RESUMO
The purpose of this investigation was to analyze the clinical and epidemiological aspects of all cases of erysipelas and infectious cellulitis admitted to a tertiary hospital during a period of five years. All patients admitted with the main diagnosis of erysipelas or cellulitis to the Department of Dermatology of the author's institution from January 2005 to May 2010 were included. Seventy patients were identified and their medical records were retrospectively reviewed so as to record the epidemiological and clinical data. Univariate and multivariable analyses were performed to analyze variables that predicted longer length of stay. The frequency of cellulitis in the lower limbs was higher in men and patients older than 65 years. Moderate/severe cellulitis in patients with basal comorbidity followed by a poor response to oral antibiotic therapy for 48 h were the most common reasons for admission. At arrival, four patients had abscessed areas. Fourteen patients developed local complications and 18 cases developed general in-hospital complications. Most patients improved or were healed with intravenous amoxicillin-clavulanate 1 g-200 mg/8 h. Intravenous amoxicillin-clavulanate 1 g-200 mg/8 h may be a good choice for empiric treatment in our setting. The development of in-hospital complications and the need for changing empiric antibiotic therapy were significant and independent variables associated with longer length of stay.
Assuntos
Celulite (Flegmão)/epidemiologia , Celulite (Flegmão)/patologia , Erisipela/epidemiologia , Erisipela/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Antibacterianos/uso terapêutico , Comorbidade , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Índice de Gravidade de Doença , Espanha/epidemiologia , Centros de Atenção Terciária , Resultado do TratamentoRESUMO
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Assuntos
Humanos , Feminino , Lactente , Condiloma Acuminado/diagnóstico , Infecções por Papillomavirus/diagnóstico , Condiloma Acuminado/cirurgia , Papillomaviridae/patogenicidadeRESUMO
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Assuntos
Humanos , Feminino , Idoso , Síndrome de Sweet/complicações , Artrite Reumatoide/complicações , Dapsona/uso terapêuticoRESUMO
El penfigoide dishidrosiforme es una variante de penfigoide ampolloso localizado. Se caracteriza por la presencia de vesículas sero-hemorrágicas en palmas y/o plantas que recuerdan el eccema dishidrótico. La mayoría de pacientes responden a corticoterapia oral a dosis bajas. Presentamos el caso de un varón de 54 años que consultó por lesiones vesiculosas en palmas y plantas que habían sido tratadas con corticoide tópicos in respuesta. Iniciamos corticoterapia a dosis baja, con remisión completa del cuadro a las 2 semanas (AU)
Dyshidrosiform pemphigoid is a localized variant of bullous pemphigoid. It appears as a vesicular eruption with serohemorrhagic content on the palms and/or the soles, similarly to the dyshidrotic eczema. Most of the patients show a good response with low-dose oral corticotherapy. We present the case of a 54-year-old male who was admitted with vesicular lesions on palms and soles, which had not improved with topical corticotherapy. He was treated with low-dose corticotherapy with complete remission after two weeks (AU)
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Penfigoide Bolhoso/diagnóstico , Eczema Disidrótico/diagnóstico , Corticosteroides/uso terapêuticoRESUMO
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No disponible
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Dermatite de Contato/diagnóstico , Agonistas alfa-Adrenérgicos/efeitos adversos , Glaucoma/tratamento farmacológicoRESUMO
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No disponible