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巴西圣保罗州北部海岸一个渔民社区的皮肤病概况:常见与罕见病例

Profile of skin diseases in a community of fishermen in the northern coast of the state of São Paulo: the expected and the unusual.

作者信息

Haddad Junior Vidal

机构信息

Department of Dermatology, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu (SP), Brazil.

出版信息

An Bras Dermatol. 2019 Jan-Feb;94(1):24-28. doi: 10.1590/abd1806-4841.20197174.

Abstract

BACKGROUND

The fishing colony of the Picinguaba neighborhood is located at the northern end of the coast of the state of São Paulo. It has about 300 residents, of which approximately 100 are professional fishermen.

OBJECTIVES

This study aimed to identify the main dermatoses of the community in comparison with other populations, and their frequency.

METHODS

The dermatoses were identified and tabulated for two years, in a prospective study carried out on monthly trips to the fishermen's colony in Picinguaba.

RESULTS

One hundred and eighteen patients were attended and followed up, which is equivalent to about 1/3 of the colony's inhabitants. Of these, 43 were children (under the age of 14) and 75 were adolescents and adults. The diseases observed were catalogued according to the age groups. Although most dermatoses in the community were similar with those observed in the general population, some specific cases could be seen, such as folliculitis on the legs of fishermen and an unexpected low frequency of actinic lesions in the colony, as well as dermatitis by aquatic animals.

STUDY LIMITATIONS

The limitations were monthly attendance and the spontaneous demand of the patients.

CONCLUSIONS

The finding of community-specific dermatoses and the low incidence of malignant and pre-malignant tumors associated with sun exposure needs further studies for better clarification.

摘要

背景

皮钦古阿巴社区的渔业聚居地位于圣保罗州海岸的北端。它有大约300名居民,其中约100名是职业渔民。

目的

本研究旨在确定该社区主要的皮肤病,并与其他人群进行比较,以及其发病率。

方法

在一项前瞻性研究中,通过每月前往皮钦古阿巴渔民聚居地进行调查,对皮肤病进行了两年的识别和列表统计。

结果

共诊治并随访了118名患者,约占该聚居地居民的1/3。其中,43名是儿童(14岁以下),75名是青少年和成年人。观察到的疾病按年龄组进行了分类。尽管该社区的大多数皮肤病与普通人群中观察到的相似,但也有一些特殊病例,如渔民腿部的毛囊炎、该聚居地光化性病变的意外低发病率以及水生动物引起的皮炎。

研究局限性

局限性在于每月出诊以及患者的自发需求。

结论

发现特定于该社区的皮肤病以及与日晒相关的恶性和癌前肿瘤的低发病率,需要进一步研究以更好地阐明。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4d5/6360980/9a48bf22d75c/abd-94-01-0024-g01.jpg

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