Search

Introduction: Obesity is a prevalent condition in the routine of medical care at all levels of health care, however, there are few national studies on the most frequent dermatoses in this population. Objective: This study aimed to evaluate the skin condition of the obese population and compare it with non-obese patients from the public health system. Materials and Methods: Quantitative crosssectional study in which 60 overweight and obese adults (BMI ≥ 30 kg/m2 ) and 60 with normal BMI (18.5 - 24.9 kg/m2 ) of both sexes from the internal medicine clinics were evaluated during the second half of 2015, randomly selected, separated into case and control groups. Results: There was a predominance of female patients (75%), aged 56.3 years, white, sedentary, with incomplete primary education. The three most prevalent dermatoses in the group of cases were stretch marks (57.4%), and the most affected region of the body was the abdomen, with 82.9%; ruby nevus (52.5%) and superficial venous insufficiency (41%). Discussion: The findings indicate a high frequency of dermatoses in obese individuals. These patients need adequate follow-up as there is the possibility of preventing dermatological and systemic changes. Conclusion: All physicians need to be trained in the diagnosis of these conditions. Cases with specific surgical or cosmiatric clinical needs should be referred for dermatological management in order to reduce risks, damage and discomfort. [ABSTRACT FROM AUTHOR]

Fundamentos: Doença de Bowen é um carcinoma espinocelular intraepidérmico do tórax de idosos. Motivo da comunicação: Caso exuberante em abdome inferior com áreas de pigmentação em transplantada renal. Relato: Paciente feminina branca, 53 anos, transplantada renal há dez anos evoluindo há 7 anos com placa de 8cm, irregular no tamanho e na cor, em dobra de quadrante inferior do abdome. Biopsia de pele revelou espinocelular in situ. Submetida à cirurgia com congelação intra-operatória evoluiu satisfatoriamente sem intercorrências ou novas lesões. Discussão: Os imunossuprimidos renais são grupo de risco para o desenvolvimento de espinocelulares que devem ser diferenciados de lesões cutâneas benignas, pré-malignas e malignas. Nesta paciente, as características da lesão, sua cor, tamanho e longa duração apontavam para a necessidade de avaliação dermatológica complementada com dermatoscopia e estudo histopatológico. A literatura é escassa em relação à associação de transplantados renais e o CEC in situ pigmentado em área não-exposta ao sol, como o abdome inferior dessa paciente. A dermatoscopia auxiliou na diferenciação com o melanoma. A congelação transoperatória aumentou a acurácia do diagnóstico e orientou a decisão cirúrgica mais adequada. Este caso mostra que o trabalho multidisciplinar integrado melhora a assistência global à saúde do imunossuprimido. [ABSTRACT FROM AUTHOR]

Objective: To identify the incidence of visual impairment in 5-year-old children in public schools from Curitiba-PR. Methods: A selection of schools has been choosen randomly from Curitiba. The children, with completed 5 years at end of 2017 have been evaluated using Snellen table, trough minimum distance for image sharpness and Hirschberg test. Parents answered a questionnaire about the use of screens, ocular symptoms and family history of the child. Significance levels were defines as begin p≤0,05. Results: The results have shown that four hundred fifty-nine children were screened. Two hundred nineteen are female (47,7%) and two hundred fourty (52,3%), male. From all screened patients, one hundred were refered to specialized oftalmic evaluation. After trial completing, has been attained a prevalence value of 10,7% for myopia, 17,6% of hyperopia and 0,9% of strabismus. Strong correlation between parents and children has been undiscovered (p<0,05). From listed oftalmic complaints, headache (30,4%) and frown (10%) where most prevalent. Conclusion: It has been attained that the prevalence of visual acuity is 21,8%. The relation between visual acuity alteration and familiar history has been shown to be significant related. On the other side, the average time in front of television has been shown the only habit that has correlation with visual acuity reduction (p=0,028). Vision complaints, although very frequent, doesn't translate into increased probability of visual acuity alteration. [ABSTRACT FROM AUTHOR]

Objective: To identify the incidence of visual impairment in 5-year-old children in public schools from Curitiba-PR. Methods: A selection of schools has been choosen randomly from Curitiba. The children, with completed 5 years at end of 2017 have been evaluated using Snellen table, trough minimum distance for image sharpness and Hirschberg test. Parents answered a questionnaire about the use of screens, ocular symptoms and family history of the child. Significance levels were defines as begin p≤0,05. Results: The results have shown that four hundred fifty-nine children were screened. Two hundred nineteen are female (47,7%) and two hundred fourty (52,3%), male. From all screened patients, one hundred were refered to specialized oftalmic evaluation. After trial completing, has been attained a prevalence value of 10,7% for myopia, 17,6% of hyperopia and 0,9% of strabismus. Strong correlation between parents and children has been undiscovered (p<0,05). From listed oftalmic complaints, headache (30,4%) and frown (10%) where most prevalent. Conclusion: It has been attained that the prevalence of visual acuity is 21,8%. The relation between visual acuity alteration and familiar history has been shown to be significant related. On the other side, the average time in front of television has been shown the only habit that has correlation with visual acuity reduction (p=0,028). Vision complaints, although very frequent, doesn't translate into increased probability of visual acuity alteration. [ABSTRACT FROM AUTHOR]