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An Bras Dermatol ; 95(6): 754-756, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32912800


Lupus miliaris disseminatus faciei or acne agminata is a chronic inflammatory disorder of the skin, considered an intriguing entity due to its pathogenesis, which is still largely speculative. It has been linked to tuberculosis, sarcoidosis, rosacea, and other granulomatous diseases, but it is considered an independent entity.

Dermatoses Faciais , Rosácea , Diagnóstico Diferencial , Edema/diagnóstico , Dermatoses Faciais/diagnóstico , Humanos , Rosácea/diagnóstico , Pele
Acta Derm Venereol ; 100(10): adv00152, 2020 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-32449781


Little is known about itch related to the use of face masks. This internet survey study investigated the prevalence, intensity and clinical characteristics of itch related to the use of face masks by the general public during the COVID-19 pandemic. A total of 2,315 replies were received, of which 2,307 were included in the final analysis. Of the respondents, 1,393 (60.4%) reported using face masks during the previous week, and, of these, 273 (19.6%) participants reported having itch. Subjects who reported sensitive skin and atopic predisposition, and those with facial dermatoses (acne, atopic dermatitis or seborrhoeic dermatitis) were at significantly higher risk of itch development. The high-est rating of itch for the whole group on the Itch Numeral Rating Scale was 4.07 ± 2.06 (itch of moderate intensity). Responders who wore masks for longer periods more frequently reported itch. Almost 30% of itchy subjects reported scratching their face without removing the mask, or after removing the mask and then scratching. Wearing face masks is linked to development of itch, and scratching can lead to incorrect use of face masks, resulting in reduced protection.

Betacoronavirus/patogenicidade , Infecções por Coronavirus/prevenção & controle , Dermatoses Faciais/epidemiologia , Máscaras/efeitos adversos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Prurido/epidemiologia , Autorrelato , Adolescente , Adulto , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Dermatoses Faciais/diagnóstico , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Pneumonia Viral/diagnóstico , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Polônia/epidemiologia , Prevalência , Prurido/diagnóstico , Medição de Risco , Fatores de Risco , Índice de Gravidade de Doença , Adulto Jovem
Pediatr. aten. prim ; 22(85): 39-41, ene.-mar. 2020. ilus, tab
Artigo em Espanhol | IBECS | ID: ibc-193439


El granuloma aséptico facial idiopático es una lesión nodular e indolora exclusiva de la infancia que suele aparecer en la zona de las mejillas. Presenta un amplio diagnóstico diferencial con otras lesiones nodulares. Se ha relacionado con el espectro de la rosácea por lo que, debido a las posibles implicaciones oculares de esta, se recomienda el seguimiento oftalmológico de los pacientes. Debido a su carácter benigno y autorresolutivo, como demuestra el caso clínico presentado, se recomienda un tratamiento conservador

Idiopathic facial aseptic granuloma is a pediatric condition characterized by red-violaceous nodule usually located on the cheeks. Differential diagnosis with other facial nodules must be done. The pathogenesis is still unclear but seems to be associated with rosacea. It is important keeping in mind the possible ophthalmological damage of rosacea so follow up is recommended. As we show in the case report, it is a benign lesion and it tends to spontaneous resolution, so we can avoid invasive treatments

Humanos , Masculino , Pré-Escolar , Granuloma/diagnóstico , Dermatoses Faciais/diagnóstico , Rosácea/diagnóstico , Diagnóstico Diferencial , Remissão Espontânea
Chest ; 157(2): e37-e40, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32033659


CASE PRESENTATION: A 50-year-old woman presented to the ED with a 3-day history of increasing confusion. Prior to her presentation, the patient had been in her usual state of health as reported by her family. She had a history of bipolar disorder and attention-deficit/hyperactivity disorder but had stopped her psychiatric medications for the past 4 days secondary to loss of insurance coverage. History was limited due to the patient's altered state and confusion, and was obtained from family. There was no history of headache, loss of consciousness, weakness of extremities, seizures, fever, or recent trauma. The patient's medical history also included cocaine abuse. The patient's family believed she had been abstinent from cocaine use for several years.

Adjuvantes Imunológicos/efeitos adversos , Transtornos Relacionados ao Uso de Cocaína/complicações , Confusão/induzido quimicamente , Contaminação de Medicamentos , Dermatoses Faciais/induzido quimicamente , Levamisol/efeitos adversos , Rabdomiólise/induzido quimicamente , Vasculite/induzido quimicamente , Cocaína , Inibidores da Captação de Dopamina , Equimose/induzido quimicamente , Equimose/diagnóstico , Dermatoses Faciais/diagnóstico , Feminino , Humanos , Pessoa de Meia-Idade , Rabdomiólise/diagnóstico , Vasculite/diagnóstico
JAMA Dermatol ; 156(1): 79-84, 2020 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-31774459


Importance: Facial dermatitis in women is well characterized. However, recent shifts in the men's grooming industry may have important implications for male facial dermatitis. Objective: To characterize male patients with facial dermatitis. Design, Setting, and Participants: A 22-year retrospective cross-sectional analysis (1994-2016) of North American Contact Dermatitis Group (NACDG) data, including 50 507 patients who underwent patch testing by a group of dermatology board-certified patch test experts at multiple centers was carried out. Facial dermatitis was defined as involvement of the eyes, eyelids, lips, nose, or face (not otherwise specified). Main Outcomes and Measures: The main outcome was to compare characteristics (including demographics and allergens) between male patients with facial dermatitis (MFD) and those without facial dermatitis (MNoFD) using statistical analysis (relative risk, CIs). Secondary outcomes included sources of allergic and irritant contact dermatitis and, for occupationally related cases, specific occupations and industries in MFD. Results: Overall, 1332 male patients (8.0%) were included in the MFD group and 13 732 male patients (82.0%) were included in MNoFD. The mean (SD) age of participants was 47 (17.2) years in the MFD group and 50 (17.6) years in the MNoFD group. The most common facial sites were face (not otherwise specified, 817 [48.9%]), eyelids (392 [23.5%]), and lips (210 [12.6%]). Participants in the MFD group were significantly younger than MNoFD (mean age, 47 vs 50 years; P < .001). Those in the MFD group were less likely to be white (relative risk [RR], 0.92; 95% CI, -0.90 to 0.95) or have occupationally related skin disease (RR, 0.49; 95% CI, -0.42 to 0.58; P < .001) than MNoFD. The most common allergens that were associated with clinically relevant reactions among MFD included methylisothiazolinone (n = 113; 9.9%), fragrance mix I (n = 27; 8.5%), and balsam of Peru (n = 90; 6.8%). Compared with MNoFD, MFD were more likely to react to use of dimethylaminopropylamine (RR, 2.49; 95% CI, -1.42 to 4.37]) and paraphenylenediamine (RR, 1.43; 95% CI, -1.00 to 2.04; P < .001). Overall, 60.5% of NACDG allergen sources were personal care products. Conclusions and Relevance: Although many allergens were similar in both groups, MFD were more likely to react to use of dimethylaminopropylamine and paraphenylenediamine, presumably owing to their higher prevalence in hair products. Most sources of allergic and irritant contact dermatitis in MFD were personal care products. This study provides insight into the risks and exposures of the increasing number of grooming products used by male dermatology patients. This will enable clinicians to better identify male patients who would benefit from patch testing and treat those with facial dermatitis.

Alérgenos/imunologia , Cosméticos/efeitos adversos , Dermatite Alérgica de Contato/diagnóstico , Dermatoses Faciais/diagnóstico , Testes do Emplastro/estatística & dados numéricos , Adulto , Idoso , Estudos Transversais , Dermatite Alérgica de Contato/epidemiologia , Dermatite Alérgica de Contato/imunologia , Dermatoses Faciais/epidemiologia , Dermatoses Faciais/imunologia , Humanos , Masculino , Metaloporfirinas , Pessoa de Meia-Idade , América do Norte/epidemiologia , Estudos Retrospectivos