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[野生环境中动植物所致急性疾病的识别:对皮肤科实践的贡献]

[Identification of acute diseases caused by animals and plants in wild environments: contribution to dermatologic practice].

作者信息

Haddad Junior Vidal

机构信息

Universidade Estadual Paulista, Botucatu, SP, Brasil.

出版信息

An Bras Dermatol. 2009 Jul-Aug;84(4):343-8. doi: 10.1590/s0365-05962009000400004.

Abstract

BACKGROUND

In recent years, there has been increasing contact between human beings that live in urban regions and the wild environment due to a series of activities. As a result, some poorly known dermatitis may present in private and dermatological clinics, especially early in the week and at the end of vacation periods.

OBJECTIVES

To obtain and provide information for dermatologists on the problem.

PATIENTS AND METHODS

The author observed adult and pediatric patients with acute dermatitis associated with plants or animals in Ubatuba, coastal city of Sao Paulo for 2 months (June / July 2006) and Medical School of Botucatu (June / July 2007).

RESULTS

We observed 25 patients in the rural area and 43 in the coastal environment. In rural areas, the most common dermatitis were phytophotodermatitis and the stings of insects and in coastal areas, sea urchin injuries and phytophotodermatitis, but in both areas there were some other accidents that were difficult to identify by regular daily practice.

CONCLUSION

We should be alert to the fact that patients seek a dermatologist after the acute phase of injuries. Information on the most common diseases and their characteristics can be very useful to practice in ermatologic clinics. The author suggests an algorithm to support diagnosis.

摘要

背景

近年来,由于一系列活动,城市地区的人类与野生环境之间的接触日益增加。因此,一些鲜为人知的皮炎可能会出现在私人诊所和皮肤科诊所,尤其是在一周的开始和假期结束时。

目的

获取并向皮肤科医生提供有关该问题的信息。

患者与方法

作者于2个月内(2006年6月/7月)在圣保罗沿海城市乌巴图巴以及(2007年6月/7月)在博图卡图医学院观察了患有与植物或动物相关的急性皮炎的成人和儿童患者。

结果

我们在农村地区观察到25例患者,在沿海地区观察到43例患者。在农村地区,最常见的皮炎是植物性日光性皮炎和昆虫叮咬,而在沿海地区,海胆刺伤和植物性日光性皮炎较为常见,但在这两个地区都存在一些日常常规诊疗中难以识别的其他意外情况。

结论

我们应该注意到患者在受伤急性期过后才寻求皮肤科医生的帮助这一事实。关于最常见疾病及其特征的信息对于皮肤科诊所的诊疗工作可能非常有用。作者提出了一种辅助诊断的算法。

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