ABSTRACT
BACKGROUND: The cutaneous mycoses, mainly caused by dermatophyte fungi, are among the most common fungal infections worldwide. It is estimated that 10% to 15% of the population will be infected by a dermatophyte at some point in their lives, thus making this a group of diseases with great public health importance. OBJECTIVE: To analyze the clinical, epidemiological, and therapeutic profile of dermatophytosis in patients enrolled at the Dermatology service of Universidade do Estado do Pará, Brazil, from July 2010 to September 2012. METHOD: A total of 145 medical records of patients diagnosed with dermatophytosis were surveyed. Data were collected and subsequently recorded according to a protocol developed by the researchers. This protocol consisted of information regarding epidemiological and clinical aspects of the disease and the therapy employed. RESULTS: The main clinical form of dermatophyte infection was onychomycosis, followed by tinea corporis, tinea pedis, and tinea capitis. Furthermore, the female population and the age group of 51 to 60 years were the most affected. Regarding therapy, there was a preference for treatments that combine topical and systemic drugs, and the most widely used drugs were fluconazole (systemic) and ciclopirox olamine (topical). CONCLUSION: This study showed the importance of recurrent analysis of the epidemiological profile of dermatophytosis to enable correct therapeutic and preventive management of these conditions, which have significant clinical consequences, with chronic, difficult-totreat lesions that can decrease patient quality of life and cause disfigurement. .
Subject(s)
Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Female , Humans , Infant , Male , Middle Aged , Young Adult , Antifungal Agents/therapeutic use , Tinea/drug therapy , Tinea/epidemiology , Age Distribution , Brazil/epidemiology , Cross-Sectional Studies , Drug Therapy, Combination , Retrospective Studies , Sex Distribution , Socioeconomic Factors , Skin/pathology , Tinea/pathologyABSTRACT
Objetivo: analisar a incidência das alterações dermatológicas na gravidez em pacientes atendidas no Ambulatóriode Dermatologia da Universidade do Estado do Pará (UEPA); traçar o perfil epidemiológico das gestantes edeterminar quais as alterações dermatológicas mais frequentes. Método: foram analisados dados de 109 pacientesgrávidas, distribuídas conforme o trimestre gestacional, independente do número de gestações, com idade entre 18a 49 anos, atendidas pela primeira vez no Ambulatório de Dermatologia da UEPA, apresentando ou não queixasdermatológicas. As alterações dermatológicas encontradas foram classificadas em fisiológicas da gestação oupatológicas. Resultados: a incidência de alterações dermatológicas foi de 100% nas pacientes analisadas. Osachados dermatológicos mais freqüentes durante o período gestacional foram as modificações fisiológicas com93,6%, sendo as hipercromias as alterações fisiológicas mais incidentes, correspondendo 92,6% destas. A maioriadas gestantes pertence à faixa etária de 20 a 24 anos, é procedente de Belém, possui cor de pele parda, sãoprimigestas e estão no segundo trimestre gestacional. Considerações finais: os achados dermatológicos maisfreqüentes durante a gravidez são as alterações fisiológicas. As alterações específicas da gestação são raras, maspodem gerar repercussões sistêmicas à gestante. Os dermatologistas e obstetras devem atentar quanto aorastreamento e diagnóstico clínico das alterações dermatológicas no período gestacional, assim como, aidentificação de fatores de risco da gestante e do feto, sendo o acompanhamento multiprofissional um importanteinstrumento ao prognóstico e terapêutica específica das alterações dermatológicas na gravidez.
Objectives: to analyze the occurrence of skin changes in pregnancy in patients treated at the clinic of dermatologyat the Universidade do Estado do Pará, to trace the epidemiological profile of pregnant women and determine themost common skin changes. Method: the study included data of 109 pregnant patients, divided according totrimester of pregnancy, independent of the number of gestation, aged 18-49 years, met for the first time at the clinicof dermatology UEPA, showing or not dermatological complaints. The skin changes found classified inphysiological or pathological pregnancy. Results: the incidence of skin changes was 100% in the patients analyzed.The most frequent dermatological findings during pregnancy are physiological changes, and hipercromies are withmore occurrence, representing 92.6% of these. The majority of patients were between 20-24 years old, comingfrom Belém, have brown skin color, in their first pregnancy during its second trimester. Final considerations: themost frequent dermatological findings during pregnancy are physiological changes and skin diseases may beaggravated or initiated by pregnancy. Specific changes of pregnancy are rare but can cause systemic repercussionsfor pregnant women. One should take particular care of dermatologists and obstetricians regarding screening andclinical diagnosis of skin changes during pregnancy, as well as identifying risk factors for mother and fetus, and theaccompanying multi an important tool for the prognosis and specific therapy of skin changes in pregnancy.
ABSTRACT
Os autores apresentam breve revisão sobre os principais medicamentos usados pelo dermatologista, com seus prováveis efeitos teratogênicos, demonstrando que a prescrição durante a gravidez deve ser segura e sempre respaldada por concimento científico específico