RESUMO
Many skin diseases are associated with mental disorders. When the psychological symptoms are mild, as is often the case in dermatology, it can be difficult to distinguish between normality and the manifestations of a mental disorder. To facilitate the distinction we review the concept of mental disorder in the present article. It is also important to have instruments that can facilitate early detection of psychological disease, i.e. when the symptoms are still mild. Short, simple, self-administered questionnaires have been developed to help dermatologists and other health professionals identify the presence of a mental disorder with a high degree of certainty. In this article, we focus on the questionnaires most often used to detect the 2 most common mental disorders: anxiety and depression. Finally, we describe the circumstances in which it is advisable to refer a dermatological patient to a psychiatrist, who can diagnose and treat the mental disorder in accordance with standard protocols.
Assuntos
Sintomas Afetivos/complicações , Sintomas Afetivos/diagnóstico , Transtornos Mentais/complicações , Transtornos Mentais/diagnóstico , Dermatopatias/complicações , Ansiedade/complicações , Depressão/complicações , Depressão/diagnóstico , Dermatologia/métodos , Autoavaliação Diagnóstica , Diagnóstico Precoce , Humanos , Testes PsicológicosRESUMO
We report a case of chromoblastomycosis in a 67-year-old female farmer, which involved a large (20 x 30 cm) cicatricial erythematous plaque on the inner side of her right thigh. The lesion was initially a small nodule which gradually extended over 36 years. Direct microscopic examination revealed a granulomatous lesion with muriform cells surrounded by giant cells. The mould recovered in cultures was dark olivaceous and identified as Fonsecaea monophora by ribosomal internal transcribe spacer (ITS) sequence data. The lesion was successfully cured after 4 months treatment with itraconazole, but there was a relapse.
Assuntos
Antifúngicos/uso terapêutico , Ascomicetos/efeitos dos fármacos , Cromoblastomicose/tratamento farmacológico , Itraconazol/uso terapêutico , Idoso , Antifúngicos/farmacologia , Ascomicetos/citologia , Ascomicetos/isolamento & purificação , Cromoblastomicose/diagnóstico , Cromoblastomicose/microbiologia , Doença Crônica , Feminino , Histocitoquímica , Humanos , Itraconazol/farmacologia , Coxa da Perna/microbiologia , Coxa da Perna/patologiaRESUMO
A case of double outlet left ventricle with pulmonary atresia is reported. The hypoplasia of the left ventricule produced by the almost total absence of its trabecular zone has not been previously reported.