de piel. El objetivo de este estudio es evaluar la frecuencia de autoexamen, consulta dermatológica y cáncer de piel en un grupo de dermatólogos chilenos. Pacientes y métodos: Se confeccionó una encuesta de 8 preguntas, hecha personalmente, durante 4 meses, a 143 dermatólogos de la Sociedad Chilena de Dermatología (46,7%). Las variables analizadas fueron: sexo, edad, fototipo de Fitzpatrick, frecuencia de autoexamen, consulta a otro dermatólogo, antecedente de melanoma maligno (MM), carcinoma basocelular (CBC), carcinoma espinocelular (CEC) y queratosis actínica (QA), y razones para no realizarse examen cutáneo en forma regular. Resultados: El 60% de encuestados se hacía autoexamen, pero 48% afirmó hacerlo sólo ocasionalmente. Con respecto a si solicitan ser evaluados por otro dermatólogo, el 81% no lo hace, del 19% que si lo hace, un 69% consultaba sólo ante una lesión llamativa. Finalmente, el 17% de encuestados refirió haber tenido neoplasias cutáneas. Entre ellas 12% para QA, 5% para CBC, 2% para CEC y ningún melanoma. Conclusión: La mayoría de los dermatólogos encuestados se realiza autoexamen, pero no regularmente, y raramente hacen consultas de chequeo a sus colegas, la mayoría solicita evaluación por otro dermatólogo ante una lesión sospechosa.


Abstract: Skin cancer incidence has increased worldwide; early detection may be beneficial. Some evidence suggests dermatologists as a high-risk population for developing skin cancer. The aim of this study was to assess how often Chilean dermatologists consult with colleagues for check ups, to evaluate the frequency of self-skin examination and the frequency of skin cancer in this group. Patients and methods: A sample of 143 members (46,7%) of the Chilean Society of Dermatology responded an eight items questionnaire, in a face-to-face manner. Evaluated variables were: sex, age, Fitzpatrick phototype, self-skin examination frequency, frequency for consult s with another dermatologist, previous history of malignant melanoma, basal cell carcinoma, squamous cell carcinoma and actinic keratosis, and reasons to perform or not in themselves regular skin examination. Results: 60% performed regular self-skin examination, but only 48% did it regularly. Concerning whether they consulted another dermatologist, 81% didn´t, and between the 19% who do consult, 69% of them consulted only in case of a suspicious lesion. Finally, 17% of the surveyed people referred history of skin cancer. 12% were actinic keratosis, 5% basal cell carcinoma, 2% squamous cell carcinoma and no melanoma was declared. Conclusion: Most of surveyed dermatologists perform occasional self-skin examination, and rarely do regular check ups with colleagues, most of them consulted another dermatologist only if a suspicious lesion was found.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Neoplasias Cutâneas/prevenção & controle , Atitude Frente a Saúde , Autoexame , Dermatologistas/psicologia , Autocuidado , Chile , Inquéritos e Questionários
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