Journal of the Portuguese Society of Dermatology and Venereology最新文献

{"title":"Relation between Chronic Urticaria and Quality of Life: An Observational Study of 112 Portuguese Patients","authors":"A. Almeida, B. Oliveiros, M. Gonçalo","doi":"10.29021/spdv.79.3.1402","DOIUrl":"https://doi.org/10.29021/spdv.79.3.1402","url":null,"abstract":"Introduction: Chronic urticaria is a complex multifactorial dermatological disease. It is highly prevalent throughout the world and contributes to lower patients’ quality of life. The purpose of this study is to evaluate the impact of chronic urticaria on the quality of life (QoL) and mental status in Portuguese patients. \u0000Methods: This observational study included the evaluation of Portuguese patients from the consultation of chronic urticaria in the Coimbra University Hospital Centre, using several questionnaires including: weekly urticaria activity score (UAS7), Urticaria Control Test (UCT), Dermatology Life Quality Index (DLQI), Chronic Urticaria Quality of Life Questionnaire (CU-Q2oL) and the Hospital Anxiety and Depression Scale (HADS). The results of the questionnaires were posteriorly analysed, and the quality of life and mental status assessed in these patients were correlated with sociodemographic parameters and clinical aspects of chronic urticaria. \u0000Results: We studied 112 patients, mainly female (80%), with an average age of 46 years, mostly classified with mild urticaria activity, according to UAS7, and the majority (85%) were poorly controlled, regarding the UCT classification. Using both CU-Q2oL and DLQI we obtained mean values of 48.98 (±19.53) and 7.23 (±7.67), respectively, that show a high impact on the QoL. CU also interferes with mental status values in HADS concordant with anxiety (in a total of 45 patients) and depression (in 22 patients). A strong and positive correlation was found between both instruments used to measure quality of life, with pruritus, number of papules, quality of sleep and the embarrassment caused by cutaneous lesions as the mostly affected parameters in our sample. QoL varies significantly with gender, degree of instruction, clinical severity of symptoms and level of disease control. Although not always directly related, clinical activity of the disease remains the most significant factor of patients' QoL. Anxiety and depression show a significantly relationship with quality of life, however it was not found a significant correlation with the urticaria clinical activity. \u0000Discussion: Patient-Reported Outcomes (PRO) proved to be a practical and effective tool in daily clinic assessment of Portuguese patients suffering from chronic urticaria. The variation of quality of life according to sociodemographic characteristics is in conformity with literature. Moreover, new results were achieved regarding the level of instruction. The mostly impaired domains in our sample’s QoL are not totally identical to previous studies, which suggests a meaningful effect of the geographic location. This investigation supported the significant influence of clinical activity of the urticaria and psychological well-being in QoL as previously published. \u0000Conclusion: In Portuguese patients with chronic urticaria, it is essential to establish an integrated approach that encompasses the clinical control of urticaria, but also the","PeriodicalId":238976,"journal":{"name":"Journal of the Portuguese Society of Dermatology and Venereology","volume":"86 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125386494","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Dermatologia na Enfermaria de Medicina Interna: Análise Retrospectiva de um Centro Terciário","authors":"Tomás Pessoa e Costa, Ana Luísa João, M. Pereira, A. Estriga, F. Páris, Eduardo Galera da Silva","doi":"10.29021/spdv.78.1.1099","DOIUrl":"https://doi.org/10.29021/spdv.78.1.1099","url":null,"abstract":"Background: Skin diseases are common in Internal Medicine wards and often require observation by a dermatologist. This study intends to characterize the pattern of skin pathology in these patients and to evaluate the impact of dermatologists in their approach. \u0000Methods: A retrospective study was conducted. Dermatology observations over 46 months in Internal Medicine wards of Hospital Santo António dos Capuchos were analyzed. Patients’ conditions were classified according to the 10th revision of the International Statistical Classification of Diseases and Related Health Problems. \u0000Results: 231 men and 217 women were observed, with an average age of 72.6 years. Stasis dermatitis and venous leg ulcers were the most common diagnosis. \u0000Discussion and Conclusion: The Dermatology team significantly reduced the number of undiagnosed patients. Our study reinforces the importance of dermatologists in the evaluation of inpatients with skin diseases.","PeriodicalId":238976,"journal":{"name":"Journal of the Portuguese Society of Dermatology and Venereology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131914240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multiple Papules on the Face","authors":"F. Almeida, R. Caldas, A. Rodrigues, O. Ferreira","doi":"10.29021/spdv.77.4.1127","DOIUrl":"https://doi.org/10.29021/spdv.77.4.1127","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":238976,"journal":{"name":"Journal of the Portuguese Society of Dermatology and Venereology","volume":"35 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122579451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Single Cutaneous Ulcer in a Healthy Adolescent","authors":"A. Azevedo, S. Machado, P. Andrade, M. Selores","doi":"10.29021/spdv.77.3.1100","DOIUrl":"https://doi.org/10.29021/spdv.77.3.1100","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":238976,"journal":{"name":"Journal of the Portuguese Society of Dermatology and Venereology","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123755581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Papilomatose Reticulada e Confluente de Gougerot- -Carteaud: Melhoria Significativa e Sustentada das Lesões com Minociclina Oral","authors":"Nicolle Casas Blanco, Sabrina Coelho Poses, Annelise Lídice Francisquini Fernandes Marra, J. Bastos, Roberto Moreira Amorim-Filho, Gustavo Moreira Amorim","doi":"10.29021/spdv.77.3.1092","DOIUrl":"https://doi.org/10.29021/spdv.77.3.1092","url":null,"abstract":"Apresentamos um exuberante caso de papilomatose reticulada e confluente de Gougerot-Carteaud em adolescente masculino previamente saudável, tratado com minociclina via oral 100 mg durante 30 dias, com clareamento expressivo das lesões e resposta sustentada após 6 meses de seguimento. A literatura recente relacionada com o tema é discutida.","PeriodicalId":238976,"journal":{"name":"Journal of the Portuguese Society of Dermatology and Venereology","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133614814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inoculation Eschars and Fever: A Case of African Tick Bite Fever","authors":"R. Bouceiro-Mendes, M. Mendonça-Sanches, L. Soares-de-Almeida, I. Correia-Fonseca","doi":"10.29021/spdv.77.3.1103","DOIUrl":"https://doi.org/10.29021/spdv.77.3.1103","url":null,"abstract":"African tick bite fever is caused by the intracellular bacteria Rickettsia africae. This bacterium is transmitted through the bite of the Amblyomma tick, which carries a high rate of R. africae infection. African tick bite fever is the second most frequent cause of fever in travelers returning from sub-Saharan Africa.We present the case of a 58-year-old man, returning from South Africa, with a three-day history of fever, generalized headache and cervical myalgia. On physical examination multiple inoculation eschars and tender inguinal lymph nodes were documented.Histological examination of a skin lesion was compatible with spotted fever and the diagnosis of R. africae infection was confirmed through polymerase chain reaction analysis.The global increase in international tourism, particularly to remote areas, predisposes to tick bites. In febrile tourists returning from endemic areas and after a thorough clinical examination, the diagnosis of African tick bite fever should be born in mind.","PeriodicalId":238976,"journal":{"name":"Journal of the Portuguese Society of Dermatology and Venereology","volume":"145 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128122987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Um Caso de Pigmentação Cutânea e Mucosa Adquirida","authors":"Alexandre Miroux-Catarino, Leandro Silva, Maria Goreti Catorze, Isabel Viana","doi":"10.29021/spdv.77.3.1095","DOIUrl":"https://doi.org/10.29021/spdv.77.3.1095","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":238976,"journal":{"name":"Journal of the Portuguese Society of Dermatology and Venereology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130026408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kaposi Sarcoma in Solid Organ Transplant Recipients: A challenging Case","authors":"D. Macedo, P. Garrido, I. Fernandes, A. Santana, J. Guerra, J. Borges-Costa","doi":"10.29021/spdv.77.3.1085","DOIUrl":"https://doi.org/10.29021/spdv.77.3.1085","url":null,"abstract":"Kaposi sarcoma is a low-grade vascular tumor, associated with human herpesvirus-8 infection. Solid organ transplant recipients have a much higher risk of this malignancy, with estimated incidence rates increased 84 to 500 times. The risk is even higher in some ethnic groups, already with a higher incidence of this disease. We report a case of a 37-year-old African male, a kidney transplant recipient, with a Kaposi sarcoma refractory to different treatment options. The present case puts in evidence the challenges associated with the management of this disease in this high-risk population and highlights the role of a multidisciplinary approach to achieve effective treatment, particularly in advanced and refractory forms.","PeriodicalId":238976,"journal":{"name":"Journal of the Portuguese Society of Dermatology and Venereology","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129330450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sclerotherapy in the Treatment of Familial Disseminated Cutaneous Glomuvenous Malformations: Case Report","authors":"F. Gil, S. Ortiz, J. Aranha","doi":"10.29021/spdv.77.3.1087","DOIUrl":"https://doi.org/10.29021/spdv.77.3.1087","url":null,"abstract":"Glomuvenous malformations usually present as soft bluish-purple dermal or subcutaneous papules, nodules or plaques, and can occur as sporadic or inherited lesions. We present the case of a 41-year-old female, referred for evaluation of disseminated bluish lesions developing since puberty. Histopathology was consistent with the diagnosis of glomuvenous malformations. The history of a sister with similar lesions justified a genetic study of the glomulin gene that revealed a pathogenic mutational variant allowing thediagnosis of familial disseminated cutaneous glomuvenous malformations. Whereas surgical management is often used for symptomatic solitary lesions of glomuvenous malformations, other treatment modalities have been reported for treatment of multiple lesions, with variable results. The patient underwent sclerotherapy with polidocanol and there were significant symptomatic and cosmetic improvements after six sessions, with no adverse effects and no recurrence after 6 months.","PeriodicalId":238976,"journal":{"name":"Journal of the Portuguese Society of Dermatology and Venereology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125482213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Doença Pulmonar Intersticial Induzida por Etanercept em Doente com Psoríase em Placas","authors":"J. Lopes, S. Campainha, Cristina Sousa, D. Teixeira, A. Baptista, Ana Moreira","doi":"10.29021/spdv.77.3.1098","DOIUrl":"https://doi.org/10.29021/spdv.77.3.1098","url":null,"abstract":"O etanercept é um dos fármacos biológicos aprovados para o tratamento da psoríase. Apesar da sua vasta utilização e comprovada eficácia, estão descritos raros casos de toxicidade pulmonar com a sua utilização.Apresentamos uma doente com psoríase vulgar medicada com etanercept. Sete meses após o início do fármaco, inicia um quadro de tosse produtiva, sem febre ou sintomas constitucionais. Na tomografia computorizada torácica, apresentava um padrão de micronódulos densos bilaterais, com predomínio nos lobos superiores. Após suspensão do agente verificou-se resolução sintomática e imagiológica, sem necessidade de tratamento farmacológico adicional. Optou-se pela troca de agente biológicopara ustecinumab, com boa tolerância e elevada eficácia.","PeriodicalId":238976,"journal":{"name":"Journal of the Portuguese Society of Dermatology and Venereology","volume":"116 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123698323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}