White piedra on pediatric scalp: A case report.

This case report describes a rare fungal infection, piedra alba, in a 5-year-old female initially misdiagnosed. Treatment with 2 % ketoconazole shampoo led to significant regression within a week, without the need for hair cutting. We discuss the importance of early and accurate diagnosis, highlighting potential hair damage and complications in immunocompromised cases. Dermatoscopy aided diagnosis, and 2 % ketoconazole demonstrated efficacy, emphasizing the need for a multidisciplinary approach and dermatological follow-up.

Assessing the chemical composition, potential toxicity and cancer risk of airborne fine particulate matter (PM2.5) near a petrochemical industrial area.

In the vicinity of a petrochemical industrial region in São Paulo, Brazil, PM2.5-bound organic carbon (OC), elemental carbon (EC), polycyclic aromatic hydrocarbons (PAHs), nitro-PAHs, oxy-PAHs, hopanes, and inorganic species were evaluated. Oxidative potential (OP), burden (OB), and Alivibrio fischeri bioluminescence inhibition (AFBIA) assays were conducted to determine the potential health effects of exposure to these compounds. The PM2.5 mean concentration was 32.0 ± 18.2 µg m-3, and benzo (a)pyrene was found to exceed recommended levels by at least four times. Secondary sources and vehicular emissions were indicated by nitro-PAHs, oxy-PAHs, and inorganic species. The OP and OB results revealed that secondary compounds favored antioxidant depletion. The AFBIA results showed that 64 % of the samples were toxic. These findings emphasize the need to reduce the exposure risk and take measures to protect human health.

Emission factors for a biofuel impacted fleet in South America's largest metropolitan area.

The Metropolitan Area of São Paulo (MASP) is among the largest urban areas in the Southern Hemisphere. Vehicular emissions are of great concern in metropolitan areas and MASP is unique due to the use of biofuels on a large scale (sugarcane ethanol and biodiesel). In this work, tunnel measurements were employed to assess vehicle emissions and to calculate emission factors (EFs) for heavy-duty and light-duty vehicles (HDVs and LDVs). The EFs were determined for particulate matter (PM) and its chemical compounds. The EFs obtained for 2018 were compared with previous tunnel experiments performed in the same area. An overall trend of reduction of fine and coarse PM, organic carbon (OC), and elemental carbon (EC) EFs for both LDVs and HDVs was observed if compared to those observed in past years, suggesting the effectiveness of vehicular emissions control policies implemented in Brazil. A predominance of Fe, Cu, Al, and Ba emissions was observed for the LDV fleet in the fine fraction. Cu presented higher emissions than two decades ago, which was associated with the increased use of ethanol fuel in the region. For HDVs, Zn and Pb were mostly emitted in the fine mode and were linked with lubricating oil emissions from diesel vehicles. A predominance in the emission of three- and four-ring polycyclic aromatic hydrocarbons (PAHs) for HDVs and five-ring PAHs for LDVs agreed with what was observed in previous studies. The use of biofuels may explain the lower PAH emissions for LDVs (including carcinogenic benzo[a]pyrene) compared to those observed in other countries. The tendency observed was that LDVs emitted higher amounts of carcinogenic species. The use of these real EFs in air quality modeling resulted in more accurate simulations of PM concentrations, showing the importance of updating data with real-world measurements.

Particulate matter fingerprints in biofuel impacted tunnels in South America's largest metropolitan area.

This study characterized the chemical composition of particulate matter (PM) from light- (LDV) and heavy-duty (HDV) vehicles based on two traffic tunnel samplings carried out in the megacity of São Paulo (Brazil), which has >7 million vehicles and intense biofuel use. The samples were collected with high-volume samplers and analyzed using chemical characterization techniques (ion and gas chromatography, thermal-optical analysis, and inductively coupled plasma mass spectroscopy). Chemical source profiles (%) were calculated based on the measurements performed inside and outside the tunnels. Identifying a high abundance of Fe and Cu for traffic-related PM in the LDV-impacted tunnel was possible, linked with the emission of vehicles powered by ethanol and gasohol (gasoline and ethanol blend). We calculated diagnostic ratios (e.g., EC/Cu, Fe/Cu, pyrene/benzo[a]pyrene, pyrene/benzo[b]fluoranthene, and fluoranthene/benzo[b]fluoranthene) characteristic of fuel exhausts (diesel/biodiesel and ethanol/gasohol), allowing their use in the assessment of the temporal variation of the fuel type used in urban sites. Element diagnostic ratios (Cu/Sb and Fe/Cu) pointed to the predominance of LDVs exhaust-related copper and can differentiate LDVs exhaust from brake wear emissions. The carbonaceous fraction EC3 was suggested as an HDV emission tracer. A higher total polycyclic aromatic hydrocarbons (PAHs) fraction of traffic-related PM2.5 was observed in the HDV-impacted tunnel, with a predominance of diesel-related pyrene and fluoranthene, as well as higher oxy-PAHs (e.g., 9,10-anthraquinone, associated with biodiesel blends) abundances. However, carcinogenic species presented higher abundances for the LDV-impacted tunnel (e.g., benzo[a]pyrene). These findings highlighted the impact of biofuels on the characteristic ratios of chemical species and pointed to possible markers for LDVs and HDVs exhausts.

Particulate matter-bound organic compounds: levels, mutagenicity, and health risks.

Increased industrialization and consumption of fossil fuels in the Metropolitan Region of São Paulo (MRSP), Brazil, have caused a growth of the particulate matter emissions to the atmosphere and an increase in population health problems. Particulate and gaseous phase samples were collected in different short campaigns (2015, 2016, and 2017) near an urban-industrial area. Organic carbon (OC), elemental carbon (EC), polycyclic aromatic hydrocarbons (PAH), and its derivatives (nitro and oxy-PAH), n-alkanes, hopanes, and pesticides were determined. The Salmonella/microsome test confirmed the mutagenic activity of these samples. Among PAH, benzo(a)pyrene was detected as one of the most abundant compounds. Benzo(a)pyrene equivalent concentrations for PAH and nitro-PAH, and the associated risk of lung cancer, showed values above those recommended in the literature. The profile of n-alkanes confirmed the predominance of anthropogenic sources. Pesticide concentrations and estimated risks, such as the daily inhalation exposure and hazard quotient, suggest that exposure to these compounds in this area may be dangerous to human health.

Air quality of an urban school in São Paulo city.

A major campaign was carried out in indoor and outdoor environments in a school located in the university campus of the city of São Paulo. Elements, PAH, oxy-PAH, water-soluble ions and black carbon were determined and compared with preliminary campaigns. The results indicated that the concentrations of particles and organic compounds were higher indoors. Some high molecular weight compounds, attributed to vehicular emissions, were more abundant outdoors. The associated health risk was found to be low. 2-Methylanthraquinone and benzo(a)anthracene-7,12-dione were detected in the indoor samples, denoting the infiltration of vehicle exhaust. The observation of black carbon also corroborates the contribution of traffic emissions. For most of the elements, except for chromium, iron and manganese, the concentrations obtained in indoors were higher than outdoors, mainly due to soil resuspension. Chromium and manganese likely derived from emissions of the vehicle powered by mixtures of ethanol and gasoline. Water-soluble inorganic ions species denoted the influence of soil resuspension and human activities.

Panniculitis associated with amyopathic dermatomyositis.

Panniculitis is a rare clinical finding in dermatomyositis, with less than 30 cases reported and there is only one case associated with the amyopathic subtype described in the literature. The present report describes a 49-year-old female patient that one year after being diagnosed with amyopathic dermatomyositis, presented indurated, painful, erythematous to violaceous nodules located on the upper limbs, thighs and gluteal region. Skin biopsy revealed lobular panniculitis with a lymphocytic infiltrate. The patient was treated with prednisone and methotrexate, but remained unresponsive to treatment.

Panniculitis associated with amyopathic dermatomyositis

Abstract: Panniculitis is a rare clinical finding in dermatomyositis, with less than 30 cases reported and there is only one case associated with the amyopathic subtype described in the literature. The present report describes a 49-year-old female patient that one year after being diagnosed with amyopathic dermatomyositis, presented indurated, painful, erythematous to violaceous nodules located on the upper limbs, thighs and gluteal region. Skin biopsy revealed lobular panniculitis with a lymphocytic infiltrate. The patient was treated with prednisone and methotrexate, but remained unresponsive to treatment.

Pemphigus foliaceus as a differential diagnosis in vesicobullous lesions.

Given the challenge of clinical diagnosis of bullous skin lesions, this report aimed to discuss the histological changes, the presentation and clinical reasoning for diagnosis of these lesions. At the same time, the importance of the pathology was reviewed to identify these clinical scenarios. In this case report, we highlighted the clinical progression of a case of pemphigus foliaceus. RESUMO Considerando o desafio do diagnóstico clínico de lesões cutâneas de apresentação bolhosa, o presente trabalho procurou discutir as alterações histológicas, a apresentação e o raciocínio clínico para o diagnóstico de tais lesões. Paralelamente, a importância da patologia foi revisada na identificação destes quadros. Neste relato de caso, destaca-se a evolução clínica de um quadro de pênfigo foliáceo.

Pemphigus foliaceus as a differential diagnosis in vesicobullous lesions / Pênfigo foliáceo como diagnóstico diferencial em lesões vesicobolhosas

ABSTRACT Given the challenge of clinical diagnosis of bullous skin lesions, this report aimed to discuss the histological changes, the presentation and clinical reasoning for diagnosis of these lesions. At the same time, the importance of the pathology was reviewed to identify these clinical scenarios. In this case report, we highlighted the clinical progression of a case of pemphigus foliaceus.

RESUMO Considerando o desafio do diagnóstico clínico de lesões cutâneas de apresentação bolhosa, o presente trabalho procurou discutir as alterações histológicas, a apresentação e o raciocínio clínico para o diagnóstico de tais lesões. Paralelamente, a importância da patologia foi revisada na identificação destes quadros. Neste relato de caso, destaca-se a evolução clínica de um quadro de pênfigo foliáceo.

Scleromyxedema: clinical diagnosis and autopsy findings

Abstract Scleromyxedema is a rare chronic cutaneous mucinosis of unknown etiology. It is characterized by papular eruption and scleroderma with microscopic evidence of mucin deposition, fibroblast proliferation, and fibrosis. Most patients with scleromyxedema have monoclonal gammopathy and systemic manifestations resulting in significant morbidity and mortality. Several types of treatment have been reported with partial or inconsistent responses. Despite showing unpredictable evolution, systemic consequences of scleromyxedema and treatment side effects may result in death. We describe a rare case of a patient with scleromyxedema without paraproteinemia with systemic involvement that evolved to death despite treatment with cyclophosphamide.

Scleromyxedema: clinical diagnosis and autopsy findings.

Scleromyxedema is a rare chronic cutaneous mucinosis of unknown etiology. It is characterized by papular eruption and scleroderma with microscopic evidence of mucin deposition, fibroblast proliferation, and fibrosis. Most patients with scleromyxedema have monoclonal gammopathy and systemic manifestations resulting in significant morbidity and mortality. Several types of treatment have been reported with partial or inconsistent responses. Despite showing unpredictable evolution, systemic consequences of scleromyxedema and treatment side effects may result in death. We describe a rare case of a patient with scleromyxedema without paraproteinemia with systemic involvement that evolved to death despite treatment with cyclophosphamide.

Avaliação parasitológica de alfaces (lactuca sativa) comercializadas em restaurantes, supermercados, hortas e feira de Redenção, PA / Parasitological evaluation of lettuces (lactuca sativa) marketed in restaurants, supermarkets gardens and fair of Redenção, PA

As hortaliças especialmente as consumidas cruas, têm especial importância na transmissão.