PPG Medicina (Dermatologia) (até 2002)

URI Permanente para esta coleção

https://hdl.handle.net/11600/65626

Navegar

Navegando PPG Medicina (Dermatologia) (até 2002) por Orientador(es) "Cestari, Silmara da Costa Pereira [UNIFESP]"

Agora exibindo 1 - 2 de 2
  • Imagem de Miniatura
    Item
    Embargo
    Estudo da correlação entre molusco contagioso e dermatite atópica em crianças
    (Universidade Federal de São Paulo (UNIFESP), 2009-09-30) Seize, Maria Bandeira de Melo Paiva [UNIFESP]; Cestari, Silmara da Costa Pereira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: The idea that infection by molluscum contagiosum tends to be more common and more intense in patients suffering from atopic dermatitis is quite widespread. Nevertheless, in general, the few studies available on the subject lack the necessary scientific base. Given this situation, the purpose of the present study is to contribute towards improving the knowledge of these two dermatoses that are so commonly found in the infant population. Aims: To evaluate the prevalence of atopic dermatitis among patients with molluscum contagiosum; evaluate the prevalence of molluscum contagiosum among patients with atopic dermatitis; evaluate whether infection by molluscum contagiosum is more recurrent and/or widespread among patients with atopic dermatitis and whether the occurrence of peri-molluscum eczema, itching and/or infection is more prevalent than in patients without atopic dermatitis. Methods: 284 patients attending the pediatric outpatient service of the Department of Dermatology at UNIFESP-EPM were evaluated. The patients included in the study were children of both sexes, aged between 6 months and 15 years that had been diagnosed with molluscum contagiosum and/or atopic dermatitis. Results: Of the 284 children in the study, 209 had atopic dermatitis and 113 molluscum contagiosum, while 171 had atopic dermatitis alone, 75 had molluscum contagiosum alone and 38 (13.4%) children had both diseases. The prevalence of molluscum contagiosum among the children with atopic dermatitis was 18.2% and the prevalence of atopic dermatitis among the children with molluscum contagiosum was 33.6%. There was no statistically significant difference in terms of the quantity molluscum contagiosum lesions between the patients with and without atopic dermatitis (p=0.223). The number of anatomical areas by the molluscum contagiosum lesions was greater in patients that also had atopic dermatitis (p=0.045). The occurrence of peri-molluscum eczema (p=0.001) and itching (p=0.002) was greater in the group of patients with associated atopic dermatitis. There was no significant difference in the rate of secondary infection associated with the molluscum contagiosum lesions in the patients with and without associated atopic dermatitis (p=0.101). Conclusion: The prevalence of the occurrence of associated atopic dermatitis and molluscum contagiosum was low in relation to the studied groups. There was no statistically significant difference in the recurrence of infection by the molluscum contagiosum virus between the groups with and without atopic dermatitis. In relation to the dissemination of infection by the molluscum contagiosum virus, there was no statistically significant difference in the quantity of lesions, though the number of anatomical areas affected was greater among patients with atopic dermatitis. The presence of peri-molluscum eczema and itching was greater in the patients with atopic dermatitis. There was no statistically significant difference in the occurrence of secondary bacterial infection in patients with and without atopic dermatitis.
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Prevalência das dermatoses em escolares
    (Universidade Federal de São Paulo (UNIFESP), 2009-03-25) Laczynski, Cristina Marta Maria [UNIFESP]; Cestari, Silmara da Costa Pereira [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    A part of a student population was chosen in the city of Santo André (São Paulo State, Brazil), in order to inquire the amount and the sort of dermatosis found in scholars attending the first grade among private and public schools. In consequence, the aim of this work was the observation of the incidence and prevalence of dermatosis comparing the two kinds of school with data found in the concerning literature. The work was classified as populational outline, in a sample of 200 children, between 7 and 14 years old, each one of them with a written term of consent signed by their parents and were excluded children out of the range of the age chosen, pregnant adolescents and children whose parents did not sign the written term of consent. In all those children were performed a complete dermatological clinical examination, in their own scholar environment, in proper rooms with the privacy needed for this sort of event. Results were achieved by items like kind of school, scholar grade, gender, colour, phototype and diagnosis. Regarding the scholar grade, there was a prevalence of the second and fifth degrees. In item gender, the females prevailed (53%) upon the males (47%). The white coloured majored upon the others (85%), with no significant statistic difference between the two kinds of schools. In diagnosis, 25 children (12,5%) showed no dermatological lesion at all, and were classified as belonging to the “eudermia” group. Among the 175 other children (88%) which had dermatosis, 83% of them were from private schools and 93% were from public schools. Continuing on diagnosis, the group “inflamatórias” predominate in public schools and the “neoplasias benignas” predominate in private ones. Regarding the particular sort of dermatosis, melanocytic nevi prevailed more in private schools, followed by acne and in the public schools the prevalence were higher for pithyriasis alba, reticular livedo and asteatosis, and surprisingly, onychophagia, which were the forth diagnosis more prevalent in both kinds of school.