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1.
J Drugs Dermatol ; 18(3): 246-250, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-30909328

RESUMO

The purpose of this review is to discuss the disease process and wide variety of treatment options for psuedofolliculitis barbae (PFB), or razor bumps. PFB is caused by hair follicles penetrating the skin and causing an inflammatory response. PFB can occur to anyone who shaves, and is more likely in those with curly hair. PFB can cause significant hyperpigmentation and scarring, more noticeable in darker skin types. PFB can be treated with a variety of topical, systemic, or light/laser therapies. Minimal progress has been made in treating PFB in recent years, partially due to the success of well-established current treatments discussed in this review. The most effective treatments involve a multifaceted approach including behavioral changes in shaving habits as well as the use of topical therapies. J Drugs Dermatol. 2019;18(3):246-250.


Assuntos
Fármacos Dermatológicos/uso terapêutico , Doenças do Cabelo/terapia , Remoção de Cabelo/efeitos adversos , Terapia com Luz de Baixa Intensidade/métodos , Fotoquimioterapia/métodos , Administração Cutânea , Administração Oral , Antibacterianos/uso terapêutico , Face , Hábitos , Doenças do Cabelo/epidemiologia , Doenças do Cabelo/etiologia , Folículo Piloso/patologia , Folículo Piloso/efeitos da radiação , Humanos , Queratinas Específicas do Cabelo/genética , Queratinas Tipo II/genética , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento
2.
Indian J Dermatol Venereol Leprol ; 84(5): 528-538, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30027913

RESUMO

Hair disorders are common in clinical practice and depending upon social and ethnic norms, it can cause significant psychosocial distress. Hair growth, cycling and density are regulated by many endogenous factors, mainly circulating hormones. Thus, diseases affecting the endocrine system can cause varied changes in physiological hair growth and cycling. Diagnosis and treatment of these disorders require a multidisciplinary approach involving a dermatologist, gynecologist and an endocrinologist. In this review, we briefly discuss the influence of hormones on the hair cycle and hair changes in various endocrine disorders.


Assuntos
Doenças do Sistema Endócrino/diagnóstico , Doenças do Sistema Endócrino/epidemiologia , Doenças do Cabelo/diagnóstico , Doenças do Cabelo/epidemiologia , Alopecia/diagnóstico , Alopecia/epidemiologia , Alopecia/terapia , Doenças do Sistema Endócrino/terapia , Feminino , Doenças do Cabelo/terapia , Hirsutismo/diagnóstico , Hirsutismo/epidemiologia , Hirsutismo/terapia , Humanos , Hipertricose/diagnóstico , Hipertricose/epidemiologia , Hipertricose/terapia , Masculino
5.
Int J Dermatol ; 56(10): 1032-1036, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28895117

RESUMO

BACKGROUND: Clinically, pilomatricoma offers potential for a wide spectrum of differential diagnoses. It typically occurs in pediatric patients with the head being the most common location. A second peak of clinical presentation occurs in adults at age 50-65 years, suggesting a bimodal pattern of occurrence. OBJECTIVE: To investigate the clinical and epidemiological features of pilomatricoma in adults over 20 years old, as it is a common and frequently misdiagnosed tumor. METHODS: This was a retrospective study of pilomatricomas surgically removed at a tertiary hospital between January 1994 and December 2014. A search of the all-pathological database of patients aged over 20 years old with a pathological diagnosis of pilomatricoma was carried out. RESULTS: The clinical preoperative diagnosis of pilomatricoma was made in 34.0% of cases. Tumor location showed a predilection to the head and neck. Of the reported concomitant neoplasm, a majority had accompanying skin tumors. CONCLUSION: We conclude that clinical features in adults were similar to those of children. This study outlines clinical presentations that should help to guide differential diagnoses. Additionally, because of similarities between the distribution and depth of vellus hair follicles and pilomatricomas, it is probable that vellus hair bulbs may be the origin of this tumor.


Assuntos
Doenças do Cabelo/epidemiologia , Neoplasias de Cabeça e Pescoço/epidemiologia , Neoplasias Primárias Múltiplas/epidemiologia , Pilomatrixoma/epidemiologia , Neoplasias Cutâneas/epidemiologia , Adulto , Idoso , Feminino , Doenças do Cabelo/diagnóstico , Neoplasias de Cabeça e Pescoço/diagnóstico , Humanos , Extremidade Inferior , Masculino , Pessoa de Meia-Idade , Pilomatrixoma/diagnóstico , Estudos Retrospectivos , Neoplasias Cutâneas/diagnóstico , Tronco , Extremidade Superior , Adulto Jovem
7.
Int J Dermatol ; 56(8): 828-832, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28664654

RESUMO

BACKGROUND: Acne keloidalis nuchae (AKN) is a chronic scarring folliculitis which usually occurs in young adult males of African descent. Studies have suggested that AKN may be associated with other dermatologic conditions and even general medical disorders. The aim of this study was to identify cutaneous and extracutaneous associated disorders and to examine risk factors in our population for developing AKN. METHODS: The study was a retrospective, descriptive, and analytical study conducted at the Dermatology Outpatient department of the University Hospital of the West Indies. Data were obtained from the medical records of patients diagnosed over a 15-year period (2000-2014). RESULTS: There were 1031 new patients during the study period. Of these, 43 (4.2%) had AKN. The male to female ratio for AKN was approximately 7:1. Pseudofolliculitis barbae was associated with keloidal plaques on the scalp (OR = 6.22, P = 0.036). Also, when the duration of AKN was divided into two groups (0-5 years and greater than 5 years), there was an association between keloidal plaques and duration of greater than 5 years (OR = 7.5, P = 0.032). However, when the odds ratio was adjusted, only the duration of AKN remained significantly associated with keloidal plaques (OR = 7.08, P = 0.047). Chronic scalp folliculitis (P = 0.001) and the presence of any component disease of the metabolic syndrome (OR = 14, P = 0.008) and specifically hypertension (OR = 6.75, P = 0.036) were significantly associated with the extension of the lesions beyond the nape and occipital scalp. CONCLUSIONS: Pseudofolliculitis barbae, chronic scalp folliculitis, and aspects of the metabolic syndrome may be associated with acne keloidalis nuchae.


Assuntos
Acne Queloide/epidemiologia , Doenças do Cabelo/epidemiologia , Síndrome Metabólica/epidemiologia , Dermatoses do Couro Cabeludo/epidemiologia , Acne Vulgar/epidemiologia , Adolescente , Adulto , Idade de Início , Doença Crônica , Diabetes Mellitus/epidemiologia , Feminino , Foliculite/epidemiologia , Humanos , Hipertensão/epidemiologia , Jamaica/epidemiologia , Masculino , Pessoa de Meia-Idade , Pescoço , Obesidade/epidemiologia , Estudos Retrospectivos , Fatores de Risco , Fatores de Tempo , Adulto Jovem
8.
J Dtsch Dermatol Ges ; 15(6): 621-627, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28513987

RESUMO

BACKGROUND: Numerous risk factors place palliative care patients at an increased risk of skin infections, dermatitis, and pressure sores. Furthermore, worsening of chronic skin disorders can be expected, as well as the development of treatment-induced and malignancy-related dermatoses. The objective of the present study was to investigate the prevalence and treatment of dermatological conditions in patients receiving hospital-based palliative care. METHODS: Two hundred seventy-one palliative patients were enrolled. All assessments were conducted by dermatologists. Skin lesions were classified into seven categories: infections, skin tumors, dermatitis, chronic wounds, nail and hair disorders, pruritus, and other unclassified conditions. Treatment modalities were classified as topical only or systemic. RESULTS: Overall, 1,267 dermatological conditions were recorded, 49 % of which were hospital-acquired. All patients had at least one dermatological condition, and more than 50 different dermatological disorders were noted. The most common group of skin disorders was dermatitis (18.3 % of all dermatological conditions), followed by nail and hair disorders (17.5 %). Almost 16 % of dermatological conditions were treated systemically. CONCLUSIONS: Dermatological conditions are a common and clinically significant problem for palliative patients. The inclusion of dermatologists in multidisciplinary palliative teams should prove helpful in the management of these patients.


Assuntos
Estado Terminal/epidemiologia , Dermatite/epidemiologia , Doenças do Cabelo/epidemiologia , Doenças da Unha/epidemiologia , Cuidados Paliativos/estatística & dados numéricos , Dermatopatias Infecciosas/epidemiologia , Neoplasias Cutâneas/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Comorbidade , Estado Terminal/enfermagem , Dermatite/diagnóstico , Feminino , Doenças do Cabelo/diagnóstico , Humanos , Doença Iatrogênica/epidemiologia , Masculino , Pessoa de Meia-Idade , Doenças da Unha/diagnóstico , Prevalência , Fatores de Risco , Distribuição por Sexo , Adulto Jovem
9.
J Stomatol Oral Maxillofac Surg ; 118(2): 95-102, 2017 Apr.
Artigo em Francês | MEDLINE | ID: mdl-28342837

RESUMO

INTRODUCTION: Malignant cutaneous adnexal neoplasms are rare and have been characterized only recently. They can occur at any age but preferentially in elderly. There are 3 of them: trichoblastic carcinoma, trichilemmal carcinoma and malignant pilomatricoma. The aim of our study was to make a diagnostic and therapeutic update about these tumors when located at the face or at the scalp. MATERIALS AND METHODS: A bibliographic research was made on PubMed using following keywords: appendage skin carcinoma AND pathology AND/OR therapeutic. Articles published before 2000 were considered outdated and were excluded. RESULTS: Twenty-five articles met the inclusion criteria. Clinical presentation was non-specific. Histological examination only allowed for diagnosis. Lesions were locally or loco-regionally aggressive. Lymphatic or hematogenous metastasis were reported. No consensus about treatment was found. When surgery was used, it consisted in resection with safety margins ranging from 0.5 to 3cm depending on the teams. In case of metastasis, treatment consisted in chemo- and/or radiotherapy. A quarterly medical monitoring was recommended. DISCUSSION: Malignant cutaneous adnexal tumors are rare. There is nowadays no treatment consensus. An initial staging by mean of a head and neck, chest, abdominal and pelvic CT-scan is mandatory. Treatment has to be decided in a multidisciplinary cancer committee. In the absence of metastasis, the reference treatment is surgical resection, possibly by Mohs micrographic technique, with large safety margins. In case of metastasis or if the loco-regional extension does not allow for a complete excision, chemotherapy and/or radiotherapy may be proposed. A close monitoring is essential.


Assuntos
Carcinoma de Apêndice Cutâneo , Neoplasias Faciais , Neoplasias de Cabeça e Pescoço , Couro Cabeludo , Neoplasias Cutâneas , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma de Apêndice Cutâneo/diagnóstico , Carcinoma de Apêndice Cutâneo/epidemiologia , Carcinoma de Apêndice Cutâneo/terapia , Face/patologia , Neoplasias Faciais/diagnóstico , Neoplasias Faciais/epidemiologia , Neoplasias Faciais/terapia , Doenças do Cabelo/diagnóstico , Doenças do Cabelo/epidemiologia , Doenças do Cabelo/patologia , Doenças do Cabelo/terapia , Neoplasias de Cabeça e Pescoço/diagnóstico , Neoplasias de Cabeça e Pescoço/epidemiologia , Neoplasias de Cabeça e Pescoço/terapia , Humanos , Pessoa de Meia-Idade , Couro Cabeludo/patologia , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/epidemiologia , Neoplasias Cutâneas/terapia
10.
Int J Dermatol ; 56(3): 341-345, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28054375

RESUMO

In patients with vitiligo, the clinical and laboratory features of the disease may vary according to time of onset. This is addressed in the literature by only a few studies with conflicting results. The aim of this study was to determine the demographic and clinical features of patients with non-segmental vitiligo and to establish the association between vitiligo and autoimmune diseases with a focus on time of disease onset. A total of 224 vitiligo patients for whom complete medical records were available were evaluated retrospectively. Demographic data, scores on the Vitiligo Area Score Index (VASI), clinical features, vitiligo disease activity, repigmentation status, presence of any accompanying autoimmune disease, antinuclear antibody (ANA) titers, serum levels of glucose, thyroid-stimulating hormone (TSH), thyroxine (T4) hormone, anti-thyroid peroxidase (anti-TPO), and anti-thyroglobulin (anti-TG) were recorded. The prevalence of halo nevi was significantly higher (P < 0.001) among children than in other patient groups. The prevalence of leukotrichia was higher in adults with adult-onset disease than in either pediatric patients or adults with childhood-onset disease (P = 0.002). Both anti-TG and anti-TPO levels were significantly higher in adults with adult-onset disease than in pediatric patients and adult patients with childhood-onset disease. The prevalence of autoimmune disease was 22.2%. Anti-TG levels were significantly higher in patients with treatment-related repigmentation than in those without repigmentation. This study shows that clinical features and associations with autoimmune disease may vary according to the age of onset of vitiligo.


Assuntos
Doenças Autoimunes/epidemiologia , Nevo com Halo/epidemiologia , Neoplasias Cutâneas/epidemiologia , Vitiligo/sangue , Vitiligo/epidemiologia , Adolescente , Adulto , Idade de Início , Idoso , Anticorpos Antinucleares/sangue , Autoanticorpos/sangue , Glicemia/metabolismo , Criança , Pré-Escolar , Comorbidade , Feminino , Doenças do Cabelo/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Retrospectivos , Índice de Gravidade de Doença , Pigmentação da Pele , Tireotropina/sangue , Tiroxina/sangue , Turquia/epidemiologia , Vitiligo/fisiopatologia , Adulto Jovem
11.
Eye Contact Lens ; 43(1): 64-67, 2017 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26783981

RESUMO

OBJECTIVE: This study aimed to determine the frequency of Demodex infestation of eyelashes in patients with and without blepharitis and to determine the effects of Demodex infestation on blepharitis and the ocular symptoms. METHODS: The study included patients with chronic mixed (anterior + posterior) blepharitis who presented to our clinic. Patients with refractive error and no ocular disease were enrolled as the control group. From each participant, a total of 4 eyelashes were removed and were then examined under a light microscope for Demodex infestation. Symptoms, fluorescein tear breakup time, and ocular surface staining pattern were recorded. RESULTS: The prevalence of Demodex infection in the blepharitis group was 67.2%, versus 54.9% in the control group (P=0.18). The incidence of itching in the blepharitis group was significantly higher in the Demodex (+) patients than in the Demodex (-) patients (P<0.001). Fluorescein tear breakup time in the Demodex (+) patients was significantly shorter than in the Demodex (-) patients (P<0.001). There was not a significant difference in the fluorescein staining pattern between the 2 groups (P=0.57). The incidence of advanced stage blepharitis was significantly higher among the Demodex (+) patients (P=0.007). The incidence of cylindrical eyelash dandruff in the blepharitis group was significantly higher in the Demodex (+) patients (P<0.001). There was a significant difference in meibomian gland dysfunction between the 2 groups (P=0.039). CONCLUSION: Demodex infestation must be investigated in patients with advanced stage blepharitis, itching, and shorter than normal fluorescein tear breakup time.


Assuntos
Blefarite/epidemiologia , Infecções Oculares Parasitárias/epidemiologia , Pestanas/parasitologia , Doenças do Cabelo/epidemiologia , Infestações por Ácaros/epidemiologia , Ácaros , Adulto , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/fisiologia , Animais , Blefarite/parasitologia , Infecções Oculares Parasitárias/parasitologia , Feminino , Doenças do Cabelo/parasitologia , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Infestações por Ácaros/parasitologia
12.
J Small Anim Pract ; 57(12): 659-667, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27925662

RESUMO

OBJECTIVES: To gain information on hair loss amongst curly coated retrievers by questionnaire and to define the clinical and pathological features of hair coat abnormalities in affected dogs in the United Kingdom and Sweden. MATERIALS AND METHODS: Questionnaires were completed by members of the Curly Coated Retriever Clubs. Fourteen dogs (six in the United Kingdom, eight in Sweden) were clinically examined and skin/hair samples collected for microscopy and histopathology. Blood was collected for haematological, biochemical and endocrine assays. RESULTS: Of 90 dogs surveyed, 39 had current or previous episodes of symmetrical, non-pruritic alopecia and or frizzy coat changes, usually affecting caudal thighs, axillae, dorsum and neck before 18 months of age; 23 dogs had a waxing/waning course. Examined dogs generally matched the pattern described in questionnaires. Hair shaft anomalies comprised occasional distorted anagen bulbs (10 dogs) and transverse fractures (8 dogs). Vertical histopathological sections showed infundibular hyperkeratosis (28 of 30 sections) and low-grade pigment clumping (17 of 30). Subtle telogenisation of hair follicles was unequivocally confirmed by transverse histomorphometric analyses. CLINICAL SIGNIFICANCE: The follicular dysplasia of curly coated retriever reported here is similar to that of Irish water spaniels and Chesapeake Bay retrievers but distinct from that of Portuguese water dogs. The genetic basis requires further assessment.


Assuntos
Doenças do Cão/epidemiologia , Doenças do Cabelo/veterinária , Alopecia/epidemiologia , Alopecia/patologia , Alopecia/veterinária , Animais , Doenças do Cão/patologia , Cães , Feminino , Doenças do Cabelo/epidemiologia , Doenças do Cabelo/patologia , Masculino , Prevalência , Especificidade da Espécie , Inquéritos e Questionários , Suécia/epidemiologia , Reino Unido/epidemiologia
14.
Pediatr Dermatol ; 33(5): 473-80, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27292719

RESUMO

Hair shaft disorders are characterized by congenital or acquired abnormalities of the hair shaft. The objective was to review the literature regarding the prognosis and treatment options of hair shaft disorders. We used keywords in the search engines PubMed and Medline to identify all publications in the English language related to the prognosis and management of hair shaft disorders. Data were extracted from 96 articles that met search criteria. Findings were limited to case reports and small case series, as no studies were found. Disorders that improve in childhood include pili torti, trichorrhexis invaginata, wooly hair, and pili trianguli et canaliculi. Others, such as trichorrhexis nodosa, monilethrix, pili annulati, and pili bifurcati improve with minoxidil. Oral retinoids have improved hair abnormalities in trichorrhexis invaginata and monilethrix. There is no specific treatment for congenital hair shaft abnormalities. Gentle hair care is the mainstay of care for hair shaft disorders associated with fragility. Practices for gentle care include no brushing, backcombing, chemical products, tight braids, heat exposure, or mechanical grooming. Any inherited or congenital disorder requires genetic counseling as part of management.


Assuntos
Doenças do Cabelo/congênito , Doenças do Cabelo/terapia , Cabelo/anormalidades , Alopecia em Áreas/congênito , Alopecia em Áreas/diagnóstico , Alopecia em Áreas/epidemiologia , Alopecia em Áreas/terapia , Criança , Pré-Escolar , Terapia Combinada , Gerenciamento Clínico , Feminino , Doenças do Cabelo/diagnóstico , Doenças do Cabelo/epidemiologia , Humanos , Incidência , Masculino , Prognóstico , Medição de Risco
15.
Niger J Med ; 25(3): 272-81, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-30011172

RESUMO

Background: Several studies have been carried out to determine the patterns of skin diseases across Nigeria and results have shown changing patterns with the trend reflecting a higher tendency for allergic dermatoses in a majority of these studies. This study was carried out to evaluate the current clinical picture of patients presenting to our clinic. Materials and Methods: A prospective study of new patients seen in the skin clinic of University of Nigeria Teaching Hospital (UNTH), Ituku- Ozalla, between November 2013 and August 2014 was carried out. A total of 387 patients' data was analysed. Data collected on patients' sociodemographic status and diagnosis were entered into SPSS Version 17 and analyzed. Diagnosis was based on clinical findings, laboratory diagnosis including biopsy and histopathology were requested when necessary to make a diagnosis. Results: There were more females 245 (63%) than males 142 (37%). Most of the patients (81.9%) were aged above 16years and the commonest skin disease was infections (29.5%) followed by allergic skin diseases (13.6%). There was a significant difference in levels of income of study participants across gender and females who were engaged in unskilled labour were more likely to earn lower than males. Conclusion: Comparing the study findings with an earlier one from the same center, there is a change in pattern with infections being the most common skin disease. These are largely preventable; public enlightenment campaigns and policies to discourage over the counter purchase of prescription strength corticosteroid creams are highly desirable.


Assuntos
Dermatopatias/epidemiologia , Acne Vulgar/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Criança , Pré-Escolar , Dermatite Atópica/epidemiologia , Feminino , Doenças do Cabelo/epidemiologia , Hospitais de Ensino , Hospitais Universitários , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Nigéria/epidemiologia , Prevalência , Estudos Prospectivos , Prurido/epidemiologia , Distribuição por Sexo , Dermatopatias Infecciosas/epidemiologia , Dermatopatias Papuloescamosas/epidemiologia , Urticária/epidemiologia , Adulto Jovem
16.
Adv Exp Med Biol ; 897: 55-62, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26563306

RESUMO

Companion animals, often asymptomatic reservoir of fungi, can be important sources of infection in humans, due to the close contact with their owners. The present study was aimed to assess the occurrence of dermatophytes and other fungi isolated from pet dermatological lesions in Turin, Italy. Dermatological specimens were examined for fungal elements by direct microscopy and cultured to detect dermatophytes, other filamentous fungi and yeasts: 247 pets (118 cats, 111 dogs and 18 dwarf rabbits) were positive for fungal detection in culture. Microsporum canis was the most frequent dermatophyte in cats and dogs, whereas Trichophyton mentagrophytes was the most common in rabbits. Among the other fungi, for all examined pets, dematiaceous fungi were the most isolated, followed by Mucorales, penicilli, yeasts and yeast-like fungi, and aspergilli. No gender predisposition was detected for dermatophyte growth; on the contrary, for the other fungi male cats were more susceptible than female. The highest fungal occurrence was recorded in <1-year-old cats for dermatophytes, and in <5-year-old cats and dogs for the other fungi. Autumn was the period associated with a relevant incidence of fungal infection. Finally, fungi were more frequent in non pure-breed cats and in pure-breed dogs. These data underline the importance to timely inform pet owners about the potential health risk of infection caused not only by dermatophytes but also by non-dermatophyte fungi, routinely considered to be contaminants or harmless colonizers, since their role as source of zoonotic infections is not to be excluded.


Assuntos
Arthrodermataceae/isolamento & purificação , Doenças do Gato , Dermatomicoses , Doenças do Cão , Doenças do Cabelo , Animais , Arthrodermataceae/patogenicidade , Doenças do Gato/epidemiologia , Doenças do Gato/microbiologia , Gatos , Dermatomicoses/epidemiologia , Dermatomicoses/microbiologia , Dermatomicoses/veterinária , Doenças do Cão/epidemiologia , Doenças do Cão/microbiologia , Cães , Feminino , Doenças do Cabelo/epidemiologia , Doenças do Cabelo/microbiologia , Doenças do Cabelo/veterinária , Humanos , Itália/epidemiologia , Masculino , Coelhos
17.
Int J Dermatol ; 55(9): 989-94, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26566694

RESUMO

BACKGROUND: Trichostasis spinulosa (TS) is a common, underdiagnosed cosmetic skin condition. OBJECTIVES: The main objectives of this study were to determine the occurrence of TS relative to age and gender, to analyze its cutaneous distribution, and to investigate any possible familial basis for this condition, its impact on patients, and the types and efficacy of previous treatments. METHODS: All patients presenting to the outpatient dermatology clinic at the study institution and their relatives were examined for the presence of TS and were questioned about family history and previous treatment. Photographs and biopsies of suspected cases of TS were obtained. RESULTS: Of 2400 patients seen between August and December 2013, 286 patients were diagnosed with TS (135 males, 151 females; prevalence: 11.9%). Women presented more frequently than men with complaints of TS (6.3 vs. 4.2%), and more women had received prior treatment for TS (10.5 vs. 2.8%). The most commonly affected sites were the face (100%), interscapular area (10.5%), and arms (3.1%). Lesions involved the nasal alae in 96.2%, the nasal tip in 90.9%, the chin in 55.9%, and the cheeks in 52.4% of patients. Only 15.7% of patients had forehead lesions, and only 4.5% had perioral lesions. Among the 38 previously treated patients, 65.8% reported temporary improvement. CONCLUSIONS: Trichostasis spinulosa is a common condition that predominantly affects the face in patients of all ages. Additional studies employing larger cohorts from multiple centers will be required to determine the prevalence of TS in the general population.


Assuntos
Face , Dermatoses Faciais/diagnóstico , Dermatoses Faciais/epidemiologia , Doenças do Cabelo/diagnóstico , Doenças do Cabelo/epidemiologia , Ceratose/diagnóstico , Ceratose/epidemiologia , Prurido/diagnóstico , Prurido/epidemiologia , Adolescente , Adulto , Idoso , Braço , Dorso , Criança , Dermatoses Faciais/genética , Dermatoses Faciais/terapia , Feminino , Doenças do Cabelo/genética , Doenças do Cabelo/terapia , Humanos , Incidência , Achados Incidentais , Ceratose/genética , Ceratose/terapia , Masculino , Pessoa de Meia-Idade , Prevalência , Prurido/genética , Prurido/terapia , Fatores Sexuais , Iêmen/epidemiologia , Adulto Jovem
18.
Int J Dermatol ; 55(9): 1000-4, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26566735

RESUMO

BACKGROUND: Benghazi has received many internally displaced persons (IDPs) from other Libyan cities as a result of the armed conflict in Libya. These groups have significant health problems associated with their displacement, including skin diseases. OBJECTIVES: This study aimed to determine the spectrum and frequency of skin diseases among people living in IDP camps in Benghazi. METHODS: A total of 480 IDP camp residents with complaints of skin diseases were studied over a period of 6 months. RESULTS: All subjects were ethnic Tawerghans; about three-quarters were female and half were adults. The disease types found to occur at the highest frequencies were skin infections (40.0%), followed by xerosis (31.3%), eczema (18.3%), acne (17.0%), hair-related diseases (6.7%), and psychosomatic diseases (3.0%). CONCLUSIONS: People who are resident in IDP camps have skin problems similar to those of other populations in similar circumstances. They have increased vulnerability to infections, environment-associated disorders such as xerosis cutis and eczema, and diseases of psychosomatic origin.


Assuntos
Transtornos Psicofisiológicos/epidemiologia , Refugiados/estatística & dados numéricos , Dermatopatias/epidemiologia , Acne Vulgar/epidemiologia , Adolescente , Adulto , Idoso , Criança , Eczema/epidemiologia , Feminino , Doenças do Cabelo/epidemiologia , Humanos , Líbia/epidemiologia , Masculino , Pessoa de Meia-Idade , Prevalência , Estudos Prospectivos , Dermatopatias Infecciosas/epidemiologia , Adulto Jovem
19.
Med Princ Pract ; 25(1): 67-71, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26421837

RESUMO

OBJECTIVES: The aim of this study was to evaluate the clinical and epidemiological profile of hair and scalp disorders in children referred to the Pediatric Dermatology Outpatient Clinic. MATERIALS AND METHODS: We performed a retrospective study of children with hair loss problems or scalp diseases who turned to the Pediatric Dermatology Service, Anna Meyer Pediatric Hospital, Florence, Italy, from January 1, 2009, to December 31, 2009. Demographics, personal and familial medical history, laboratory tests, clinical examination, final diagnosis and therapeutic interventions were obtained from the manual chart review. RESULTS: Of the 2,640 children who had access to the Pediatric Dermatology Service, 190 (7.19%) had a hair or scalp disorder. Among the 190 children, 60 (31.57%) presented with nonscarring alopecia, 56 (29.47%) had benign neoplasias, hamartomas or vascular malformations of the scalp, 51 (26.84%) had scalp inflammatory diseases, 14 (7.36%) had scarring alopecia, 5 (2.63%) had infections and 2 (1.05%) had infestation of the scalp. A case of constitutional hypertrichosis (0.52%) and also a case (0.52%) of lamellar ichthyosis were diagnosed. CONCLUSIONS: Our results underline that hair and scalp diseases represent an important percentage of admittances to a dermatological pediatric outpatient clinic. The variety and complexity of the diseases observed in this study included diseases commonly found also in adulthood.


Assuntos
Doenças do Cabelo/epidemiologia , Couro Cabeludo , Dermatopatias/epidemiologia , Adolescente , Criança , Pré-Escolar , Feminino , Granuloma Piogênico/epidemiologia , Hamartoma/epidemiologia , Humanos , Itália/epidemiologia , Masculino , Nevo/epidemiologia , Ambulatório Hospitalar , Estudos Retrospectivos
20.
Dermatol Clin ; 34(1): 7-16, 2016 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-26617352

RESUMO

It is challenging to estimate a true prevalence of hidradenitis suppurativa (HS) because it is underdiagnosed and misdiagnosed. Prevalences have been reported from 0.00033% to 4.1%. The incidence seems to be rising. In addition to dermatologic symptoms, HS is associated with metabolic syndrome, and increased cardiovascular risk. The majority of HS patients are smokers. Additional somatic comorbidities complicating HS include autoimmune conditions, follicular syndromes, rheumatologic conditions, and malignancies. HS patients are troubled by psychological comorbidities. When treating HS patients it is imperative not only to treat the skin symptoms, but also address the screening and treatment of possible comorbidities.


Assuntos
Ansiedade/epidemiologia , Doenças Cardiovasculares/epidemiologia , Depressão/epidemiologia , Diabetes Mellitus Tipo 1/epidemiologia , Hidradenite Supurativa/epidemiologia , Síndrome Metabólica/epidemiologia , Fumar/epidemiologia , Comorbidade , Doenças do Cabelo/epidemiologia , Folículo Piloso , Humanos , Neoplasias/epidemiologia , Prevalência , Doenças Reumáticas/epidemiologia , Fatores de Risco
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