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Disseminated tuberculosis associated with reactive arthritis of Poncet in an im...
Calado,Juliana de Oliveira Alves; Miola,Anna Carolina; Silvares,Maria Regina Cavariani; Marques,Silvio AlencarAbstract Cutaneous tuberculosis is a rare extrapulmonary manifestation of tuberculosis which, like disseminated tuberculosis, commonly occurs in immunocompromised patients. Poncet reactive arthritis is a seronegative arthritis affecting patients with extrapulmonary tuberculosis, which is uncommon even in endemic countries. We report a previously healthy 23-year-old male patient with watery diarrhea associated w...
Consensus on the diagnostic and therapeutic management of chronic spontaneous u...
Criado,Paulo Ricardo; Maruta,Celina Wakisaka; Alchorne,Alice de Oliveira de Avelar; Ramos,Andréa Machado Coelho; Gontijo,BernardoAbstract: Background: Urticarias are frequent diseases, with 15% to 20% of the population presenting at least one acute episode in their lifetime. Urticaria are classified in acute ( ≤ 6 weeks) or chronic (> 6 weeks). They may be induced or spontaneous. Objectives: To verify the diagnostic and therapeutic recommendations in chronic spontaneous urticaria (CSU), according to the experience of Brazilian experts, r...
Heterologous fibrin sealant derived from snake venom: from bench to bedside – a...
Ferreira Jr,Rui Seabra; Barros,Luciana Curtolo de; Abbade,Luciana Patrícia Fernandes; Barraviera,Silvia Regina Catharino SartoriAbstract Hemostatic and adhesive agents date back to World War II, when homologous fibrin sealant came onto scene. Considering that infectious diseases can be transmitted via human blood, a new heterologous fibrin sealant was standardized in the 1990s. Its components were a serine protease (a thrombin-like enzyme) extracted from the venom of Crotalus durissus terrificus snakes and a fibrinogen-rich cryoprecipit...
Cutaneous histoplasmosis disclosing an HIV-infection
Marques,Silvio Alencar; Silvares,Maria Regina Cavariani; Camargo,Rosangela Maria Pires de; Marques,Mariangela Esther AlencarHistoplasmosis is a systemic mycosis endemic in extensive areas of the Americas. The authors report on an urban adult male patient with uncommon oral-cutaneous lesions proven to be histoplasmosis. Additional investigation revealed unnoticed HIV infection with CD4+ cell count of 7/mm3. The treatment was performed with amphotericin B, a 2065 mg total dose followed by itraconazole 200mg/daily plus antiretroviral t...
Autoimmune thyroid disease as a risk factor for angioedema in patients with chr...
Missaka,Ruy Felippe Brito Gonçalves; Penatti,Henrique Costa; Silvares,Maria Regina Cavariani; Nogueira,Célia ReginaCONTEXT AND OBJECTIVE: An association between chronic idiopathic urticaria (CIU) and autoimmune thyroid disease (ATD) has been reported. However, there have not been any reports on whether ATD raises the risk of angioedema, which is a more severe clinical presentation of CIU. Thus, the aim of the present study was to evaluate whether the risk of angioedema is increased in patients with CIU and ATD. DESIGN AND S...
Qualidade de vida em urticária crônica: inquérito em ambulatório público univer...
Silvares,Maria Regina Cavariani; Fortes,Maria Rita Parise; Miot,Hélio AmanteOBJETIVO: Avaliar o impacto da urticária crônica na qualidade de vida dos pacientes de ambulatório universitário a partir do questionário DLQI (Dermatology Life Quality Index). MÉTODOS: Inquérito sobre o impacto na qualidade de vida infligido pela urticária crônica a partir do questionário DLQI validado para a língua portuguesa. Pacientes foram entrevistados durante suas consultas em ambulatório especializado, ...
Reações cutâneas desencadeadas por drogas
Silvares,Maria Regina Cavariani; Abbade,Luciana Patrícia Fernandes; Lavezzo,Marcelo; Gonçalves,Tatiana Maria; Abbade,Joélcio FranciscoFUNDAMENTOS: Drogas podem desencadear reações adversas. As manifestações cutâneas são as mais comuns. OBJETIVO: Analisar as farmacodermias e relacionar as drogas envolvidas e os tipos de reações cutâneas mais freqüentes. MÉTODOS: Estudo retrospectivo e descritivo. Avaliados pacientes com diagnóstico inicial de farmacodermia internados na Enfermaria de Dermatologia, no período de janeiro de 1999 a junho de 2004....
Sociodemographic and clinical characteristics, causal factors and evolution of ...
Silvares,Maria Regina Cavariani; Coelho,Kunie Iabuki Rabello; Dalben,Ivete; Lastória,Joel Carlos; Abbade,Luciana Patrícia FernandesCONTEXT AND OBJECTIVE: Chronic urticaria-angioedema is a common, multiple-cause complaint. The aim was to investigate the sociodemographic and clinical characteristics, causal and aggravating factors and evolution of urticaria-angioedema. DESIGN AND SETTING: This was a descriptive prospective study carried out at the Dermatology outpatient clinic of Faculdade de Medicina de Botucatu, Universidade Estadual Pauli...