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Dermatology online journal ; 11(4): 10-10, Dec. 2005. ilus
Artigo em Inglês | MedCarib | ID: med-17646


Eumycetoma is a localized, chronic fungal infection of skin and subcutaneous tissues. It is characterized by tumefaction, abscess formation, draining sinuses, and sclerotia (grains) within the abscesses and fistulae. Treatment of eumycetoma is a challenge. Relapse rates are high even when a combination of surgical and medical approaches is utilized. Here we report a case of eumycetoma due to Exophiala jeanselmei arising on the foot of a man from Trinidad, West Indies.

Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Masculino , Dermatomicoses , Dermatopatias Infecciosas , Doença Crônica , Trinidad e Tobago , Exophiala
West Indian med. j ; 47(Suppl. 3): 25, July 1998.
Artigo em Inglês | MedCarib | ID: med-1724


Large numbers of patients with minor skin ailments are being referred by primary health physicians to skin clinics with little attempt at diagnosing and treating these cases. This study evaluated whether primary health physicians were exposed to enough dermatology in their training to diagnose and treat simple dermatoses. In this retrospective cross-sectional survey the diagnosis, treatment, source of referral of all patients seen between January and June 1997 in two health centres in East Trinidad, Sangre Grande (SG) and Arima (A), were reviewed. There werer 146 registered patients at Sangre Grande and 189 at Arima. The commonest skin disorder was eczema (SG 37 percent, A 38 percent). The ability to diagnose this condition was 25 percent in Arima and 7 percent in Sangre Grande. Atopic exzema was the commonest in childhood (A 16 percent, SG 13 percent). Fungal infections, which included tinea corpois (A 8 percent, SG 7 percent) and tinea capitis ( A 15 percent, SG 8 percent), were the next most common dermatoses seen. The diagnostic ability for tinea corpois was: A 13 percent SG 0 percent; but there was a higher diagnostic index for tinea capitis (A 52 percent, SG 50 percent). Psoriasis (A 21 percent, SG 7 percent), like tinea capitis, had a diagnosis index of 50 percent. The most common referring diagnosis was skin rash (43 percent, SG 45 percent) or fungal rash (A 38 percent, SG 36 percent). There were significant differences in gender (P <0.05) and ethnicity (P<0.001) in Arima. In conclusion, the commonest dermatoses seen in both centres, were the eczemas, fungal infections and psoriasis. Diagnostic ability was low for the eczemas and tinea corporis, the commonest skin disorders, but better for tinea capitis and psoriasis. Increase referrals fof common skin disorders leads to overcrowding, decreasing the time for the dermatologist to do procedures, to teach and to give earlier and more frequent appointments to needy patients. Cost of treatment of patients and to Government is lower when the diagnosis is made on the initial visit, and loss of school days for tinea capitis can be decreased by prompt and effective treatment.(AU)

Humanos , Dermatologia/educação , Médicos de Família/educação , Dermatopatias/diagnóstico , Dermatopatias/terapia , Estudos Retrospectivos , Estudos Transversais , Dermatite Atópica , Tinha do Couro Cabeludo/diagnóstico , Tinha/diagnóstico , Dermatomicoses/diagnóstico , Exantema/diagnóstico
Postgrad Doc - Caribbean ; 11(2): 58-63, Mar. 1995.
Artigo em Inglês | MedCarib | ID: med-5044


Pruritus ani is a manifestation of a wide spectrum of disease conditions. Infections form a minor aetiological fraction but include organisms from the various microbiological subdisciplines. Fungal causes of pruritus ani usually come from the normal flora, and can be diagnosed in the office, by microscopy using a mixture of potassium hydroxide and dimethyl sulfoxide. Parasites causing pruritus ani may be transmitted by direct contact, the faeco-oral or sexually. Treatment of scabies and enterobiasis should involve simultaneous treatment of family members. Articles of clothing and bed sheets must be exposed to heat. Lindane (gamma benzene hexachloride) should not be used in pregnant women and children under the age of two years to avoid potential neurotoxicity. Irrespective of the aetiology, severe pruritus ani predisposes to secondary bacterial infection (AU)

Humanos , Prurido Anal/tratamento farmacológico , Parasitos , Escabiose , Enterobíase , Hexaclorocicloexano , Helmintos , Candida albicans , Candidíase , Trichophyton , Epidermophyton , Sarcoptes scabiei , Enterobius , Herpesvirus Humano 2 , Papillomaviridae , Dermatomicoses
Trop Geogr Med ; 40(2): 153-7, Apr. 1988.
Artigo em Inglês | MedCarib | ID: med-12518


Three cases are reported of patients with the acquired immune deficiency syndrome (AIDS) and cutaneous histoplasmosis. Their initial presentation was that of a generalised malculopapular rash. Two patients were bisexual males and the third was an unmarried female. The range of opportunistic infections seen in AIDS patients in Trinidad is mentioned and clinicians are alerted to the fact that in areas endemic for histoplasma capsulatum maculopapular rash in patients with AIDS may suggest disseminated histoplasmosis. The value of skin biopsy is mentioned. (AU)

Humanos , Adulto , Pessoa de Meia-Idade , Masculino , Feminino , Síndrome de Imunodeficiência Adquirida/complicações , Dermatomicoses/etiologia , Histoplasmose/etiologia , Anfotericina B/uso terapêutico , Biópsia , Dermatomicoses/tratamento farmacológico , Dermatomicoses/patologia , Ensaio de Imunoadsorção Enzimática , Histoplasmose/tratamento farmacológico , Histoplasmose/patologia , Cetoconazol/uso terapêutico , Trinidad e Tobago
West Indian med. j ; 9(2): 101-13, June 1960.
Artigo em Inglês | MedCarib | ID: med-14924


A brief review of the history leading from research begun in 1939 to Gentles' successful cure of guinea pigs infected with fungi in 1958 and the first clinical use of griseofulvin by Williams, Blank and Riehl (1958), is given. The use and misuse of griseofulvin is discussed. Dosage, duration and control of treatment are described and the rare and never dangerous side effects are mentioned. An account of 84 personal cases of dermatomycosis treated with griseofulvin is presented. This includes a report on a case of chromomycosis which was cured by combined treatment with vitamin D2 and griseofulvin (AU)

Humanos , Criança , Adolescente , Adulto , Pessoa de Meia-Idade , Masculino , Feminino , Dermatomicoses/tratamento farmacológico , Griseofulvina/uso terapêutico , Griseofulvina/administração & dosagem , Griseofulvina/farmacologia